scholarly journals Creation and validation of a questionnaire to assess pre-conceptional health needs of women in Italy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Orfino ◽  
D Zace ◽  
A M Viteritti ◽  
C de Waure ◽  
M L Di Pietro
Keyword(s):  
Young Women ◽  
Internal Validity ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Health Needs ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Validity Index ◽  
Delphi Procedure ◽  
Mother And Child

Abstract Background Pre-conceptional health refers to women's conditions before pregnancy. Women's knowledge, behavior and lifestyle in this period greatly influence the health of the future mother and child. This study aimed at creating and validating a questionnaire to describe the knowledge, behaviors, health status and access to healthcare services of young women of childbearing age in Italy. Methods A systematic literature review on Scopus, PubMed and Web of Science was conducted to collect the relevant information for the questionnaire's construction. Based on the review's results, a first draft of the questionnaire was developed and, then, submitted to a panel of experts for validation through the Delphi Procedure. Twenty-one multidisciplinary experts reviewed the items for content, applicability, and rated each item in terms of validity and relevance by indicating a value from 1 to 5 on a Likert scale. Cronbach's Alpha and Internal Validity Index were calculated to verify the internal reliability and validity of content. Results After the screening process, thirty-one articles were included in the systematic review. The main results concerned knowledge on pre-conceptional health, physical, mental and social health, nutritional status, lifestyle and access to healthcare services. The first draft of the questionnaire, submitted to the experts' panel for consensus, consisted of 89 items and 13 sections. Consensus was reached after two rounds of Delphi Procedure. The final version of the questionnaire consisted of 88 items and 10 sections, reporting a Cronbach's Alpha of 0.99 and an Internal Validity Index of 0.93. Conclusions The questionnaire developed in this study is a valid tool to identify the pre-conceptional health needs of young women. The results may be used by policy makers and various guidelines concerning pre-conceptional health and for the implementation of personalized interventions, aimed to improve the health of this population. Key messages Women’s knowledge, behaviours and lifestyle in the pre-conceptional period greatly influence the health of the future mother and child. This study reports the process of creation of a questionnaire which is proved to be a valid tool to identify the pre-conceptional health needs of young women of childbearing age in Italy.

Health needs of Gypsy Travellers

2018 ◽  
Vol 11 (12) ◽  
pp. 681-688 ◽  
Author(s):  
Patrice Van Cleemput
Keyword(s):  
Ethnic Group ◽  
Health Inequality ◽  
Inverse Relationship ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Health Needs ◽  
Specific Health

Gypsy Travellers have the poorest health of any ethnic group in the population; they also have an inverse relationship between their health needs and access to healthcare services. This article aims to explain the reasons for such stark health inequality, to identify the specific health needs of Gypsy Travellers, and to describe the role of the GP in meeting those needs.

scholarly journals A Case of Pulsatile Tinnitus Related to Idiopathic Intracranial Hypertension

2020 ◽  
Vol 63 (9) ◽  
pp. 422-426
Author(s):  
Jong-Won Bae ◽  
Kyu-Yup Lee ◽  
Myung Hoon Yoo ◽  
Da Jung Jung
Keyword(s):  
Intracranial Hypertension ◽  
Young Women ◽  
Idiopathic Intracranial Hypertension ◽  
Obese Woman ◽  
Pulsatile Tinnitus ◽  
Obese Women ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Early Symptom ◽  
Vascular Abnormalities

Idiopathic intracranial hypertension (IIH) is a disorder that commonly occurs in obese young women of childbearing age and is characterized by symptoms such as pulsatile tinnitus, dizziness, headache, nausea, vomiting, and visual loss without any structural or vascular abnormalities in the intracranial cavity. We recently experienced a case of a 33-year-old obese woman who presented with right-sided pulsatile tinnitus, which is an early symptom for IIH. The patient was successfully treated with weight reduction and carbonic anhydrase inhibitor (acetazolamide). Pulsatile tinnitus requires thorough diagnosis and examination because it can be cured if the anatomical or functional cause is identified and treated. When obese women of childbearing age present with pulsatile tinnitus at the otorhinolaryngology outpatient department, treatment for IIH should be initiated after appropriate examination and diagnosis as pulsatile tinnitus may be the only symptom for IIH.

