Conducting a Treatment Research Project in a Medical Center-Based Program for Chemically Dependent Pregnant Women

1996 ◽  
Author(s):  
Ellen Mason ◽  
Keyword(s):  
Pregnant Women ◽  
Medical Center ◽  
Chemically Dependent ◽  
Research Project ◽  
Treatment Research

Effects of Self-Service Blood Pressure Measurement in Outpatient Obstetrics Clinics on waiting time, satisfaction of pregnant women in a tertiary hospital: Cross-sectional Survey (Preprint)

2020 ◽  
Author(s):  
Wanhua Xie ◽  
Yunhe Gao ◽  
Weichi Tan
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
Waiting Time ◽  
Pressure Measurement ◽  
Medical Center ◽  
Blood Pressure Measurement ◽  
Outpatient Service ◽  
The Self ◽  
Clinical Practices ◽  
Self Service

BACKGROUND In the conventional method, the blood pressure values of pregnant women were measured by nurses in the obstetrics outpatient clinics, and then were entered into the computer system.The pregnant women should wait for long time to complete this process.We hypothesized that the self-service blood pressure measurement by pregnant women could be a better option rather than measuring the blood pressure by nurses. OBJECTIVE This study aimed to analyze the effect of self-service blood pressure measurement in obstetrical outpatient clinic on waiting time, satisfaction of pregnant women and outpatient volume, and provide reference for the optimization of outpatient service processes. METHODS This was a cross-sectional study. The waiting time and satisfaction degree of pregnant women, as well as the outpatient volume in the Obstetrics Outpatient Clinic were compared on the use of self-service blood pressure measurement system with the conventional method. A total of 519 pregnant women in the obstetrics outpatient clinics of Guangzhou Women and Children’s Medical Center in China participated in the satisfaction survey. The sample means were compared with t-test. RESULTS Compared to wait a longer queue for blood pressure measured by nurses, after using the self-service blood pressure measurement system, the waiting time of pregnant women for blood pressure measurement was significantly reduced from (18.57±9.68) min to (2.39±1.96) min (P<0.001). In addition, the satisfaction degree of pregnant women was significantly increased (P<0.001), and the monthly outpatient volume was significantly increased (P=0.02,P<0.05). CONCLUSIONS This study showed that after implementation of self-service blood pressure measurement, the waiting time of the pregnant women for blood pressure measurement was decreased significantly, while the satisfactory degree and outpatient flow were increased significantly, improving the cost-effectiveness.Therefore, this method is worth to be popularized in clinical practices. Relevance to clinical practice: How to use medical intelligence in clinical practices, replace manual works by self-service devices to address the high outpatient flow, high work load of medical personnel, and improve the experience of patients in seeking medical services are the most concerned issues by both patients as well as hospital managers.This study demonstrated that the self-service blood pressure measurement as a promising strategy in clinical practices and provided reference for the optimization of outpatient service processes. CLINICALTRIAL This study was approved by the Ethics Committee of the Guangzhou Women and Children’s Medical Center (approval number:SFE-KL-46401; Supplementary file 4). All the pregnant women included in this study signed the informed consent form.

Parental Information and Circumcision: Another Look

PEDIATRICS ◽  
1983 ◽  
Vol 72 (1) ◽  
pp. 142-143
Author(s):  
JACK A. LAND ◽  
ANTHONY M. POLICASTRO
Keyword(s):  
Informed Consent ◽  
Pregnant Women ◽  
Air Force ◽  
Medical Center ◽  
Counseling Session ◽  
Air Force Base ◽  
Parental Information

To the Editor.— We found "The Role of Parental Information in the Incidence of Circumcision" (Pediatrics 1982;70:597-598) to be most interesting. At Malcolm Grow USAF Medical Center, Andrews Air Force Base, Maryland, we performed a similar study. Pregnant women, followed by the obstetrical service, were given appointments to attend, with their husbands, a four-hour general counseling session during their eighth month of pregnancy. During the session, circumcision was discussed in such depth that it constituted informed consent. Women who did not attend the session received no structured informed consent.

