Journal articles on the topic 'Distress'
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Feldo, Ferix, Rinaningsih Rinaningsih, and Retno Yuliati. "HUBUNGAN KESULITAN KEUANGAN DENGAN MANAJEMEN LABA PADA PERUSAHAAN YANG TERDAFTAR DI BURSA EFEK INDONESIA TAHUN 2010-2016." Jurnal Equity 21, no. 2 (April 13, 2019): 141. http://dx.doi.org/10.34209/.v21i2.640.
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This research aims to know how the relationship between financial distress as measured by manajemen laba using Discretionary value Accruals (DA). This research use quantitative approach and the population used is the all of company listed in the Indonesian Stock Exchange period 20102016. Research conducted using multiple linear regression. The result of the research indicate (1) there is a negative significant relationship between financial distress in distress1 category characterized by a negative net income during the current year with warnings management. (2) there is no significant relationship between financial distress in distress2 category characterized by negative working capital during the current year with manajemen laba, (3) there is on relationship between financial distress in distress3 category characterized by negative net income and working capital during the current year withmanajemen laba.
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Feldo, Ferix, Rinaningsih Rinaningsih, and Retno Yuliati. "HUBUNGAN KESULITAN KEUANGAN DENGAN MANAJEMEN LABA PADA PERUSAHAAN YANG TERDAFTAR DI BURSA EFEK INDONESIA TAHUN 2010-2016." Equity 21, no. 2 (June 19, 2019): 141. http://dx.doi.org/10.34209/equ.v21i2.640.
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This research aims to know how the relationship between financial distress as measured by manajemen laba using Discretionary value Accruals (DA). This research use quantitative approach and the population used is the all of company listed in the Indonesian Stock Exchange period 20102016. Research conducted using multiple linear regression. The result of the research indicate (1) there is a negative significant relationship between financial distress in distress1 category characterized by a negative net income during the current year with warnings management. (2) there is no significant relationship between financial distress in distress2 category characterized by negative working capital during the current year with manajemen laba, (3) there is on relationship between financial distress in distress3 category characterized by negative net income and working capital during the current year withmanajemen laba.
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Hapsoro, Dody, and Adrianus Billy Hartomo. "Keberadaan Corporate Governance Sebagai Variabel Moderasi Pengaruh Financial Distress Terhadap Earnings Management." Jurnal Ekonomi dan Bisnis 19, no. 1 (May 1, 2016): 91. http://dx.doi.org/10.24914/jeb.v19i1.507.
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<p align="center"><em>The objective of this research is to provide empirical evidence of the effect of financial distress toward earnings management and the effect of financial distress toward earnings management that moderated by corporate governance. Financial distress consists of DISTRESS1, DISTRESS2 and DISTRESS3. Earnings management was measured by discretionary accruals using Jones Model, and corporate governance consists of three variables (board of directors, independent commissioner, and audit committee). Board of directors was measured by total board of directors in the firm included chief executive officer (CEO)</em>.<em> I</em><em>ndependent commissioner was measured by the proportion of independent commissioner that is total independent commissioner divided by total board of commissioner and audit committee was measured by total member of audit committee. Control variable in this research is firm size that was measured by logarithm of asset total. The population of this research is 423 non-financial companies were listed in Indonesian Stock Exchange (IDX). The research data were collected from non-financial companies annual report for the period of 2014. Based on purposive sampling method, there are 62 samples. The research hypothesis were tested by using multiple regression analysis. The results of this research in Model 1 show that firm size variable has significant relationship with earnings management, while DISTRESS1 variable, DISTRESS2 variable, and DISTRESS3 variable have no significant relationship with earnings management. The result of this research in Model 2 show that DISTRESS3 variable, independent commissioner variable, and interaction between financial distress with corporate governance variable have significant relationship with earnings management, while DISTRESS1 variable, DISTRESS2 variable, board of directors variable, audit committee variable, and firm size variable have no significant with relationship earnings management.</em></p><p><em><br /></em></p><p align="center"><strong>Abstrak</strong></p><p align="center"><strong><em> </em></strong></p><p>Tujuan dari penelitian ini adalah untuk memberikan bukti empiris pengaruh kesulitan keuangan terhadap manajemen laba dan pengaruh kesulitan keuangan terhadap manajemen laba yang dimoderasi oleh tata kelola perusahaan. Kesulitan keuangan terdiri dari DISTRESS1, DISTRESS2 dan DISTRESS3. Manajemen laba diukur dengan menggunakan akrual diskresioner yang mengaplikasikan Model Jones, dan tata kelola perusahaan terdiri dari tiga variabel (dewan direksi, komisaris independen, dan komite audit). Direksi diukur dengan menggunakan jumlah dewan direksi di dalam perusahaan termasuk chief executive officer (CEO). Komisaris independen diukur dengan menggunakan proporsi komisaris independen dimana total komisaris independen dibagi dengan total dewan komite komisaris, dan komite audit diukur dengan menggunakan jumlah anggota komite audit. Variabel kontrol dalam penelitian ini adalah ukuran perusahaan yang diukur dengan menggunakan logaritma total aset. Populasi dalam penelitian ini adalah 423 perusahaan non keuangan yang terdaftar di Bursa Efek Indonesia (BEI). Data penelitian dikumpulkan dari laporan tahunan perusahaan non-keuangan untuk periode 2014. Berdasarkan metode purposive sampling terdapat 62 sampel penelitian. Hipotesis dalam penelitian ini diuji dengan menggunakan analisis regresi berganda. Hasil penelitian pada Model 1 menunjukkan bahwa ukuran perusahaan memiliki hubungan yang signifikan dengan manajemen laba, sedangkan variabel DISTRESS1, variabel DISTRESS2, dan variabel DISTRESS3 tidak memiliki hubungan yang signifikan dengan manajemen laba. Hasil penelitian pada Model 2 menunjukkan bahwa variabel DISTRESS3, komisaris independen, dan interaksi antara kesulitan keuangan dengan tata kelola perusahaan memiliki hubungan yang signifikan dengan manajemen laba, sedangkan variabel DISTRESS1, variabel DISTRESS2, dewan direksi, komite audit, dan ukuran perusahaan tidak memiliki hubungan signifikan dengan manajemen laba.<em><br /></em></p>
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Rahmawati, Tiara, and Erma Setiawati. "PENGARUH LABA, ARUS KAS, LEVERAGE DAN FIRM GROWTH TERHADAP KONDISI FINANCIAL DISTRESS PADA PERUSAHAAN MANUFAKTUR YANG TERDAFTAR DI BURSA EFEK INDONESIA TAHUN 2018-2020." Jurnal Akuntansi STIE Muhammadiyah Palopo 8, no. 2 (August 1, 2022): 34. http://dx.doi.org/10.35906/jurakun.v8i2.1024.
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ABSTRAK Financial distress ialah ketika kondisi penurunan keuangan dan kerugian menimpa perusahaan, sehingga tidak mungkin untuk bersaing kembali dengan perusahaan lain. Perusahaan diharuskan berinovasi agar dapat bersaing, jika tidak maka perusahaan akan bangkrut. Bisnis yang mengalami kesulitan keuangan sering kali ditandai dengan kualitas produk yang buruk, pembayaran rekening bank yang terlambat, dan laba operasionali yang negatife selamai beberapai tahun berturut-turut.i Tujuan dilakukannya penelitiani inii adalahi untuki mengetahuii pengaruhi laba, arus kas, i leveragei dani firmi growthi terhadapi financiali distressi perusahaani manufaktur yangi terdaftari di Bursai Efeki Indonesiai periode 2018-2020. Penggunaan data sekunder dan pendekatan kuantitatif fipilih oleh peneliti dalam penelitian ini. Datanya yaitu laporani keuangani perusahaan periode 2018-2020. Perusahaan sampell yangl termasuk dalaml penelitianl ditentukani dengan purposivel samplingldanl diambil 225 sampel. Hasill penelitianl mendapatkan hanya variabell labal yang berpengaruhl terhadapl financiall distress. l. Sementara variabell arus kas, leveragel danl firm growth tidakl mempengaruhi fiancial distress, penelitian berikutnya dapat menambahkan variabel prediktif lain yang mungkin dapat mempengaruhi financiall ldistress. lKata kuncil: Laba, arus kas,l leverage,l firm growth, financiall distressl ABSTRACTttFinanciall distressl isl when al company experiences al financial decline and suffers losses, making it impossible to compete with other companies. Companies must innovate in order to compete, otherwise the company will go bankrupt. Businesses experiencing financial difficulties are often characterized by poor product quality, late bank account payments, and negative operating profit for two consecutive years. The purpose of thisl studyl was tol determinel thel effectl ofl income, cashflow, leverage andl firm growth onl the financial distress ofl manufacturingl companiesl listedl onl thel Indonesial Stockl Exchangel forl thel 2018-2020 periodt. Thisl study usesl a quantitative approach, using secondary data in the form of company financiall statements. Thel sample companies included inl thel studyl were determined by purposivel samplingl withl certain criteria and 225 samples were taken. The resultsl showedl only thel profit variablel hadl an effectl onl financial distress. While cash flow, leverage, and firm growth variables do not affect financial distress, further research can add other predictive variables that can affect financiall distress.L... Keyword: Profit,l Cash Flow,l Leverage,l Firm growth, Financiall distressl
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Nair, Jyoti Jaydeep, and J. K. Sachdeva. "Indicators of financial distress - An empirical study of Indian Textile sector." Journal of Global Economy 12, no. 2 (June 25, 2016): 101–10. http://dx.doi.org/10.1956/jge.v12i2.418.
