scholarly journals Attitudes toward fertility and fertility preservation in women with glioma

2018 ◽  
Vol 6 (3) ◽  
pp. 218-225 ◽  
Author(s):  
Rachel K Stiner ◽  
Jennifer L Clarke ◽  
Nikita Sinha ◽  
Jessica Chan ◽  
Joseph M Letourneau ◽  
...  

Abstract Background No studies have examined the fertility priorities of women undergoing treatment for their glioma. Glioma patients frequently undergo chemotherapy as part of their treatment; however, it is unknown whether patients truly are aware of its possible effects on their fertility. Our objective was to assess the fertility priorities of glioma patients and ascertain whether female glioma patients are being effectively counseled on the effects of chemotherapy on their fertility prior to beginning treatment. Methods The sample was composed of female patients from the Neuro-oncology clinic of the University of California, San Francisco. Participants completed a cross-sectional survey between October 2010 and December 2013 exploring their attitudes toward fertility and their experience with fertility counseling prior to chemotherapy initiation. Results Seventy-two women completed the survey. Analysis of the survey results showed that 30% of women receiving chemotherapy reported having a discussion regarding fertility preservation prior to beginning treatment. Of those who reported having this discussion, 80% were aware that chemotherapy could negatively affect their fertility. Many women reported that while fertility preservation was not important to them at the time of diagnosis, it was a priority for them at the time of survey completion. Although interest in having children tended to decrease after cancer treatment, the majority of respondents reported wanting a child after treatment. Conclusions The data obtained in this study suggest a lack of understanding of reproductive priorities, which may be addressed with a more comprehensive fertility discussion prior to beginning treatment.

2021 ◽  
Author(s):  
Vivek Jain ◽  
Sarah B. Doernberg ◽  
Marisa Holubar ◽  
Beatrice Huang ◽  
Carina Marquez ◽  
...  

AbstractBackgroundHealthcare personnel (HCP) are prioritized for earliest SARS-CoV-2 vaccine administration, yet relatively few data exist on HCP’s knowledge, motivations, concerns, and intentions regarding COVID-19 vaccines.MethodsWe conducted a cross-sectional survey Nov.16-Dec.8, 2020 among HCP enrolled in a cohort study at three Northern California medical centers serving diverse roles including COVID-19 patient care. Eligible HCP were adult (age≥18) on-site employees of the University of California, San Francisco, San Francisco General Hospital, and Stanford Healthcare. A one-time electronically-administered survey was sent to cohort HCP on November 16, 2020 and responses analyzed.ResultsOverall, among 2,448 HCP invited, 2,135 completed the COVID-19 vaccine survey (87.2% response rate). HCPs had mean age 41 years, were 73% female, and had diverse jobs including COVID-19 patient contact. Enthusiasm for vaccination was overall strong, and more HCP (1,453, 69%) said they would definitely/likely receive vaccine if formally FDA-approved versus if approved via emergency use authorization only (785, 35%). While 541 (25%) respondents wanted to be among the earliest to receive vaccine, more desired vaccination after the first round (777, 36%) or >2 months after vaccinations began (389, 18%). Top factors increasing motivation for vaccination included perceiving risk from COVID-19 to self (1,382, 65%) or to family/friends (1355, 63%). Top concerns were vaccine side effects, cited by 596 (28%), and concerns about political involvement in FDA’s approval process (249, 12%).ConclusionsHCP were enthusiastic about COVID-19 vaccination for individual protection and protecting others, but harbored concerns about vaccine side effects. Our data may inform emerging vaccine education campaigns.Key PointsAmong 2,135 healthcare personnel surveyed, we found enthusiasm for COVID-19 vaccination both for individual benefit and protecting others. However, healthcare personnel rated their knowledge of COVID-19 vaccines as only moderate and harbored concerns about vaccine side effects. Education raising awareness of vaccine efficacy and side effects may help maximize vaccine uptake.


2001 ◽  
Vol 12 (2) ◽  
pp. 98-100 ◽  
Author(s):  
B Craig Lee

PURPOSE:To evaluate training in infectious diseases, determining which components of the training program best prepare residents for their career choices and where improvements are needed.METHOD:A cross-sectional survey was mailed to all 14 physicians who had graduated from both the Adult and Paediatric Infectious Diseases Training Program at the University of Calgary from 1985 to 1998. Responses about the adequacy of training were measured using a Likert-type scale and a qualitative questionnaire.RESULTS:Of 14 mailed questionnaires, nine responses were received (64%). Two-thirds of respondents were in an academic setting, and seven (78%) graduates obtained postfellowship training. The specialists in academic settings were all engaged in multiple nonclinical activities. The clinical and diagnostic microbiological components of training received the highest scores in terms of adequacy of training.CONCLUSION:Graduates of the University of Calgary training program indicated an overall satisfaction with their training. However, improvements are needed in career counselling, health administration, antibiotic utilization, infection prevention and specialized outpatient clinics. Potential strategies for addressing these issues include didactic lectures, enhanced exposure to clinical outpatient settings and provision of designated faculty mentors.


