scholarly journals Effect of a maternity consumer representative training program on participants’ confidence and engagement

2014 ◽  
Vol 38 (3) ◽  
pp. 306 ◽  
Author(s):  
Bec M. Jenkinson ◽  
Joanne Smethurst ◽  
Rhonda Boorman ◽  
Debra K. Creedy
Keyword(s):  
Training Program ◽  
Aged Care ◽  
Post Evaluation ◽  
Consumer Representative ◽  
Before And After ◽  
Rural And Remote Areas ◽  
Consumer Organisations ◽  
Training And Support

Objective This paper describes the effects of a maternity consumer representative training program on participants’ confidence to fulfil this role and engagement in representative activities. Methods The present study was a descriptive, pre–post evaluation design with a 3-month follow-up. Fifty-eight people completed the program and 55 agreed to participate in the evaluation. Participants completed questionnaires to assess confidence to undertake consumer representative roles and reported on their engagement with consumer activities. Results Participants’ perceived confidence to function in the role of consumer representative differed significantly before and after the workshop (F(2,18) = 7.057, P < 0.001), as did confidence in decision making (F(2,16) = 7.615, P = 0.005), confidence in negotiating outcomes and liaising with key people (F(2,18) = 7.154, P = 0.005), and confidence in making use of relevant networks (F(2,18) = 4.319, P = 0.029). There was a decline in confidence at 3 months, with confidence at this time no longer significantly different from that at the time of recruitment. Engagement with consumer organisations increased by 45% compared with rates at commencement of the project. Conclusions The program enhanced participants’ confidence to fulfil a maternity consumer representative role but was not sustained. Further research is needed as to how to best support maternity consumer representatives and assess their contribution to promoting woman-centred care. What is known about the topic? Engaging consumers in the development of health policy, planning, service delivery and review can improve services and health outcomes. There is a serious lack of consumers confident to undertake representative roles. There is a paucity of evidence about the best ways to engage and build capacity among prospective consumer representatives. What does this paper add? A training program was developed and implemented for prospective consumer representatives in maternity services. Participants reported enhanced confidence to undertake a consumer representative role, but this was not sustained at the 3-month follow-up. The program improved engagement with consumer representative activities. What are the implications for practitioners? Training and support are essential for effective maternity consumer representation. Programs could involve generic consumer training with additional training offered for specific health services, such as maternity, aged care or mental health. Further attention needs to be given to supporting consumer organisations and consumer representatives in rural and remote areas. There is a significant need for health service committee members to be supported to work effectively with their consumer representatives.

SUBLINGUAL VITAMIN D3 DRUG THERAPY IN VITAMIN D DEFICIENCY PATIENTS AT PRAVARA RURAL HOSPITAL

2019 ◽  
pp. 18-20
Author(s):  
Sanjeeva Kumar Goud T ◽  
Rahul Kunkulol
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Vitamin D3 ◽  
Serum Vitamin ◽  
Cross Sectional ◽  
Serum Vitamin D ◽  
Significant Difference ◽  
Before And After

The present study was aimed to study the effect of Sublingual Vitamin D3 on Serum Vitamin D level in Vitamin D deficiency patients. This was a cross-sectional and interventional study. All the Vitamin D deficiency patients of age 18-60years and either gender, willing to participate in the study were included. Patients who had greater than 20 ng/ml were excluded from the study. The total number of participants in our study was 200, out of these 111 males and 89 females, the mean age in our study was 51.07 ± 7.39Yrs. All volunteers were given sublingual vitamin D3 (60,000IU) in six doses every fifteen days of follow up for 3 months. The subject’s serum 25(OH)D levels were estimated before and after the treatment of sublingual vitamin D3. There was a statistically significant difference in serum vitamin D3 level before 16.61±6.71 ng/ml and after 35.80±7.80 ng/ml after treatment with Sublingual Vitamin D3. Six doses of 60,000IU of Vitamin D3 sublingual route having improved the role of serum 25(OH)D levels in the treatment of Vitamin D3 deficiency patients.Keywords: Vitamin D3; Sublingual route

scholarly journals On the role of the corpus callosum in interhemispheric functional connectivity in humans

2017 ◽  
Vol 114 (50) ◽  
pp. 13278-13283 ◽  
Author(s):  
Jarod L. Roland ◽  
Abraham Z. Snyder ◽  
Carl D. Hacker ◽  
Anish Mitra ◽  
Joshua S. Shimony ◽  
...  
Keyword(s):  
Functional Connectivity ◽  
Corpus Callosum ◽  
Parietal Lobe ◽  
Brain Regions ◽  
Resting State Functional Connectivity ◽  
Limited Sample ◽  
Temporal Correlations ◽  
Before And After

