Jayashri bute - Academia.edu (original) (raw)

Papers by Jayashri bute

Research paper thumbnail of A Case-Control Study on Low birth weight and Associated Epidemiological Determinants among Tribal Population of Dahod, Gujarat

Research paper thumbnail of Breastfeeding practices in urban primi mothers in the field practice area of Department of Community Medicine-a cross-sectional study

Magna Scientia Advanced Research and Reviews, Dec 29, 2023

Introduction: Breastfeeding is the unique source of nutrition which plays a significant role in t... more Introduction: Breastfeeding is the unique source of nutrition which plays a significant role in the growth, development and survival of infants. Breastfeeding is promoted internationally as the preferred method to feed infants up to 6 months and has continued up to 2 years with the addition of home-cooked foods. Objectives: To assess the Knowledge, Attitude and Practices of lactating mothers regarding breast feeding. To correlate the exclusive feeding practices with maternal employment and gender of the child. Materials and Methods: A cross-sectional survey was conducted in the urban field practice area of UHTC, Dholabhata, Ajmer. Out of 8 Anganwadi centers 4 were randomly selected. 219 lactating mothers have been recorded at some Anganwadi sites. Subsequent to the inclusion and exclusion criteria, 200 samples were collected for the study. A semistructured questionnaire was used for this study. Important findings: Out of 200 lactating mothers, 74.6% had a knowledge of the benefits of breastfeeding that the child remains healthy. 71.5% agreed that it fosters a close bond between the mother and child. 56.7% of mothers breastfed to six months. Conclusion: Both governmental and non-governmental organizations are already involved in promoting breastfeeding. But more promotional activities should be done just not for health workers in the antenatal and post-natal/child unit but also other staff should be encouraged to participate in such programs.

Research paper thumbnail of Prevalence and pattern of alcohol consumption among males attending primary health care setting using AUDIT in rural Indore, Madhya Pradesh, India

International Journal of Community Medicine and Public Health, Sep 24, 2018

There are more than 200 health conditions like alcohol dependence, cardiovascular diseases, liver... more There are more than 200 health conditions like alcohol dependence, cardiovascular diseases, liver cirrhosis, cancer of mouth, pharynx, colon etc. and injuries are related to alcohol. Also the new data has been concluded

Research paper thumbnail of Antenatal Care Services Utilization In Women Delivered at Tertiary Care Level Hospital in Urban Area, Mumbai

International journal of scientific research, Jun 1, 2012

This cross-sectional study was carried out in one of the tertiary hospital of Mumbai having its o... more This cross-sectional study was carried out in one of the tertiary hospital of Mumbai having its own teaching institute with 1400 beds. This study was carried out to know exactly the Pattern of antenatal care services utilization and to find out various components of antenatal care used by women delivered at tertiary hospital. Women in postnatal ward after delivery interviewed with pretested semi-structured Performa. Out of 384 women complete antenatal services were utilized by 255 (66.4%) women & 129 (33.6%) women used them incompletely. 199(51.8%) women were referred from other government hospital, 8.6% from private facility while 151(39.3%) were registered to tertiary care hospital on her own.175 (46.1%) women visited health facility before 16 weeks, while 204 (53.9%) visited after 16 weeks of gestation and it was found to be increased as educational status was increased ( X2= 11.16 p< 0.05 highly significant). About 317(82.6%) women had at least 4 or more antenatal checkups. In 291 (75.8%) of pregnant women were not visited at all even single time by any healthcare worker at their home as per government norms. 255(66.4%) women used the haematinics as per advised by doctor/health staff.371 (96.9%), 129 (70.6%) & 306 (80.2%) women had undergone haemoglobin, urine & VDRL estimation respectively. 352(91.6%) women received two doses of Injection tetanus. Majority women haven’t received proper advise on different aspects of ANC. In 74.5% nobody had advised about newborn care, in 80.5% women on breast feeding, in 52% warning signs in pregnancy, in 69% family planning to be followed after delivery. Relatives played key role in 69 % women’s got advised about ANC care, 63% women about nutrition, 52.6% women about personal hygiene, only 14.6% women got advise from relatives about newborn care. Pattern of Antenatal Care Services Utilization in Women Delivered at Tertiary Care Level Hospital In Urban Area, Mumbai

