scholarly journals The impact of meridian balance method electro-acupuncture treatment on chronic pelvic pain in women: a three-armed randomised controlled feasibility study using a mixed-methods approach

2018 ◽  
Vol 12 (4) ◽  
pp. 238-249 ◽  
Author(s):  
Ooi Thye Chong ◽  
Hilary OD Critchley ◽  
Linda J Williams ◽  
Erna Haraldsdottir ◽  
Andrew W Horne ◽  
...  

Introduction: Chronic pelvic pain (CPP) is estimated to affect 6%–27% of women worldwide. In the United Kingdom, over 1 million women suffer from CPP and it has been highlighted as a key area of unmet need. Standard treatments are associated with unacceptable side effects. The meridian balance method electro-acupuncture (BMEA), and traditional Chinese medicine health consultation (TCM HC) (BMEA + TCM HC = BMEA treatment) may be an effective adjunct to standard treatment. Aim: The aim of our study was to evaluate the feasibility of a future trial, to determine the effectiveness of the BMEA treatment for CPP in women. The primary objectives were to determine recruitment and retention rates. The secondary objectives were to assess the effectiveness of the BMEA treatment and acceptability of the study’s methodology. Methods: Women with CPP were randomised into BMEA treatment (group 1), TCM HC alone (group 2) (each intervention administered twice weekly for 4 weeks) or National Health Service standard care (NHS SC, group 3). Primary outcomes were assessed by the proportion of eligible participants randomised, and the proportion of randomised participants who returned follow-up questionnaires. Interventions were assessed by validated pain/physical/emotional functioning questionnaires at baseline (0), 4, 8 and 12 weeks. Focus groups and semi-structured telephone interviews were embedded in the study. Results: A total of 30 women (51% of those referred) were randomised over 8 months. Retention rates were 80% (95% confidence interval (CI): 74–96), 53% (95% CI: 36–70) and 87% (95% CI: 63–90), in groups 1, 2, and 3, respectively. Qualitative data suggested a favourable trial experience in groups 1 and 3. Discussion: Group 2 retention rate was problematic and has implications for our next trial. Conclusion: Our study suggests that a future trial to determine the effectiveness of BMEA treatment for women with CPP is feasible but with modifications to the study design.

2019 ◽  
Vol 35 (11) ◽  
pp. 923
Author(s):  
K. Jane Chalmers ◽  
Mark J. Catley ◽  
Susan F. Evans ◽  
G. Lorimer Moseley

Bankarstvo ◽  
2021 ◽  
Vol 50 (1) ◽  
pp. 44-65
Author(s):  
Goran Radivojac ◽  
Boško Mekinjić ◽  
Aleksandra Krčmar

The subject of this paper is an analysis of the impact of the crisis caused by coronavirus on business decisions of issuers whose shares are listed on the Banja Luka Stock Exchange, through the example of dividend payment decisions. For the purpose of determining the factual situation, we observed publicly available financial reports of all companies that paid dividends from profits for 2018 and 2019 and made a comparison of profit retention rates in the two observed periods. We also analyzed other available information on the operations of these issuers. The research results show that in 10 out of 16 cases in which there was dividend payment from profits for 2019, the rate of profit retention increased compared to 2018. In addition to the mentioned 16 cases of dividend payment from the profit for the previous year, two cases were recorded in which dividend payment was made, but from the accumulated profit of previous years, so that the retention rate was not calculated for these issuers. If we take into account the fact that, in almost all cases, the decision on the (non-)payment of dividends was made at a time when uncertainties regarding coronavirus were already present in Republika Srpska, it can be concluded that the impending crisis had an impact on 2019 net results distribution decisions.


2017 ◽  
Vol 46 (1) ◽  
Author(s):  
Bushra Rahim

This paper contributes to the limited literature on the educational outcomes of children in rural Khyber Pakhtunkhwa (KP), Pakistan. It explores the impact of school-level factors such as physical resources, teachers and school characteristics on retention to the last grade of primary in the KP province for the time period 2007-12. Two sources of data were used to measure the retention rates. One of which is an official compilation of institutional data on education known as Education Management Information System (EMIS). The second data source, Annual Status of Education Reports (ASER), is a household data set with a rich set of household covariates, teachers’ characteristics and student performance data on reading and mathematics. The results from regression analyses indicate that children are more likely to complete primary education cycle when they receive instructions in local language and when the pupil-teacher ratio is below a certain threshold. Results also reveal that a continuous increase in school size beyond a certain threshold (> 400 enrollment) is related to a decrease in retention rate. Further, mixed schools (all-boys’ schools having girls enrolled in them) were found to have better retention rates than boys’ schools.


2011 ◽  
Vol 29 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Shaun Wen Huey Lee ◽  
Men Long Liong ◽  
Kah Hay Yuen ◽  
Wing Seng Leong ◽  
Nurzalina Karim Khan ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Mike Armour ◽  
Justin Sinclair ◽  
Cecilia H. M. Ng ◽  
Mikayla S. Hyman ◽  
Kenny Lawson ◽  
...  

Abstract Chronic pelvic pain (CPP) affects a significant number of women worldwide. Internationally, people with endometriosis report significant negative impact across many areas of their life. We aimed to use an online survey using the EndoCost tool to determine if there was any difference in the impact of CPP in those with vs. those without a confirmed diagnosis of endometriosis, and if there was any change in diagnostic delay since the introduction of clinical guidelines in 2005. 409 responses were received; 340 with a diagnosis of endometriosis and 69 with no diagnosis. People with CPP, regardless of diagnosis, reported moderate to severe dysmenorrhea and non-cyclical pelvic pain. Dyspareunia was also common. Significant negative impact was reported for social, academic, and sexual/romantic relationships in both cohorts. In the endometriosis cohort there was a mean diagnostic delay of eight years, however there was a reduction in both the diagnostic delay (p < 0.001) and number of doctors seen before diagnosis (p < 0.001) in those presenting more recently. Both endometriosis and CPP have significant negative impact. Whilst there is a decrease in the time to diagnosis, there is an urgent need for improved treatment options and support for women with the disease once the diagnosis is made.


2015 ◽  
Vol 23 (4) ◽  
pp. 227-230 ◽  
Author(s):  
Andrzej Kapusta ◽  
Arkadiusz Duda ◽  
Grzegorz Wiszniewski ◽  
Ryszard Kolman

Abstract The aim of the study was to determine the retention rates of visible implant elastomer (VIE) and coded wire tags (CWT) and the impact tagging had on the growth of Atlantic sturgeon, Acipenser oxyrinchus Mitchill, during an eight-week rearing period under laboratory conditions. Two size groups of young-of-the-year (YOY) sturgeon were used in the study. The tagging was not found to have a significant impact on the final total length or body weight or the condition coefficient of the sturgeon from either size group. Sturgeon survival in the different groups ranged from 90.6 to 100%. Mortality was not noted until two (CWT) and four (VIE) weeks following tagging and was probably not linked to tagging. The retention rate for VIE tags implanted in the rostrum in both size groups was 100%, while for tags implanted at the base of the pectoral fin was 93.5%. The retention of CWT in the smaller fish was 90%, and in the larger sturgeon it was 100%. Tagging small sturgeon with CWT and VIE is minimally invasive, and it did not impact the growth or condition of the tagged fish.


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