Resting state functional connectivity is defined in terms of temporal correlations between physiologic signals, most commonly studied using functional magnetic resonance imaging. Major features of functional connectivity correspond to structural (axonal) connectivity. However, this relation is not one-to-one. Interhemispheric functional connectivity in relation to the corpus callosum presents a case in point. Specifically, several reports have documented nearly intact interhemispheric functional connectivity in individuals in whom the corpus callosum (the major commissure between the hemispheres) never develops. To investigate this question, we assessed functional connectivity before and after surgical section of the corpus callosum in 22 patients with medically refractory epilepsy. Section of the corpus callosum markedly reduced interhemispheric functional connectivity. This effect was more profound in multimodal associative areas in the frontal and parietal lobe than primary regions of sensorimotor and visual function. Moreover, no evidence of recovery was observed in a limited sample in which multiyear, longitudinal follow-up was obtained. Comparison of partial vs. complete callosotomy revealed several effects implying the existence of polysynaptic functional connectivity between remote brain regions. Thus, our results demonstrate that callosal as well as extracallosal anatomical connections play a role in the maintenance of interhemispheric functional connectivity.

scholarly journals The Role of Aquatic Training Program Among Special Need Children on Vestibular Processing of Sensory Stimulation

2019 ◽  
Vol 9 (2) ◽  
pp. 5080-5085
Keyword(s):  
Training Program ◽  
Research Work ◽  
Sensory Stimulation ◽  
Sensory Profile ◽  
Before And After ◽  
Program Intervention ◽  
And Control ◽  
Aquatic Training ◽  
Experimental Group

This study is pursued to find the role of Aquatic Training Program for children with special needs. Sensory profile questionnaire was used to assess the before and after performance of each students of each groups for Vestibular Processing, of 25Children average of age nine years, randomly selected from Asha AWWA school at Delhi, India. Participants were divided into two groups Experimental (13) and Control groups (12). Result of Two Way ANOVA reflects positive accelerated change only in experimental group, showing moderate to considerable benefits with 27 session aquatic training program. In addition, individualized improvement was also studied, which resulted into minor to major enhancement of vestibular processing among all the experimental group participants. Hence a prolonged Structured Aquatic Training Program (intervention) is off paramount to get the best results. These findings also enhance the preceding research work based on aquatic intervention as vestibular senses develop first and controls other senses since the baby is in womb, so it is important to develop this sense so other sense can process better to acquire a better life

scholarly journals Potential role of epicardial adipose tissue as a biomarker of anthracycline cardiotoxicity

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Caterina Beatrice Monti ◽  
Simone Schiaffino ◽  
Maria Del Mar Galimberti Ortiz ◽  
Davide Capra ◽  
Moreno Zanardo ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Potential Role ◽  
Epicardial Adipose Tissue ◽  
Hounsfield Units ◽  
Anthracycline Cardiotoxicity ◽  
Before And After ◽  
Chemotherapy Cardiotoxicity ◽  
Visceral Adipose

Abstract Background We investigated the radiodensity of epicardial (EAT), subcutaneous (SAT), and visceral adipose tissue (VAT) before and after treatment with anthracyclines in a population of breast cancer (BC) patients, and in controls not treated with anthracyclines, to detect a potential role of EAT density as a biomarker of changes related to chemotherapy cardiotoxicity. Methods We reviewed BC patients treated with anthracyclines who underwent CT before (CT-t0) and after (CT-t1) chemotherapy, and age- and sex-matched controls who underwent two CT examinations at comparable intervals. On non-contrast scans, EAT was segmented contouring the pericardium and thresholding between -190 and -30 Hounsfield units (HU), and SAT and VAT were segmented with two 15-mm diameter regions of interest thresholded between -195 and -45 HU. Results Thirty-two female patients and 32 controls were included. There were no differences in age (p = 0.439) and follow-up duration (p = 0.162) between patients and controls. Between CT-t0 and CT-t1, EAT density decreased in BC patients (-66 HU, interquartile range [IQR] -71 to -63 HU, to -71 HU, IQR -75 to -66 HU, p = 0.003), while it did not vary in controls (p = 0.955). SAT density increased from CT-t0 to CT-t1 in BC patients (-107 HU, IQR -111 to -105 HU, to -105 HU, IQR -110 to -100 HU, p = 0.014), whereas it did not change in controls (p = 0.477). VAT density did not vary in either BC patients (p = 0.911) or controls (p = 0.627). Conclusions EAT density appears to be influenced by anthracycline treatment for BC, well known for its cardiotoxicity, shifting towards lower values indicative of a less active metabolism.

