scholarly journals A melanoma malignum korai felismerését befolyásoló tényezők

2016 ◽  
Vol 157 (51) ◽  
pp. 2028-2033
Author(s):  
Irén Petrovszki ◽  
Ildikó Csányi ◽  
Mónika Szűcs ◽  
Henriette Ócsai ◽  
Nazanin Houshmand ◽  
...  
Keyword(s):  
Early Detection ◽  
Health Care Providers ◽  
Skin Cancer Prevention ◽  
Care Providers ◽  
Cancer Screenings ◽  
Factors Influencing ◽  
Routine Medical Care ◽  
One Year ◽  
Melanoma Malignum ◽  
Self Examination

Abstract: Introduction and aim: Melanoma is a highly aggressive tumour with often unpredictable outcome. Our aim with this study was to determine factors influencing early detection of melanoma. Method: We analyzed 139 questionnaires completed by patients diagnosed with melanoma. Results: We found that our patients are health-conscious regarding cardiovascular diseases and attend cancer screenings on recall. However, their knowledge about melanoma is insufficient. Most of them perform skin self-examination, but they do not know what to check. Melanoma is detected mostly by the patients themselves, but it takes more than one year to consult a doctor. Our study confirmed that patients’ attitude toward melanoma is an important factor influencing early detection. We found that physical examination and communication about skin cancer prevention is not part of the routine medical care. Conclusions: It is important to improve knowledge about melanoma among the general population and health care providers and to emphasize that early detection can save lives. Orv. Hetil., 2016, 157(51), 2028–2033.

scholarly journals Uptake and Scalability of a Peritoneal Dialysis Virtual Care Solution: Qualitative Study (Preprint)

2017 ◽  
Author(s):  
Lianne Jeffs ◽  
Trevor Jamieson ◽  
Marianne Saragosa ◽  
Geetha Mukerji ◽  
Arsh K Jain ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Health Care Providers ◽  
Decision Makers ◽  
Care Providers ◽  
Factors Influencing ◽  
Virtual Care ◽  
Key Stakeholders ◽  
Hands On ◽  
Semistructured Interviews ◽  
At Home

BACKGROUND Early research in the area of virtual care solutions with peritoneal dialysis (PD) patients has focused on evaluating the outcomes and impact of these solutions. There has been less attention focused on understanding the factors influencing the uptake, usability, and scalability of virtual care for chronic kidney disease (CKD) patients receiving PD at home. OBJECTIVE In this context, a study was undertaken to (1) assess and understand the factors influencing the uptake of a virtual care solution and (2) provide recommendations for the scalability of a virtual care solution aimed at enhancing CKD patients’ outcomes and experiences. METHODS This study used a qualitative design with semistructured interviews and a thematic analysis approach. A total of 25 stakeholders—6 patients and 3 caregivers, 6 health care providers, 2 vendors, and 8 health system decision makers—participated in this study. RESULTS The following three primary mechanisms emerged to influence the usability of the virtual care solution: (1) receiving hands-on training and ongoing communication from a supportive team, (2) adapting to meet user needs and embedding them into workflow, and (3) being influenced by patient and caregiver characteristics. Further, two overarching recommendations were developed for considerations around scalability: (1) co-design locally, embed into the daily workflow, and deploy over time and (2) share the benefits and build the case. CONCLUSIONS Study findings can be used by key stakeholders in their future efforts to enhance the implementation, uptake, and scalability of virtual care solutions for CKD and managing PD at home.

scholarly journals Influencing Factors for Prevention of Postpartum Hemorrhage and Early Detection of Women at Risk in The Northern Province of Rwanda: Beneficiary and Health Worker Perspectives

2020 ◽  
Author(s):  
Oliva Bazirete ◽  
Manassé Nzayirambaho ◽  
Aline Umubyeyi ◽  
Marie Chantal Uwimana ◽  
Evans Marilyn
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Early Detection ◽  
Focus Groups ◽  
Health Care Providers ◽  
Health Workers ◽  
Northern Province ◽  
Care Providers ◽  
Factors Associated ◽  
Childbearing Women

