scholarly journals MORE COVERAGE, MORE CARE: INCREASED FERTILITY PRESERVATION VOLUME BEFORE AND AFTER STATEWIDE INSURANCE MANDATES

2021 ◽  
Vol 116 (3) ◽  
pp. e116-e117
Author(s):  
Emma Trawick ◽  
Katherine M. Bolten ◽  
Elnur Babayev ◽  
Kristin N. Smith ◽  
Jennifer Elvikis ◽  
...  
Keyword(s):  
Fertility Preservation ◽  
Insurance Mandates ◽  
Before And After ◽  
More Care

Evaluation of an Educational Whiteboard Video to Introduce Fertility Preservation to Female Adolescents and Young Adults With Cancer

2020 ◽  
Vol 16 (6) ◽  
pp. e488-e497
Author(s):  
Talia Greenspoon ◽  
Rebecca Charow ◽  
Janet Papadakos ◽  
Mahsa Samadi ◽  
Anne Marie Maloney ◽  
...  
Keyword(s):  
Young Adults ◽  
Patient Education ◽  
Best Practices ◽  
Fertility Preservation ◽  
Reading Level ◽  
Adolescents And Young Adults ◽  
Future Research ◽  
Accurate Information ◽  
Education Material ◽  
Before And After

PURPOSE: Fertility is an important issue for adolescents and young adults with cancer facing potential infertility. Egg cryopreservation options exist, but information is sometimes overwhelming. We evaluated a fertility preservation educational video and assessed patient and family knowledge and impressions at pre- and post-video timepoints. METHODS: We developed a whiteboard video to explain egg cryopreservation to patients and families. The video was evaluated on the basis of patient education best practices (readability, understandability, actionability). Participants were recruited using convenience sampling in oncology clinics. They completed questionnaires before and after watching to assess knowledge and interest. Inclusion criteria were patients age 13-39 years and minimum 1 month from diagnosis. Descriptive statistics, correlation analyses, and mean comparisons were conducted. RESULTS: The video script read at a grade 8 reading level. Average understandability and actionability scores were below the acceptable standard. We recruited 108 patients (mean age, 27 years) and 39 caregivers/partners. Patients’ knowledge about fertility preservation increased after viewing the video. Interest was high before and after, and satisfaction was high for both patients and caregivers. Participants appreciated information on process, procedure, and delivery but desired more information on logistics, including cost. CONCLUSION: A targeted patient education video about fertility preservation options can build knowledge and encourage discussions about infertility. The video can be used as a model for videos on related topics to provide accurate information in a youth-friendly medium; however, following patient education best practices for readability, understandability, and actionability may increase video effectiveness. Future research should assess how audiovisual patient education material affects patient behavior.

scholarly journals التوسّع في المعنى في اللغة العربية: دراسة تطبيقية لنماذج من آي القرآن الكريم

2020 ◽  
Vol 13 (19) ◽  
Author(s):  
Dr Mohammad Abdus Samad
Keyword(s):  
Arabic Language ◽  
Unique Characteristic ◽  
Arabic Poetry ◽  
Original Meaning ◽  
Important Phenomenon ◽  
Before And After ◽  
More Care

The comprehensiveness of the meaning is the most important phenomenon of the Arabic language and the most important characteristics that distinguishes the Arabic language from other languages. It is widely used in Arabic language in general, and in the verses of the Qur’an in particular. This article deals with this phenomenon, namely: the use of words to denote more than the original meaning, it means that these words bear or contain more than one meaning, instead, the speaker can expand the meanings of the words by using less words and he can achieve his purpose easily and conveniently without any lacking and defect. This method constantly used in the Holy Qur’an and in the Arabic poetry and prose. This phenomenon is related to the different linguistic and grammatical aspects, such as: similarity of words, the combination of different forms of words which are different in significance, and refrain from expressions, deletions, inclusion and providing before and after behind, and common forms and so on. The interpreters, linguists, grammatists and rhetorician followed this, and gave more care in it which is not hidden in the rhetorical expression, especially in the Qur’anic expressions. So, the function of this unique characteristic of the language becomes clear in this study.