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 AbstractBusinesses across the globe faces challenges to ensure stability, growth and sustainability. Companies have to deal with changes in economic, social, cultural, political and technological environment. Companies failing to do may face financial distress causing default in payment of contractual obligations and erosion of shareholders wealth. In a business scenario where the stakeholders are many viz. shareholders, lenders, employees, government and society at large, protection of the interests of the stakeholders assume prime importance. Company’s management are expected to identify signals that indicate distress and take remedial measures. This paper attempts to identify distress signals in textile sector in India. Textile sector is one of the largest sector in India. However one third of companies in this sector have reported losses for the previous year. This study aims to examine the factors that can differentiate a distressed company from a non- distressed company so that the factors signifying distress can be studied. Listed companies in textile sector incurring continuous losses for three years were selected for the study. Financial ratios were used as variables. Logistic regression was applied to identify the most important factors indicating distress. It was observed that ratios measuring profitability and efficiency were significant in predicting distress. Key words:  Financial distress, distress signals, textile sector, continuous losses, financial ratios
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Yanti, Intan Junaedy,. "Uji Beda Karakteristik Terhadap Perusahaan Financial Distress Dan Non-Financial Distress." Jurnal Paradigma Akuntansi 1, no. 3 (September 13, 2019): 927. http://dx.doi.org/10.24912/jpa.v1i3.5597.
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This research aims to find out the difference in cash flow, board size, and leverage characteristic between financial distress company and non-financial distress company that proxied by Altman Z-Score. This research used samples of manufacturing companies that listed in Indonesia Stock Exchange (Bursa Efek Indonesia) in 2015-2017. Based on purposive sampling method, this research has 42 samples which is categorized as financial distress, and 42 samples which is categorized as non-financial distress. This research uses the independent samples t-test and Mann Whitney (U-test).The result of this research showed that there is a significant difference of cash flow and leverage between financially distressed company and non-financially distressed company. As for the board size, there is no significant difference between financially distressed company and non-financially distressed company
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Zhang, L. M., Y. Xu, J. S. Jia, and C. Zhao. "Diagnosis of embankment dam distresses using Bayesian networks. Part I. Global-level characteristics based on a dam distress database." Canadian Geotechnical Journal 48, no. 11 (November 2011): 1630–44. http://dx.doi.org/10.1139/t11-069.
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Dam safety has drawn increasing attention from the public. To ensure dam safety, it is essential to diagnose any dam distresses and their causes properly. The main objective of this paper is to develop a robust probability-based tool using Bayesian networks for the diagnosis of embankment dam distresses at the global level based on past dam distress data. A database of 993 distressed in-service embankment dams in China has been compiled, including general information on the dams, distresses, and causes. Based on the database, general characteristics of embankment dam distresses are studied using Bayesian networks, which can tackle not only the multiplicity of dam distresses and causes, but also the complex interrelations among them. Common patterns and causes of distresses are identified. The interrelations among the dam distresses and their causes are quantified using conditional probabilities determined based on the historical frequencies from the dam distress database. A sensitivity analysis is also conducted to identify and rank the most important factors that cause the distresses. With the prior information of common characteristics extracted from the database, Bayesian networks are further used to diagnose a specific distressed dam at the local level by combining global-level performance records and project-specific evidence in a systematic structure, which is presented in a companion paper.
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Al-Mansour, Abdullah I., and Amr A. Shokri. "Correlation of Pavement Distress and Roughness Measurement." Applied Sciences 12, no. 8 (April 8, 2022): 3748. http://dx.doi.org/10.3390/app12083748.
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Riyadh City established and implemented a Pavement Maintenance Management System (PMMS) through the General Directorate of Maintenance and operation. The system was created to address the difficulties that come with maintaining and reserving the pavement network. To evaluate pavement conditions, Riyadh (PMMS) uses visual checks, structural capacity roughness, and skid resistance. An Urban Distress Index (UDI) is calculated during the visual assessment process. Distressed pavement types, severity, and quantity are taken into account when calculating UDI values. As a result, the procedure gathers extensive data on the pavement’s condition. However, the procedure is time-consuming and very costly. The Automatic Road Analyzer car provides data on road roughness in accordance with the International Roughness Index (IRI). The IRI data are often generated quite quickly and at a cheap cost as compared to the distress survey. This study’s aim is to examine whether a sample of Riyadh city pavement sections can be connected to the IRI depending on the distress type. The research develops statistical models that correlate IRI values with several distress-types associated with roadway classes. Correlating the International Roughness Index values to distress type will eliminate the necessity to implement the manual inspection at a network- level. This saves money and time for PMMS employees when preparing annual maintenance requirements and setting priorities. The finding of the study, of the relationship between the pavement distresses and the International Roughness Index showed a statistically significant relationship between pavement roughness and some ride-quality distresses, like depression and patching, as well as some non-ride quality distresses like potholes and rutting. In addition, for both main and secondary streets, an analysis of variance shows the existence of a correlation between the two variables.
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Maeda, Keisuke, Saya Takada, Tomoki Haruyama, Ren Togo, Takahiro Ogawa, and Miki Haseyama. "Distress Detection in Subway Tunnel Images via Data Augmentation Based on Selective Image Cropping and Patching." Sensors 22, no. 22 (November 18, 2022): 8932. http://dx.doi.org/10.3390/s22228932.
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Distresses, such as cracks, directly reflect the structural integrity of subway tunnels. Therefore, the detection of subway tunnel distress is an essential task in tunnel structure maintenance. This paper presents the performance improvement of deep learning-based distress detection to support the maintenance of subway tunnels through a new data augmentation method, selective image cropping and patching (SICAP). Specifically, we generate effective data for training the distress detection model by focusing on the distressed regions via SICAP. After the data augmentation, we train a distress detection model using the expanded training data. The new image generated based on SICAP does not change the pixel values of the original image. Thus, there is little loss of information, and the generated images are effective in constructing a robust model for various subway tunnel lines. We conducted experiments with some comparative methods. The experimental results show that the detection performance can be improved by our data augmentation.
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Hilmayani, Ika Nur, Tutut Chusniyah, and Indah Yasminum Suhanti. "Hubungan antara persepsi penyakit (illness perception) dengan distres psikologis pada penderita kanker di Kota Banjarmasin Kalimantan Selatan." Flourishing Journal 1, no. 2 (February 28, 2021): 100–105. http://dx.doi.org/10.17977/um070v1i22021p100-105.
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Abstract: The purpose of this research are to understand correlation between illness perception and psychological distress in cancer patients. The research uses quantitative approach with descriptive and correlation design. The subjects in this research are cancer patients in Banjarmasin city. Instrument used in the form illness perception scale and psychological distress scale. The analysis of this research is descriptive analysis and correlation product moment. The result of this research shows that most of the cancer patients (1) have a negative illness perception (2) have low psychological distress (3) there is a positive correlation between illness perception and psychological distress in cancer patients.
Keywords: illness perception; psychological distress; cancer
Abstrak: Penelitian ini bertujuan dari penelitian ini untuk mengetahui hubungan antara persepsi penyakit dengan distres psikologis pada penderita kanker. Penelitian ini menggunakan pendekatan kuantitatif dengan rancangan deskriptif dan korelasional. Subjek dalam penelitian ini adalah penderita kanker di kota Banjarmasin. Instrumen yang digunakan berupa skala persepsi penyakit dan skala distres psikologis. Analisis data penelitian menggunakan analisis deskriptif dan analisis korelasi produk momen. Hasil penelitian ini menunjukkan bahwa sebagian besar penderita kanker (1) memiliki persepsi penyakit yang negatif (2) memiliki distress psikologis yang rendah (3) terdapat hubungan yang positif antara persepsi penyakit dengan distres psikologis pada penderita kanker.
Kata kunci: persepsi penyakit; distres psikologis; kanker
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Whitaker, Dale Alan, Lauren L. Hintenlang, Niveditha Jagadsh, Gerald Strong, Steven J. Buskirk, Jennifer Layton Peterson, Katherine S. Tzou, et al. "Patient reported distress is predictive of survival in patients with gastrointestinal tumors." Journal of Clinical Oncology 35, no. 4_suppl (February 1, 2017): 764. http://dx.doi.org/10.1200/jco.2017.35.4_suppl.764.
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764 Background: Psychosocial distress screening and assessment in patients with gastrointestinal (GI) cancers has an established importance due to the distress experienced during and post treatment. GI cancer patients receiving radiotherapy (RT) for curative or palliative measures were reviewed in order to determine if there was a relationship between patient reported distress (PRD) and survival. Methods: Patients at our institution who receive external beam RT for GI cancers completed a 30 question PRD survey that also included a linear analog measure of overall distress, the National Comprehensive Cancer Network (NCCN) Distress Thermometer, which ranged from 1 (low overall distress) to 10 (high overall stress) at the start of and/or during treatment. Each question on the PRD questionnaire concentrated on a possible cause of distress. It allowed patients to rate distress levels for each question from 1 to 5 (1 being the least distressed and 5 being the most distressed), and also overall distress according. The reported clinical results of the PRD questionnaire were retrospectively reviewed in patients receiving RT for GI cancers from Jan 2012 to Aug 2015. Patients were considered distressed if their overall PRD score was 5 or greater (PRD+) or not distressed (PRD-) if their score was 4 or under. Overall survival between PRD+ and PRD- was compared using the Kaplan-Meier method. Results: PRD surveys were completed by 134 consecutive patients, 67 (50%) male and 67 (50%) female within 30 days of starting RT. The median age was 65 years (range 28 to 93). The top histological finding was adenocarcinoma, 90 patients (60%). 113 (84%) received chemotherapy and 64 (48%) underwent surgery. 102 (75%) treatments were curative and 32 (25%) were palliative. Overall NCCN distress thermometer results ranged from 0 to 10, with a median of 4. Median follow-up was 2.7 years. Distressed patients (PRD+) had inferior survival to those not distressed (PRD-) at 2 years, 52% vs. 72%, p<0.02. Conclusions: Patient reported distress is associated with an inferior survival in patients receiving radiotherapy for gastrointestinal tumors.