Wrist Fracture Cooperative Biomechanics Research Project

2001 ◽  
Author(s):  
Richard B. Englund ◽  
Timothy E. Cooney ◽  
Frank L. Buczek
Keyword(s):  
Data Collection ◽  
Medical Center ◽  
Axial Loading ◽  
Wrist Fracture ◽  
Research Project ◽  
Engineering Technology ◽  
Pendulum System ◽  
Penn State ◽  
Collection Practices ◽  
Financial Arrangements

Abstract While injuries are common from skating sports, few biomechanics studies have compared fracture rates with and without protective wrist guards. All published testing results have been obtained from cadaveric specimens, generally with substantially axial loading. Loads to failure have been reported for slow loading by universal testing machines, and fracture patterns have been reported from more rapid loading with a pendulum system. An orthopaedic resident at Hamot Medical Center had an interest in in-line skating injuries and proposed to investigate whether wrist guards provided a reduction in the incidence of fractures from skating falls. The project started with the goal of demonstrating the value, or lack thereof, of wrist guards, and ended with simply trying to determine methodology which closely simulates wrist injury arising from a skating fall. The hospital does not have engineering staff in the research department, nor extensive fabrication capabilities, and approached the School of Engineering and Engineering Technology of Penn State at Erie for assistance in design, construction, and data collection for a research project to investigate the efficacy of wrist guards. Assistance in kinematic aspects of falls was sought from the Motion Analysis Laboratory of Shriners Hospitals for Children - Erie. The logistics of a cooperative project between three institutions is the subject of this paper. Initial planning for the project, revisions to the scope of the project, the financial arrangements, equipment design and construction, and data collection practices are described in this paper. Concluding remarks about the resources necessary for cooperative projects between medical schools and Engineering Technology departments are presented.

scholarly journals Maternal and neonatal seroprevalence of Hepatitis B surface antigen (HBsAg) in Tripoli, Libya

2010 ◽  
Vol 4 (03) ◽  
pp. 168-170 ◽  
Author(s):  
Hamida El-Magrahe ◽  
Abdul Rahaman Furarah ◽  
Kheiria El-Figih ◽  
Sued El-Urshfany ◽  
Khalifa Sifaw Ghenghesh
Keyword(s):  
Hepatitis B ◽  
Pregnant Women ◽  
Medical Center ◽  
Hepatitis B Surface Antigen ◽  
Post Exposure Prophylaxis ◽  
Maternal Transmission ◽  
Blood Samples ◽  
Elisa Technique ◽  
The Difference ◽  
Exposure Prophylaxis

Background: Pregnant women with Hepatitis B virus HBV represent a major reservoir of the virus in the community. Data regarding the prevalence of HBV in pregnant women and maternal transmission of the virus in Libya are lacking. Methodology: Hepatitis blood samples from 1,500 pregnant women and 1,500 cord blood samples of their neonates delivered at Tripoli Medical Center, Tripoli, were tested for HBsAg by ELISA technique. HBsAg-positive samples were also tested for HBeAg. Results: HBsAg was detected in 1.5% (23/1,500) pregnant women and in 0.9% (14/1,500) neonates. Although HBsAg was detected at higher rate in pregnant women aged > 25 years [1.8% (22/1,235)] than in pregnant women aged < 25 years [0.4% (1/265)], the difference was not statistically significant (P > 0.05). All HBsAg-positive neonates were born to HBsAg-positive mothers with a rate of maternal transmission at 60.9% (14/23). HBeAg was detected in 21.7% (5/23) and in 7.1% (1/14) of HBsAg-positive pregnant women and neonates, respectively. Conclusions: Because of the high risk of developing chronic HBV infection at birth among infants born to HBsAg-positive mothers, administration of HBIG in combination with hepatitis B vaccine as post-exposure prophylaxis for such infants is of paramount importance. In addition, universal HBsAg screening of all pregnant women will greatly assist in reducing the maternal transmission of HBV in the country.

