Дисертації з теми "Demographic Outcomes"
Оформте джерело за APA, MLA, Chicago, Harvard та іншими стилями
Ознайомтеся з топ-50 дисертацій для дослідження на тему "Demographic Outcomes".
Біля кожної праці в переліку літератури доступна кнопка «Додати до бібліографії». Скористайтеся нею – і ми автоматично оформимо бібліографічне посилання на обрану працю в потрібному вам стилі цитування: APA, MLA, «Гарвард», «Чикаго», «Ванкувер» тощо.
Також ви можете завантажити повний текст наукової публікації у форматі «.pdf» та прочитати онлайн анотацію до роботи, якщо відповідні параметри наявні в метаданих.
Переглядайте дисертації для різних дисциплін та оформлюйте правильно вашу бібліографію.
Mansoor, Sadia. "Demographic diversity and outcomes: A multilevel study." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/209949/1/Sadia_Mansoor_Thesis.pdf.
Повний текст джерелаOosse, Monique Marie. "Demographic, socioeconomic, and biomedical effects on birth outcomes /." Digital version accessible at:, 1998. http://wwwlib.umi.com/cr/utexas/main.
Повний текст джерелаGuruge, Sepali. "The effects of demographic characteristics on preoperative teaching outcomes, a meta-analysis." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0002/MQ46122.pdf.
Повний текст джерелаGrjibovski, Andrej. "Socio-demographic determinants of pregnancy outcomes and infant growth in transitional Russia /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-226-8/.
Повний текст джерелаRhouma, Ousama. "Epidemiology, socio-demographic determinants and outcomes of paediatric facial and dental injuries in Scotland." Thesis, University of Glasgow, 2012. http://theses.gla.ac.uk/3415/.
Повний текст джерелаBromet, Elizabeth S. "The relationship between vocational rehabilitation services, demographic variables and outcomes among individuals with psychiatric disabilities." Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1116127984.
Повний текст джерелаTitle from first page of PDF file. Document formatted into pages; contains xv, 171 p.; also includes graphics Includes bibliographical references (p. 155-171). Available online via OhioLINK's ETD Center
Chang, Chia-yu Stephanie Celeste. "Does social-demographic information predict residential outcomes in elderly stroke rehabilitation patients in Hong Kong?" Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31971520.
Повний текст джерелаChang, Chia-yu Stephanie Celeste, and 張嘉瑜. "Does social-demographic information predict residential outcomes in elderly stroke rehabilitation patients in Hong Kong?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31971520.
Повний текст джерелаRichards, Suzanne. "Assessing the Impact of Demographic Faultlines on Workgroup Performance| A Study of Conflict and Outcomes." Thesis, The George Washington University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3615532.
Повний текст джерелаThis study addressed the frequently discussed issue of a relationship between the demographic diversity of a workgroup and its performance, by empirically testing for a relationship between a complex conceptualization of diversity (demographic faultlines) and workgroup performance bifurcated into processes, specifically relationship and task conflict, and outcomes, in terms of groups member's individual satisfaction with the group, commitment to the group, liking of other group members, and intent to stay. In addition, it hypothesized processes (relationship and task conflict) as mediators of outcomes. An online survey was administered at a single firm, ultimately gathering data from a sample population of 95 workgroups, representing 389 individual members. Using hierarchical regression analysis, the strength of the demographic faultline (Fau) of each group was tested for a relationship with relationship and task conflict and workgroup outcomes. Controlling for group size, the study found Fau positively predictive of relationship and task conflict, and not predictive of workgroup performance outcomes (given the finding of no relationship between Fau and outcomes, relationship and task conflict as mediators of outcomes was not tested), confirming only one of five hypotheses. The possible impact of the sample characteristics on this field study was discussed in conjunction with the theoretical, research, and practical implications of the findings.
Bromet, Elizabeth. "The relationship between vocational rehabilitation services, demographic variables and outcomes among individuals with psychiatric disabilities." The Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=osu1116127984.
Повний текст джерелаPonomareva, Yuliya. "Group Diversity and Demographic Faultlines : The Influence of Ethnicity, Age and Education Diversity on Group Processes and Group Performance." Thesis, Halmstad University, School of Business and Engineering (SET), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-5307.