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Woldesenbet, ZerihunBelayneh, Mulugeta Regassa Yimam, and Mengistu Mena Kuleno. "Investigation On The Causes Of Distress Affecting Perfomance Of Asphalt Pavement." Journal of University of Shanghai for Science and Technology 23, no. 09 (September 7, 2021): 209–20. http://dx.doi.org/10.51201/jusst/21/09515.
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Flexible pavements are designed to serve a specified design period without significant failures, but once it was constructed and opened to traffic, after a few years, different types of distresses or damages are occurring. This study focused on the investigation of the causes of the distresses of the study area, which is affecting performance of the pavement. To do the study, a primary data survey performed directly in the field in order to identify, classify, and quantify the extent of defects/distresses. At the same location, samples collected and brought to the laboratory for testing to determine the engineering properties of soils, for both severely distressed and non-distressed sections. It was concluded from the results obtained that the road was constructed with materials with poor engineering properties compared with ERA standard, has lack of routine maintenance strategy and this created condition in which minor distresses expanded to be major distress for the road that highly hinder its performance.
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Obaidat, Mohammed Taleb, Turki I. Al-Suleiman, and Khalid A. Ghuzlan. "A stereometric knowledge-based system for maintenance of street networks." Canadian Journal of Civil Engineering 25, no. 2 (April 1, 1998): 220–31. http://dx.doi.org/10.1139/l97-084.
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The main objective of this work was to investigate the potential of integrating a stereometric vision system, i.e., using digital stereo images, and a knowledge-based system for flexible pavement distress classification. Classification process includes distress type, severity level, and options for repair. A hybrid stereo vision and knowledge-based system (called K-PAVER) was developed. The system extracts distress measurements using a PC-based stereo vision system. Geometric surface measurements such as point locations, distances, areas, volumes, and surface areas could also be computed. The knowledge-based system developed utilizes a set of if...then rules from the PAVER system (a pavement maintenance management system for roads and streets) and related literatures. New parameters, including shape parameters, orientation, and some geometrical measurements, were introduced to the system in order to facilitate the distress classification process. A criterion for maintenance priorities based on four parameters was developed. These parameters are pavement condition index, average daily traffic, location of distressed pavement, and street class. Surface measurements and automatic classification decision-making were validated and tested for all distress types. The developed system gives accurate results in both the measurement mode and the decision-making phase. This result opens the door for a fully automated distress classification process without any human intervention.Key words: knowledge-based systems, vision systems, stereo measurements, flexible pavement distresses, maintenance priorities, pavement maintenance management systems.
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Anjani, Dini Ajeng, Tutut Chusniyah, and Pravissi Shanti. "Distres Psikologis Sebagai Prediktor Perilaku Beresiko Kesehatan pada Remaja yang Mengalami Kekerasan Di Bojonegoro." Flourishing Journal 1, no. 1 (June 17, 2021): 69–74. http://dx.doi.org/10.17977/um070v1i12021p69-74.
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Abstract: The purpose of this research are to understand psychological distress a predictor of health risk behavior in adolescents who experience violence. The research uses descriptive and predictive design, with the subject 7 female adolecents and 43 boys experiencing violence in Bojonegoro. Instrument used in the form Health Risk Behavior Inventory and Kessler Psychological Distress Scale. The analysis of this research use simple linear regression analysis. The result of this research shows that most of the adolescents who experience violence (1) have a high psychological distress (2) have a high health risk behavior (3) psychological distress as a predictor of health risk behavior in adolescents who experience violence.
Keywords: psychological distress, health risk behavior, adolescents who experience violence.
Abstrak: Penelitian ini betujuan ini untuk mengetahui apakah distress psikologis merupakan prediktor perilaku beresiko kesehatan pada remaja yang mengalami kekerasan. Penelitian ini menggunakan rancangan deskriptif dan prediktif, dengan subjek 7 remaja perempuan dan 43 remaja laki laki yang mengalami kekerasan di Kabupaten Bojonegoro. Instrument yang digunakan adalah Health Risk Behavior Inventory dan Kessler Psychological Distress Scale (K-10). Analisis data menggunakan regresi sederhana. Hasil penelitian menunjukkan bahwa sebagian besar remaja yang mengalami kekerasan (1) memiliki tingkat distres psikologis tinggi (2) memiliki tngkat perilaku beresiko kesehata tinggi (3) distres psikologis merupakan prediktor perilaku beresiko kesehatan pada remaja yang mengalami kekerasan.
Kata kunci: distres psikologis, perilaku beresiko kesehatan, remaja yang mengalami kekerasan
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Kozlowski, Steven E., and Michael R. Puleo. "Financial distress, corporate takeovers and the distress anomaly." Managerial Finance 47, no. 8 (March 30, 2021): 1168–93. http://dx.doi.org/10.1108/mf-12-2019-0621.
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PurposeThis paper examines the relation between takeover likelihood and the documented underperformance of distressed company stocks while exploring two competing hypotheses. The failure risk explanation predicts lower returns to distressed firms with high probability of being acquired because the acquisition reduces risk and investors' required return. Conversely, the agency conflicts explanation predicts lower returns when acquisition is unlikely.Design/methodology/approachThe likelihood of receiving a takeover bid is estimated, and portfolio tests explore the underperformance of distressed company stocks relative to non-distressed stocks across varying levels of takeover likelihood. Predictive regressions subsequently examine the relation between distress, takeover exposure and future firm operating performance including how the relation is affected by state anti-takeover laws.FindingsDistressed stocks underperform non-distressed company stocks by economically and statistically significant margins when takeover likelihood is low, yet there is no evidence of underperformance among distressed stocks with moderate or high takeover exposure. Consistent with agency conflicts playing a key role, distressed firms that are disciplined by takeover threats invest more, use more leverage and experience higher future profitability. State-level anti-takeover legislation limits this disciplinary effect, however.Originality/valueThe results show that the well-documented distress anomaly is driven by a subset of distressed firms whose managers face limited pressure from the external takeover market. The evidence casts doubt on the failure risk explanation and suggests that agency conflicts play a key role.
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Anim, Michael T. "Level of education and marital distress in Ghanaian married couples." Ghana Journal of Health, Physical Education, Recreation, Sports and Dance (GJOHPERSD) 6, no. 1 (December 1, 2013): 37–56. http://dx.doi.org/10.47963/gjohpersd.v6i1.566.
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This study set out to examine how much distress men and women experience in their marital relationships, and whether or not education level is associated with marital distress. This was done by using the Marital Happiness Scale, and a questionnaire that measured demographic characteristics, as measuring instruments. Four research questions were formulated and four hypotheses were tested. They covered the differences that exist in the marital distress experiences among husbands and wives, and differences in education and their impact on marital distress. A total of eighty (80) married men and women comprising 40 husbands and 40 wives were conveniently and purposively selected to take part in the study. Descriptive statistics and t- Tests were used to analyse the data to bring out differences and to determine associations among variables. The findings showed that many persons who said they experienced distress in their marital relationships also tested distressed on a scale of marital distress; that among this population, wives tested more distressed than husbands in marriages. There were no significant differences between husbands and wives of low education and those of high education in their distress. Those with high education were not less distressed than those with low education. Marital distress is not a respecter of level of education. Suggestions were made for future research to consider other factors that account for distress in Ghanaian marriages other than education status.
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Hollifield, Michael, Eric C. Toolson, Sasha Verbillis-Kolp, Beth Farmer, Junko Yamazaki, Tsegaba Woldehaimanot, and Annette Holland. "Distress and Resilience in Resettled Refugees of War: Implications for Screening." International Journal of Environmental Research and Public Health 18, no. 3 (January 30, 2021): 1238. http://dx.doi.org/10.3390/ijerph18031238.
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There is little work published about predictors of specific trajectory types of distress in refugees of war during early resettlement in a host country. Data about distress (Refugee Health Screener—15 (RHS-15)) and possible predictors of distress were collected at the domestic medical examination (T1) within 90 days of arrival and the civil surgeon examination (T2) 11–16 months after T1 for refugee groups from three countries (COU). Descriptive, correlative, analyses of variance, and regression techniques were used to determine trajectory type and their predictors. A higher percentage (7.3%) were distressed at T2 than at T1. By group, the Bhutanese became more distressed, the Burmese became less distressed, and Iraqi’s continued to have high distress. A regression model showed gender, loss, post-migration stress, and self-efficacy to be significant predictors of trajectory type (R2 = 0.46). When the T1 RHS-15 score was added to the model, observed variance increased (R2 = 0.53) and T1 RHS score accounted for the majority of variance (r = 0.64, p < 0.001), with post-migration stress accounting for markedly less (β = 0.19, p = 0.03). Loss and self-efficacy became less significant. Loss was, however, a strong predictor of delayed and chronic distress trajectory type. These data suggest that screening for distress should occur at least twice during resettlement to detect those with initial distress and those with delayed distress. Screening should be coupled with identifying other social determinants of health and a comprehensive assessment to determine the need for intervention for secondary prevention (i.e., reducing delayed distress) and treatment (reducing chronic distress).
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Wilcox, Nancy S., Joseph S. Rossi, and James O. Prochaska. "Rates and Responses of Distressed Women to Phone Survey Screening and Recruitment." Psychological Reports 58, no. 3 (June 1986): 891–98. http://dx.doi.org/10.2466/pr0.1986.58.3.891.
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Telephone interviews were used to assess both the prevalence of psychic distress among women during the past 12 months and the willingness of respondents to participate in a study of how women employ self-change efforts to cope with emotional distress. A second purpose of this research was to demonstrate the general effectiveness of telephone surveys in assessing psychological distress. The major findings indicated that the experience of having been nervous or upset was not uncommon: 64% of the 140 respondents indicated some distress, while 31% had been distressed for more than just a couple of days; also, the majority of distressed women were willing to complete an initial questionnaire (81%), a personal interview (53%), and/or follow-up questionnaires (76%). Respondents who reported greater distress were more willing to participate in the study than were respondents who reported less distress. These findings agree with those of a national household interview survey of psychological distress. Our results suggest that telephone surveys represent an effective alternative method for collecting epidemiological data on the sensitive topic of emotional distress.