Research paper thumbnail of Basic Water, Sanitation and Hygiene (WASH) practices among school adolescents of rural area, Indore: A comparative study

Magna Scientia Advanced Research and Reviews

Background: Young teens are more vulnerable to a variety of infections, particularly teenage girl... more Background: Young teens are more vulnerable to a variety of infections, particularly teenage girls if they don't take care of their hygiene. The reason of conducting studies in schools is as they spend more than one third of their lifetime in school. School environment, supply of potable water, etc. impact on healthy development. Material and methods: This is a cross-sectional study carried out in the field of RHTC practice at Indore Medical College from February to April 2019. A structured pro- forma that included questions about basic sanitation, water and hygiene practices, is used to gather data from teenagers studying in public and private schools. 200 students from public schools and 200 private schools in Grades 6 to 10 were selected by Quota Sampling to compare WASH practices among themselves. Results: The majority of teenagers in private schools have good levels of personal hygiene 58.3% compared to public schools 41.7%. Standards of personal hygiene increased with age....

Research paper thumbnail of The prevalence of musculoskeletal disorders among computer related professionals of Dahod City, Gujarat: a cross sectional study

International Journal Of Community Medicine And Public Health

Background: Use of any gadgets like Laptops/Desktops etc. on daily basis generates disorders in b... more Background: Use of any gadgets like Laptops/Desktops etc. on daily basis generates disorders in body. The term use to denote this disorder as ‘Musculoskeletal Disorder’ (MSD). Methods: Observational cross-sectional study was conducted by a random sampling method. A total 350 study subjects taken from Dahod city, Gujarat of various professionals like offices, institutions etc., who were working minimum one year with laptops/desktops at least four hours in a day with age 18-60 years. With the help of Neck Disability Index (NDI), Cornell Hand Discomfort Questionnaire (CHDQ) proforma data were collected. Descriptive statistics, Spearman’s correlation, Chi-square test and Binary logistic regression was used to find role of predictors with an increased risk of pain. Results: The mean±SD age of participants was 31.03±10.031 while males were higher than females (69.1% vs 30.9%). 53% subjects reported pain in hand, neck and/or back due to prolonged use of laptops/desktops. There exists posit...

Research paper thumbnail of A study to assess unmet need for family planning and contraceptive choices among married women of reproductive age in rural Madhya Pradesh

International Journal Of Community Medicine And Public Health, 2018

Background: The unmet need of family planning refers to the gap between reproduction intention of... more Background: The unmet need of family planning refers to the gap between reproduction intention of a couple and their contraceptive behavior. According to NFHS-4 the unmet need for family planning is 12.9 in India. The objectives of the study were to assess the unmet need for family planning and to find out the contraceptive choices among married women.Methods: This cross sectional study was undertaken in the rural field practice area of Department of Community Medicine, Index Medical College, Indore, from October 2016 to March 2017. Total sample size calculated was 640. Systematic random sampling was used to select eligible couple a pretested, semi-structured questionnaire was administered to women of reproductive age (15-49 year) in local Hindi language after taking consent.Results: Out of 640 participants 39 (6.1%) were desiring pregnancy, 454 (70.9%) using contraceptives while 147 (23%) had unmet need and among them 74 (11.6%) for limiting while 73 (11.4%) for spacing. Unmet need...

Research paper thumbnail of Study to evaluate the impact of Rajyoga meditation on psychosomatic aspects of hypertensive patients

Journal of Medical Science And clinical Research, 2018

Background: Hypertension is a global health problem. Meditation techniques have been found useful... more Background: Hypertension is a global health problem. Meditation techniques have been found useful in reducing elevated BP levels. Objectives: To evaluate effects of Rajyoga meditation on High Blood pressure. To evaluate effects of Rajyoga meditation on psychosomatic components of hypertensive patients. This cross sectional study was conducted on the 20 patients who have a high Blood Pressure ≥140/90 mm of Hg attending the medicine O.P.D. at C.U. Shah Hospital and Medical College Surender Nagar. Patients were taught Rajyoga meditation one hour daily for 7 days as an intervention and followed for 30 days with daily 30 minutes meditation. Effects are seen on blood pressure. Results: The mean systolic BP before meditation was 154.33 while after meditation 126 (p< 0.005), while mean diastolic BP was 96.2 and after meditation it was 94.3. There was significant decrease in almost all physical parameters like headache [p < 0.05], tinnitus [p < 0.000], shortness of breath [p < 0.038], palpitations [p < 0.000], as well as reduction in dosage of medications after meditation [p< 0.058]. Psychological symptoms like 20 % of subjects got relief from anger or peace-lessness, [p < 0.05], 15 % from various worries [p <0.05], 10% felt powerful [p<0.01] while 40 % relived from feeling of irritation [p<0.001] Conclusion: This study demonstrates Rajyoga meditation is a successful intervention in controlling hypertension. It has also reduced psychosomatic symptoms of disease, doses of medication as well as shown overall improvement in health