Повний текст джерелаThompson, Andrew K. "Interactions Between Race, Gender, and Income in Relationship Education Outcomes." BYU ScholarsArchive, 2015. https://scholarsarchive.byu.edu/etd/4429.
Повний текст джерелаFerebee, Lewis Bradshaw Lynn. "COMPARATIVE ANALYSIS OF DEMOGRAPHIC AND STUDENT ACHIEVEMENT OUTCOMES OF IMPLEMENTATION OF THE NCLB PUBLIC SCHOOL CHOICE PROVISION." [Greenville, N.C.] : East Carolina University, 2010. http://hdl.handle.net/10342/2763.
Повний текст джерелаSimion, Stefania. "Empirical essays on youths' labour markets and education." Thesis, Queen Mary, University of London, 2017. http://qmro.qmul.ac.uk/xmlui/handle/123456789/24742.
Повний текст джерелаEpstein, Dale Judith. "The impact of parents' demographic and psychological characteristics and parent involvement on young children's reading and math outcomes." College Park, Md.: University of Maryland, 2007. http://hdl.handle.net/1903/7711.
Повний текст джерелаThesis research directed by: Dept. of Human Development/Institute for Child Study. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
Gilson, Lucy L. "The role of procedural justice in the relationship between demographic diversity, dissimilarity, work-related affective outcomes, and creative performance." Diss., Georgia Institute of Technology, 2000. http://hdl.handle.net/1853/29451.
Повний текст джерелаHamadani, Fadi. "Demographic and population-based analysis of traumatic injury transport outcomes and health-care infrastructure in Northern Québec's rural communities." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=123242.
Повний текст джерелаIntroduction: L'Amérique du Nord et des études internationales ont montré des taux de mortalité et de morbidité de lésion traumatique à être plus élevés dans les populations éloignées et rurales par rapport aux zones urbaines. Très peu de recherches évaluer l'infrastructure de santé disponibles et les résultats de traumatismes dans ces régions, qui comprennent les régions du Nord du Canada (en particulier la Colombie- Britannique et du Québec), l'arrière-pays rural de l'Australie, des régions éloignées en Norvège, et des zones très isolées dans le Etats-Unis, parmi d'autres. Dans les collectivités isolées du Nord du Québec, le transport vers le Centre universitaire de santé de Montréal (CUSM), un centre régional de niveau-1, est la seule option pour les soins de traumatologie complexe. Cette étude vise à fournir: (1) une analyse démographique de la région du Nord du Québec, en mettant l'accent sur la caractérisation de l'infrastructure des soins de santé disponibles, (2) les mécanismes et les taux de blessures dans le Nord qui exigent le transfert; (3) les temps de transfert et les résultats chez les patients présentant une lésion traumatique de cette région .Méthodes : Un manuscrit en se concentrant sur le traumatisme du patient résultats de transport du Nord de Québec est incorporé dans cette thèse. Pour cette partie , les données quantitatives des cas de traumatologie du CUSM transférés à partir du Nord du Québec ont été obtenues auprès du CUSM traumatisme registre (1 Janvier 2005 au 31 Décembre 2009 ). Les données démographiques et de santé ont été obtenues auprès des services du Réseau universitaire intégré de santé de l' Université McGill (RUIS) , le coordonnateur administratif des services de santé et les traumatismes dans le Nord du Québec . Nous avons identifié des mécanismes de blessure , temps de transfert , et les résultats de la survie chez les patients victimes de traumatismes transportés à CUSM de Nord québécois et comparé les résultats à une population de patients traumatisés transportés soit dans des hôpitaux de banlieue locales de Montréal .Résultats: La littérature pertinente été identifiés et résumés de donner un aperçu de l'expérience de traumatisme régions rurales et éloignées. L'accent a été mis sur l'analyse basée sur la population des résultats ruraux de traumatologie, l'utilisation de systèmes de cartographie géographique et d'autres partitions de quantifier l'éloignement, et une comparaison descriptive de l'expérience des traumatismes en milieu rural au Canada, en Australie et en Norvège. Évaluation de l'expérience des traumatismes du Nord québécois a révélé que le MGH a reçu 9952 traumatismes au cours de la période d'étude. 254 de ces patients étaient du Nord et avait une ISS au- dessus de 15. 1027 patients avec un ISS plus de 15 ont été transportés dans les hôpitaux de banlieue locales. L'âge moyen pour les groupes locaux était > 40 ans, pour les groupes Nord du Québec > 30, avec une population à prédominance masculine, dont la majorité avait subi un traumatisme contondant. Collision d'un véhicule automobile est le mécanisme le plus fréquent dans les groupes Nord du Québec, avec une moyenne de 40 %. Traumatisme pénétrant était la cause de 21.7 % de tous les transports en provenance du Nord, alors qu'elle représentait 12.5 % des blessures observés dans la population locale. Les patients transférés de la région du Nord avec un ISS > 15 avaient un taux de mortalité significativement plus élevée.Conclusion : Malgré les biais de sélection et d'orientation inhérentes aux données d'observation de ce type, le taux de mortalité plus élevé observé chez les patients transférés de Nord québécois reflète probablement les défis en matière de transport en temps opportun et les soins. Amélioration des résultats peuvent résulter d'une meilleure / formation systématique des prestataires de soins locaux, l'amélioration de triage et les protocoles de transport rapides.
