scholarly journals Living with chronic migraine: a qualitative study on female patients' perspectives from a specialised headache clinic in Spain

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017851 ◽  
Author(s):  
Domingo Palacios-Ceña ◽  
Beatriz Neira-Martín ◽  
Lorenzo Silva-Hernández ◽  
Diego Mayo-Canalejo ◽  
Lidiane Lima Florencio ◽  
...  

ObjectivesThe aim of this study was to explore the views and experiences of a group of Spanish women suffering from chronic migraine (CM).SettingHeadache clinic at a university hospital in Madrid (Spain).ParticipantsPurposeful sampling of patients that attended a specialised headache clinic for the first time between June 2016 and February 2017 was performed. The patients included were females aged 18–65 and with positive diagnoses of CM according to the International Classification of Headache disorders (third edition, beta version), with or without medication overuse. Accordingly, 20 patients participated in the study with a mean age of 38.65 years (SD 13.85).DesignQualitative phenomenological study.MethodsData were collected through in-depth interviews, researchers’ field notes and patients’ drawings. A thematic analysis was performed following appropriate guidelines for qualitative research.ResultsFive main themes describing the significance of suffering emerged: (a) the shame of suffering from an invisible condition; (b) treatment: between need, scepticism and fear; (c) looking for physicians’ support and sincerity and fighting misconceptions; (d) limiting the impact on daily life through self-control; and (e) family and work: between understanding and disbelief. The disease is experienced as an invisible process, and the journey to diagnosis can be a long and tortuous one. Drug prescription by the physician is greeted with distrust and scepticism. Patients expect sincerity, support and the involvement of their doctors in relation to their disease. Pain becomes the main focus of the patient’s life, and it requires considerable self-control. The disease has a strong impact in the work and family environment, where the patient may feel misunderstood.ConclusionsQualitative research offers insight into the way patients with CM experience their disease and it may be helpful in establishing a more fruitful relationship with these patients.

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040917
Author(s):  
Arnaud Pagès ◽  
Christel Roland ◽  
Soraya Qassemi ◽  
Anne-Bahia Abdeljalil ◽  
Mathieu Houles ◽  
...  

IntroductionResearch has shown that potentially inappropriate drug prescription (PIDP) is highly prevalent in older people. The presence of PIDPs is associated with adverse health outcomes. This study aims to evaluate the impact of a PHARmacist-included MObile Geriatrics (PharMoG) team intervention on PIDPs in older patients hospitalised in the medical, surgical and emergency departments of a university hospital.Methods and analysisThe PharMoG study is a prospective, interventional, single-centre feasibility study describing the impact of a PharMoG team on PIDPs in older hospitalised patients. Pharmacist intervention will be a treatment optimisation (clinical medication review) based on a combination of explicit and implicit criteria to detect PIDPs. The primary outcome is the acceptance rate of the mobile team’s proposed treatment optimisations related to PIDPs, measured at the patient’s discharge from the department. This pharmacist will work in cooperation with the physician of the mobile geriatric team. After the intervention of the mobile geriatric team, the proposals for improving therapy will be sent to the hospital medical team caring for the patient and to the patient’s attending physician. The patient will be followed for 3 months after discharge from the hospital.Ethics and disseminationThis study was approved by the South-West and Overseas Territories II Ethics Committee. Oral consent must be obtained prior to participation, either from the patient or from the patient’s representative (trusted person and/or a family member). The results will be presented at national and international conferences and published in peer-reviewed journals.Trial registration numberNCT04151797.


2021 ◽  
Vol 28 (2) ◽  
pp. 77-96
Author(s):  
B.G.V.A.S.D.T. Batuwanthudawa ◽  
B.K.D. Lakmali ◽  
H.V.K. Piyumali

COVID-19 emerged in December 2019 in Wuhan, China, and since then has impacted work, family, and social life of people around the globe. The working community had to face difficulties and barriers due to increasing job insecurity and changing working environments during the pandemic. Employees around the world have experienced sudden, significant changes in their work and family roles. This study aims to examine the impact of COVID-19 on married women’s work-family balance during the lockdown in Sri Lanka. The research problem of the study is: Does the working woman maintain the balance of work-family environment? By applying the mixed research methodology, we draw on the quantitative data by surveying married women working from home to understand and analyse their adaptability to work from home during the lockdown within two months (from May to July 2020). In addition, in-depth interviews were conducted to gather qualitative data of the study selecting the purposive sampling method. The sample consisted of women with diversity in age, employment, and educational level. A majority of women reported working for long hours without any leave during the lockdown period. This study revealed that 57% of women could manage their household work and job-related work during the period, in contrast, only 43% of respondents could not do so. Even though there were several difficulties faced by married women, they successfully managed both, i.e., their job-related work and their family chores. While 43% of the respondents belonged to nuclear families, 57% of them belonged to extended families. Eighty-three percent of respondents reported high levels of support from husbands for housework and office work. In conclusion, although Sri Lankan women encounter significant difficulties, they are inclined to maintain a balance and adaptability between work-family tasks.


