The importance of embryology for parents of children with congenital hand differences

2021 ◽  
pp. 175319342110641
Author(s):  
Andrew D. Clelland ◽  
Órla Duncan ◽  
Wee L. Lam

This study aimed to determine whether embryology knowledge or explaining the possible developmental pathway error was important for parents of affected children, and to secondarily determine if there was a relationship between desired knowledge of embryology and disease severity, maternal age group or maternal level of education. Using a self-administered questionnaire, a significant proportion of responding parents considered knowledge of embryology important (32 out of 43). We found a significant association between the importance of embryology knowledge for parents and the disease severity. However, the importance and level of knowledge desired was not related to maternal age or level of education. This study demonstrated the importance of explaining the associated developmental errors in the congenital hand consultation, particularly in severe anomalies. Surgeons should familiarize themselves with embryology to provide an explanation as to why congenital hand differences happen, which may provide better psychological support for parents of these children.

2020 ◽  
Vol 3 (1) ◽  
pp. 107-113
Author(s):  
Reno Irwanto ◽  
Raini Panjaitan ◽  
Marwita Pratiwi Nainggolan ◽  
Meriahta Br Girsang ◽  
Keleng Ate Ginting

Growth is an increase, the development of weight and mass or cell size which can be seen from the increase in height, weight and head circumference. Lack of nutritional intake in the form of breastmilk for babies in the golden period (0-6 months) can interfere with infant growth and development and will also reduce the quality of human resources. The intervention of katuk leaf steamed sponge cake is expected to increase milk production which will affect the baby's weight gain. In the study, the total number used was 30 people and divided into 2 groups of respondents who had intervention or product intervention (control). The results showed that the maternal age data for the age group 19-29 was 56.7% and those aged 30-49 were 43.3%. The level of education of mothers who participated as respondents started from SD with the proportion of 26.7%, SMP 23.3%, SMA 36.7%, and PT 13.3% and the distribution of respondents 'occupations was 46.7% of the respondents' occupation, employees 36.7%, self-employed 6.7%, and 10% teachers, and the results of the intervention of katuk leaf steamed sponge on 15 respondents used showed changes in the baby's body with an average value of 0.873 while 15 control respondents showed body changes with an average value of 0.627 on the statistical test with a P value (0.00).


The study was undertaken to examine the economic benefits of protected vegetable cultivation. A total sample of 200 respondents practicing protected vegetable cultivation was selected from Jalandhar district from which 150 respondents were trained by KVK Jalandhar and the remaining 50 respondents were non-trainees. The findings concluded that 42.0 percent of trainees and 38.0 percent of non-trainees were in the age group of 39-52 years. It was revealed that 19.3 percent of trainees had a graduate level of education while 20.0 percent of non-trainees had a middle level of education. It was found that 66.0 percent of trainees and 54.0 percent of non-trainees had medium landholding. The majority of trainees (78.6 percent) and non-trainees (86 percent) had farming as an occupation. Most of the trainees and non-trainees contacted horticulture development officers. It was concluded that 32.6 percent of trainees procured seed or seedling from private firms whereas 40.0 percent of non-trainees procured seed or seedling from fellow farmers. The trainees obtained higher yield and net profit than non-trainees from all sample vegetable crops.


2021 ◽  
Vol 11 (11) ◽  
pp. 4821
Author(s):  
Monika Teślak ◽  
Hanna Sobczak ◽  
Iwona Ordyniec-Kwaśnica ◽  
Barbara Kochańska ◽  
Barbara Drogoszewska