Research paper thumbnail of A cross-sectional study of mental well-being among undergraduate students in a Medical College, in Central India

International Journal of Medical Science and Public Health, 2016

Background: Medical education, since its very beginning has been stressful for all those who are ... more Background: Medical education, since its very beginning has been stressful for all those who are involved in it, directly or indirectly. This brings about the development of anxiety or depression or both among the medical students as well as aggravation of the same among those who already have them for some other reason. The apparent factors behind the condition may be a few but an in-depth analysis may reveal several inapparent yet significant factors behind an individual student' anxious or depressed behavior. Objective: (1) To assess the level of mental well-being among the medical students, (2) to assess reasons for anxiety/ depression/somatic symptoms/social dysfunction among the medical students, and (3) to correlate the mental well-being with the sociodemographic factors. Materials and Methods: It was a cross-sectional study. The study was conducted among all the students and interns of

Research paper thumbnail of Pattern of Antenatal Care Services Utilization in Women Delivered at Tertiary Care Level Hospital In Urban Area, Mumbai

International Journal of Scientific Research, 2012

This cross-sectional study was carried out in one of the tertiary hospital of Mumbai having its o... more This cross-sectional study was carried out in one of the tertiary hospital of Mumbai having its own teaching institute with 1400 beds. This study was carried out to know exactly the recent situation of antenatal care services utilized by women living in urban area in India and also various socio-demographic characters affecting on outcome of pregnancy. Women in postnatal ward after delivery interviewed with pretested semi-structured Performa.Out of 384 women complete antenatal services were utilized by 255 (66.4%) women & 129 (33.6%) women used them incompletely. Among 255(66.4 %) were married between >18-25 yr of age & 27% were married ≤ 18 yr.67 women (86%) who were used complete ANC services were aware of private health facility and 138 (72.3%) were aware of public health facility before using antenatal care services. Of them 200 (52 %) women were had their first pregnancy between the age of >18-25yrs,210 (54.6 %) women of the Hindu religion used complete antenatal services which were found to be significant.197 (51.3 %) women were educated up to secondary class which is statistically found to be significant. Total 240(62.5%) reported complications during pregnancy and rest 144(37.5%) haven't reported any complications. Among 255 women who utilized complete ANC services 125 (32.5 %) women had normal delivery, 105 (27.3 %) had caesarian section & only 25(6.4%) had interventional delivery, intrauterine death or stillbirth. Among women who used complete ANC services 110(28.6%) women were given birth to healthy newborn baby weighing more than 2.5Kg & which was found to be statistically significant.

Research paper thumbnail of A cross sectional study to determine the tobacco use pattern among school children in central India

Journal of Research in Medical and Dental Science, 2014

Research paper thumbnail of Pre-Hypertension and Hypertension and Its Determinants Among School Adolescents of Rural Area of Indore- a Cross Sectional Study

National journal of community medicine, 2015

Results: The prevalence of hypertension was detected to be 5.25% and pre-hypertension was 17.4%.O... more Results: The prevalence of hypertension was detected to be 5.25% and pre-hypertension was 17.4%.Overall the mean systolic blood pressure and mean diastolic blood pressure were 113 ± 12.44 mm of Hg and 72.96 ± 8.95 mm of Hg respectively which was found to be similar in both sexes. The risk of high blood pressure significantly increased with age (p< 0.0001) Proportion of hypertension was higher among 71 (36.8%) adolescents, who were physically inactive as compared to 41 (13.6%) physically active adolescents which was found to be highly significant.[ OR= 0.26 (0.17-0.4) p < 0.0000001].The major risk factors was additional salt intake (p < 0.00013) & papad/pickle intake(p < 0.0080)OR = 0.59 (0.38-0.90) found to be significant.