scholarly journals STUDI PENGOLAHAN LIMBAH CAIR PENYAMAKAN KULITDI PT BUDI MAKMUR KECAMATAN GEDONG KUNING YOGYAKARTA TAHUN 2014

2015 ◽  
Vol 34 (1) ◽  
pp. 1-10
Author(s):  
Sri Rejeki Indah Astiani ◽  
Djamaluddin Ramelan
Keyword(s):  
Field Data ◽  
Liquid Waste ◽  
Leather Industry ◽  
Produce Water ◽  
Before And After ◽  
Result Show ◽  
More Care ◽  
The Right ◽  
Water Waste

PT Budi Makmur is one of the made leather industry that located in Yogyakarta. It processing a raw leather which from goat leather that processed into wolves, shoes, etc. PT Budi Makmur also produce water waste that flows to the river and if the waste is not produced in the right way, the waste will be very dangerous for the ecosystem in that river.The aim of this research are to know the process of the liquid waste producing leather tanning, the parameter of the liquid waste before and after through the producing process (COD, BOD, TSS dan pH) , and the condition of the liquid waste producing leather tanning.The kind of this research is descriptive. The research done by collecting the field data an laboratorium, and then analyzed and compared with the existing theory and quality of the liquid waste producing leather tanning.The result show that the source of the waste produce from the leather tranning. Liquid waste that produced is about 8.000-12.000 gallon per 1.000 wet leather pond that produced. The quality of the influent is BOD 1.946mg/lt, COD 1965mg/lt, TSS 1.774mg/ltd and pH 7.50. The quality of the effluent is BOD 98.61mg/lt, COD 100mg/lt, TSS 1130mg/lt and pH 7,49. The step of the liquid waste processing are: filtering ink, equalitation ink, sedimentation, aeration and active mud.The writer conclude that PT Budi Makmur has already optimal to decrease the content that contained in the leather-liquid waste producing but the effluent that is produced still exceed the exsisting standart quality. The suggestion to PT Budi Makmur is to more care about the liquid waste producing.

scholarly journals A Prospective Study on Fertility Preservation in Prepubertal and Adolescent Girls Undergoing Hematological Stem Cell Transplantation

2021 ◽  
Vol 11 ◽  
Author(s):  
Ida Wikander ◽  
Frida E. Lundberg ◽  
Hanna Nilsson ◽  
Birgit Borgström ◽  
Kenny A. Rodriguez-Wallberg
Keyword(s):  
Stem Cell ◽  
Stem Cell Transplantation ◽  
Prospective Study ◽  
Fertility Preservation ◽  
Cell Transplantation ◽  
Ovarian Tissue ◽  
Hematologic Malignancies ◽  
Clinical Trial Registration ◽  
Tissue Samples ◽  
Before And After

BackgroundHematological stem cell transplantation (HSCT) is an established method which has markedly increased the survival rate of hematologic malignancies since its introduction in the 1980’s. The conditioning for HSCT has known gonadotoxic effects and often leads to premature loss of fertility. In this study we have prospectively followed a cohort of girls undergoing HSCT and studied the outcomes of fertility preservation treatments performed before or after HSCT, as well as the long-term reproductive outcome.MethodsIn this one-center prospective study, 39 girls counselled for fertility preservation prior to or after conditioning for HSCT for malignant or benign diseases at childhood or adolescence between 1990 and 2017 were included. The patients were presented with the option to undergo cryopreservation of ovarian tissue or oocytes depending on their age and the time available. Follicle counts of the ovarian tissue and number of oocytes collected before or after HSCT were compared between patients treated for benign and malignant diseases. Hormone measurements post HSCT treatment, including FSH and AMH, reproductive outcomes and overall survival until January 2021 were investigated.ResultsIn total, 34 girls and adolescents underwent fertility preservation before or after HSCT. Before HSCT, ovarian tissue was cryopreserved in 15 patients and two patients had oocytes preserved. Thirteen patients cryopreserved ovarian tissue after HSCT and seven patients returned to cryopreserve oocytes. Follicles were present in all tissue samples collected prior to HSCT, and in more than half of the samples collected post-HSCT. Half of the patients had spontaneous menarche or resumed menstruation post HSCT. Overall, 35 patients had survived at end of follow up and 7 patients had achieved parenthood.ConclusionsSince fertility loss is common following HSCT, fertility preservation should be offered to all patients. Fertility preservation treatments can be performed both before and after HSCT.Clinical Trial Registrationhttps://clinicaltrials.gov/show/NCT04602962, identifier NTC04602962