Background: Medication-Related Osteonecrosis of the Jaws (MRONJ) is a serious complication of antiresorptive therapy. The aim of the study was to assess the level of knowledge and awareness regarding MRONJ among Polish dentists and students of dentistry. Methods: The online self-administered questionnaire was sent out electronically among dentists in Poland and dentistry students of the Medical University of Gdansk. The results obtained were statistically analyzed. The results were considered statistically significant if the condition p ≤ 0.05 was met. Results: A total of 203 respondents participated in this survey. A total of 94.6% of them declared knowledge of the term MRONJ. However, the length of bisphosphonates persistence in the body was known to 51.5% of participants, while the knowledge of oral and maxillofacial surgeons concerning this topic was significantly higher (87.0%). Conclusion: Dental and maxillofacial surgeons presented the highest level of knowledge about MRONJ. The remaining groups did not differ in their knowledge. It must be noted that the knowledge of the students was similar to that of dentists. A better level of knowledge by dentists could contribute to a decline of the occurrence of the disease in future. Theoretical and practical initiatives should be promoted to improve the knowledge about MRONJ.


1982 ◽  
Vol 14 (1) ◽  
pp. 7-16 ◽  
Author(s):  
M. A. Khalifa

SummaryIn a survey of 1475 urban Moslem wives in the age group 15–49 living in the capital city of the Sudan, knowledge of birth control was reported by almost all respondents while a significant proportion had used contraception at least once. The mean age of the users was 32·8 years, their duration of marriage was 15·1 years and their mean number of surviving children was 4·6. Those who had never used contraception had a higher mean age, a longer duration of marriage and more surviving children. Most of the users had an urban residential background and belonged to the high socioeconomic class. They held favourable attitudes to family planning. Although they thought that having a large family (more than five children) was not desirable, their mean preferred family size was no different from that of the never users.The results indicate that contraception is used for the purpose of spacing births rather than limiting their ultimate number. At this early stage of contraceptive adoption in Sudan, the characteristics of the pioneer acceptors are similar to those observed in other African countries.


Author(s):  
Katarzyna Zadka ◽  
Ewelina Pałkowska-Goździk ◽  
Danuta Rosołowska-Huszcz

The percentage of children with vitamin D deficiency in Poland is alarming. The aim of the study was to assess the knowledge about sources of food and the function of vitamin D, as well as the frequency of its supplementation. A survey was conducted among the parents of children from Central Poland attending primary schools, and a questionnaire containing mainly open-ended questions was used to collect the data. Most mothers knew at least one of the functions of vitamin D in the body but had a low level of knowledge about its dietary sources. Only a small group of respondents supplemented themselves and their children with vitamin D. Statistically significant influences on the level of knowledge about the functions and sources of vitamin D were place of residence (i.e., better knowledge in the countryside) and mothers’ level of education (i.e., the better educated, the greater knowledge). In the case of monthly income level, such impact was observed only in relation to the knowledge of vitamin D functions. Concerning the frequency of supplementation, only maternal level of education had a statistically significant effect (i.e., the higher the education level, the higher the frequency of supplementation). In addition, mothers who were aware of functions of vitamin D and nutritional sources, significantly more frequently supplemented vitamin D.


2021 ◽  
Vol 6 (1) ◽  
pp. 67-81
Author(s):  
Raquel P. F. Guiné ◽  
Sofia G. Florença ◽  
Ana Cristina Ferrão ◽  
Maša Černelič Bizjak ◽  
Blanka Vombergar ◽  
...  

Abstract The use of edible flowers (EF) in gastronomy is gaining popularity; however, there is still a lack of information about the factors that most contribute to the acceptance of this product. Therefore, the objective of this study was to investigate the habits associated with the usage of EF in gastronomy in three different countries (Portugal, Slovenia, and Brazil) and also to evaluate the major determinants for those habits. In addition, the level of knowledge was also investigated, particularly with regard to the aspects such as perceived risks of toxicity and pesticides. For that, a questionnaire survey of self-response was carried out on a sample of 559 participants, from the above-mentioned countries. To analyse the data, basic descriptive statistical tools were used combined with crosstabs and chi-square tests. Finally, a tree classification was performed using the classification and regression trees algorithm. The results revealed that, regardless of the country, the participants were familiar with the use of EF in gastronomy. The participants had, in general, already consumed EF, and their use was more popular between the Portuguese participants, being the Brazilian those who used them less. Significant differences were found between the countries in the form of consumption of EF and also in the types of EF consumed. There were also significant differences regarding the reasons for eating EF. The classification analysis showed that the country and the level of education were the major determinants for the consuming habits and knowledge about EF. This study highlighted that eating habits are very dependent on the customs and traditions of each country and helped understanding the factors that most affect the participants’ attitudes towards the consumption and knowledge of EF.