Research paper thumbnail of A Case-Control Study on Low birth weight and Associated Epidemiological Determinants among Tribal Population of Dahod, Gujarat

Research paper thumbnail of Breastfeeding practices in urban primi mothers in the field practice area of Department of Community Medicine-a cross-sectional study

Magna Scientia Advanced Research and Reviews, Dec 29, 2023

Introduction: Breastfeeding is the unique source of nutrition which plays a significant role in t... more Introduction: Breastfeeding is the unique source of nutrition which plays a significant role in the growth, development and survival of infants. Breastfeeding is promoted internationally as the preferred method to feed infants up to 6 months and has continued up to 2 years with the addition of home-cooked foods. Objectives: To assess the Knowledge, Attitude and Practices of lactating mothers regarding breast feeding. To correlate the exclusive feeding practices with maternal employment and gender of the child. Materials and Methods: A cross-sectional survey was conducted in the urban field practice area of UHTC, Dholabhata, Ajmer. Out of 8 Anganwadi centers 4 were randomly selected. 219 lactating mothers have been recorded at some Anganwadi sites. Subsequent to the inclusion and exclusion criteria, 200 samples were collected for the study. A semistructured questionnaire was used for this study. Important findings: Out of 200 lactating mothers, 74.6% had a knowledge of the benefits of breastfeeding that the child remains healthy. 71.5% agreed that it fosters a close bond between the mother and child. 56.7% of mothers breastfed to six months. Conclusion: Both governmental and non-governmental organizations are already involved in promoting breastfeeding. But more promotional activities should be done just not for health workers in the antenatal and post-natal/child unit but also other staff should be encouraged to participate in such programs.

Research paper thumbnail of Prevalence and pattern of alcohol consumption among males attending primary health care setting using AUDIT in rural Indore, Madhya Pradesh, India

International Journal of Community Medicine and Public Health, Sep 24, 2018

There are more than 200 health conditions like alcohol dependence, cardiovascular diseases, liver... more There are more than 200 health conditions like alcohol dependence, cardiovascular diseases, liver cirrhosis, cancer of mouth, pharynx, colon etc. and injuries are related to alcohol. Also the new data has been concluded

Research paper thumbnail of Antenatal Care Services Utilization In Women Delivered at Tertiary Care Level Hospital in Urban Area, Mumbai

International journal of scientific research, Jun 1, 2012

This cross-sectional study was carried out in one of the tertiary hospital of Mumbai having its o... more This cross-sectional study was carried out in one of the tertiary hospital of Mumbai having its own teaching institute with 1400 beds. This study was carried out to know exactly the Pattern of antenatal care services utilization and to find out various components of antenatal care used by women delivered at tertiary hospital. Women in postnatal ward after delivery interviewed with pretested semi-structured Performa. Out of 384 women complete antenatal services were utilized by 255 (66.4%) women & 129 (33.6%) women used them incompletely. 199(51.8%) women were referred from other government hospital, 8.6% from private facility while 151(39.3%) were registered to tertiary care hospital on her own.175 (46.1%) women visited health facility before 16 weeks, while 204 (53.9%) visited after 16 weeks of gestation and it was found to be increased as educational status was increased ( X2= 11.16 p< 0.05 highly significant). About 317(82.6%) women had at least 4 or more antenatal checkups. In 291 (75.8%) of pregnant women were not visited at all even single time by any healthcare worker at their home as per government norms. 255(66.4%) women used the haematinics as per advised by doctor/health staff.371 (96.9%), 129 (70.6%) & 306 (80.2%) women had undergone haemoglobin, urine & VDRL estimation respectively. 352(91.6%) women received two doses of Injection tetanus. Majority women haven’t received proper advise on different aspects of ANC. In 74.5% nobody had advised about newborn care, in 80.5% women on breast feeding, in 52% warning signs in pregnancy, in 69% family planning to be followed after delivery. Relatives played key role in 69 % women’s got advised about ANC care, 63% women about nutrition, 52.6% women about personal hygiene, only 14.6% women got advise from relatives about newborn care. Pattern of Antenatal Care Services Utilization in Women Delivered at Tertiary Care Level Hospital In Urban Area, Mumbai

Research paper thumbnail of Basic Water, Sanitation and Hygiene (WASH) practices among school adolescents of rural area, Indore: A comparative study