scholarly journals SYNTHESIS OF THE ORGANIZATION OF TREATMENT, RESEARCH AND TEACHING (CASE STUDY AT THE UNIVERSITY HOSPITAL IN AACHEN)

2021 ◽  
pp. 349-358
Author(s):  
Maryna Lienkova ◽  
Irina Bulakh
Keyword(s):  
Medical Center ◽  
Multidisciplinary Treatment ◽  
University Hospital ◽  
Survey Analysis ◽  
University Hospitals ◽  
Medical Institutions ◽  
Hospital Patients ◽  
Student Training ◽  
Treatment Research ◽  
The University

The article considers and analyzes the existing in the world, but new for Ukraine, type of healthcare institutions - a university hospital, which today is an example of one of the largest and best university hospitals in Germany - the Medical Center of the University of Aachen. The planning and functional structure of the university hospital and special design approaches that contributed to its design and development are analyzed. The purpose of the article is to illustrate an innovative approach for our state to the organization of medical institutions and to emphasize the importance of their implementation in the domestic healthcare system. The research methodology is based on the systematization and analysis of data from various information sources, as well as on the method of sociological survey (analysis of reviews). The article considers the features of the structure of the University Hospital Aachen, namely the multidisciplinary treatment, research and student training, which are combined in one institution. According to hospital patients, the only drawback of this structure is the frequent long wait for visitors. This is probably due to the significant daily flow of patients of varying complexity and, consequently, the shortcomings of the managerial approach. However, at the same time, the hospital has many advantages, which were highlighted in the article.  

scholarly journals 3532 Vitamin D assay utilization and outcomes in pregnant women in an urban safety net medical center: a retrospective cohort study

2019 ◽  
Vol 3 (s1) ◽  
pp. 30-30
Author(s):  
Grace Hyojung Yoon ◽  
Michael Holick ◽  
Arash Hossein
Keyword(s):  
Vitamin D ◽  
Pregnant Women ◽  
Low Income ◽  
Medical Center ◽  
Safety Net ◽  
Vitamin D Supplementation ◽  
Vitamin D Levels ◽  
Urban Safety ◽  
Study Population ◽  
Boston Medical

OBJECTIVES/SPECIFIC AIMS: The goals of this retrospective cohort study is threefold: 1) to assess how many pregnant women at Boston Medical Center from 2012 to 2017 have had their vitamin D status checked prior to and during pregnancy, 2) determine associations between vitamin D levels, birth outcomes and demographics and 3) assess how many of those found to have lower than satisfactory vitamin D levels (<30ng/mL) received interventions, including receiving vitamin D supplementation and/or being referred to an appropriate specialist such as an endocrinologist or a nutritionist. METHODS/STUDY POPULATION: Our study population is mothers over age 18 who received care at Boston Medical Center during their pregnancy from 2012 to 2017. Our primary outcomes are vitamin D utilization rates and associations between vitamin D levels with clinical outcomes during pregnancy and at birth. Secondary outcomes are demographic predictors of mothers who receive vitamin D testing and those who have complications associated with low vitamin D. We will conduct multiple linear regressions to check for associations between vitamin D levels, birth outcomes and demographic variables. We will adjust vitamin D levels with maternal BMI. De-identified clinical data was gathered from Boston University Medical Center’s (BUMC) Clinical Data Warehouse. This retrospective study was approved with a HIPAA waiver by the BUMC Institutional Data Warehouse. All statistical analysis was completed using SAS version 9.4 and was primarily done by the student PI and reviewed by Dr. Hossein, the co-investigator who is trained as a statistician and geneticist. The team also utilized Boston University’s Biostatistics, Epidemiology & Research Design (BERD) team to check the feasibility of the statistical methods. RESULTS/ANTICIPATED RESULTS: We anticipate that our descriptive demographic data will reflect the medical center’s predominantly black/Hispanic and low-income profile. Based on previous literature, we expect low vitamin D levels to have positive associations with gestational diabetes, pre-eclampsia, and preterm birth. Analyses are currently actively in progress and we expect to have results before the ACTS conference date in March, 2019. DISCUSSION/SIGNIFICANCE OF IMPACT: Vitamin D is an essential part of the human body system. It is well documented in current literature that vitamin D is correlated with bone health, mental health and maternal health. Moreover, there is evidence that maternal vitamin D supplementation prevents vitamin D deficiency in newborns. Previous literature suggests that low vitamin D may be associated with gestational diabetes, pre-eclampsia, and pre-term births. Boston Medical Center is Massachusetts’ largest urban medical center and acts as its only safety-net hospital, serving predominantly low-income and socially marginalized patient populations. There is limited existing research on assessment of maternal vitamin D in urban hospital settings. Pregnant women rarely receive vitamin D screenings as part of their prenatal checkups as current national and regional guidelines do not require pregnant women to be screened for vitamin D deficiency or insufficiency. The results will demonstrate the potential effects vitamin D supplementation, or lack thereof, in expectant mothers living in urban, safety net communities. We hope to inform prenatal care practices and attitudes of vitamin D supplementation in maternal health with the results of our study.