GP advocacy in supporting migrant access to NHS healthcare

2021 ◽  
pp. 175573802110049
Author(s):  
Marina Boulton ◽  
Anish Verma ◽  
Neil H. Metcalfe
Keyword(s):  
Disease Burden ◽  
Healthcare Services ◽  
Migrant Health ◽  
Access To Healthcare ◽  
Health Needs ◽  
Migrant Population ◽  
Home Office ◽  
The Uk ◽  
Recent Policy ◽  
Valuable Role

Recent policy reform within the NHS poses significant challenges to accessing healthcare for migrants. This follows the introduction of upfront charging in healthcare services for those not ordinarily resident in the UK. The eligibility for free NHS care is currently determined by an individual’s immigration status. This has denied treatment to many of those who lack the relevant financial means, particularly the migrant population. Migrants are recognised to have various complex health needs and to experience a number of difficulties in accessing healthcare, from language barriers to navigating through an unfamiliar healthcare system. There is also concern that migrants may be deterred from engaging with healthcare services after certain policies have mandated NHS trusts to share confidential patient information with the Home Office. Restrictive NHS policies are likely to exacerbate existing barriers for access to healthcare, which could have a devastating impact on migrant health. Similarly, this may inadvertently widen health inequalities and increase the disease burden in society. GPs hold a valuable role, in which they can advocate on behalf of their patients. Advocacy support can empower migrants in making informed decisions and help to protect their rights in accessing healthcare. This article provides a concise overview of the wider impact of restrictive policies within the NHS, and supports GPs in advocating on behalf of migrants to improve their access to healthcare.

scholarly journals Features of the etiology and clinical course of cerebral strokes in young women

1995 ◽  
Vol XXVII (1-2) ◽  
pp. 42-42
Author(s):  
A. S. Deev ◽  
I. V. Zakharushkina ◽  
А. О. Burshinov ◽  
А. V. Karpikov ◽  
G. N. Tsarkov
Keyword(s):  
Risk Factor ◽  
Clinical Features ◽  
Young Women ◽  
Cerebral Circulation ◽  
Clinical Course ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Treatment And Prevention

To date, there are no generalizing works on the frequency, etiology, clinical features, diagnosis, treatment and prevention of cerebral strokes in women of childbearing age. The question of the role of pregnancy as a risk factor for acute disorders of cerebral circulation has not been clarified. Practitioners are little aware of the specifics of stroke syndromes observed in young women. All of the above is the reason for this message.

Traumatic Brain Injury and Pregnancy

2018 ◽  
Author(s):  
Karla L. Thompson ◽  
William Filer ◽  
Matthew Harris ◽  
Michael Y. Lee
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Neuropsychiatric Symptoms ◽  
Previous History ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Team Members ◽  
Mother And Child ◽  
History Of ◽  
Medical Stabilization

Traumatic brain injury (TBI) is a leading cause of death and disability throughout the world, particularly among young adults, affecting untold numbers of women of childbearing age. TBIs can disrupt almost any aspect of physical, cognitive, and/or emotional functioning, potentially complicating a woman’s ability to conceive, carry, and deliver a healthy child. For women who are already pregnant and sustain a TBI, medical stabilization of the mother and management of risk of further injury to the fetus are priorities. For women with a previous history of TBI, comprehensive assessment and optimal management of common sequelae of TBI (eg, seizures, endocrine dysfunction, physical and cognitive impairments, and neuropsychiatric symptoms) are essential to maximizing outcomes for both mother and child. Consultation with physiatry and neuropsychology, utilization of rehabilitation therapies to maximize the mother’s functional recovery, and consistent communication among all medical team members throughout pregnancy are essential.

scholarly journals The Prevalence of Tobacco Consumption Among Women in Târgu Mureş and Associations with Socio-Demographic and Cultural Factors

2019 ◽  
Vol 24 (1) ◽  
pp. 76-81
Author(s):  
Florina Ruţa ◽  
Oana Maria Iacob ◽  
Cristina Naşca ◽  
Anca Ileana Sin
Keyword(s):  
Young Women ◽  
Healthy Lifestyle ◽  
Tobacco Consumption ◽  
Cross Sectional Study ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Related Risk ◽  
Resistance To Stress

Abstract The habit of smoking is one of the most dangerous long-term behaviors affecting the health of a population, especially for young women, who will become the mothers to give birth to the future generations. In order to identify the prevalence of smoking among young women in Târgu Mureş, as well as other lifestyle-related risk factors, in this cross-sectional study we used a questionnaire to assess lifestyle among 964 women aged 15 to 49 years. The results showed that almost half of the interviewed women declared being smokers. The highest prevalence was found to be associated with the 21 to 30 year age group, no high-school education, non-Romanian ethnics, showing no interest for a healthy lifestyle, low resistance to stress and lack of proper rest and relaxation. This increased prevalence of smoking among women of childbearing age was identified alongside a low willingness for smoking cessation.