Magna Scientia Advanced Research and Reviews

Background: Young teens are more vulnerable to a variety of infections, particularly teenage girl... more Background: Young teens are more vulnerable to a variety of infections, particularly teenage girls if they don't take care of their hygiene. The reason of conducting studies in schools is as they spend more than one third of their lifetime in school. School environment, supply of potable water, etc. impact on healthy development. Material and methods: This is a cross-sectional study carried out in the field of RHTC practice at Indore Medical College from February to April 2019. A structured pro- forma that included questions about basic sanitation, water and hygiene practices, is used to gather data from teenagers studying in public and private schools. 200 students from public schools and 200 private schools in Grades 6 to 10 were selected by Quota Sampling to compare WASH practices among themselves. Results: The majority of teenagers in private schools have good levels of personal hygiene 58.3% compared to public schools 41.7%. Standards of personal hygiene increased with age....

Research paper thumbnail of The prevalence of musculoskeletal disorders among computer related professionals of Dahod City, Gujarat: a cross sectional study

International Journal Of Community Medicine And Public Health

Background: Use of any gadgets like Laptops/Desktops etc. on daily basis generates disorders in b... more Background: Use of any gadgets like Laptops/Desktops etc. on daily basis generates disorders in body. The term use to denote this disorder as ‘Musculoskeletal Disorder’ (MSD). Methods: Observational cross-sectional study was conducted by a random sampling method. A total 350 study subjects taken from Dahod city, Gujarat of various professionals like offices, institutions etc., who were working minimum one year with laptops/desktops at least four hours in a day with age 18-60 years. With the help of Neck Disability Index (NDI), Cornell Hand Discomfort Questionnaire (CHDQ) proforma data were collected. Descriptive statistics, Spearman’s correlation, Chi-square test and Binary logistic regression was used to find role of predictors with an increased risk of pain. Results: The mean±SD age of participants was 31.03±10.031 while males were higher than females (69.1% vs 30.9%). 53% subjects reported pain in hand, neck and/or back due to prolonged use of laptops/desktops. There exists posit...

Research paper thumbnail of A study to assess unmet need for family planning and contraceptive choices among married women of reproductive age in rural Madhya Pradesh

International Journal Of Community Medicine And Public Health, 2018

Background: The unmet need of family planning refers to the gap between reproduction intention of... more Background: The unmet need of family planning refers to the gap between reproduction intention of a couple and their contraceptive behavior. According to NFHS-4 the unmet need for family planning is 12.9 in India. The objectives of the study were to assess the unmet need for family planning and to find out the contraceptive choices among married women.Methods: This cross sectional study was undertaken in the rural field practice area of Department of Community Medicine, Index Medical College, Indore, from October 2016 to March 2017. Total sample size calculated was 640. Systematic random sampling was used to select eligible couple a pretested, semi-structured questionnaire was administered to women of reproductive age (15-49 year) in local Hindi language after taking consent.Results: Out of 640 participants 39 (6.1%) were desiring pregnancy, 454 (70.9%) using contraceptives while 147 (23%) had unmet need and among them 74 (11.6%) for limiting while 73 (11.4%) for spacing. Unmet need...

Research paper thumbnail of Study to evaluate the impact of Rajyoga meditation on psychosomatic aspects of hypertensive patients

Journal of Medical Science And clinical Research, 2018

Background: Hypertension is a global health problem. Meditation techniques have been found useful... more Background: Hypertension is a global health problem. Meditation techniques have been found useful in reducing elevated BP levels. Objectives: To evaluate effects of Rajyoga meditation on High Blood pressure. To evaluate effects of Rajyoga meditation on psychosomatic components of hypertensive patients. This cross sectional study was conducted on the 20 patients who have a high Blood Pressure ≥140/90 mm of Hg attending the medicine O.P.D. at C.U. Shah Hospital and Medical College Surender Nagar. Patients were taught Rajyoga meditation one hour daily for 7 days as an intervention and followed for 30 days with daily 30 minutes meditation. Effects are seen on blood pressure. Results: The mean systolic BP before meditation was 154.33 while after meditation 126 (p< 0.005), while mean diastolic BP was 96.2 and after meditation it was 94.3. There was significant decrease in almost all physical parameters like headache [p < 0.05], tinnitus [p < 0.000], shortness of breath [p < 0.038], palpitations [p < 0.000], as well as reduction in dosage of medications after meditation [p< 0.058]. Psychological symptoms like 20 % of subjects got relief from anger or peace-lessness, [p < 0.05], 15 % from various worries [p <0.05], 10% felt powerful [p<0.01] while 40 % relived from feeling of irritation [p<0.001] Conclusion: This study demonstrates Rajyoga meditation is a successful intervention in controlling hypertension. It has also reduced psychosomatic symptoms of disease, doses of medication as well as shown overall improvement in health