Zhelo, Inessa. "Impact of Economic, Political, and Socio-Demographic Factors on the Parliamentary Election Outcomes in Central and Eastern European Countries." Thesis, North Dakota State University, 2008. https://hdl.handle.net/10365/29712.
Повний текст джерелаPremuda, Conti Paola. "Demographic and service variables as predictors of state-federal vocational rehabilitation system competitive employment outcomes among consumers with traumatic brain injury /." Available to subscribers only, 2009. http://proquest.umi.com/pqdweb?did=1791777431&sid=5&Fmt=2&clientId=1509&RQT=309&VName=PQD.
Повний текст джерела"Rehabilitation Institute." Keywords: Competitive employment, Traumatic brain injury, Vocational rehabilitation, Employment outcomes. Includes bibliographical references (p. 157-198). Also available online.
Premuda-Conti, Paola. "DEMOGRAPHIC AND SERVICE VARIABLES AS PREDICTORS OF STATE-FEDERAL VOCATIONAL REHABILITATION SYSTEM COMPETITIVE EMPLOYMENT OUTCOMES AMONG CONSUMERS WITH TRAUMATIC BRAIN INJURY." OpenSIUC, 2008. https://opensiuc.lib.siu.edu/dissertations/274.
Повний текст джерелаHansen, Ryan C. "Exploring the Effects of 1:1 Laptop Implementation on Quantifiable Student Outcomes in Junior High School Science Classes Between Demographic Subpopulations of Students." DigitalCommons@USU, 2012. https://digitalcommons.usu.edu/etd/1355.
Повний текст джерелаSchrieff, Leigh. "Investigating severe pediatric traumatic brain injury in South Africa : a demographic profile of admissions, brain oxygenation and neuropsychological outcomes and an attention-training intervention." Doctoral thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/10647.
Повний текст джерелаThe aim of this dissertation was to investigate severe pediatric traumatic brain injury (pTBI) in South Africa. To that end, I conducted three studies, each examining a different aspect of severe pTBI. Study 1 presents a demographic profile of trends in severe pTBI admissions to the Red Cross War Memorial Children's Hospital (RXH) from June 2006 to April 2011. Study 2 examines the associations between secondary injury, as manifest by low brain oxygenation (PbtO2), and neuropsychological outcomes in severe pTBI. Study 3 evaluates the efficacy of an attention-training intervention for severe pTBI, and discusses the implementation of that intervention in the context of a low- and middle-income country. All three studies were cross-sectional and quantitative.
Mattison, Amira Conservilla. "Do Early Elementary Teacher Ratings of Classroom Behavior Predict Similar Outcomes Across Demographic Groups? An Examination Using the Early Childhood Longitudinal Study Kindergarten Cohort (ECLS-K)." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6317.
Повний текст джерелаReinhold, Mario [Verfasser]. "Four essays on demography and labour market outcomes / Mario Reinhold." Hannover : Technische Informationsbibliothek (TIB), 2016. http://d-nb.info/112266527X/34.
Повний текст джерелаMernitz, Sara E. "Long-term Cohabitation: Prevalence, Predictors, and Mental Health Outcomes." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1468949233.
Повний текст джерелаTekleselassie, Tsegay Gebrekidan. "Three essays on the impact of institutions and policies on socio-economic outcomes." Thesis, University of Sussex, 2016. http://sro.sussex.ac.uk/id/eprint/65535/.