scholarly journals The Diference Level Of Anxiety In Pre Surgery Sectio Caesarea Before And After Classical Music Treatmentin Teratai Room of Kediri Regency Hospital.

2019 ◽  
Vol 5 (1) ◽  
pp. 38-45
Author(s):  
Yunarsih ◽  
Nurma P
Keyword(s):  
Music Therapy ◽  
Classical Music ◽  
Influence Factors ◽  
Sectio Caesarea ◽  
P Value ◽  
Match Pair ◽  
Taylor Manifest Anxiety Scale ◽  
Before And After ◽  
More Care ◽  
Manifest Anxiety

Sectio  Caesarea  surgery  can  make  a  patient  experiencing  anxiety. Granting of classical music therapy is an independent nursing actions to cope with anxiety. Where in fact classical musics have a balance between the four elements of music that is melody, harmony, rhythm and timbre. It has a relaxing effect sinaffected brain wavesso the patient's body become relaxed and have an impact on decreasing the stress response can beused to intervenein the anxietyof the patient pre-registration operations sectio caesarea. This research using pre experimental design with the approach of one group pre post test.Sampling using consecutive sampling with the total sampleas much of the eight respondents. The Taylor Manifest Anxiety Scale (T-MAS)are used as a measure of anxiety. Data analysis statistical test used was  a non parametric Wilcoxon. From there sultstatistic using Wilcoxon Match Pair Tests howing p value 0,011than(p<0,05)  there are difference in patient sanxiety level pre operation sectio caesarea before and after the a warding of the classical music therapy in Kediri Regency Hospital. The showing that giving of the influence classical music classic in lowering anxiety scor eso can help the patient intension or anxiety. Isuggest that health worker more care dpsychologis patient pre-operation sectio caesarea and influence factors.                        

Deformation Replication

1970 ◽  
Vol 28 ◽  
pp. 280-281
Author(s):  
J. Temple Black
Keyword(s):  
Cutting Speed ◽  
Machining Process ◽  
Depth Of Cut ◽  
Rake Face ◽  
Orthogonal Machining ◽  
Aluminum Chips ◽  
Before And After ◽  
Materials Used ◽  
Glass Knife ◽  
Very High

Tool materials used in ultramicrotomy are glass, developed by Latta and Hartmann (1) and diamond, introduced by Fernandez-Moran (2). While diamonds produce more good sections per knife edge than glass, they are expensive; require careful mounting and handling; and are time consuming to clean before and after usage, purchase from vendors (3-6 months waiting time), and regrind. Glass offers an easily accessible, inexpensive material ($0.04 per knife) with very high compressive strength (3) that can be employed in microtomy of metals (4) as well as biological materials. When the orthogonal machining process is being studied, glass offers additional advantages. Sections of metal or plastic can be dried down on the rake face, coated with Au-Pd, and examined directly in the SEM with no additional handling (5). Figure 1 shows aluminum chips microtomed with a 75° glass knife at a cutting speed of 1 mm/sec with a depth of cut of 1000 Å lying on the rake face of the knife.