2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Elisabetta Biffi ◽  
Lucia Carriera

This contribution aims to explore and reflect, from a pedagogical perspective, on the home as a place of education for the children who live there, from the perspective offered by the current pandemic emergency. In early childhood, the family home is the place where children begin to become aware of themselves (Leccardi et al., 2011), and to exist precisely from the space of the home (Giordano, 1997). The COVID-19 emergency has forced a return to the home, leading us to rethink the role of the home. We therefore intend to share some pedagogical reflections based on the results of a qualitative research (part of the European project Erasmus + DEPCIP) conducted during the lockdown of March-May 2020 and aimed at understanding the impact that a prolonged period of confinement has had on the family environment. The contribution is based on qualitative-quantitative research (Teddlie, Tasshakori, 2006), conducted through the semi-structured Computer Assisted Web Interview (CAWI). The study reached, through written interviews, about 1000 parents in lockdown from the countries involved in the project, of which about 400 Italian parents. The study also investigated the relationships with domestic and public spaces, showing how isolation has caused a redefinition of the families' 'home geographies' (Blunt, Varley 2004). Starting from the results of the research, this paper will reflect on the complexity of the meanings of home that have been experienced during this emergency period and its repercussions on the educational level.


2020 ◽  
Author(s):  
Cristiana desmahareni pratama

AbstrakBerdasarkan hasil studi pendahuluan kasus bullying di Indonesia dari data statistic komisi perlindungan anak Indonesia (KPAI), ditemukan kasus bullying di Indonesia. Penelitian ini bertujuan untuk mengetahui bentuk bullying, dampak bullying, solusi dan penganan bullying. Penelitian ini menggunakan jenis penelitian kualitatif dengan rancangan penelitian deskriptif kualitatif dengan subyek korban bully. Teknik pengumpulan data yang digunakan yaitu observasi partisipasi pasif . Teknik analisis data yang digunakan adalah reduksi data, penyajian data, dan penarikan kesimpulan dan verifikasi. Uji keabsahan yang digunakan dalam penelitian ini menggunakan uji credibility dan dependability. Hasil penelitian menunjukkan bahwa bullying di sekolah dalam empat bentuk yaitu Kontak fisik langsung (memukul,mendorog, menenadang, dan lainnya yang merupakan tindak kekerasan), perilaku non – verbal lansung (pandangan sinis, ekspresi wajah yang menampilkan merendahkan seseorang), perilaku non – verbal tidak lansung (mendiamkan seseorang) dan pelecehan seksual (mengejek atau kata – kata yang tidak sopan untuk menunjuk pada sekitar yang sensitif pada seksual) Pelaku bullying memiliki kekuatan fisik dan sosial yang lebih dibandingkan dengan siswa lain, kemampuan interpersonal skill yang buruk, kurang bertanggung jawab, kurang empati, kendali diri yang lemah dan agresif. Korban bullying memiliki penampilan fisik yang berbeda, pendiam, pasif, rendah diri, dan memiliki kemampuan finansial yang lebih.AbstractBased on the results of a preliminary study of cases of bullying in Indonesia from statistical data on the Indonesian child protection commission (KPAI), found cases of bullying in Indonesia. This study aims to determine the form of bullying, the impact of bullying, solutions and snacks for bullying. This study uses qualitative research with a descriptive qualitative research design with bully victims. The data collection technique used is passive participation observation. Data analysis techniques used are data reduction, data presentation, and drawing conclusions and verification. The validity test used in this study uses the credibility and dependability test. The results showed that bullying in schools in four forms, namely direct physical contact (hitting, pushing, gazing, etc.) which is an act of violence, direct non-verbal behavior (cynical views, facial expressions that display demeaning someone), non-verbal behavior not direct (silence someone) and sexual harassment (mocking or disrespectful words to refer to sexual sensitive surroundings) Bullying has more physical and social strength compared to other students, poor interpersonal skills, less responsibility , lack of empathy, weak and aggressive self-control. Victims of bullying have different physical appearance, are quiet, passive, inferior, and have more financial ability.


2021 ◽  
Vol 10 (19) ◽  
pp. 4494
Author(s):  
María Jiménez-Palomares ◽  
María Fernández-Rejano ◽  
Elisa María Garrido-Ardila ◽  
Jesús Montanero-Fernández ◽  
Petronila Oliva-Ruiz ◽  
...  