Повний текст джерелаCearley, Jennifer Joy. "Outcome and demographic differences between males and females in a sample of adjudicated youth /." Connect to title online (ProQuest), 2008. http://proquest.umi.com/pqdweb?did=1537009691&sid=1&Fmt=2&clientId=11238&RQT=309&VName=PQD.
Повний текст джерелаCollazo, Allison Grace. "Code status designation: analysis of appropriate documentation, associated patient demographics, and outcomes in the hospitalized patient." Thesis, Wichita State University, 2012. http://hdl.handle.net/10057/5379.
Повний текст джерелаThesis (M.S.W.)--Wichita State University, College of Liberal Arts and Sciences, School of Social Work
Gonzalez, Christine. "Investigating patterns among demographics, identification practices, interventions, and educational outcomes for students with serious emotional disturbance." Thesis, University of North Texas, 2003. https://digital.library.unt.edu/ark:/67531/metadc4328/.
Повний текст джерелаTillyer, Rob. "Social Conditioning of Police Officers: Exploring the interactive effects of driver demographics on traffic stop outcomes." Cincinnati, Ohio : University of Cincinnati, 2008. http://rave.ohiolink.edu/etdc/view.cgi?acc_num=ucin1222898894.
Повний текст джерелаAdvisor: Robin Engel. Title from electronic thesis title page (viewed Feb.25, 2009). Keywords: Policing; Racial Profiling; Social Conditioning Model. Includes abstract. Includes bibliographical references.
Clodi, Dennis R. Laymon Ronald L. Strand Kenneth H. "The relationship between educational tax rate referendum outcome and both campaign strategies and selected demographic variables." Normal, Ill. Illinois State University, 1987. http://wwwlib.umi.com/cr/ilstu/fullcit?p8806854.
Повний текст джерелаTitle from title page screen, viewed August 22, 2005. Dissertation Committee: Ronald L. Laymon, Kenneth H. Strand (co-chairs), Robert L. Arnold, Sally B. Pancrazio, William F. Stimeling. Includes bibliographical references (leaves 86-96) and abstract. Also available in print.
El, Amiri Sawsane. "Etiological Beliefs about Illness in Panic Disorder: Relationship with Baseline Demographic and Clinical Characteristics and Impact on Treatment Response." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35992.
Повний текст джерелаSöderström, Ulf. "Type 1 diabetes in children with non-Swedish background : epidemiology and clinical outcome." Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskap och medicin, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-32843.
Повний текст джерелаPilavci, Burak. "On-pitch success in UEFA Champions League : an empirical analysis of economic, demographic and traditional factors." Thesis, Högskolan i Jönköping, Internationella Handelshögskolan, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-22568.
Повний текст джерелаKnyszek, Brittney Lynn. "The Impact of Visual Aids on Prenatal Genetic Counseling Session Patient Outcomes." Case Western Reserve University School of Graduate Studies / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=case1338515186.
Повний текст джерелаHedding, Kirsty. "A descriptive study of demographics, triage allocations and patient outcomes for a private emergency centre in Pretoria for 2018." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32761.
Повний текст джерелаLi, Zhen. "Minority migration from 1985 to 2005 in China| Migration process, migration outcomes, and socioieconomic incorporation at destination places of four ethnic minority groups." Thesis, State University of New York at Albany, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10109581.
Повний текст джерелаAs internal migration started to increase in the late 1970s in China, ethnic minorities have also participated in this demographic event to improve their livelihood. However, minority migration has been much neglected in the current literature. To fill the gap in the literature, the dissertation aims to: (1) examine migration selectivity and destination selection process of ethnic minorities in China; (2) investigate whether migration can lead to upward socioeconomic mobility for ethnic minorities; (3) assess the extent of socioeconomic integration of minority migrants at destination places; (4) reveal and explain differences in patterns of migration and destination adaption across ethnic groups; and (5) uncover temporal patterns of minority migration, migration outcomes, minority integration at destinations. To achieve these goals, this dissertation makes use of the micro-data of the 1990 China population census, the 1995 mini-census, the 2000 census and the 2005 mini-census.
Regarding minority migration process, model results suggest that education selectivity of minority migrants is mostly positive, but it is only consistently observed for the Zhuang. While migrant networks and co-ethnic networks does not matter much for the out-migration decision for minorities, they do weigh more on minority migrants’ decision as to where to go. Minority migrants tend to go to places with larger migrant networks. In general, they also go to places with more co-ethnics, but the effect of co-ethnic networks reveals important group-specific differences.