The Clinical, Roentgenological and Morphological Effects of an Acute Exposure of Phosgene on the Lungs of Dogs

1971 ◽  
Vol 29 ◽  
pp. 236-237
Author(s):  
R. F. Bils ◽  
W. F. Diller ◽  
F. Huth
Keyword(s):  
Latent Period ◽  
Chemical Industry ◽  
Toxic Substance ◽  
Lung Edema ◽  
X Rays ◽  
Beagle Dogs ◽  
Male And Female ◽  
Morphological Alterations ◽  
Before And After ◽  
Electron Microscopes

Phosgene still plays an important role as a toxic substance in the chemical industry. Thiess (1968) recently reported observations on numerous cases of phosgene poisoning. A serious difficulty in the clinical handling of phosgene poisoning cases is a relatively long latent period, up to 12 hours, with no obvious signs of severity. At about 12 hours heavy lung edema appears suddenly, however changes can be seen in routine X-rays taken after only a few hours' exposure (Diller et al., 1969). This study was undertaken to correlate these early changes seen by the roengenologist with morphological alterations in the lungs seen in the'light and electron microscopes.Forty-two adult male and female Beagle dogs were selected for these exposure experiments. Treated animals were exposed to 94.5-107-5 ppm phosgene for 10 min. in a 15 m3 chamber. Roentgenograms were made of the thorax of each animal before and after exposure, up to 24 hrs.

Ultrastructure of Melanin Formation in Curvularia sp., Alternaria sp., and Drechslera Sorokiniana

1977 ◽  
Vol 35 ◽  
pp. 398-399
Author(s):  
M. H. Wheeler ◽  
W. J. Tolmsoff ◽  
A. A. Bell
Keyword(s):  
Potassium Phosphate ◽  
Thielaviopsis Basicola ◽  
Wild Type ◽  
Potassium Phosphate Buffer ◽  
Transmission Microscopy ◽  
Electron Transmission ◽  
Melanin Formation ◽  
Before And After ◽  
Alternaria Sp ◽  
Electron Transmission Microscopy

(+)-Scytalone [3,4-dihydro-3,6,8-trihydroxy-l-(2Hj-naphthalenone] and 1,8-di- hydroxynaphthalene (DHN) have been proposed as intermediates of melanin synthesis in the fungi Verticillium dahliae (1, 2, 3, 4) and Thielaviopsis basicola (4, 5). Scytalone is enzymatically dehydrated by V. dahliae to 1,3,8-trihydroxynaphthalene which is then reduced to (-)-vermelone [(-)-3,4- dihydro-3,8-dihydroxy-1(2H)-naphthalenone]. Vermelone is subsequently dehydrated to DHN which is enzymatically polymerized to melanin.Melanin formation in Curvularia sp., Alternaria sp., and Drechslera soro- kiniana was examined by light and electron-transmission microscopy. Wild-type isolates of each fungus were compared with albino mutants before and after treatment with 1 mM scytalone or 0.1 mM DHN in 50 mM potassium phosphate buffer, pH 7.0. Both chemicals were converted to dark pigments in the walls of hyphae and conidia of the albino mutants. The darkened cells were similar in appearance to corresponding cells of the wild types under the light microscope.

Evaluation of Freezing Methods by Low Temperature X-Ray Diffraction

1977 ◽  
Vol 35 ◽  
pp. 330-333
Author(s):  
T. Gulik-Krzywicki ◽  
M.J. Costello
Keyword(s):  
Biological Materials ◽  
Molecular Organization ◽  
X Ray Diffraction ◽  
Glass Capillary ◽  
X Ray ◽  
Rate Dependent ◽  
Before And After ◽  
Freeze Etching ◽  
Diffraction Patterns ◽  
Set Up

Freeze-etching electron microscopy is currently one of the best methods for studying molecular organization of biological materials. Its application, however, is still limited by our imprecise knowledge about the perturbations of the original organization which may occur during quenching and fracturing of the samples and during the replication of fractured surfaces. Although it is well known that the preservation of the molecular organization of biological materials is critically dependent on the rate of freezing of the samples, little information is presently available concerning the nature and the extent of freezing-rate dependent perturbations of the original organizations. In order to obtain this information, we have developed a method based on the comparison of x-ray diffraction patterns of samples before and after freezing, prior to fracturing and replication.Our experimental set-up is shown in Fig. 1. The sample to be quenched is placed on its holder which is then mounted on a small metal holder (O) fixed on a glass capillary (p), whose position is controlled by a micromanipulator.

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