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Theresia, Theresia, Dewi Kurnia Indrastuti, and Nico Alexander. "Corporate Governance and Earnings Management: Empirical Evidence of the Distress and Non-Distress Companies." GATR Accounting and Finance Review 5, no. 4 (March 17, 2021): 23–30. http://dx.doi.org/10.35609/afr.2021.5.4(3).
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Objective - The purpose of this research is to obtain empirical research on the effect of corporate governance on earnings management in distressed and non-distressed companies. Corporate governance in this research is measured by independent board, audit committee, board of commissioners, institutional ownership and number of board commissioner meetings. The research predicts that corporate governance has a negative effect on earnings management either both in distressed and non-distressed companies. Methodology/Technique - This research uses 309 manufacturing companies listed on the Indonesian Stock Exchange and the data was obtained using purposive sampling method during 2016 until 2018. Of the 309 respondents in the sample, 287 are distressed companies and 22 are non-distressed companies. The data was analyzed using a multiple regression method. Findings - The empirical results show that commissioner board and institutional ownership have a negative effect on earnings management in non-distressed companies but in distressed companies, corporate governance does not have an effect on earnings management. This research shows that distressed companies, corporate governance cannot minimize earnings management practices because to maintain the company as a going concern, management will do earnings management to ensure stakeholders’ trust to encourage further investment in the company. In non-distressed companies, corporate governance can minimize earnings management practices because the company is in a good financial condition, so they don’t need to do earnings management. Additionally, in order to ensure stakeholders’ trust, the company will strengthen its’ corporate governance mechanisms. Type of Paper: Empirical. JEL Classification: M41, M43, G34, J33, K22. Keywords: Financial Distress; Earnings Management; Non-Financial Distress; Indonesia Stock Exchange. Reference to this paper should be made as follows: Theresia; Indrastuti, D. K; Alexander, N. (2021). Corporate Governance and Earnings Management: Empirical Evidence of the Distress and Non-Distress Companies, Accounting and Finance Review, 5(4): 23 – 30. https://doi.org/10.35609/afr.2021.5.4(3)
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Wang, Qian. "Financial Distress Risk and Momentum Effects: Evidence from China’s Stock Market." International Journal of Economics and Finance 9, no. 12 (November 13, 2017): 153. http://dx.doi.org/10.5539/ijef.v9n12p153.
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I examine the relation of distress risk to size, book-to-market, and momentum effects in China’s stock market. Consistent with the market underreaction hypothesis, I find that distressed firms underperform non-distressed firms in China’s stock market and the momentum factor proxies for distress risk in our sample period. My study also shows that the explanatory power of the momentum effect is subsumed when the distress factor is present.
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Chen, Qiqi, Guanhu Wang, Xuelin Huang, Guanpeng Wang, and Ke Li. "Evaluation and Formulation of Assessment Criteria for Dominant Distresses in Preventive Maintenance of Cement Concrete Pavements." Mathematical Problems in Engineering 2020 (December 9, 2020): 1–17. http://dx.doi.org/10.1155/2020/8645213.
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Different types of distresses affect cement concrete pavement at different degrees. The determination of dominant distresses of the pavement preventive maintenance (PM) and its judgement standard can provide corresponding basis for PM decision. In this paper, 22 military airports in Northeast China, such as Heilongjiang Province, Jilin Province, and Liaoning Province, were selected to collect the data of pavement distresses. Based on the structural equation model (SEM), the structural relationship between the influencing factors of each distress and the pavement damage was established, and the goodness-of-fit of the model was tested. In addition, through path analysis, the influence degree of five kinds of latent variables such as joint distress, surface distress, vertical distress, repair distress, and fracture distress on pavement damage was obtained. Four distresses, such as corner peeling, surface peeling, surface crack, and interplate slip, were identified as the dominant distresses of PM of cement concrete pavement. On this basis, a binary classification model of confusion matrix was constructed. The basic evaluation index, receiver operating characteristic (ROC) curve, and Kolmogorov–Smirnov (KS) curve were used to comprehensively determine the judgement standard of the dominant distresses of pavement PM from multiple evaluation angles (corner peeling rate ≤ 35%, surface peeling rate ≤ 30%, surface crack rate ≤ 8%, and interplate slip rate ≤ 0.5%). The judgement standard can be combined with the corresponding prediction model to determine the optimal timing of PM of cement concrete pavement and provide pavement maintenance managers with the support of decision-making.
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DEW, MARY AMANDA, LARISSA MYASKOVSKY, GALEN E. SWITZER, ANDREA F. DiMARTINI, HERBERT C. SCHULBERG, and ROBERT L. KORMOS. "Profiles and predictors of the course of psychological distress across four years after heart transplantation." Psychological Medicine 35, no. 8 (March 23, 2005): 1215–27. http://dx.doi.org/10.1017/s0033291705004563.
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Background. Like individuals exposed to other life stressors, patients undergoing organ transplantation typically show elevated psychological distress initially post-transplant, with improvement thereafter. However, this ‘average’ pattern may conceal subgroups with differing profiles of psychological response. We sought to identify unique temporal distress profiles, and their predictors, after heart transplantation.Method. A total of 156 transplant recipients (refusal rate, 6%) were enrolled and assessed at 2, 7, 12, 36, and 42 months post-transplant. Cluster analysis was used to identify distinct distress profiles over time. Multivariate analyses examined health and psychosocial predictors of the profiles.Results. Five groups were identified, with either: (a) low distress at all time-points (45% of the sample), (b) high, clinically significant distress at all times (21%), (c) high distress over several years with low distress only at final assessment (12%), (d) high distress during the first several months with decline thereafter (6%), or (e) fluctuating distress levels (16%). Patients showing any distress (versus none) were more likely to have a pre-transplant psychiatric history, poorer social supports and more physical impairment early post-transplant, and continued physical impairment over time. Among distressed patients, those with persistent (versus declining) distress were most likely to be female, waited more briefly for transplant, and were most physically impaired early post-transplant. While persistently distressed patients had better social supports early post-transplant, these supports subsequently worsened.Conclusions. Individuals differ in whether and when psychological distress abates after heart transplantation. Findings regarding distress profiles and their predictors may inform the design of interventions to address each transplant recipient's unique psychological needs.
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Xu, Y., L. M. Zhang, and J. S. Jia. "Diagnosis of embankment dam distresses using Bayesian networks. Part II. Diagnosis of a specific distressed dam." Canadian Geotechnical Journal 48, no. 11 (November 2011): 1645–57. http://dx.doi.org/10.1139/t11-070.
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Based on prior information on common characteristics of dam distresses extracted from the dam distress database described in a companion paper, this paper attempts to extend the technique of Bayesian networks to the diagnosis of a specific distressed dam. The diagnosis is conducted by combining two sources of information, i.e., global-level knowledge from the database and project-specific evidence. Based on results of the diagnosis, key distress factors for a specific dam can be identified and suitable remedial measures can be suggested. Further, the Bayesian network analysis is conducted to evaluate the effectiveness of the adopted remedial measures. A case study on the diagnosis of a distressed embankment dam, Chenbihe Dam, with seepage problems is presented to illustrate the methodology. In this case study, the observed leakage rates, seepage exit locations, and boundary conditions of the embankment are used as project-specific evidence.
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Simlai, Prodosh. "Firm characteristics, distress risk and average stock returns." Accounting Research Journal 27, no. 2 (August 26, 2014): 101–23. http://dx.doi.org/10.1108/arj-06-2012-0046.
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Purpose – This paper aims to examine the empirical relationship between firm-level characteristics and the variability of the average portfolio returns of distressed firms. The cross-sectional role of momentum in the market mispricing of distressed firms is evaluated. Distress risk associated with size and book-to-market ratio is also disentangled. Design/methodology/approach – All of NYSE, AMEX and NASDAQ stocks between January 1972 and December 2008 are used, and the individual and joint role of firm characteristics are studied in detail. Using a measure of distressed stocks based on Campbell, Hilscher and Szilagyi (CHS, 2008), new findings on how stock return anomalies are related to the interactions between firm characteristics and financial distress risk are provided. Findings – The findings show that the size and value effects are not due to distress risk. Also, contrary to the existing empirical evidence, momentum does not proxy for distress risk. Furthermore, in the cross-sectional analysis, momentum subsumes the effect of size risk, and book-to-market acts as an independent state variable. Research limitations/implications – The exposition of the paper is limited in many directions. To measure the extent of financial distress, only the model of CHS (2008) is used. As the level of distress is the key input in the paper, it would be interesting to use some other measure of distress, such as Z-score and O-score in the sample. Practical implications – Collectively, the pricing results in this paper help to foster a better understanding of the nature of distressed stocks, and the identification of distress risk premium. It will help scholars and investment professionals to make robust portfolio management decisions. Originality/value – Overall, this paper investigates an important research direction that can potentially shed new light on our understanding of the risk–return relationship of financially distressed stocks. The individual effect of momentum on the variability of the distressed firm’s average returns is highlighted. A formal cross-sectional test of the relationship between distress risk and firm characteristics that include momentum is presented. None of them is quite known in the existing literature.
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Yasri, Sora, and Viroj Wiwanitkit. "Distress screening using distress thermometer." Indian Journal of Palliative Care 20, no. 1 (2014): 65. http://dx.doi.org/10.4103/0973-1075.125574.