Abstract Background: Reduction of maternal mortality and morbidity is a major global health priority. However, much remains unknown regarding factors associated with postpartum hemorrhage (PPH) among childbearing women in the Rwandan context. The aim of this study is to explore the influencing factors for prevention of PPH and early detection of women at risk as perceived by beneficiaries and health workers in the Northern Province of Rwanda. Methods: A qualitative descriptive exploratory study was drawn from a larger sequential exploratory‐mixed methods study. Semi‐structured interviews were conducted with 11 women who experienced PPH within the 6 months prior to interview. In addition, focus group discussions were conducted with: women’s partners or close relatives (2 focus groups), community health workers (CHWs) in charge of maternal health (2 focus groups) and health care providers (3 focus groups). A socio ecological model was used to develop interview guides to describe factors related to early detection and prevention of PPH in consideration of individual attributes, interpersonal, family and peer influences, intermediary determinants of health and structural determinants. The research protocol was approved by the University of Rwanda, College of Medicine and Health Sciences Institutional Ethics Review Board. Results: We generated four interrelated themes: (1) Meaning of PPH: beliefs, knowledge and understanding of PPH: (2) Organizational factors; (3) Caring and family involvement and (4) Perceived risk factors and barriers to PPH prevention. The findings from this study indicate that PPH was poorly understood by women and their partners. Family members and CHWs feel that their role for the prevention of PPH is to get the woman to the health facility on time. The main factors associated with PPH as described by participants were multiparty and retained placenta. Low socioeconomic status and delays to access health care were identified as the main barriers for the prevention of PPH. Conclusions: Addressing the identified factors could enhance early prevention of PPH among childbearing women. Placing emphasis on developing strategies for early detection of women at higher risk of developing PPH, continuous professional development of health care providers, developing educational materials for CHWs and family members could improve the prevention of PPH. Involvement of all levels of the health system was recommended for a proactive prevention of PPH. Further quantitative research, using case control design is warranted to develop a screening tool for early detection of PPH risk factors for a proactive prevention.

Adherence to treatment in psychiatry

2020 ◽  
pp. 193-204
Author(s):  
Amy Chan ◽  
Rob Horne
Keyword(s):  
Health Care ◽  
Treatment Adherence ◽  
Health Care Providers ◽  
Patient Perspective ◽  
Good Health ◽  
Active Role ◽  
Care Providers ◽  
Adherence To Treatment ◽  
Factors Influencing ◽  
Adherence Support

Adherence to treatment in psychiatry is pivotal for achieving and maintaining good health outcomes. Yet, despite the vast amount of research into adherence, treatment adherence remains suboptimal. There is a need for everyone to take an active role in addressing non-adherence if we are to realize the full benefits of available treatments. This chapter introduces the concept of adherence and discusses the factors influencing adherence in psychiatry. The adherence literature is then reviewed, and results from past adherence interventions summarized to explain why non-adherence occurs from an individual patient perspective. A perceptions and practicalities approach to adherence is then presented to help guide the design and delivery of patient-centred adherence support. This chapter serves as a practical guide to adherence for health care providers and others interested in supporting adherence to treatment in psychiatry.

scholarly journals Maternal perceptions of 5-year-old child weight status and factors influencing perceptions: Findings from the ROLO Kids Study

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Anna Gouldson ◽  
Aisling Geraghty ◽  
Eileen O'Brien ◽  
Mary Horan ◽  
Jean Donnelly ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Weight Status ◽  
Normal Weight ◽  
Care Providers ◽  
Maternal Perceptions ◽  
Kappa Score ◽  
Weight Category ◽  
Child Weight ◽  
Factors Influencing ◽  
Child’S Weight

AbstractIntroductionObesity is a global condition affecting both adults and children. Mothers play an important role in identifying problems with their child's weight. However, studies are limited on the accuracy of maternal perceptions of her child's weight status in early childhood. The aim of this study was to look at maternal perceptions of her child's weight status in 5-year-old children and to investigate factors influencing this.Materials and Methods339 mother and child pairs were followed up from the ROLO Kids study in the National Maternity Hospital, Dublin, Ireland. Height and weight of the mother and the child were measured, and BMI was calculated. Demographic details were collected and questionnaires asked mothers to assign their child to a weight category and to give the reason they put their child in this particular category. KAPPA analysis and student t tests were used to analyse the data.ResultsIn this cohort over 75% of the children were normal weight, 14.7% were in the overweight category, and 8.5% in the obese category. The KAPPA score for maternal-perceived category and actual weight status was 0.037 which is a low level of agreement. Mothers were more likely to underestimate their child's weight, with 28.5% underestimating the appropriate weight category for their child compared with 2.4% who overestimated. Maternal age, education, and child sex did not influence accurate weight assessments; however, mothers with a higher BMI were more likely to inaccurately assess their child's weight (P < 0.05).DiscussionMaternal perception of their child's weight status is not an accurate indication of child weight, particularly for mothers with a raised BMI. This research highlights the important role of health care providers in assessing child weight status, rather than relying on parental reports alone, in order to appropriately intervene to reduce the incidence of childhood obesity.

