Browsing by Subject "predictors"

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    Can Fecal Continence be Predicted in Patients Born with Anorectal Malformations?
    (Elsevier, 2019) Minneci, Peter C.; Kabre, Rashmi S.; Mak, Grace Z.; Halleran, Devin R.; Cooper, Jennifer N.; Afrazi, Amin; Calkins, Casey M.; Corkum, Kristine; Downard, Cynthia D.; Ehrlich, Peter; Fraser, Jason D.; Gadepalli, Samir K.; Helmrath, Michael A.; Kohler, Jonathan E.; Landisch, Rachel; Landman, Matthew P.; Lee, Constance; Leys, Charles M.; Lodwick, Daniel L.; McLeod, Jennifer; Mon, Rodrigo; McClure, Beth; Rymeski, Beth; Saito, Jacqueline M.; Sato, Thomas T.; St. Peter, Shawn D.; Wood, Richard; Levitt, Marc A.; Deans, Katherine J.; Surgery, School of Medicine
    Purpose The purpose of this study was to identify factors associated with attaining fecal continence in children with anorectal malformations (ARM). Methods We performed a multi-institutional cohort study of children born with ARM in 2007–2011 who had spinal and sacral imaging. Questions from the Baylor Social Continence Scale were used to assess fecal continence at the age of ≥ 4 years. Factors present at birth that predicted continence were identified using multivariable logistic regression. Results Among 144 ARM patients with a median age of 7 years (IQR 6–8), 58 (40%) were continent. The rate of fecal continence varied by ARM subtype (p = 0.002) with the highest rate of continence in patients with perineal fistula (60%). Spinal anomalies and the lateral sacral ratio were not associated with continence. On multivariable analysis, patients with less severe ARM subtypes (perineal fistula, recto-bulbar fistula, recto-vestibular fistula, no fistula, rectal stenosis) were more likely to be continent (OR = 7.4, p = 0.001). Conclusion Type of ARM was the only factor that predicted fecal continence in children with ARM. The high degree of incontinence, even in the least severe subtypes, highlights that predicting fecal continence is difficult at birth and supports the need for long-term follow-up and bowel management programs for children with ARM.
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    Predictors of Burnout in Public Library Employees
    (Sage, 2018) Salyers, Michelle P.; Watkins, Melanie A.; Painter, Amber; Snajdr, Eric; Gilmer, Declan O.; Garabrant, Jennifer M.; Henry, Nancy H.; Psychology, School of Science
    Work stress and professional burnout are recognized as concerns for public library employees, yet little research has been conducted. The purpose of the current study was to better understand burnout and the contributing factors in a state-wide sample of public library employees in Indiana. Using a web-based survey, 171 employees of public libraries reported their level of burnout (emotional exhaustion, cynicism, and professional efficacy; Maslach Burnout Inventory-General Survey) and potential predictors, including levels of autonomy, co-worker support, work pressure, technology attitudes, and recovery experiences. A subset of 70 completed the burnout measures twice, allowing for predictions of change over time. Most predictors were correlated with burnout cross-sectionally, except for technology attitudes. Emotional exhaustion was positively associated with work pressure, and negatively associated with autonomy, role clarity, coworker support, and recovery experiences of relaxation, mastery, and control. Similar patterns were found for cynicism and reduced efficacy. However, over a period of approximately six months, only role clarity predicted decreased burnout (emotional exhaustion) above prior levels of burnout.