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Sahagun, Lauren K., Moses Karakouzian, Alexander Paz, and Hanns de la Fuente-Mella. "An Investigation of Geography and Climate Induced Distresses Patterns on Airfield Pavements at US Air Force Installations." Mathematical Problems in Engineering 2017 (2017): 1–10. http://dx.doi.org/10.1155/2017/8721940.
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This study investigated climate induced distresses patterns on airfield pavements at US Air Force installations. A literature review and surveys of Pavement Condition Index indicated that the predominant factor contributing to the development of pavement distress was climate. Results suggested that, within each type of pavement distress, a geographic pattern exists which is strongly correlated to conventional US climate zones. The US Air Force Roll-Up Database, housing over 50,000 records of pavement distress data, was distilled using a process designed to combine similar distresses while accounting for age and size of samples. The process reduced the data to a format that could be used to perform krig analysis and to develop pavement behavior models for runways built with asphalt cement (AC) and Portland cement concrete (PCC). Regression and krig analyses were conducted for each distress type to understand distress behavior among climate zones. Combined regression and krig analyses provided insight into the overall pavement behavior for AC and PCC runways and illustrated which climate zone was more susceptible to specific pavement distresses. Distress behavior tends to be more severe in the eastern US for AC and in the western US for PCC runway pavements, respectively.
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Yen, Gili, and Jian-Fa Li. "Financial Distress Announcements, Transaction Mode Change, and Aggregate Shareholder Wealth: Empirical Evidence from TAIEX-Listed Companies." Review of Pacific Basin Financial Markets and Policies 13, no. 01 (March 2010): 19–43. http://dx.doi.org/10.1142/s0219091510001858.
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This study is to address the estimation of financial distress costs including the deterioration in asset value. A sample of 104 TAIEX-listed financially distressed companies was collected covering the period from 1998 to 2004. As expected, it is found that the TAIEX-listed financially distressed companies have registered a huge reduction in stock price. Moreover, as expected, it is found that the financial distress costs of the "delisting" group are largest, the financial distress costs of the "maintaining normal trading" group are lowest, and the financial distress costs of the "cash transaction only/suspended trading" group fall somewhere in between. Based on the empirical findings, the present study concludes that the magnitude of financial distress costs is substantially underreported in the literature as a result of ignoring deterioration in asset value.
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Arulkumaran, S. "The management of intrapartum fetal distress." Fetal and Maternal Medicine Review 6, no. 1 (February 1994): 39–56. http://dx.doi.org/10.1017/s0965539500000966.
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It is logical to deliver a distressed fetus as quickly as possible in the most appropriate way either abdominally or vaginally. Unfortunately, the diagnosis of fetal distress is not always precise compared with the diagnosis of placenta praevia or anaemia in pregnancy. By common usage and for want of a better term, the situation where the clinician feels that the baby might be hypoxic and acidotic is termed fetal distress. The fetus may also become distressed because of infection or injury associated with labour. Many babies are delivered operatively for fetal distress and are in excellent condition. One could argue that, in such cases, action had been taken long before the fetus actually became distressed and hence the baby was born in good condition.
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Gunawardana, Kennedy Degaulle. "An Analysis of Financial Distress Prediction of Selected Listed Companies in Colombo Stock Exchange." International Journal of Sociotechnology and Knowledge Development 13, no. 2 (April 2021): 48–70. http://dx.doi.org/10.4018/ijskd.2021040104.
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The main objective of the study is to predict financial distress and developing a prediction model using accounting related variables in selected listed firms in Sri Lanka. Decision criteria for financial distress has been selected based on the existing literature on financial distress prediction applicable to the Sri Lankan firms. A sample of 22 financially distressed firms along with 33 financially non-distressed firms have been used to conduct this study. Artificial neural network was used as the basic approach to the study in predicting financial distress. A neural network to predict financial distress was developed with an accuracy of 85.7% one year prior to its occurrence. The second analysis conducted was the panel regression considering five years of cross-sectional data for the sample of companies selected. This analysis was able to identify a significant relationship of leverage, price-to-book ratio and Tobin's Q ratio to the prediction of financial distress of a firm.
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Singh, Anuradha. "Cesarean Audit for fetal distress- A indispensable tool to reduce Obstetrician Distress." Obstetrics Gynecology and Reproductive Sciences 5, no. 1 (March 12, 2021): 01–04. http://dx.doi.org/10.31579/2578-8965/058.
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Background and Objectives: Overuse of cesarean section and its implications are of growing concern. Suspected fetal distress has been the commonest indication for cesarean in last few decades heart rate changes shown by fetus without being adversely affected and CTG has been criticized to create unnecessary higher rate of operative deliveries. There is need to know which fetal heart rate abnormality is important and leading to two adverse neonatal outcome to decrease unnecessary operative deliveries. Therefore Caesarean Audit was planned. Material and methods: A total of hundred women were included who underwent emergency cesarean section for suspected fetal distress in labour or without labour detected by cardiotocography or intermittent auscultation were included for analysis. Details were noted in pre designated proforma. Results: During the audit period, total number of caesarean done due to fetal distress analysed during the period were 100.The most common fetal heart rate abnormality was nonspecific in form of single or transient deceleration seen in 63% of cases where records were also incomplete, it was followed by persistent deceleration on cardiotocography which was present in 16% of the cases. In 57 women who were primigravida 14 (24%) patients had nonspecific fetal heart rate patterns and intra operative findings were normal in this group. These were avoidable cesareans. Various Intraoperative findings, observed ,maximum no. of cases had meconium stained liquor seen in 63% of the cases followed by abruption in 9 cases followed by other findings like loop of cord around the neck of foetus, thin scar or scar dehiscence . Maternal resuscitation was carried out only in 53% of cases. Detection delivery interval of less than 30 minutes was present in 4% of cases. In fetal outcomes 16% of babies diagnosed with fetal distress, had poor outcome where Apgar score < 7 and 12 babies had asphyxia related NICU admission. 82% of babies had absolutely normal fetal outcome among which majority (78%) did not require any form resuscitation. which were thus avoidable cases. Conclusions: Correct Knowledge about Standardized fetal heart rate interpretations on CTG and there standardized management protocols like Maternal resuscitative measures ,follow up to ensure fast detection delivery interval should be practiced strictly in all cases of non reassuring Fetal Heart rate patterns. There should be consistent efforts in reducing the rate of cesarean sections particularly primary cesarean deliveries and in order to understand the degree to which cesarean delivery is preventable it is important to know no why cesareans are being performed. Therefore caesarean audit is need of the hour
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Tanjung, Dian Agusti, Emil Huriani, and Dally Rahman. "Optimisme dan Distres Psikologis pada Perawat Selama Pandemi Covid-19." Jurnal Smart Keperawatan 8, no. 1 (June 28, 2021): 14. http://dx.doi.org/10.34310/jskp.v8i1.418.
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Salah satu dampak psikologis yang ditemui saat pandemi Covid-19 adalah distres psikologis yang dialami tenaga kesehatan khususnya perawat. Distres psikologis memunculkan efek membahayakan bagi individu seperti, tuntutan berlebihan yang menguras energi individu sehingga membuat individu menjadi lebih mudah sakit.Tujuan dari penelitian ini adalah untuk mengetahui hubungan ruang bertugas dan optimisme dengan distres psikologis yang meliputi stres, kecemasan dan depresi pada perawat selama pandemi Covid-19 di RS Paru Provinsi Sumatera Barat tahun 2020. Jenis penelitian ini adalah deskripsi korelatif, dengan populasi 35 perawat. Optimisme diukur dengan kuesioner Life Orientation Test-Revised (LOT-R), stres diukur dengan kuesioner Perceived Stress Scale (PSS-10), kecemasan diukur dengan kuesioner General Anxiety Disorder Scale (GAD-7), dan depresi diukur dengan kuesioner Patient Health Questionnaire (PHQ-9). Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara ruang bertugas dengan distres psikologis yaitu stres, kecemasan dan depresi pada perawat selama pandemi Covid-19 dengan nilai p= 0.003 (stres), p= 0.008 (kecemasan), p= 0.046 (depresi) dengan p<0,05. Serta terdapat hubungan yang bermakna antara optimisme dengan distres psikologis yaitu stres, kecemasan dan depresi pada perawat selama pandemi Covid-19 dengan nilai p= <0,05. Disarankan pada pihak manajemen keperawatan di rumah sakit perlu meningkatkan program manajemen stres bagi tenaga keperawatan, sehingga dapat meminimalisir adanya distres psikologis yang diterima perawat.Kata Kunci: distres psikologis; optimisme; ruang bertugas OPTIMISM AND PSYCHOLOGICAL DISTRESS IN NURSES DURING THE COVID-19 PANDEMIC ABSTRACT The psychological impact that is encountered during the Covid-19 pandemic is the psychological distress experienced by health workers, especially nurse. Psychological distress has harmful effects on the individual who experiences it, such as unpleasant or excessive demands that drain the individual's energy, making it easier for the individual to get sick. The purpose of this study was to determine the relationship between department and optimism with psychological distress including perceived stress, anxiety and depression in nurses and to determine the distress that nurses felt during the Covid-19 pandemic at the Pulmonology Hospital West Sumatera in 2020. The type of study was a descriptive correlative, with a population of 35 nurses. Optimization was measured using the Life Orientation Test-Revised (LOT-R) questionnaire, perceived stress was measured by the Perceived Stress Scale (PSS-10) questionnaire, anxiety was measured using the General Anxiety Disorder Scale (GAD-7) questionnaire, and depression was measured using the Patient Health Questionnaire (PHQ-9). The results showed that there is a significant relationship between department and psychological distress, perceived stress, anxiety and depression in nurses during the Covid-19 pandemic with a value of p <0.05. And there is a significant relationship between optimism and psychological distress, perceived stress, anxiety and depression in nurses during the Covid-19 pandemic. It is suggested that the nursing management at the hospital needs to increase the stress management program for nursing personnel, so that it can minimize the psychological distress received by nurses.Keywords: department; optimism; psychological distress
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Hollant, Laeticia, Megan Paige Single, Katherine Gaines, Bridget Smart, Jacob Habboush, Tasneem Kaleem, Katherine S. Tzou, et al. "Assessing distress in patients with gastrointestinal tumors during radiotherapy." Journal of Clinical Oncology 34, no. 4_suppl (February 1, 2016): 524. http://dx.doi.org/10.1200/jco.2016.34.4_suppl.524.