scholarly journals OBSTETRIC PROBLEMS IN HIV-INFECTED WOMEN

2019 ◽  
Vol 11 (3) ◽  
pp. 23-29 ◽  
Author(s):  
O. V. Yakovleva ◽  
T. N. Glukhova ◽  
I. E. Rogozhina
Keyword(s):  
Statistical Analysis ◽  
Hepatitis C ◽  
Pregnant Women ◽  
Perinatal Mortality ◽  
Skin Diseases ◽  
Medical Center ◽  
Statistical Significance ◽  
The State ◽  
Saratov Region ◽  
Infected People

Objective: to study the features of the course of pregnancy and childbirth in HIV-infected women in the Saratov region according to a retrospective analysis of case histories for 2013–2018. Materials and methods. A retrospective clinical and statistical analysis of the course of pregnancy, childbirth and the postnatal period was carried out according to medical records of 282 HIV-infected pregnant women who were treated at the State Agrarian Medical Center (Engels, Saratov Region, Russia) in 2013–2018. (main group). The comparison group consisted of patients who were not infected with HIV who were treated at the SAUS EOC in 2013–2018. To assess the statistical significance of differences, the standard statistical analysis software package STATISTICA 10,0 was used. Results. Compared to 2013, in 2018, the age of HIV-infected pregnant women has decreased (p<0,05). HIV-infected people are less likely to go to a maternity clinic before the 12th week of pregnancy (p<0,05). A high frequency of co-infection of HIV-infected women with urinary infection (p<0,05) and genital tract (p<0,05), hepatitis C viruses (p<0,05) and B (p<0,05), and syphilis was found anamnesis (p<0,05). A high susceptibility of these women to viral infections was noted: acute respiratory viral infection (p<0,05), genital herpes virus (p<0,05), cytomegalovirus infection (p<0,05). The incidence of sexually transmitted infections is high: urogenital chlamydia (p <0,05), trichomonas colpitis (p<0,05). HIV-infected pregnant women have an increased incidence of anemia (p<0,05), chronic pyelonephritis (p<0,05), and skin diseases (p<0,05), and body mass deficiency is more common (p<0,05). In case of HIV infection, the frequency of operative delivery (p<0,05), premature birth (p<0,05), the frequency of formation of a low-weight fetus at a time of gestation (p<0,05), as well as perinatal mortality (p<0,05). The reserve for reducing perinatal mortality for newborns from HIV-infected mothers is in the pregravid period, testing for HIV, hepatitis C virus, correction of the patient’s weight, elimination of the iron deficiency condition, detection and rehabilitation of urogenital foci. When taking to a dispensary account, control and correction of anemia, chronic infectious diseases, monitoring of the state of the vaginal biocenosis are necessary, in the second half of pregnancy — control of fetal growth.