Author(s):  
Deva Pon Pushpam. I.

One of the most important stage in women`s life is menopause. The word menopause simply refers to the last menstrual period which is defined by not having had a period in 12 months. The average age of menopause in western world is 51 years while as in India it is 47.5 years and the normal age range for the occurrence of menopause is somewhat between the age of 45 and 55 years. A descriptive study was conducted to assess the level of knowledge regarding menopause among rural women of age group 45-55 years at Kot Bhalwal, Jammu. The objectives were to assess the level of knowledge regarding menopause among rural women of age group 45-55 years at Kot Bhalwal, Jammu and to associate the level of knowledge regarding menopause with their selected socio demographic variables. Quantitative approach, descriptive research design was used. 100 women of 45–55 years age who fulfil the inclusion and exclusion criteria were selected using purposive sampling technique. A self-structured questionnaire was developed for the study. The tool was tested for content validity and reliability prior to the study. The collected data was tabulated, analysed and interpreted by using descriptive and inferential statistics and findings showed that majority of the sample 97(97%) had below average level of knowledge, 3(3%) had average level of knowledge and 0(0%) had above average level of knowledge and there was no significant association between the selected socio-demographic variables and the level of knowledge.


2021 ◽  
Vol 6 (1) ◽  
pp. 20-25
Author(s):  
Vibha Mahato ◽  
Pravin Shrestha ◽  
Pradeep Bhattarai

Introduction: Advanced and very advanced maternal age are associated with several adverse maternal and fetal outcome. The objective of this study was to find out the possible association between advance maternal age and adverse pregnancy outcomes at Manipal Teaching Hospital.Methods: A cross sectional analytical study conducted at department of Obstetrics and Gynecology, Manipal Teaching Hospital, Pokhara, Nepal. A total of 198 patient who were ≥30 years and >24 weeks pregnant admitted in obstetric ward were selected. These patient were divided into three groups according to their age (30-34, 35-39 and ≥ 40years). We compared the incidence of adverse maternal and perinatal outcome among these groups. We also calculated odds ratio of maternal and perinatal outcomes in 35-39 years and ≥ 40years women, compared with women aged 30-34 years.Results: Comparison of the three age groups revealed that advanced maternal age constitute a predisposing factor for malpresentation, gestational diabetes mellitus, placenta previa, fetal distress and caesarean section. Whereas, risk of non progress of labour, preterm birth, postpartum hemorrhage, perinatal death and congenital anomalies were increased in very advanced maternal age group. From these, statistical significance was reached in case of greater risk of malpresentation (p=0.01,OR=6.66), fetal distress (p=0.04, OR=2.6) and caesarean section(p=0.02,OR=2.06) in advanced age group when compared to the patients aged 30-34. Furthermore, very advanced age group were higher risk of postpartum hemorrhage (p=0.03, OR=2.47) and congenital anomalies, which were statistically significant (p=0.04, OR=29.57) when compared to the 30-34 years.Conclusion: Advanced and very advanced maternal age is associated with several adverse maternal and perinatal outcome. The risk of perinatal complication begin to increase after the age of 35 but significantly increased after 40 years.