2019 ◽  
Vol 20 (5) ◽  
pp. 557-565 ◽  
Author(s):  
Matthew S. Shupler ◽  
John K. Kramer ◽  
Jacquelyn J. Cragg ◽  
Catherine R. Jutzeler ◽  
David G.T. Whitehurst

Curationis ◽  
2018 ◽  
Vol 41 (1) ◽  
Author(s):  
Indiran Govender ◽  
Kathryn Nel ◽  
Nhlanhla Banyini

Background: Sport has the capability to unite a country. To achieve winning teams, athletes have to rely on each other and often have close physical contact. Disclosure of a positive human immunodeficiency virus (HIV) status may be problematic for athletes in contact sports as they may suffer discrimination and stigmatisation which may impact their relationship behaviours. This may impact frontline nursing and medical staff dealing with on-field ‘blood’ injuries.Objectives: The purpose of this study was to determine if individuals who participate in football and rugby are aware of the risk of HIV infection in contact sports and their perceptions and reported behaviour towards HIV-positive athletes.Method: A cross-sectional survey design with a qualitative element. Quantitative data were analysed using descriptive statistics, while thematic content analysis was used to analyse qualitative data.Non-proportional quota sampling was used for male rugby (n = 23) and football (30) players registered at the University of Limpopo (Turfloop campus).Results: The results supported previous research in that there are gaps in HIV knowledge. For instance, not knowing that anal sex may cause HIV infection and believing that saliva can transmit HIV and that blood transfusions are unsafe.Conclusion: Problematic findings were that a portion of the sample believed that having sex with a virgin could cure HIV and the majority of the sample believed that being ‘bewitched’ could cause HIV and acquired immunodeficiency syndrome (AIDS).


2014 ◽  
Vol 6 (2) ◽  
pp. 99-104 ◽  
Author(s):  
Sanjeev Davey ◽  
Santosh Kumar Raghav ◽  
Anuradha Davey ◽  
Nirankar Singh ◽  
J. V. Singh

Introduction: In MBBS completion, Internship period is often having a relatively free time after their duty hours, which is nowadays is being more diverted to spending time online on internet, consequently their usage pattern justifies the study in this area in Indian scenario.Materials and Methods: A prospective cross-sectional survey was carried out on all MBBS medical Interns of 2009 batch attending department of Community Medicine every month(10 Interns/month-total=100) of  a Private medical College-Muzaffarnagar. They were first enlisted and their permission for participation and consent in the study were sought, followed by ethical approval of higher authorities of Institution was taken from 1st July 2013 to 1st July 14. A pre-tested semi-structured questionnaire was e-mailed to collect data from medical interns and data analysis was done using Epi-info software version 7.1.3.3. Results: The mode of assessment of Internet by Interns was primarily through Smartphone's (60%), in which Google search & Facebook were used in maximum(69% & 75%). Although difference between impact of Internet on daily and professional life of interns was highly statistically significant (X2= 16.82,d.f=1,p<0.001) but we found, there was no association between monthly amount spent on internet  and  number of hours spent on Internet (X2=0.74, df=1,p>0.05). 55% of  interns used internet > 100 hours in a month.Conclusion: Internet is significantly impacting the daily and professional life of Interns; so they need counseling services from department of Community medicine and Psychiatry in order to regulate Internet use, which can be further clarified from more in-depth studies in future.DOI: http://dx.doi.org/10.3126/ajms.v6i2.10754Asian Journal of Medical Sciences Vol.6(2) 2015 99-104


2021 ◽  
Vol 3 (1) ◽  
pp. 87-95
Author(s):  
Amina Hassan

The study explored the common students’ indiscipline at Islamic University in Uganda. The study was quantitative and a cross-sectional survey design was used. The population of the study was 3,486 registered students in the academic year 2019/2020. They were selected from the Faculty of Education, Faculty of Management Studies, Faculty of Law, Faculty of Social Sciences, and Faculty of Science. A sample of 265 respondents was selected for the study using proportionate and random sampling. The mean score was computed to analyse the data. To conclude, the point range of the arithmetic mean was considered. The study found that the common indiscipline among learners in IUIU included disrespect to teachers and school rules and regulations, theft, and irregular attendance. The study recommended IUIU administration improves staff remuneration to change the status of the teachers. Furthermore, the administration needs to tighten security in the university and residents need to take care of their property to avoid theft. The researcher also recommended that a study should be carried out to find out the cause of students’ irregular attendance


2006 ◽  
Vol 4 (1) ◽  
pp. 58-63
Author(s):  
Lisa Smith ◽  
James F. McKenzie

This study examined the task of health educators working in a clinical setting to better understand their roles. The study was designed as a descriptive, cross-sectional survey using a convenience sample of health educators who worked in clinical settings in Indiana and who had a college degree in health education. Forty health educators were contacted and 62% of the subjects participated in the survey. Results indicated most jobs were similar in nature and the health education curriculum studied helped them in the roles they were serving. However, many educators felt there were other content areas of study that would have been helpful to prepare them for working in the clinical setting. A majority of the respondents reported that having Certified Health Education Specialist (CHES) certification was helpful and necessary in their positions.


2019 ◽  
Vol 58 (3) ◽  
pp. 139-147
Author(s):  
Jure PUC ◽  
Petra Obadić ◽  
Vanja Erčulj ◽  
Ana Borovečki ◽  
Štefan Grosek

Abstract Objective To survey university students on their views concerning the respect for autonomy of patients and the best interest of patients in relation to the withholding of resuscitation. Methods A cross-sectional survey among university students of medicine, nursing, philosophy, law and theology of the first and the final study years at the University of Ljubljana and the University of Zagreb was conducted during the academic year of 2016/2017. A questionnaire constructed by Janiver et al. presenting clinical case vignettes was used. Results The survey response rates for students in Ljubljana and Zagreb were 45.4% (512 students) and 37.9% (812 students), respectively. The results of our research show statistically significant differences in do-not resuscitate decisions in different cases between medical and non-medical students in both countries. Male and religious students in both countries have lower odds of respecting relatives’ wishes for the withholding of resuscitation (odds ratio 0.49–0.54; 95% confidence interval). All students agreed that they would first resuscitate children if they had to prioritize among patients. Conclusions Our study clearly shows that gender, religious beliefs, and type of study are important factors associated with the decisions pertaining to the respect for autonomy, patient’s best interest, and initiation or withholding of resuscitation.


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