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524 Background: Psychosocial distress during radiotherapy (RT) for gastrointestinal tumors is poorly characterized. Since 2012, patients receiving RT in our clinic have been prospectively screened for causes of distress. The results of our screening were reviewed in order to elucidate concerns of GI cancer patients and to delineate patterns within patient reported distress (PRD). Methods: Patients treated with RT at our institution receive a 30 question PRD survey that also includes a linear analog measure of overall distress at the start and during RT. The PRD survey asks patients to rate forms of distress on a scale of 1 to 5 (5 being the most distressed). The survey also asks patients to rate overall distress according to the National Comprehensive Cancer Network (NCCN) Distress Thermometer on a scale 0 to 10. The reported results were retrospectively reviewed in patients receiving definitive RT for GI cancers from 04/02/2012 to 08/05/2015. Results: PRD surveys were completed by 113 patients, 55 (48.7%) male and 58 (51.3%) female. Median age was 65 years (range 28 to 93). The most common tumor histology was adenocarcinoma, 67 (59.3%). 105 patients (93.0%) received chemotherapy and 66 (58.4%) underwent surgery. Overall, NCCN distress thermometer results ranged from 0 to 10, with a median of 4.3. The mean distress scores for the top five complaints ranged from 1.27 to 2.63. Top distresses were “How will I feel during treatment” (2.63), “Fatigue” (2.45), “Pain that affects daily functioning” (2.35), “Out of pocket medical costs” (2.31), and “Sleep difficulties” (2.31). The least concerning complaints were “Housing during treatment” (1.27), “A loved one relying on me for their physical care” (1.30), “Spirituality” (1.33),“Family communication about my illness”(1.37), and “Transportation” (1.38). Conclusions: Patients’ major concerns were aligned with daily quality of life, such as fatigue, pain and insomnia. Highest reported distress was linked with the process of RT and side effects associated with treatment. Medical expenses were also perceived as a burden. Medical providers should identify psychosocial stressors during RT in order to effectively communicate and provide resources to improve quality of life.
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Krisnawati, Endang, Chrisyen Damanik, and Marina Kristi Layun. "Studi Deskriptif : Distress Psikologi Pada Pasien Penyakit Jantung Koroner." Jurnal Keperawatan Wiyata 2, no. 2 (September 15, 2021): 41. http://dx.doi.org/10.35728/jkw.v2i2.381.
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Latar Belakang : Penyakit jantung koroner selain menyebabkan masalah fisik biasanya mengakibatkan masalah psikologi, baik karena perubahan fisiologi tubuh, fungsi peran, konsep diri, perubahan lingkungan maupun perubahan situasi karena dirawat. Distress psikologi yang tidak ditangani akan memperlambat proses penyembuhan, perburukan kualitas hidup dan mengakibatkan sudden death. Tujuan : teridentifikasi gambaran distress psikologis pada pasien penyakit jantung koroner. Metode : jenis penelitian deskriptif dengan pendekatan Cross Sectional, 21 sampel, consecutive sampling, instrumen kuisioner HADS. Hasil : Mayoritas responden berjenis kelamin laki-laki, menikah, berusia 51-60 tahun dengan pekerjaan wiraswasta dan berpenghasilan kurang dari satu juta. Distres psikologi sebagian besar responden berada pada tingkat sedang yaitu sebanyak 14 responden (66,7%), 5 responden (23,8%) mengalami distres psikologi tinggi dan 2 responden (9,5%) mengalami distres psikologi ringan. Kesimpulan : sebagian besar pasien dengan penyakit jantung koroner mengalami distres psikologi tingkat sedang. Saran : penting dilakukan asesment awal faktor penyebab distress psikologis pasien PJK agar dapat melakukan intervensi keperawatan dengan tepat
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Senf, Bianca, Kirsten Grabowski, Natascha Spielmann, and Jens Fettel. "Quality of life and distress assessed with self and external assessment screening tools in patients with hematologic malignancies attending treatment in an acute hospital." Quality of Life Research 29, no. 12 (August 19, 2020): 3375–85. http://dx.doi.org/10.1007/s11136-020-02602-6.
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Abstract Purpose In this study, we examined distress levels and quality of life (QoL) of patients with hematologic malignancies under treatment in an acute setting. We used external- and self-assessment instruments for distress. Additionally, we investigated the relation between distress and QoL as well as whether highly distressed patients differed from less distressed patients concerning their QoL. Methods A cross-sectional study with patients of the Medical Clinic II of the University Hospital Frankfurt was conducted. One hundred and nine patients were assessed with an expert rating scale and completed self-report questionnaires. Data were exploratively analyzed and group comparisons between patients who scored above the cut-off of the respective screening instruments and those who did not were conducted. Results Patients with hematologic malignancies experience high levels of distress and low QoL. Especially, role and social functioning are affected. Patients suffer most from fatigue, appetite loss, and insomnia. Using established cut-offs, all screening instruments were able to differentiate between patients regarding distress and QoL. Patients scoring above the cut-off were significantly more distressed and had a lower QoL. There was a medium-to-strong correlation between distress and QoL indicators. Conclusion Cancer-specific screening instruments seem to be able to identify treatment needs more specifically. They also allowed a better differentiation concerning QoL. The close link between distress and QoL needs to be recognized to enable a holistic approach to treatment and thereby optimize the quality of treatment.
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Huang, Jiang-Chuan, Hueh-Chen Lin, and Daniel Huang. "The Effect of Operating Cash Flow on the Likelihood and Duration of Survival for Marginally Distressed Firms in Taiwan." Sustainability 14, no. 24 (December 19, 2022): 17024. http://dx.doi.org/10.3390/su142417024.
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The purpose of this study was to investigate the effect of operating cash flow (OCF) on the likelihood and the duration of distressed firms returning to a profitable position for survival. By selecting 309 marginally distressed firms that are Taiwan listed firms, we identified 218 firms that survived from financial distress and 91 firms that did not survive from financial distress for the logistic regression model. We found that the greater adequacy, stability, and growth of changes in OCF and the higher liquidity, growth, and size of firms significantly increased the likelihood of firm survival, suggesting that a distressed firm is more likely to return to profitability for survival if it can improve OCF after suddenly encountering financial distress. Moreover, applying duration analysis, this study took a further step to investigate the time dependence of firm survival among 218 surviving firms. The results suggest that firms generating more OCF in the post-distress period and possessing higher profitability, liquidity, and growth in the pre-distress period significantly took less time on resolving financial distress for survival. However, an economic recession can significantly impede the time and speed of firm survival. Overall, the study found consistent and robust evidence that OCF is a reliable instrument to predict the likelihood and duration of survival for financially distressed firms. The study also provides practical implications for managers, investors, policymakers, and lenders who intend to promote firm financial performance and sustainability.
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Geirdal, Amy K. Østertun, Per Nerdrum, Per Andreas Høglend, and Tore Bonsaksen. "Changes in Psychological Distress in Five Groups of Welfare State Service Workers over a Nine-Year Period." Healthcare 10, no. 4 (March 22, 2022): 592. http://dx.doi.org/10.3390/healthcare10040592.
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Health and social care workers are exposed to varying degrees of stress in their work, which may be reflected in their trajectories of psychological distress during the education program and the first years in the job. The aim of this study was to add to the knowledge concerned with the long-term development of psychological distress in five groups of welfare state service workers in Norway. The study included 1612 individuals. Psychological distress was measured with General Health Questionnaire-12 at four occasions from the start of the education program to 6 years post-graduation (nine year follow-up period). Results of linear mixed models (LMM) for repeated measures showed that psychological distress changed significantly over time in the social work professional groups. At the start of the education program, the lowest and highest levels of psychological distress were found among the child welfare and social workers, respectively. Six years post-graduation, social workers had become less distressed and child welfare workers had become more distressed. No significant change pattern for psychological distress was found among any of the health care professional groups.
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Raja Shekharan, A., Gonzalo R. Rada, Gary E. Elkins, and William Y. Bellinger. "Assessment of Long-Term Pavement Performance Plan Wall Projection-Based Distress Data Variability." Transportation Research Record: Journal of the Transportation Research Board 1643, no. 1 (January 1998): 95–109. http://dx.doi.org/10.3141/1643-13.
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In the Long-Term Pavement Performance (LTPP) program, 35-mm, black and white, continuous-strip photographs are used as a permanent record of pavement distress development for archival purposes and to quantify the distress severity and extent for pavement performance analysis. The traditional method of interpreting distress from LTPP film utilizes a relatively small image projected onto a digitizing tablet. From quality control checks performed on the interpreted data, it was found that some low severity types of distress, identified from larger magnified images projected onto a wall or projection screen, could not be seen in the smaller image used for distress interpretation. The variability in distresses interpreted directly off of the large format, wall-image projection was assessed through analysis of interpretations performed on six asphalt concrete and six portland cement concrete pavement sections used in the LTPP distress rater accreditation workshops. The data set included distress ratings from eight individuals, four two-person rater teams, and an experienced rater team. Also available were distress ratings performed in the field by the experienced rater team, which are used as reference values which represent the best estimate of ground-truth. Statistical tests show that the film-interpreted distresses from individual raters exhibit much larger variability than those from the rating teams. The most significant contributor to this finding is outlier observations in which one of the individual raters had significantly different ratings than the rest of the group. The spread in the rating teams was much lower. The film interpreted distresses from the experienced group correlated very well with the field-derived reference values.