scholarly journals General practitioner perceptions of clinical medication reviews undertaken by community pharmacists

2010 ◽  
Vol 2 (3) ◽  
pp. 225 ◽  
Author(s):  
Linda Bryant ◽  
Gregor Coster ◽  
Ross McCormick
Keyword(s):  
Health Care ◽  
General Practitioner ◽  
Patient Outcomes ◽  
Health Care Providers ◽  
Community Pharmacists ◽  
Resource Utilisation ◽  
Utilization Review ◽  
Care Providers ◽  
Factors Influencing ◽  
Medication Reviews

INTRODUCTION: Delivery of current health care services focuses on interdisciplinary teams and greater involvement of health care providers such as nurses and pharmacists. This requires a change in role perception and acceptance, usually with some resistance to changes. There are few studies investigating the perceptions of general practitioners (GPs) towards community pharmacists increasing their participation in roles such as clinical medication reviews. There is an expectation that these roles may be perceived as crossing a clinical boundary between the work of the GP and that of a pharmacist. METHODS: Thirty-eight GPs who participated in the General Practitioner–Pharmacists Collaboration (GPPC) study in New Zealand were interviewed at the study conclusion. The GPPC study investigated outcomes of a community pharmacist undertaking a clinical medication review in collaboration with a GP, and potential barriers. The GPs were exposed to one of 20 study pharmacists. The semi-structured interviews were recorded and transcribed verbatim then analysed using a general inductive thematic approach. FINDINGS: The GP balanced two themes, patient outcomes and resource utilisation, which determined the over-arching theme, value. This concept was a continuum, depending on the balance. Factors influencing the theme of patient outcomes included the clinical versus theoretical nature of the pharmacist recommendations. Factors influencing resource utilisation for general practice were primarily time and funding. CONCLUSION: GPs attributed different values to community pharmacists undertaking clinical medication reviews, but this value usually balanced the quality and usefulness of the pharmacist’s recommendations with the efficiency of the system in terms of workload and funding. KEYWORDS: Family physicians; community pharmacy services; drug utilization review; primary healthcare; health plan implementation; qualitative research; interprofessional relations

Incomplete abortion following medical method of abortion: study at a tertiary care teaching hospital at Bihar

2020 ◽  
Vol 9 (12) ◽  
pp. 4903
Author(s):  
Pushpa .
Keyword(s):  
Health Care Providers ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Care Providers ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College ◽  
Incomplete Abortion ◽  
Comprehensive Abortion Care ◽  
One Year

Background: Medical method of abortion (MMA) is a safe and effective method of abortion. Combination of mifepristone and misoprostol is most widely used. However, this is being randomly used by women without proper prescription which can lead to life threatening complications.Methods: This is an observational study done at Patna Medical College and Hospital, Patna, a tertiary care teaching hospital in Bihar, in a period of one year from March 2019 to February 2020. This is an attempt to study incomplete abortion after medical method of abortion and to observe the method of taking it among patients, with prescriptions or without it. Hundred women with incomplete abortion following MMA in 1st trimester of pregnancy were included. Patients’ age, parity, gestational age, locality, complaints, complications and treatment were noted. An information regarding method of administration and prescription noted.Results: 96% women used combined mifepristone plus misoprostol drug. Only 12% took the medicine on prescription of MBBS doctor, rest were all either self-administered or advised by quacks. Blood transfusion was required in 60% patients.Conclusions: Medical method of abortion is safe and effective but complications can occur if not used in accordance with guidelines. Women should be taught about and motivated for contraception. Adequate training to health care providers about comprehensive abortion care should be given.

scholarly journals Keperawatan Pasien Berpenyakit Kronis

2014 ◽  
Vol 1 (2) ◽  
pp. 45-50
Author(s):  
Elly Nurachmah
Keyword(s):  
Chronic Illness ◽  
Health Care Providers ◽  
Nursing Practice ◽  
Long Term Care ◽  
Care Providers ◽  
Term Care ◽  
Caring Behavior ◽  
Pathological Alteration ◽  
Factors Influencing