scholarly journals Application of the sub-classification AGC NOS and AGC FN in Pap Smears AGC: utility in clinical practice

2019 ◽  
Author(s):  
Antognoli Davide ◽  
Zampatti Clementina ◽  
Cattaneo Gabriella ◽  
Armiraglio Simona ◽  
Crivelli Filippo
Keyword(s):  
Clinical Practice ◽  
Histological Examination ◽  
Young Women ◽  
Pap Smear ◽  
Pap Smears ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Screening Programs ◽  
Endocervical Adenocarcinoma ◽  
Genital Apparatus

With the use of the pap smear in screening programs there has been a decrease in cervical cancer but the pap smear is also a tool for early diagnosis of endocervical adenocarcinoma. Endocervical adenocarcinoma is a delicate disease because, even though it is a rare disease, it is becoming more and more widespread, affecting young women of childbearing age. Furthermore, it is asymptomatic, hardly visible colposcopically and is also a dangerous disease whose risk does not diminish after diagnosis of AGC but remains high over time. The study aims to evaluate the usefulness of the subcategory of the AGC in AGC NOS and AGC FN to assess whether the use can give advantages in clinical practice 93248 Pap Smears were considered in this study, of which only 50 were suitable for the study (diagnosis of AGC and histological examination on the endocervix), these were reclassified according to the indications of Bethesda in AGC NOS and AGC FN In the reclassified Pap Smears as AGC NOS we obtained, on the histological examination, 79% of lesions of low clinical-evolutionary impact and only the 21% of lesions with a high clinical-evolutionary impact. on the other hand, in the reclassified Pap Smears as AGC FN we obtained 23% of lesions of low clinical-evolutionary impact and the 77% of lesions with a high clinical-evolutionary impact. In addition, in patients over 50 with the diagnosis of AGC FN, extracervical diseases prevail The sub-classification in AGC NOS and AGC FN has proved useful to guide the clinician in carrying out more detailed examinations in women diagnosed with AGC FN and moreover in a patient over 50 years the diagnosis of AGC FN must orientate the clinician to an extension of the investigations also, and above all, at the level of the remaining parts of the genital apparatus (in particular the endometrium) or of the neighboring organs (bladder, rectum).

scholarly journals Dietary guidelines for pregnant women

2001 ◽  
Vol 4 (6a) ◽  
pp. 1343-1346 ◽  
Author(s):  
Rosa M Ortega
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Food Group ◽  
Dietary Guidelines ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Daily Consumption ◽  
Balanced Diet ◽  
Mother And Child ◽  
The Ideal

AbstractThe nutrition of pregnant women is decisive in the course of gestation and the health of both mother and child. However, in the Spanish population, clinical monitoring of nutrition is rare, the control of bodyweight receiving most attention. Many studies show that pregnant women take too much fat and too little carbohydrate, and that intakes of fibre and several trace elements are lower than recommended.Although many people think they know what a correct (varied and balanced) diet is, the concept is often misleading. Generally, they do not match the ideal theoretical framework for achieving an adequate energy profile of the diet. Neither do they facilitate intakes of vitamins and minerals close to recommended levels. Nutrition education programmes are therefore required to explain adequate dietary guidelines to pregnant women, and indeed to all women of childbearing age.Considering the criteria suggested by a number of researchers concerning the number of food portions from each food group that pregnant women should include in their diets, the following guidelines for daily consumption are proposed: 3–4 portions of milk products, 2–3 portions of meat, fish or eggs, and 3 portions of fruit, 4–5 portions of vegetables or greens and 7–8 portions of cereals and legumes (a portion is defined as the amount of food that would be found on an average plateful or the normal units of consumption of a food).