scholarly journals The Effect of Mulaka Beejadi Lepa and Pruthu Nimba Panchaka Churna in the Management of Vicharchika W.S.R. to Eczema 

2018 ◽  
Vol 9 (3) ◽  
pp. 185-190
Author(s):  
Divya V ◽  
Ragamala K C
Keyword(s):  
Diagnostic Criteria ◽  
Skin Diseases ◽  
Age Group ◽  
Inclusion Criteria ◽  
External Application ◽  
Before And After ◽  
Pro Forma ◽  
Great Advance

According to Ayurveda, Vicharchika is a major problem in skin diseases.  All Kusthas are having Tridoshaja origin.The disease Vicharchika to a greater extent resembles eczema/dermatitis.  Despite of great advance in dermatology and the advent of powerful antibiotics, antifungal as well as steroids, Eczema continues to defy the best effect of dermatologists. Hence it is the need of the hour to find out safe and effective medicine for Vicharchika and here comes the role of Ayurveda. The involvement of Vata results in dry, blackish lesion of eczema, itching in those affected areas is due to Kapha and Pitta is responsible for Srava. In classical texts, Ayurveda Acharyas emphasizes shodhana and shamana therapy as the line of treatment at various contexts. So, the study aimed to evaluate efficacy of Mulaka beejadi lepa and Pruthu nimba panchaka churna in vicharchika, 30 children aged 3-16years who were fulfilling the inclusion criteria and diagnostic criteria were selected from Kaumarabhritya OPD and IPD of S.V.Ayurvedic College & Hospital, Tirupati.  Patients were given Mulaka beejadi lepa as external application  and vati prepared with Pruthu nimba panchaka churna 250mg BID  in 3-10years age group and 500mg BID in 11-16yrs age group children for 30days and called for follow up after 15days to note any recurrence.The cases were recorded as per the case Pro forma and observations were recorded. Symptoms were scored and statistically analysed for any change before and after treatment. Mulaka Beejadi lepa as external application and Pruthu Nimba panchaka churna internally are very effective in the management of vicharchika.  

Evaluation of the tumor marker Ca27.29 for risk stratification and treatment monitoring in primary breast cancer

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 11005-11005
Author(s):  
E. M. Genss ◽  
B. Rack ◽  
H. L. Sommer ◽  
I. Schrader ◽  
R. Lorenz ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Stratification ◽  
Tumor Marker ◽  
Primary Breast Cancer ◽  
Primary Diagnosis ◽  
Over Expression ◽  
Before And After ◽  
Node Metastases

11005 Background: Several trials have shown an earlier detection of metast. disease in breast cancer pts by the use of TU- markers. Whether this lead time advantage can be translated into improved outcome is discussed controversially. We prospectively evaluated the role of Ca27.29 in breast cancer pts at primary diagnosis and during adjuvant systemic treatment within the German SUCCESS-Trial (n=3658 pts planned). Methods: The SUCCESS-Trial compares sequential chemotherapy with FEC-Docetaxel(Doc) vs. FEC- DocGemcitabine, followed by zoledronate 2 vs. 5 years in primary high risk N0 and N+ breast cancer pts. Ca27.29 levels were assessed using the specific ST AIA-PACK Ca27.29 reagents directed against MUC-1 for AIA-600II (Tosoh Bioscience, Tessenderlo, Belgium). Cut-off levels for the assay was 24 U/ml. Results: We analyzed 1098 breast cancer pts prospectively before start and after completion of chemotherapy. 21% of pts (n=226; median 17U/ml; range 4–410) had tumor marker elevation = 24 U/ml before and 48% (n=524; median 23U/ml; range 4–198) after completion of chemotherapy. Ca27.29 levels before and after chemo correl. significantly (p<.001). Of those pts who presented with elevated values initially, 14% remained positive, while 84% had normal Ca27.29 after chemo. Those pts with initially negative blood sampling, returned with high Ca27.29 in 38% and normal values in 62% of cases. While Ca27.29 was well balanced between the two treatment arms at primary diagnosis with a rate of 10% with elevated Ca27.29 in each arm, significantly more pts showed high Ca27.29 with FEC-DocGemcitabine compared to FEC-Doc (27% vs. 21%, p<.001). Ca27.29 elevation did not correl. with most conventional prognostic factors such as tumor size (p=.23), histopath. grading (p=.98) or HR-status (p=.46). However, we found a significant correlation of Ca 27.29 with the presence of lymph node metastases (p=.01) and Her2/neu-over-expression of the primary tumor (p=.04). Conclusions: Measurement Ca27.29 in peripheral blood of primary breast cancer is feasible and reproducible. Whether it can be used for risk stratification leading to more tailored treatment approaches and for the monitoring of treatment efficacy in individual pts will show further follow-up of the SUCCESS-Study. No significant financial relationships to disclose.