Keperawatan merupakan falsafah mendasar praktik keperawatan. Dikembangkan oleh Watson (1985), keperawatan terdiri atas 10 faktor karatif yang menganjurkan perawat memberikan asuhan keperawatan paripurna kepada para pasien  sehubung dengan kondisi penyakit mereka, termasuk pasien berpenyakit kronis. Penyakit kronis ialah penyakit yang karena cirri-cirinya membutuhkan perawatan jangka panjang. Biasanya disebabkan oleh perubhan patologi yang “irreversible” dimana mengarahkan kemampuan seseorang karena kegagalan fungsi tubuh. Penyakit kronis menciptakan banyak masalah tidak hanya pada individu dan keluarga tetapi juga pada pemberi pelayanan kesehatan termasuk perawat. Mereka harus “hidup” dengan pasien dari hari ke hari dan mengatasinya. Mereka berada pada status kematian yang datangnya tidak dapat diperkirakan dengan tepat. Perawat merasa putus asa terhadap prognosa penyakit menyebabkan mereka sulit merawat pasien berpenyakit kronis. Hal ini juga merupakan salah satu alasan mengapa perawat tidak mampu memperlihatkan perilaku merawat seperti yang dikatakan Watson. Artikel ini mencoba menguraikan teori merawat berdasarkan kasih sayang, factor yang mempengaruhi perawat dalam merawat, dan alasan pemberian perawatan pada pasien berpenyakit kronis dengan menggunakan sikap merawat yang tepat. Caring is a fundamental philosophy of nursing practice. It was developed by Watson (1985). It consist of ten carrative factors that allow nurses to provide a comprehensive nursing care to patients regardless of their condition of illness including patients with chronic illness. Chronic illness is a variety of illness that because of its characteristic needs long term care. It is usually caused by non-reversible pathological alteration that lead to incapacity of a person due to impairment of body function. Chronic illness has created many problems not only for individuals and families but also for health care providers including nurses. They have to “live” with the patient day to day and cope with it. Following the chronicity of disease, death will come unpredictably. Nurses feel a sense of hopelessness with regard to the prognosis that make them difficult to care for individuals with chronic illness. This is also one of the reasons why nurses are unable to demonstrate caring behavior as stated by Watson. This article attempts to describe about theory of caring, factors influencing nurses caring behavior, and reasons to provide care to patients with chronic illness using appropriate caring behavior.

scholarly journals Clinical Breast Examination Campaign: Experience From Thiruvananthapuram, South India

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 137s-137s ◽  
Author(s):  
R. Jose ◽  
P. Augustine ◽  
A . Bindhu S ◽  
S. Rose Sebasitan ◽  
D. VA ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Health Care Providers ◽  
Screening Program ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Care Providers ◽  
Regular Screening ◽  
Breast Awareness

Background and context: Thiruvananthapuram has the highest breast cancer incidence in India and majority of cases are detected late pointing to the inefficiency of early detection programs. Primary health care providers do not advise regarding regular screening and most women never resort to any screening practices. Mammogram is not cost-effective and clinical breast examination (CBE) is not popular as a screening modality in our population. Aim: To describe the conduct, utilization and outcome of mass screening program conducted in Thiruvananthapuram. Strategy: A mass screening program with media publicity to motivate organizations and residential associations was planned. CBE was conducted by one of the five lady doctors who were trained by an expert breast surgeon at a tertiary care center to detect suspicious lumps. All suspicious cases referred to experts who would further evaluate the cases at a clinic outside the tertiary care center. Advocacy and expert service at accessible sites and availability of expert service outside the tertiary care center at convenient timings improved the acceptance of screening. Intersectoral coordination, community participation, accessible expert services and appropriate technology were followed. Program/Policy process: 9942 women had CBE along with breast awareness in 101 camps over 66 days and it was probably “the first ever marathon breast cancer screening campaign” in the world. Sociodemographic variables, details regarding previous screening, breast symptoms and known risk factors were collected. Anyone with suspicious findings was referred to experts. Outcomes: 868 (8.73%) women with suspicious findings were referred to experts who advised 258 mammograms and confirmed breast cancer in 16 women (1.61 per 1000 women). Mean age was 45.46 years. 82.5% had screening for the first time. Uniformity in examination, three levels of screening and minimum utilization of diagnostic procedures makes this campaign distinct from others. All participants are kept on follow-up through a free clinic maintained by a nonprofit NGO in Thiruvananthapuram. Effective planning and selfless service along with coordinated effort of an apex institution (Regional Cancer Centre, Thiruvananthapuram), a private medical college (Sree Gokulam Medical College, Thiruvananthapuram) and media partners were the key to success. What was learned: Early detection of breast cancer is possible by CBE, provided women can be motivated for regular screening and adequate expertise is available. CBE campaigns can improve screening behavior and breast awareness among women. Primary health care providers and mass media could educate women regarding the benefits of breast awareness and motivate them for regular screening. Proper referral system including certified intermediate referral centers should be in place to ensure the success of early detection by CBE.

Sign in / Sign up

Export Citation Format

Share Document