Background: The rate of premature births is increasing every day, with an estimated 15 million premature babies born worldwide each year. When a child is born prematurely, he or she is transferred to a Neonatal Intensive Care Unit (NICU), requiring special care on an ongoing basis. The admission of the newborn to these units can negatively affect the family routine as it generates changes and requires adaptation to new roles. Objectives: The objective of the present study was to understand the effect of the arrival of a premature baby on the family, based on the parents’ perception. Methods: A cross-sectional descriptive observational study conducted by means of a self-administered online ad-hoc questionnaire which collected information related to the situation of the relatives of premature infants in the region of Extremadura (Spain). The questionnaire consisted of a total of 35 questions, divided into three sections: ‘family environment’, ‘stay in hospital’ and ‘return home’. Results: Among the 53 responses obtained from fathers and mothers, 44 were from mothers. 53.6% of the respondents felt a delay in the acquisition of their parental role and 86.8% were afraid for their baby. During hospital stay, most of the parents had to modify their routines (94.3%), 69.8% suffered from sleep disturbances, 84.9% changed their eating habits and 88.5% referred to loss of time for themselves. Once at home, the time it took to recover their family normality ranged from 4 to 11 months, while 84.9% of respondents neglected their personal appearance and more than half had to give up or reduce their working hours. Conclusion: The arrival of a premature baby has a strong impact on the parents’ family environment, altering their daily routines and occupations both in hospital and at home. If preterm care programmes take into account these possible occupational imbalances, it will not only meet the needs of the parents but also provide family-centred care.


2020 ◽  
Vol 5 (1) ◽  
pp. 27-47
Author(s):  
Sitti Aisyah. M Aisyah ◽  
Sappaemi

The Corona virus pandemic exploited by irresponsible elements.  They do a cunning business strategy, which is to hoard goods, in fiqhi terms known as iḥtikār. In the Islamic view, iḥtikār is a prohibited business practice and will be met with a painful punishment in the afterlife.  The purpose of this paper is to provide an understanding about the impact of COVID 19 on the practice of buying and selling (iḥtikār).  This paper uses qualitative research methods in the form of library reseach using the shar'i approach.  From this study it can be concluded that the behavior of hoarding goods with the aim of reselling them at high prices to obtain large profits.  In Islamic Shari'ah, iḥtikār‘s law is haram because it contains elements that harm others.  This is very clearly stated in QS al-Humazah/109: 1-2 and punished by sin as stipulated in the hadith of the Messenger of Allah.


Author(s):  
Siti Mariana Ulfa

AbstractHumans on earth need social interaction with others. Humans can use more than one language in communication. Thus, the impact that arises when the use of one or more languages is the contact between languages. One obvious form of contact between languages is interference. Interference can occur at all levels of life. As in this study, namely Indonesian Language Interference in Learning PPL Basic Thailand Unhasy Students. This study contains the form of interference that occurs in Thai students who are conducting teaching practices in the classroom. This type of research is descriptive qualitative research that seeks to describe any interference that occurs in the speech of Thai students when teaching practice. Data collection methods in this study are (1) observation techniques, (2) audio-visual recording techniques using CCTV and (3) recording techniques, by recording all data that has been obtained. Whereas the data wetness uses, (1) data triangulation, (2) improvement in perseverance and (3) peer review through discussion. Data analysis techniques in this study are (1) data collection, (2) data reduction, (3) data presentation and (4) conclusions. It can be seen that the interference that occurs includes (1) interference in phonological systems, (2) interference in morphological systems and (3) interference in syntactic systems. 


2017 ◽  
Vol 26 (2) ◽  
pp. 192-213
Author(s):  
Henriëtte Van den Berg ◽  
Hester Tancred ◽  
Dap Louw

South African adolescents show increased levels of suicidal behaviour. This article explores the perceptions of adolescents at risk of suicide regarding the psychosocial stressors they believe contribute to suicidal behaviour among South African adolescents. This study was conducted on 214 adolescents from the Western Cape Province with a high suicide risk. The group was selected on the basis of their high scores on the Suicidal Ideation Questionnaire. A qualitative content analysis was performed with their responses on a question about the reasons for adolescent suicide. The analysis highlighted risk factors relating to substance abuse, negative emotional experiences, lack of self-esteem, problem-solving ability and hope for the future; negative family environment and conflict in family relationships; peer group and romantic relationships; stressful life events; and socioeconomic factors. Guided by the Conservation of Resources (COR) theory suggestions were made for adolescent resource development to counter-act the impact of the various stressors they experience.


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