scholarly journals Biventricular reverse remodeling and relationship with mitralvalve prolapse after transcatheter closure of ASD secundum, a 3Dechocardiographic study

2019 ◽  
Vol 12 (1) ◽  
pp. 15-19
Author(s):  
Amal El-Sisi ◽  
Shaheen Dabour ◽  
Aya M Fattouh ◽  
Effat Assar ◽  
Rasha Naguib ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Transcatheter Closure ◽  
3D Echocardiography ◽  
Reverse Remodeling ◽  
2D Echocardiography ◽  
Before And After ◽  
The Right ◽  
2D And 3D

Introduction: Mitral valve prolapse (MVP) is the most common anomaly of the mitral valve. Several studies have shown prevalence of MVP in atrial septal defect (ASD) especially secundum types (II). The aims of this study is to show the potential role of 3D echocardiography in improving the diagnosis of MVP and to depict the relationship between reverse remodeling of the right and left ventricles (RV, LV) and MVP after transcatheter closure of ASD II. <br /> Methods: Sixty patients underwent transcatheter closure of ASD II and completed follow up by 2D and 3D echocardiography in Cairo University Children Hospital before the procedure and at 24 hours, 1 and 6 months after the procedure.<br /> Results: 3D echocardiography was more accurate than 2D echocardiography in detecting MVP frequency in ASD II patients (75% vs. 50%). Maximum statistically significant remodeling was detected by 3D echocardiography 1 month after the procedure (RV: LV ratio by 3D echocardiography 1.9±0.03 24 hours after the procedure vs. 1.6±0.03 1 months after the procedure, P <0.01) while 2D echocardiography was delayed in detecting biventricular reverse remodeling. 3D derived RV: LV ratio was accurate in detecting MVP status with a sensitivity of 88%.<br /> Conclusion: MVP in ASD II may be related to Biventricular remodeling; 3D echocardiography is accurate in the detection of reverse remodeling as well as MVP in ASD II patients before and after device closure.

scholarly journals The role of 18F-FDG PET/CT before and after the treatment of multiple myeloma: Our clinical experience

2017 ◽  
Vol 3 (1) ◽  
pp. 20 ◽  
Author(s):  
Kornelia Kajary ◽  
Zsuzsa Molnár
Keyword(s):  
Multiple Myeloma ◽  
Fdg Pet ◽  
Progression Free Survival ◽  
Focal Lesions ◽  
Free Survival ◽  
Pet Ct ◽  
Before And After ◽  
Fdg Pet Ct

<p>To evaluate the role of FDG PET/CT before and after the treatment of multiple myeloma (MM) in our clinical practice, data from 32 patients (before therapy: 10 patients; after therapy: 22 patients) and from 46 examinations (before therapy: 10; after: 36) with a median time of follow-up of 24 months (before the therapy) and 26 months (after the therapy) were evaluated. FDG PET/CT positivity was characterized by SUVmax &gt;2.5, SUVmax &gt;4.2, focal lesions (FLs) &gt;3, and presence of extramedullary disease (EMD). The median progression-free survival (PFS) and the median overall survival (OS) for FDG PET/CT positive patients were shorter than for negative patients, according to all parameters. Before the therapy, significant correlation was found only between PFS and the number of FLs (<em>p</em> = 0.033). After the treatment, significant correlation was found between PFS and SUVmax (cut-off value 2.5: p &lt; 0.001; cut off value 4.2: p &lt; 0.001), between PFS and the number of FLs (<em>p</em> = 0.009), and between PFS and the presence of EMD (p &lt; 0.001). Significant correlation was found between OS and SUVmax (cut-off value = 2.5, <em>p</em> &lt; 0.001 and 4.2, <em>p</em> = 0.009), between OS and the number of FLs (<em>p</em> = 0.007), and between OS and the presence of EMD (<em>p</em> = 0.022). Our results confirmed the reliability and good prognostic value of FDG PET/CT in MM.</p>

Effectiveness of Splenectomy and Platelet Autoantibodies.