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Irawati, Reka Septiara, and Heru Subekti. "Hubungan Distres Emosional dan Dukungan Sosial dengan Kualitas Hidup Lansia Penderita Diabetes Melitus di Kabupaten Sleman." Jurnal Keperawatan Klinis dan Komunitas 2, no. 3 (July 7, 2022): 125. http://dx.doi.org/10.22146/jkkk.44242.
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Background: Diabetes mellitus is one of the degenerative illnesses in elderly caused by inadequate production of insulin. Diabetes mellitus need a long-term management which can lead to emotional distress and diminishing life quality. Social support is playing an important role toward diabetic management and distress coping. Diabetics patient needs social support to lower emotional distress and improve quality of life.Objective: To determine the correlation between emotional distress, social support with quality of life among elderly patients with Diabetes Mellitus in Sleman Regency.Method: This was a correlational study using cross sectional design. Subjects were 188 elderlies with Diabetes Mellitus in Sleman Regency, selected by purposive sampling method. Data were collected using questionnaire of Problem Area in Diabetic, social support (by Kim, Shimada, Sakano), and WHO Quality of Life-BREF (WHOQOL-Bref). Data was analysed using Spearman correlation.Results: The Spearman Rank analysis result for emotional distress and quality of life variables is r=-0,289, p=0,000; and r=0,230, p=0,002 for social support and quality of life variables. While for social support and emotional distress variables the result is r=0,038, p=0,605.Conclusion: There is significant negative correlation between emotional distress and quality of life among elderly with DM; while there is positive significant correlation between social support and quality of life. However, there is no significant correlation between social support and emotional distress among elderly with DM in Sleman regency. Therefore, it was necessary to pay attention to the psychosocial aspects in providing nursing care for type 2 diabetes patient.ABSTRAKLatar Belakang: Diabetes melitus merupakan penyakit degeneratif pada lansia karena produksi insulin yang tidak adekuat. Diabetes melitus membutuhkan manajemen jangka panjang sehingga penderitanya berisiko mengalami distres emosional dan menurunkan kualitas hidup. Dukungan sosial penting dalam manajemen diabates dan koping distres emosional. Penderita diabetes melitus memerlukan dukungan sosial untuk menurunkan distres emosional dan meningkatkan kualitas hidup.Tujuan: Untuk mengetahui hubungan distres emosional dan dukungan sosial dengan kualitas hidup lansia penderita diabetes melitus di Kabupaten Sleman.Metode:Penelitian correlational menggunakan rancangan cross sectional pada 188 responden lansia penderita DM di Kabupaten Sleman yang dipilih dengan metode purposive sampling. Data penelitian diperoleh menggunakan kuesioner Problem Area in Diabetic (PAID); Dukungan Sosial oleh Kim, Shimada dan Sakano; dan WHO Quality of Life-BREF (WHOQOL-Bref). Analisis data menggunakan uji Spearman correlation.Hasil: Hasil analisis Spearman untuk variabel distres emosional dan kualitas hidup didapatkan nilai r=-0,289, p=0,000; dan r=0,230, p=0,002 untuk variabel dukungan sosial dan kualitas hidup. Sementara untuk variabel diukungan sosial dengan distres emosional nilai r=0,038, p=0,605.Kesimpulan: Terdapat hubungan yang signifikan antara distres emosional dengan kualitas hidup lansia dengan DM dengan arah negatif. Sementara ada hubungan yang signifikan dengan arah positif antara dukungan sosial dengan kualitas hidup lansia dengan DM. Namun, tidak ada hubungan yang signifikan antara distres emosional dan dukungan sosial pada lansia dengan DM di Kab Sleman. Oleh karena itu perlu diperhatikan aspek psikososial dalam memberikan asuhan keperawatan pada penderita DM tipe 2.
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Li, Jun Wei. "Study on Survey of Bituminous Pavement Rut Distress and Patching Material Performance." Advanced Materials Research 671-674 (March 2013): 1282–86. http://dx.doi.org/10.4028/www.scientific.net/amr.671-674.1282.
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At present, distresses of national bituminous pavement are mainly rut and crack. Occurrence of these two distresses seriously affects usability and service life of bituminous pavement. The author studied the severity and causes of pavement’s rut distress and crack distress combining with investigation of a highway. Corresponding treatment measures were also proposed aiming at pavement distress characteristics. Determined fiber patching material had good effect on the improvement of bituminous mixture high temperature stability through indoor test and entity paving of pavement, and gave priority to it as pavement patching material.
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Keith, Pat M., Robert B. Schafer, and Elisabeth Schafer. "WIVES' RELATIONSHIPS WITH FOOD AND PATTERNS OF FAMILY DISTRESS." Social Behavior and Personality: an international journal 23, no. 2 (January 1, 1995): 111–22. http://dx.doi.org/10.2224/sbp.1995.23.2.111.
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Using a framework of efficacy and commitment, this research investigated whether food-related activities and attitudes were significant enough in the lives of women to differentiate among four patterns of family distress (distressed, undistressed, wife-distressed, and husband-distressed families). Data from personal interviews with 155 women indicated efficacy in food preparation, time spent at work, and control over personal eating differentiated among patterns of family distress.
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Wan Fauzi, Wan Noor Asmuni, Marziana Madah Marzuki, Muhaniza Zainal Ariffin, and Nor Balkish Zakaria. "Fraud Diamond Factors, Risk Management Practices and the Likelihood of Fraud among Financially Distressed Companies Listed on the Malaysian Stock Exchange." Asia-Pacific Management Accounting Journal 17, no. 2 (August 31, 2022): 131–59. http://dx.doi.org/10.24191/apmaj.v17i2-05.
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Firms have tendencies to manipulate their financial statements when it is at risk of bankruptcy due to financial distress. Based on the Fraud Diamond Theory, there are four factors that motivate firms to perpetrate fraud, namely pressure, opportunity, rationalization and capability. Therefore, this study investigated the effect of these fraud diamond factors on the likelihood of fraudulent financial reporting among financially distressed firms in Malaysia. In addition, this study investigated whether the new amendment of code of corporate governance on risk management practices can mitigate the effect of these four factors on the likelihood of fraudulent financial reporting. Based on a sample of 53 financially distressed firms from 2014 until 2019, this study found that two fraud diamond factors which are pressure and capability significantly influenced firms’ financial distress and thus influenced the likelihood of fraud. The study found that risk management can reduce pressure and thus reduce the likelihood of fraud of financially distressed firms. Meanwhile, distressed firms change directors to replace with competent ones. Nevertheless, the study found that distressed firms may increase their risk disclosures to cover up their distress by changing directors. This study investigated the prevalence of fraud among distressed firms. Furthermore, it extends the literature of risk management among distressed firms. Keywords: fraud, fraud diamond, risk management, financial distress
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Wang, Ging-Long, Chih-Tao Cheng, An-Chen Feng, Sheng-Hui Hsu, Yi-Chen Hou, and Chiu-Yuan Chiu. "Prevalence, risk factors, and the desire for help of distressed newly diagnosed cancer patients: A large-sample study." Palliative and Supportive Care 15, no. 3 (October 4, 2016): 295–304. http://dx.doi.org/10.1017/s1478951516000717.
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ABSTRACTObjective:Beginning in 2007, all newly diagnosed cancer patients at the Koo Foundation Sun Yat-Sen Cancer Center (KF–SYSCC) were screened for psychosocial distress. Our social workers, as part of the psychosocial care team (PCT), have engaged in proactive outreach with patients identified as distressed. The goal of the present study was to assess the prevalence of psychosocial distress and the extent of contact between the PCT and distressed patients.Method:Newly diagnosed patients who were treated at KF–SYSCC between 2007 and 2010 for cancer were eligible if there were at least 100 patients with the same type of cancer. Before treatment began, they were screened with the Pain Scale and the Distress Thermometer (DT) and had the option to specify a desire for help. The rates of distress were analyzed by cancer type and by probable related factors. Information regarding contact with the PCT was retrieved from computerized databases.Results:Overall, some 5,335 cancer patients representing 12 major cancer types were included in our study. Of these, 1,771 (33.20%) were significantly distressed. By multivariate logistic regression, younger age, female gender, higher pain score, and disease stage, but not cancer type, were found to be associated with higher rates of distress. Among these distressed patients, 628 (36%) had some contact with the PCT.Significance of results:This Taiwanese study with a large sample size revealed a prevalence rate of psychosocial distress similar to rates found in Western countries. Contact with the PCT was established in only 36% of significantly distressed patients, despite a proactive outreach program. It is very important to have screening results made available in a timely fashion to the psycho-oncology team so that appropriate care can be offered promptly.
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O'Sullivan, Cynthia Kline, Kathryn H. Bowles, Sangchoon Jeon, Elizabeth Ercolano, and Ruth McCorkle. "Psychological Distress during Ovarian Cancer Treatment: Improving Quality by Examining Patient Problems and Advanced Practice Nursing Interventions." Nursing Research and Practice 2011 (2011): 1–14. http://dx.doi.org/10.1155/2011/351642.
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Background/Significance. Ovarian cancer patients are prone to psychological distress. The clinical significance and best practices for distress among this population are poorly understood.Method. Secondary analysis of research records from a six month randomized control trial included 32 women with primary ovarian cancer. All received 18 advanced practice nurse (APN) visits over six months. Three sub-samples were determined by distress level (high/low) and mental health service consent for high distress. Demographic, clinical factors, patient problems and APN interventions obtained through content analysis and categorized via the Omaha System were compared.Results. Clinically-significant psychiatric conditions were identified in 8/18 (44%) high distress subjects consenting to mental health intervention. High distress subjects who refused mental health intervention had more income and housing problems than the other subjects, received the fewest interventions at baseline, and progressively more throughout the study, exceeding the other sub-samples by study completion.Conclusions. Highly-distressed women not psychologically ready to work through emotional consequences of cancer at treatment onset may obtain support from APNs to manage cancer problems as they arise. Additional studies may identify best practices for all highly-distressed women with cancer, particularly those who do not accept mental health services for distress, but suffer from its effects.