Minorities can mostly benefit from engaging in migration. However, what is interesting is the finding that the Uyghurs stand out as the only minority group that shows a trend of deteriorating migration outcomes. Moreover, evidence also reveals that for the Uyghurs and the Zhuang, long-distance migration is not more beneficial than short-distance migration.
Finally, very different patterns of incorporation at destination communities emerge from the analyses. The relative position of the Uyghur migrants to the Han is declining over time and in the most recent time period, they are doing significantly worse than their Han counterparts. The Hui and the Koreans are doing more successfully. Surprisingly, the Zhuang migrants are disadvantaged to the Han and this disadvantage is consistent across time.
Landeis, Marissa. "The Intergenerational Transmission of Criminal Justice Contact: The Role of Parenthood, Early Adulthood Outcomes, and Gender." Bowling Green State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1594987690115211.
Повний текст джерелаMellott, Leanna Marie. "The Association Between Maternal Relationship Transitions and Child Behavioral Outcomes: An Examination of Selection Effects and the Mediating Impact of Parenting." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1284119193.
Повний текст джерелаStapel, Christopher J. "SCHOOL, FAMILY, AND FAITH: SOCIAL INFLUENCES ON EDUCATIONAL OUTCOMES OF NONMETROPOLITAN SEXUAL MINORITY STUDENTS." UKnowledge, 2012. http://uknowledge.uky.edu/sociology_etds/2.
Повний текст джерелаHuffman, Anthony M. "The Influence of Parent-Child Gender Arrangements and Family Demographics on Young-Adult Outcomes of Postsecondary Education Experiences: An Investigation Using NCES 2002-2012." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1438421036.
Повний текст джерелаPrince, Barbara F. "Sexual Minorities and Social Context: An Examination of Union Formation, Labor Market Outcomes, and Coming Out." Bowling Green State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1530121583412651.
Повний текст джерелаSylla, Daouda. "Essays on Culture, Economic Outcome and Wellbeing." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31202.
Повний текст джерелаGordon, Diandra Renee. "Childhood Exposure to Intimate Partner Violence and Socioemotional Development from Early to Middle Childhood." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1429799346.
Повний текст джерелаWaddle, Cinnamond Karen E. "VOCATIONAL REHABILITATION OUTCOMES FOR HISPANIC CONSUMERS IN TRADITIONAL SETTLEMENT AREAS AND NEW IMMIGRANT DESTINATIONS: A 17-YEAR TREND ANALYSIS." UKnowledge, 2016. http://uknowledge.uky.edu/csw_etds/13.
Повний текст джерелаGomes, João Carlos Pereira. "Impacto do envelhecimento populacional no atendimento de emergência." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5169/tde-28022019-100750/.
Повний текст джерелаBackground: The stratum of the population aged 60 years or over is growing faster than younger age-groups worldwide. There is a disproportional increase in Emergency Department (ED) visits by older people, with higher rates of adverse outcomes. Objectives: To describe the sociodemographic characteristics of ED users in a tertiary hospital and to investigate differences in outcomes by sex and age. Design: Observational cross-sectional analytic study. Data source: Administrative electronic health data (2009 to 2013). Setting: The ED of the Instituto Central do Hospital das Clínicas, São Paulo, Brazil. Participants: 222,387 adults who visited the tertiary ED one or more times during the period. Measurements: The main categorical variables were sex, year and age-group, which included \'young adults\': 18-39 years; \'adults\': 40-59; \'young-older adults\': 60-79; and \'old-older adults\': 80- 109. The continuous variables were age, length of hospital stay (LOS) and length of Intensive Care Unit stay (LIS). Outcomes were hospitalization, use of intensive care unit (ICU) and mortality. Statistical analysis: We calculated descriptive statistics; then, built generalized linear mixed models for each outcome to produce estimated Odds Ratios (95% confidence interval) for independent categorical variables. The significance level was 5% with Bonferroni correction. Results: We analyzed 333,028 consecutive unscheduled ED visits. The proportion of visits attributed to young adults decreased annually (44.4% to 38.2%), while those of people aged 60 or over increased (24.1% to 29.9%). ORs for hospitalization, intensive care use and mortality associated with old-older adults were 3.49 (95% CI= 3.15-3.87), 1.27 (1.15-1.39) and 5.93 (5.29-6.66) respectively, with young adults as the reference. Male sex was weakly associated with hospitalization (OR= 1.37, 95%CI=1,30-1,44) and mortality (OR=1.14, 95%CI=1,07-1,21). LOS and LIS did not differ among age groups. Conclusions: Between 2009 and 2013, the proportion of \'young adults\' ED visits reduced while those of people aged 60 or over increased. Hospitalization, ICU stay and mortality rates increased with age. Age is an important risk factor for hospitalization and mortality, but not for ICU admission. Old-older people are at the greatest risk and demand further subgroup stratification
Haile, Yohannes. "Sustainable Value And Eco-Communal Management: Systemic Measures For The Outcome Of Renewable Energy Businesses In Developing, Emerging, And Developed Economies." Case Western Reserve University School of Graduate Studies / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=case1459369970.