Blood ◽  
2004 ◽  
Vol 104 (11) ◽  
pp. 3878-3878
Author(s):  
Anna Sikorska ◽  
Krystyna Maslanka ◽  
Andrzej Misiak ◽  
Lech Konopka ◽  
Barbara Zupanska
Keyword(s):  
Small Groups ◽  
Response Rate ◽  
Initial Response ◽  
Individual Response ◽  
Platelet Antibodies ◽  
Platelet Antigen ◽  
Before And After ◽  
Platelet Autoantibodies

Abstract The role of the spleen in pathophysiology of Idiopatic Thrombocytopenic Purpura (ITP) remains incompletely defined. Splenectomy has a fairly favourable initial response rate of 60% to 80%, and the longer the follow-up, the lower the success rate. As yet, there is no consistently effective method of predicting an individual response to splenectomy. So far not many observations have been published and if so, they were based on very small groups of ITP. The aim of this work was to evaluate the response to splenectomy in 151 patients with ITP in relation to the detection of platelet autoantibodies. 151 ITP patients before and after splenectomy were observed for a period of 16 years. Autoantibodies were examined by the platelet immunofluoresce test (PIFT) and/or by the monoclonal antibody immunobilization of platelet antigen (MAIPA) assay, sometimes in addition the HPA genotyping was performed using the PCR. The response to splenectomy was regarded to be very good if platelet count was >150 G/l during at least 6 months follow-up. However, some patients were followed-up even for 15 years. Overall, platelet antibodies were detected in 34.3% (52/151) of patients. In 76% out of 52 patients the antibodies were detected by PIFT, in 63% by MAIPA; both tests were positive in 27% of patients. Most antibodies reacted with GPIIbIIIa. Splenectomy was effective in 57% (30/52) of patients with antibodies and in 75.8% (75/99) of patients without detectable antibodies (p<0.01). In the effective splenectomy and antibodies group, in 23 patients the antibodies were examined during a follow-up and in 10 of them (43.5%) were not detected. In the uneffective splenectomy group only in 4 out of 18 (22.2%) examined patients the antibodies were not found. The differences between these groups were not significant. Our data show that autoantibody platelet examination is not very helpful for predicting the effectiveness of splenectomy.

scholarly journals Role of daily anal stimulation for intractable functional constipation in infants

2020 ◽  
Vol 3 (2) ◽  
pp. e000135
Author(s):  
Tianqi Zhu ◽  
Xiaoyi Sun ◽  
Dan Zhu ◽  
Qian You ◽  
Xiaoting Wan ◽  
...  
Keyword(s):  
Anorectal Manometry ◽  
Intervention Program ◽  
Functional Constipation ◽  
Mean Amplitude ◽  
Significant Difference ◽  
Before And After ◽  
Stool Form ◽  
The Mean

ObjectiveFunctional constipation is one of the most common problems in pediatric gastroenterology. The aim of the present study was to evaluate the effectiveness of daily anal stimulation in infants with intractable functional constipation (IFC). Our evaluation was based on clinical improvement and on changes in manometric parameters through time.MethodsInfants with IFC treated between January 2018 and December 2019 were included in this retrospective study. Treatment processing included daily anal stimulation for infants and psychological counseling for parents. All cases underwent a complete intervention program and were evaluated for improvement in symptoms and for changes in anorectal manometry within 1 year of follow-up.ResultsA total of 161 patients were included in this study. Positive response was achieved in all patients. Frequency of defecation, change in stool form and decrease in the defecatory pain were significantly relieved in all infants after intervention. On anorectal manometry, no significant difference was found in the peristaltic frequency of distal rectum before and after treatment. There was a significant increase in the mean amplitude of peristalsis and improvement in the rhythm after intervention. In the 1 year of follow-up, three patients had recurrence of constipation requiring colectomy.ConclusionIn terms of the high clinical efficacy and limited side effects, daily anal stimulation may be included in the initial part of an intervention program for IFC in infants.

Sign in / Sign up

Export Citation Format

Share Document