Sentences with phrase «differences in outcome suggests»

This gradient in differences in outcome suggests that the impact of maternal mental health on children's development may be causal.

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As a follow up to that, if McCulloch was suggesting that there were not - bad homebirth outcomes wrongly attributed to hospital, how many of those births would have to be added to the homebirth group to actually make a difference in lessening the apparent stillbirth rate?
However, recent practice suggests that if professionals systematically gather the young men's details by, for instance, routinely asking the mothers for them early in the pregnancy, develop interagency working while making child outcomes the focus of their work and mainstream engagement through the service (in this case, a teenage pregnancy service) while keeping good records and comprehensively assessing the young men's needs substantial numbers of young fathers can be reached with interventions that make a real difference.
Flint and colleagues suggested that when midwives get to know the women for whom they provide care, interventions are minimised.22 The Albany midwifery practice, with an unselected population, has a rate for normal vaginal births of 77 %, with 35 % of women having a home birth.23 A review of care for women at low risk of complications has shown that continuity of midwifery care is generally associated with lower intervention rates than standard maternity care.24 Variation in normal birth rates between services (62 % -80 %), however, seems to be greater than outcome differences between «high continuity» and «traditional care» groups at the same unit.25 26 27 Use of epidural analgesia, for example, varies widely between Queen Charlotte's Hospital, London, and the North Staffordshire NHS Trust.
While some meta - analyses of home visiting programs suggest that many types of home visiting programs can make a difference in reducing adverse outcomes such as child maltreatment and childhood injuries, 14,15 meta - analyses can produce misleading results if there are insufficient numbers of trials of programs represented in the cross-classification of home visiting target populations, program models, and visitors» backgrounds.
The primary outcome with the largest difference in this sensitivity analysis was preterm birth, where an analysis restricted to trials with lower risk of bias suggested a larger treatment effect: RR 0.64, (95 % CI 0.51 to 0.81) compared with RR 0.77, (95 % CI 0.62 to 0.94) in the overall analysis.
This analysis suggested that more irregular sleep timing across weeknights and weekends (very little sleep during the week and «catching up» on sleep during the weekend), and a preference for scheduling work and social time later in the evening hours can both contribute to differences in illness outcomes, conclusions that are also supported in the broader adolescent sleep literature.
«The results suggest that the environment is a stronger contributor to adverse birth outcomes than genes, since there are differences in rates of birth outcomes across states» Thayer said.
While there had been preliminary evidence suggesting that the addition of radiotherapy might improve outcomes, the study failed to find any differences in relapse - free survival between patients treated with the additional radiotherapy, and those who were not.
«Exploratory analyses of several secondary outcomes indicated that the sedation protocol was associated with a difference in patients» sedation experience; patients in the intervention group were able to be safely managed in a more awake and calm state while intubated, receiving fewer days of opioid exposure and fewer sedative classes without an increase in inadequate pain or sedation management or clinically significant iatrogenic [consequence of treatment] withdrawal compared with patients receiving usual care, but they experienced more days with reported pain and agitation, suggesting a complex relationship among wakefulness, pain, and agitation,» the authors write.
«Our findings suggest that differences in white matter microstructure may partially account for the variance in functional outcomes among this population.
Differences in practice patterns between male and female physicians, as suggested in previous studies, may have important clinical implications for patient outcomes.
Quiz Ref IDLiterature has shown that female physicians may be more likely to adhere to clinical guidelines,1 - 3 provide preventive care more often,4 - 11 use more patient - centered communication,12 - 15 perform as well or better on standardized examinations, 16 and provide more psychosocial counseling to their patients than do their male peers.14 Although studies suggest differences in practice patterns and process measures of quality between male and female physicians, these studies have not examined patient outcomes, what we arguably care about the most.
Our results show that trangenerational epigenetic effects play a role in adaptive evolution, and suggest that the relationship between changes in methylation patterns and differences in evolutionary outcomes, at least for quantitative traits such as cell division rates, is complex.
Reducingstereotype.org concludes, «This re-analysis suggests that soliciting social - identity information prior to test taking does produce small differences in performance consistent with previous findings in the stereotype - threat literature that, when generalized to the population of test takers, can produce profound differences in outcomes for members of different groups.»
«The findings suggest that there are more similarities in student outcomes between charter schools and other public schools than differences,» Silverman writes.