Повний текст джерелаLessoway, Kamea. "Perception of quality of life for adults with hearing impairment in Aotearoa / New Zealand." Thesis, University of Canterbury. Department of Communication Disorders, 2014. http://hdl.handle.net/10092/9599.
Повний текст джерелаAbdul, Fathima. "Demographic variables and outcomes of labour disputes." Thesis, 2009. http://hdl.handle.net/10539/5935.
Повний текст джерелаRalise, Mantsebo Elizabeth. "Outcomes of Continuous Ambulatory Peritoneal Dialysis at Charlotte Maxeke Johannesburg Academic Hospital: impact of demographic and socioeconomic factors." Thesis, 2018. https://hdl.handle.net/10539/25384.
Повний текст джерелаBackground: Chronic kidney disease and end stage kidney disease are becoming a huge health challenge. The optimal treatment is renal transplantation but due to low rates of transplantation most patients who are enrolled in the chronic renal replacement programme are on dialysis. This study aimed at investigating demographic and social factors that are associated with the outcomes of peritoneal dialysis (PD). The study also investigates how co-morbidity contributed to the outcomes of PD. Methods: The study makes use of retrospective analysis of demographic data (age, marital status, residential area, race) and socioeconomic status, level of education, family support, poor access to health care system as well as co-morbidities and underlying cause of ESKD, obtained from 167 patients who were enrolled on continuous ambulatory peritoneal dialysis (CAPD) over the period of 2008 - 2012 at the Charlotte Maxeke Academic Johannesburg Hospital (CMJAH). The data analysis for the present study was conducted using STATA version 14.0. To describe the demographic characteristics of the patients, frequency tables were computed for all categorical variables. For continuous variables, the Shapiro Wilk test for normality was used to assess the distribution of the data to report the appropriate central tendency measure i.e. mean±SD or median (IQR). To assess the contribution of demographic factors to the overall outcome of CAPD, a Fisher’s exact test of comparison was used to assess the difference between the proportions for each demographic factor and CAPD outcome. The Fisher exact test was used because the proportions for each frequency table included a proportion below five (<5). To assess how the relationship of demographic and co-morbid disease affects the outcome of the treatment, a multivariate logistic regression model was fitted adjusting for co-morbid disease for each of the demographic factors. Findings and interpretation: Of 167 patients enrolled, the majority were black with low levels of education, living in townships and 56% were on subsisting on disability grants. PD failure occurred in 53.3% of patients over the study period and 46.7% were successful on PD. Of the variables tested, age was statistically significant for CAPD outcomes [Fisher exact test (p= 0.004)], indicating a significant difference in the proportion of CAPD outcomes among different age categories). The univariate and multivariate logistic regression analysis did not show significant association with CAPD outcomes. Adherence also significantly impacted on outcomes in both univariate and multivariate analyses, showing that non-compliant patients were less likely to have successful outcomes on PD. In addition, the Fisher exact test showed no significant difference in the distribution of CAPD outcome with marital status while the multivariate analysis showed that single patients were three times more likely to succeed with PD compared to married patients. These could be due to chance, because of the small sample size, and require further investigation. Conclusions: Prospective studies are needed to fully understand the extent that demographic and socioeconomic factors impact on the outcomes of PD. This will assist in formulating comprehensive recommendations and ways to improve PD utilization and outcomes.
LG2018