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Cascarini, Luke. "Distress." BMJ 332, no. 7555 (June 15, 2006): 1422.2. http://dx.doi.org/10.1136/bmj.332.7555.1422-a.
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Groh, Ashley M., and Katherine C. Haydon. "Mothers’ Neural and Behavioral Responses to Their Infants’ Distress Cues: The Role of Secure Base Script Knowledge." Psychological Science 29, no. 2 (November 14, 2017): 242–53. http://dx.doi.org/10.1177/0956797617730320.
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This research examined mothers’ secure base script knowledge—reflected in the ability to generate narratives in which attachment-relevant problems are recognized, competent help is offered, and problems are resolved—and its significance for early-stage processing of infants’ distress cues, using event-related potentials in an emotion oddball task. Mothers with lower secure base script knowledge exhibited (a) a heightened P3b response—reflective of greater allocation of cognitive resources—to their infants’ distressed (but not happy) target facial expressions; (b) a larger P3b response to their infants’ distressed (compared with happy) target facial expressions, which is indicative of allocating disproportional attentional resources to processing their infants’ distress; and (c) poorer accuracy in identifying their infants’ distressed target facial expressions. Findings suggest that mothers’ attachment-relevant biases in processing their infants’ emotion cues are especially tied to infant distress and shed light on underlying mechanisms linking mothers’ attachment representations with sensitive responding to infant distress.
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Mahrer, Nicole E., Linda J. Luecken, Sharlene A. Wolchik, Jenn-Yun Tein, and Irwin N. Sandler. "Exposure to maternal distress in childhood and cortisol activity in young adulthood." International Journal of Behavioral Development 38, no. 6 (June 5, 2014): 570–76. http://dx.doi.org/10.1177/0165025414537924.
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Dysregulated cortisol is a risk factor for poor health outcomes. Children of distressed mothers exhibit dysregulated cortisol, yet it is unclear whether maternal distress predicts cortisol activity in later developmental stages. This longitudinal study examined the prospective relation between maternal distress during late childhood (9–12 years) and adolescence (15–19 years) and cortisol response in offspring in young adulthood (24–28 years). Data were collected from 51 recently divorced mothers and their children across 15 years. Higher maternal distress during late childhood was associated with lower total cortisol independent of levels of maternal distress in adolescence or young adulthood. Maternal distress during adolescence marginally predicted blunted cortisol when distress in childhood was low. Findings suggest that blunted cortisol activity in young adulthood may be a long-term consequence of exposure to maternal distress earlier in development.
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Vartiainen, P., T. Heiskanen, R. P. Roine, and E. Kalso. "Why does the impact of multidisciplinary pain management on quality of life differ so much between chronic pain patients?" Scandinavian Journal of Pain 4, no. 4 (October 1, 2013): 255. http://dx.doi.org/10.1016/j.sjpain.2013.07.003.
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Abstract Aims To assess the change in quality of life and factors predicting this change in 1425 chronic pain patients treated in a multidisciplinary pain clinic. Methods This is an observational follow-up study using the 15D generic health-related quality of life (HRQoL) instrument. Patients filled in the HRQoL questionnaire at baseline, and 6 and 12 months after discharge. To assess if mental factors predicted treatment success, the changes in the overall 15D score were compared and related to the baseline variables of depression and distress. The group of patients, who scored 4 or 5 on the 1–5 scale for the depression and distress dimensions of the 15D instrument, were considered mentally distressed (N =199). They were compared with the non-distressed patients (i.e. those who scored 1; N = 401). Results Pain was associated to depression and distress: 85.4% of mentally distressed patients scored 4 or 5 also on the discomfort and symptoms dimension, vs. 51.4% of the non-distressed (p < 0.001). The mean 15D score of the mentally distressed patients improved statistically significantly more (from 0.572 to 0.636, N =141) during the first six months after treatment compared with the 15D of those who were not mentally distressed, who improved only marginally (0.790–0.803, N = 294; p < 0.001). Conclusions Patients with more severe depression or distress at baseline appear to gain more from the treatment than those who have less mental distress. In our ongoing study more baseline factors will be evaluated to assess their effect on the success of treatment.
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Dhakal, Sanjeeva, and Prabha Kharel. "COVID-19 Pandemic and Lockdown: Psychological Distress Impact amongst PCL Nursing Students of Nepalgunj Nursing Campus, Kohalpur, Banke, Nepal." Journal of Nepalgunj Medical College 19, no. 1 (January 16, 2022): 69–72. http://dx.doi.org/10.3126/jngmc.v19i1.40261.
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Introduction: The uncontrolled spread of COVID-19 worldwide has confined millions of people to their homes. In addition to being a public physical health emergency, COVID-19 (Corona Virus Disease 2019) has significantly resulted in a large number of psychological distress and impacts. The career oriented professional students are away from their academic environment.
Aims: This study aims to assess the psychological distress impact of the COVID-19 pandemic among the Proficiency Certificate Level Nursing of Nepalgunj Nursing Campus, Kohalpur, Banke, Nepal.
Methods: The online survey with a link directed to students of Proficiency Certificate Level (PCL) Nursing of Nepalgunj Nursing Campus, Kohalpur, Banke, Nepal conducted during lockdown (July 16th –July 21st 2020) which was open for 6 days. Sociodemographic characteristics are the independent variables. Psychological distress was constructed using the Kessler Psychological Distress Scale (K10) Scale as a dependent variables. Data were analyzed using Microsoft Excel.
Results: The evidence of the survey showed that in total 80.2, % (severely distressed - 30.7%, moderately distressed -29.7%, mildly distressed- 19.8%) of the Proficiency Certificate Level Nursing students of Nepalgunj Nursing Campus, were having psychological distress during COVID-19 pandemic and lockdown assessed by using K10 scale.
Conclusion: The present study showed that Proficiency Certificate Level Nursing students were moderately and severely distressed during lockdown of Covid-19 pandemic.
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Padrnos, Leslie Jane, Heidi Kosiorek, James L. Slack, and Nandita Khera. "Understanding patient distress on day +100 of allogeneic stem cell transplant." Journal of Clinical Oncology 34, no. 3_suppl (January 20, 2016): 204. http://dx.doi.org/10.1200/jco.2016.34.3_suppl.204.
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204 Background: Allogeneic hematopoietic cell transplantation (HCT) is a medically complicated treatment modality used for various hematologic malignancies. Patterns and predictors of distress in post- transplant setting in a contemporary cohort of patients are not well-understood. Methods: 67 patients transplanted between 12/5/12- 4/21/15 completed National Comprehensive Cancer Network Distress Thermometer as part of their long term follow up clinic evaluation on day+100 after HCT. Demographic, socioeconomic and clinical outcome data were analyzed. A score ≥ 4 was considered distressed. Results: Mean age of patients was 50.8 years (range 20-72). Most patients were married or living with their significant other (83%), half were college graduates (58%), and half were employed full time (50%). 21 patients (31%) reported a distress score ≥ 4. Distressed patients reported increased problems with treatment decisions (15% vs 2%, p<0.05) and ability to have children (16% vs 0%, p<0.05). Physically, distressed patients were more likely to report fatigue (85% vs 44%, p <0.05), pain (60% vs 24%, p<0.05) and difficulty getting around (25% vs 7% p<0.05) Distressed patients were likely to report at least 1 emotional problem (N=16, 76%), and nearly a quarter reported ≥ 4 emotional problems (N=5, 24%). Specifically, sadness (25% vs 7%, p<0.05) and worry (64% vs 26%, p <0.01) were more common in distressed patients. Distressed patients had a longer length of hospitalization for transplant (30.8 days vs 24.9 p<0.001) and more hospitalized days during the first 100 days (34.9 vs 28.7 p<0.01). Conclusions: Approximately 30% of allogeneic HCT patients suffer significant distress at Day100 post-transplant. Distressed patients report problems with a variety of factors, including emotional, physical, family and practical issues that may impact function, compliance and quality of life. Higher number of hospitalized days is associated with increased distress and could be used to identify patients who may benefit from stress monitoring. Periodic screening of distress in HCT patients can help identify interventions to help improve patient reported outcomes.
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Ashraf, Sumaira, Elisabete G. S. Félix, and Zélia Serrasqueiro. "Do Traditional Financial Distress Prediction Models Predict the Early Warning Signs of Financial Distress?" Journal of Risk and Financial Management 12, no. 2 (April 4, 2019): 55. http://dx.doi.org/10.3390/jrfm12020055.
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Purpose: This study aims to compare the prediction accuracy of traditional distress prediction models for the firms which are at an early and advanced stage of distress in an emerging market, Pakistan, during 2001–2015. Design/methodology/approach: The methodology involves constructing model scores for financially distressed and stable firms and then comparing the prediction accuracy of the models with the original position. In addition to the testing for the whole sample period, comparison of the accuracy of the distress prediction models before, during, and after the financial crisis was also done. Findings: The results indicate that the three-variable probit model has the highest overall prediction accuracy for our sample, while the Z-score model more accurately predicts insolvency for both types of firms, i.e., those that are at an early stage as well as those that are at an advanced stage of financial distress. Furthermore, the study concludes that the predictive ability of all the traditional financial distress prediction models declines during the period of the financial crisis. Originality/value: An important contribution is the widening of the definition of financially distressed firms to consider the early warning signs related to failure in dividend/bonus declaration, quotation of face value, annual general meeting, and listing fee. Further, the results suggest that there is a need to develop a model by identifying variables which will have a higher impact on the financial distress of firms operating in both developed and developing markets.