HOWEVER, recent research published in 2009 (Journal Vet Med Science 2/2009; 71 (2) 171 - 6) suggests that steroid treatment in a presumed FCE case does NOT make any difference in outcome.
These important insights in turn suggests that poor defense representation or differences in the quality of defense counsel may create considerable risks of disparities and other unfair sentencing outcomes under the Guidelines.
The close correspondence in outcomes between the 2 parent - training conditions (one randomized and the other not) suggests that the findings are robust and, given the differences in the demographic composition across pediatric settings, demonstrates that the intervention is effective in settings with a wide range of risk.
Research suggests sex differences in the association between partner health problems and relationship satisfaction31 as well as PTSD treatment outcomes.32 The more rigorous methods of the current randomized trial compared with prior studies, including controls for patient inclusion, treatment assignment, and blinded assessment, may also account for the different findings.
In addition, behavior genetic studies suggest genetic factors contribute to temperamental differences among children and influence the association between temperament and child outcomes.23 Children with tendencies toward negative emotionality and poor self - regulation may be especially difficult to provide optimal care for, and their parents appear particularly likely to use less firm control over time, 24 but they are also the very children who especially need calmly - persistent caregiver efforts.
When the dashed line falls below the solid line this indicates a reduction in the strength of association between family adversity and child health when parenting variables are added to the model suggesting that differences in parenting across families with different levels of adversity explain some of the inequalities in child health outcomes.
A study of individual cognitive therapy for bipolar disorder showed positive outcomes at 1 - year follow - up, but the benefits were reduced over time, suggesting the need for booster sessions to sustain the gains.19 As with many forms of therapy, CBT has been found to be more successful in reducing relapse in the depressive pole compared with the manic pole.30 A large randomised trial of CBT showed no difference between CBT and treatment as usual, when all participants were included in the analyses.31 However, results of a post-hoc analysis suggested that CBT was effective for participants who reported fewer than 12 prior episodes of illness and were not acutely unwell when therapy began; numbers of episodes of mania rather than depression seemed to predict treatment response.32 Such data can help guide the clinical application of CBT for bipolar patients.
When the dashed line falls below the solid line this indicates a reduction in the strength of association between family adversity and child health when parenting variables are added to the model suggesting that differences in parenting across families with different levels of adversity explain some of the inequalities in that health outcome.
Shared environmental factors were generally not influential, and nonshared environmental effects were stronger for males than for females for inattention / impulsivity These results suggest that impulsivity and inattention during this period of childhood are (1) clearly related to concurrent aggressive / defiant symptoms; (2) multidimensional, with influences of method of assessment on outcome; and (3) highly heritable, with possible gender differences in the strength of genetic effects.
«The stronger association between adolescent outcomes and ties to nonresident mothers compared with ties to stepmothers stands in contrast to the results reported in prior research on resident mother families where close ties to resident stepfathers are more strongly associated with positive adolescent outcomes than ties to nonresident biological fathers (King, 2006; White & Gilbreth, 2001), suggesting important differences in the role of nonresident parents and stepparents by gender....
Fact: «Although early research suggests that youth living in two - parent biological families fare better on a range of developmental outcomes than those in single - parent or alternative structures (Amato and Keith, 1991), this research typically finds that effects of family structure on developmental outcomes such as delinquency are not strong (Hetherington and Kelly, 2002)... More tangible differences in family dynamics or circumstances — such as supervision practices — are largely responsible when study groups have different outcomes... The highest rates of delinquency were for youth in father - only households, followed by father - stepmother...»
Differences in diabetes outcomes have even been found between insured minority youth and White youth receiving care through the same integrated health center (Jacobsen, Black, Li, Reynolds, & Lawrence, 2014), suggesting that there are factors beyond treatment disparities affecting glycemic control.
Remaining, if not increasing, family type differences in economic conditions were also suggested as explanations to unaltered associations between parental divorce and child outcomes over time in previous American and British studies (Biblarz and Raftery 1999; Ely et al. 1999).
Mothers and father's experiences of adaptation are also unclear with some studies suggesting higher levels of both negative (e.g. stress and depression) and positive outcomes (e.g. positive perceptions / experiences) in mothers [14, 55, 58], and others suggesting no reported differences [e.g. 39, 52].
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