Differing Physician Perceptions of Oxcarbazepine and Levetiracetam for Women of Child- Bearing Age: A Physician Survey Based Study

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Avani Shukla ◽  
Keyword(s):  
Antiepileptic Drugs ◽  
Young Women ◽  
Significant Proportion ◽  
Reproductive Age ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Women Of Reproductive Age ◽  
Physician Perceptions ◽  
Child Bearing ◽  
Patient Profiles

Background: Young women of reproductive age constitute a significant proportion of India's epilepsy patient population. Doctors take several considerations into account while prescribing antiepileptic drugs (AEDs) to young women to balance the risk of seizures with other concerns. Objective: To understand how doctors perceive various AEDs regarding their safety, efficacy, and other attributes for women of childbearing age. Materials and Methods: This study consisted of a survey designed to understand the usage and perception of 12 antiepileptic drugs in the Indian market. The survey respondents of this study were neurologists, neurosurgeons, and psychiatrists from all over India, from private or government setups, and with different experience and patient load levels. Results: In the study, 93% of all survey respondents indicated that they avoid one or more AEDs in women of childbearing age, making it a significant consideration. This consideration is a specialty split for the second- generation AEDs, Oxcarbazepine, and Levetiracetam. Approximately three times more Neurosurgeons avoid Oxcarbazepine as compared to neurologists and psychiatrists who use this drug. In the case of Levetiracetam, mainly only psychiatrists avoid it for women of reproductive age. Apart from the personal experience of doctors, factors other than teratogenic risks, such as changes in reproductive hormone levels, may have contributed to the observed difference in perception. Conclusion: The study highlights doctors ‘differing perceptions for highly used drugs among all specialties emphasizing the need to determine if such differences in perception exist between other AEDs for various types of patient profiles.

scholarly journals PENYULUHAN KESEHATAN TENTANG PENTINGNYA TABLET TAMBAH DARAH PADA REMAJA PUTRI DI DESA UWUNG GIRANG, TANGERANG

2021 ◽  
Vol 4 (3) ◽  
pp. 635
Author(s):  
Siti Haeriyah ◽  
Nurry Ayuningtyas Kusumastuti
Keyword(s):  
Immune System ◽  
Health Education ◽  
Brain Development ◽  
Young Women ◽  
Learning Activities ◽  
Good Knowledge ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
The Impact

ABSTRAKPermasalahan yang terjadi pada remaja putri salah satunya adalah Anemia karena kurang nya tablet tambah darah (Fe) yang dapat melemahkan kesehatan, mengalami gangguan perkembangan otak dan sistem kekebalan tubuh yang rendah, sehingga kegiatan belajar di sekolahnya dapat  terganggu. Oleh karena itu perlu diberikan tablet tambah darah (Fe) dan diedukasi juga dampak anemia. Target pemberian tablet tambah darah secara nasional adalah 10% remaja putri dengan dosis pencegahan yaitu remaja putri (10-19 tahun) atau WUS (15- 45 tahun) sehari 1 tablet tiap minggunya, jadi total tablet tambah darah (Fe) yang akan diterima oleh remaja putri adalah 13 tablet selama 4 bulan. Upaya untuk mengurangi dampak anemia pada remaja putri yaitu dengan adanya Penyuluhan kesehatan yang bertujuan untuk meningkatkan pengetahuan dan pemahaman tentang pentingnya tablet tambah darah (Fe). Penyuluhan kesehatan dilakukan dengan metode ceramah. Hasil kegiatan penyuluhan kesehatan dengan memberikan pre test didapatkan saat pre test yang terbanyak dengan pengetahuan rendah sebanyak 18 responden (60 %) dan setelah diberikan penyuluhan kesehatan didapatkan pengetahuan baik meningkat menjadi 24 responden (80%). Dapat diartikan bahwa adanya peningkatan 60% pengetahuan responden setelah diberikan penyuluhan kesehatan. Oleh karena itu diperlukan penyuluhan kesehatan agar remaja putri mengerti pentingnya tablet tambah darah. Kata kunci: penyuluhan kesehatan; tablet tambah darah; remaja Putri ABSTRACTOne of the problems that occur in young women is anemia. because the lack of Fe supplementation can weaken health, impaired brain development and low immune system, so that learning activities at school become disrupted. Therefore it is necessary to give Fe supplementation. Other than that, young women must also be educated about the impact of anemia. The target of giving fe supplementation tablet nationally is 10% young women with a preventive dose that is young women (10-19 years) or women of childbearing age (15- 45 years) a day 1 tablet per week, so the total Fe supplementation that will be received by young women. Efforts to reduce the impact of anemia on young women namely the existence of health education which aims to increase knowledge and understanding of the importance of Fe supplementation. Health education is conducted by lecturing method.  Results of health education activities during the most pre-test with low knowledge as many as 18 respondents (60%) and after being given health education good knowledge increased to 24 respondents (80%). and can be interpreted that there is an increase of 60% of respondents' knowledge after being given health education. This shows that needed for health education so they would understand the Fe supplementation Keywords:. health dducation; fe supplementation; young women

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