2019 ◽  
Vol 2 (2) ◽  
pp. 126-132
Author(s):  
Elisha Rijal ◽  
Suvekshya Silwal ◽  
Sheela Thapa ◽  
Saraswati Basnet ◽  
Subhadra Bhagat

Introduction: Spinal Anaesthesia (SA) is a form of regional anaesthesia involving injection of a local anaesthetic into the subarachnoid space. SA is directly related to nervous system, so its mismanagement may cause various complications hence, prevention and management of complication is a vital and complex aspect of critical nursing care. Therefore, the objective of this study was to assess the nurse’s knowledge on the management of patient receiving spinal anaesthesia. Methodology: A cross-sectional descriptive study was conducted among nurses of Koshi Zonal Hospital of Province no. 1, Biratnagar, Nepal from May to June 2017. Non-probability purposive sampling method was used where self-administered questionnaire was administered among 67 working nurses in the hospital. Results: The majority of the respondents (77.6%) belonged to 20-30 years of age group, nearly half (44.8%) of the respondents had completed PCL nursing. Only 67.2% explained the meaning of anaesthesia, and 58.2% had knowledge on physiological changes after SA. Regarding ambulation and cause of backache, 29.9% had knowledge whereas only 20.9% had knowledge about management of post spinal backache. Respondents facing problem to manage the complication after SA was 13.4%. This study also found that the overall knowledge regarding SA was adequate among 80.6% respondents. Conclusion: Nurses as the key personnel in management and prevention of complication, the obtained result was below the desired competence level among working nurses as it is the vital aspect of critical nursing care.


2020 ◽  
Author(s):  
Nikoo Aziminia ◽  
Aria Khani ◽  
Colette Smith ◽  
Ameet Bakhai ◽  
Clifford Lisk

Introduction: The COVID-19 pandemic has been unsurpassed in clinical severity or infectivity since the 1918 Spanish influenza pandemic and continues to impact the world. During the A/H1N1 influenza pandemic, healthcare workers presented frequent concerns regarding their ownand their families health, as well as high levels of psychological distress. Objectives: To assess hospital trainees concerns, perceived sufficiency of information, behaviour and reported psychological health during the COVID-19 pandemic in the NHS Design: Cross-sectional 39-point questionnaire study conducted in May 2020 Setting: A large NHS foundation trust in London Participants: 204 hospital trainee doctors Outcome measures: Quantitative analysis of trainees worries and concerns while working during the COVID-19 pandemic were assessed across 8 domains: trainee demographics; concerns and worries regarding COVID-19; perceived sufficiency of information about the COVID-19 pandemic; social distancing; use of personal protective equipment (PPE) and training in PPE; COVID-19 acquisition and risk; reported psychological health; and medical education. Results: 91.7% looked after COVID-19 patients. 91.6% were worried about COVID-19; the most frequent concern was that of family and friends dying from COVID-19 (74.6%). 22.2% reported being infected with COVID-19. 6.8% of trainees were so concerned about COVID-19 infection that they would avoid going to work. Perceived sufficiency of information about COVID-19 was moderately high. 25.9% reported that they were able to socially distance at work compared to 94.4% able to socially distance outside work. 98.2% reported using PPE and 24.7% were confident the provided PPE protected them against infection with COVID-19. 41.9% reported that their psychological health had been affected by their work with the commonest being anxiety (56.6%), emotional distress (50.9%) and burnout (37.7%). 95.6% felt it is important to have a service that provides psychological support during this pandemic and 62.5% reported they would consider using this at work. Conclusions: A significant proportion of hospital trainees are worried about the COVID-19 pandemic with high levels of reported psychological distress. Given that almost a third would not use psychological support services at work, hospital leaders and liaison psychiatry need to explore the reasons for not wanting to use services at work and highlight the provision of psychological services provided outside work such that provided by the London deaneries professional support unit (PSU). Seeking solutions to support trainee wellbeing in addition to this, such as larger offices, adequate rest facilities and alternative methods of teaching, with their input would enable empowerment of trainees and improve their health and morale while working in a pandemic.


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