scholarly journals A Case Report of Vaginal Delivery at Home Due to Fear of Covid-19

2020 ◽  
Author(s):  
Mahnaz Nosratabadi ◽  
Nasrin Sarabi ◽  
Leila Masoudiyekta
Keyword(s):  
Pregnant Women ◽  
Public Transportation ◽  
Medical Center ◽  
Home Delivery ◽  
Medical Intervention ◽  
Unintended Consequences ◽  
Public Places ◽  
Unsafe Condition ◽  
Protective Methods ◽  
At Home

Introduction: Childbirth can be a normal and nonintervention process, but sometimes the process gets out of normal and requires immediate medical intervention. Thus, home delivery cannot be considered safe without coordination with the treatment staff. Sometimes fear of Covid-19 epidemic prevents mothers to go to the hospital for childbirth and they decide to do it in an unsafe condition, which puts the health of the mother and the neonate at risk. Presentation Case: Our case was a pregnant woman  with a negative blood group (A-)  who did not come to the hospital because of fear of contracting Covid-19 from the hospital and decided to give birth at home without medical and midwifery support. After giving birth at home, she called the midwife who was taking care of her pregnancy. But she was still afraid to go to the medical center for postpartum care. The midwife informed the mother and her husband that they would be transferred to the midwifery clinic for further care and follow-up, with the necessary counseling and assurance of protective care to control Covid 19 transmission. Conclusion: Counseling and training of protective methods during pregnancy can reduce the concerns of pregnant women. It is also recommended that pregnant women avoid unnecessary travel, public places, use of public transportation and contact with sick people, and most importantly, observe personal and public health issues. Some pregnant women may experience severe anxiety and depression during epidemics such as Covid 19, which require educational psychological counseling and continuous psychological support to prevent unintended consequences.

scholarly journals Sleep quality and associated factors among pregnant women attending antenatal care at Jimma Medical Center, Jimma, Southwest Ethiopia, 2020: cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tamrat Anbesaw ◽  
Habtamu Abebe ◽  
Chalachew Kassaw ◽  
Tilahun Bete ◽  
Alemayehu Molla
Keyword(s):  
Sleep Quality ◽  
Pregnant Women ◽  
Associated Factors ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Sectional Study ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Southwest Ethiopia

Abstract Background Sleep is a natural physiological process vital for the physical and mental wellbeing of pregnant women and their fetuses. Even though poor sleep quality is a common problem among pregnant women, it is not studied in developing countries including Ethiopia. Therefore, this study was aimed to assess the poor sleep quality and associated factors among pregnant women attending antenatal care at Jimma medical center, Jimma, Southwest Ethiopia, 2020. Methods A cross-sectional study design was conducted among 415 pregnant women at Jimma Medical Center (JMC). The study subjects were selected using a systematic random sampling technique. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality using face-to-face interviews. SPSS version 25 was used to analyze data. Bivariate and multivariable logistic regressions were done to identify factors related to sleep quality. In multivariable logistic regression variables with a p-value less than 0.05 was considered significant and, adjusted OR (AOR) with 95% CI was used to present the strength of the association. Results The prevalence of poor sleep quality among pregnant women was found to be 30.8% (95% CI (26.5, 35.2). In multivariable analysis, age ≥ 30 years old (AOR = 1.94;95%CI:1.03,3.66), Multigravida (AOR = 1.90;95%CI:1.90,3.32),depression (AOR = 4.26;95%CI:2.54,7.14),stress (AOR = 1.85;95%CI:1.20,3.02) were variables significantly associated with poor sleep quality. Conclusion This study found a high prevalence of poor sleep quality among pregnant women. Older age, gravidity, depression, and stress were associated with poor sleep quality. It is better to have routine sleep pattern screening and teach sleep hygiene practice for pregnant women.

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