Research paper thumbnail of A cross-sectional study of mental well-being among undergraduate students in a Medical College, in Central India

International Journal of Medical Science and Public Health, 2016

Background: Medical education, since its very beginning has been stressful for all those who are ... more Background: Medical education, since its very beginning has been stressful for all those who are involved in it, directly or indirectly. This brings about the development of anxiety or depression or both among the medical students as well as aggravation of the same among those who already have them for some other reason. The apparent factors behind the condition may be a few but an in-depth analysis may reveal several inapparent yet significant factors behind an individual student' anxious or depressed behavior. Objective: (1) To assess the level of mental well-being among the medical students, (2) to assess reasons for anxiety/ depression/somatic symptoms/social dysfunction among the medical students, and (3) to correlate the mental well-being with the sociodemographic factors. Materials and Methods: It was a cross-sectional study. The study was conducted among all the students and interns of

Research paper thumbnail of Pattern of Antenatal Care Services Utilization in Women Delivered at Tertiary Care Level Hospital In Urban Area, Mumbai

International Journal of Scientific Research, 2012

This cross-sectional study was carried out in one of the tertiary hospital of Mumbai having its o... more This cross-sectional study was carried out in one of the tertiary hospital of Mumbai having its own teaching institute with 1400 beds. This study was carried out to know exactly the recent situation of antenatal care services utilized by women living in urban area in India and also various socio-demographic characters affecting on outcome of pregnancy. Women in postnatal ward after delivery interviewed with pretested semi-structured Performa.Out of 384 women complete antenatal services were utilized by 255 (66.4%) women & 129 (33.6%) women used them incompletely. Among 255(66.4 %) were married between >18-25 yr of age & 27% were married ≤ 18 yr.67 women (86%) who were used complete ANC services were aware of private health facility and 138 (72.3%) were aware of public health facility before using antenatal care services. Of them 200 (52 %) women were had their first pregnancy between the age of >18-25yrs,210 (54.6 %) women of the Hindu religion used complete antenatal services which were found to be significant.197 (51.3 %) women were educated up to secondary class which is statistically found to be significant. Total 240(62.5%) reported complications during pregnancy and rest 144(37.5%) haven't reported any complications. Among 255 women who utilized complete ANC services 125 (32.5 %) women had normal delivery, 105 (27.3 %) had caesarian section & only 25(6.4%) had interventional delivery, intrauterine death or stillbirth. Among women who used complete ANC services 110(28.6%) women were given birth to healthy newborn baby weighing more than 2.5Kg & which was found to be statistically significant.

Research paper thumbnail of A cross sectional study to determine the tobacco use pattern among school children in central India

Journal of Research in Medical and Dental Science, 2014

Research paper thumbnail of Pre-Hypertension and Hypertension and Its Determinants Among School Adolescents of Rural Area of Indore- a Cross Sectional Study

National journal of community medicine, 2015

Results: The prevalence of hypertension was detected to be 5.25% and pre-hypertension was 17.4%.O... more Results: The prevalence of hypertension was detected to be 5.25% and pre-hypertension was 17.4%.Overall the mean systolic blood pressure and mean diastolic blood pressure were 113 ± 12.44 mm of Hg and 72.96 ± 8.95 mm of Hg respectively which was found to be similar in both sexes. The risk of high blood pressure significantly increased with age (p< 0.0001) Proportion of hypertension was higher among 71 (36.8%) adolescents, who were physically inactive as compared to 41 (13.6%) physically active adolescents which was found to be highly significant.[ OR= 0.26 (0.17-0.4) p < 0.0000001].The major risk factors was additional salt intake (p < 0.00013) & papad/pickle intake(p < 0.0080)OR = 0.59 (0.38-0.90) found to be significant.