scholarly journals Barriers to utilization of childbirth services of a rural birthing center in Nepal: A qualitative study

PLoS ONE ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. e0177602 ◽  
Author(s):  
Resham Bahadur Khatri ◽  
Tara Prasad Dangi ◽  
Rupesh Gautam ◽  
Khadka Narayan Shrestha ◽  
Caroline S. E. Homer
2010 ◽  
Vol 5 (1) ◽  
pp. 67
Author(s):  
Wilma Lilian Lima Barros ◽  
Edileusa Costa ◽  
Silvana Schwerz Funghetto ◽  
Lara Mabelle Milfont Boeckmann ◽  
Paula Elaine Diniz Dos Reis ◽  
...  

ABSTRACTObjective: to know the women's perception in the postpartum about the provided health assistance during the labor and delivery at San Sebastian Birthing Center in District Federal, Brazil’s capital. Methodology: this is about a qualitative study, performed with ten women who experienced the delivery and postpartum period in this birthing center. The project was approved by the Ethics Committee of the Health State Secretary of the District Federal with protocol number 264/2007. Results: the themes of the study were found and classed in the following way: Pre-natal assistance, birth process and puerperal assistance. The women’s narrations were analyzed and it was referred in the major statements, humanization’s actions in the delivery moment and in the puerperal period, however the same women related scanty orientations and information in pre-natal appointments that would be very relevant to live these experiences with self-control and safety. Conclusion: the present study evidenced that at San Sebastian Birthing Center, the executed work correspond to a humanized assistance that is offered to the pregnant women who are admitted at this birthing center. The procedures that are used in this birthing center are humanized and they are according to World Health Organization’s recommendations, which were confirmed by the collected report of the women who participated of the study. Descriptors: birth; humanizing delivery; postpartum.RESUMOObjetivo: conhecer a percepção das puérperas sobre a assistência desenvolvida na Casa de Parto de São Sebastião do Distrito Federal. Metodologia: trata-se de estudo descritivo e exploratório, de abordagem qualitativa, com dez mulheres que vivenciaram o parto e puerpério na Casa de Parto após a aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa da Secretaria de Estado em Saúde do Distrito Federal com parecer nº 264/2007. Resultados: as categorias temáticas encontradas foram: Assistência no pré-natal, Assistência no processo de parturição e Assistência no puerpério. Nas análises das falas das puérperas foi referido ações referentes à humanização da assistência no momento da parturição e puerpério, contudo as mesmas relataram escassez de orientações e informações no Pré-natal que julgaram ser importantes para vivenciar o parto e puerpério com segurança. Conclusão: o presente estudo evidenciou que o trabalho desenvolvido na instituição corresponde a uma assistência humanizada às parturientes que são acolhidas na Casa de Parto São Sebastião. Tais procedimentos utilizados estão em sintonia com as recomendações da Organização Mundial de saúde, o que foi constatado nos depoimentos colhidos das puérperas participantes do estudo. Descritores: parto; humanização no parto; puerpério. RESUMENObjetivo: conocer la percepción de las puérperas acerca de la asistencia desenvuelta en la Casa de São Sebastião del Distrito Federal. Metodología:trata-se de uno estudio qualitativo con diez mujeres que tuvieran sus partos e puerpérios en la Casa Del Parto. Las categorías temáticas encontradas fueron: Asistencia durante la gestación, Asistencia en el proceso de parturición y Asistencia en el puerpério. El proyecto fue aprobado por el Comité de Ética de la da Secretaria de Estado em Saúde do Distrito Federal com parecer nº 264/2007. Resultados: en análisis a las respuestas de las puérperas, fue citado acciones acerca de la humanización de la asistencia durante la parturición y puerpério, entretanto las mismas relataron la escasez de orientaciones y informaciones en el prenatal que juzgaban importantes para la seguridad en el parto y puerperio. Conclusiones: el presente estudio evidencio que el trabajo desenvuleto en la instituición corresponde a una asistencia humanizada a las parturientes que son acollidas en la Casa del Parto. Los procedimientos utilizados estan en sintonia con las recomendaciones de la Organización Mundial de Salud, lo que fue constatado en los depoimientos collidos de las puérperas participantes del estudio. Descriptores: parto; humanización del parto; puerperio. 


Author(s):  
Le Meizhao ◽  
Ye Ming ◽  
Song Xiaoming ◽  
Xu Jiazhang

“Hydropic degeneration” of the hepatocytes are often found in biopsy of the liver of some kinds of viral hepatitis. Light microscopic observation, compareted with the normal hepatocytes, they are enlarged, sometimes to a marked degree when the term “balloning” degeneration is used. Their cytoplasm rarefied, and show some clearness in the peripheral cytoplasm, so, it causes a hydropic appearance, the cytoplasm around the nuclei is granulated. Up to the present, many studies belive that main ultrastructural chenges of hydropic degeneration of the hepatocytes are results of the RER cristae dilatation with degranulation and disappearance of glycogen granules.The specimens of this study are fixed with the mixed fluid of the osmium acidpotassium of ferricyanide, Epon-812 embed. We have observed 21 cases of biopsy specimens with chronic severe hepatitis and severe chronic active hepatitis, and found that the clear fields in the cytoplasm actually are a accumulating place of massive glycogen. The granules around the nuclei are converging mitochondria, endoplasm reticulum and other organelles.


2019 ◽  
Vol 4 (5) ◽  
pp. 1148-1161
Author(s):  
Camilo Maldonado ◽  
Alejandro Ashe ◽  
Kerri Bubar ◽  
Jessica Chapman

Background American educational legislation suggests culturally competent speech and language services should be provided in a child's native language, but the number of multilingual speech-language pathologists (SLPs) is negligible. Consequently, many monolingual English-speaking practitioners are being tasked with providing services to these populations. This requires that SLPs are educated about cultural and linguistic diversity as well as the legislation that concerns service provision to non-English or limited English proficiency speakers. Purpose This qualitative study explored the experiences of monolingual, American, English-speaking SLPs and clinical fellows who have worked with immigrant and refugee families within a preschool context. It investigated what training SLPs received to serve this population and what knowledge these SLPs possessed with regard to federal legislation governing the provision of services to culturally and linguistically diverse (CLD) communities. Method Ten American clinicians with experience treating CLD children of refugee and immigrant families in the context of preschool service provision participated in the study. Semistructured interviews were utilized to better understand the type of training clinicians received prior to and during their service delivery for CLD populations. Additionally, questions were asked to explore the degree to which practitioners understood federal mandates for ethical and effective service provision. The data collected from these interviews were coded and analyzed using the principles of grounded theory. Findings The results of this study revealed that there was a general sense of unpreparedness when working with CLD clients. This lack of training also attributed to a deficiency of knowledge surrounding legislation governing service provision to CLD populations.


2008 ◽  
Vol 11 (2) ◽  
pp. 76-82 ◽  
Author(s):  
Sarah M. Ginsberg

Abstract This qualitative study examined student perceptions regarding a hybrid classroom format in which part of their learning took place in a traditional classroom and part of their learning occurred in an online platform. Pre-course and post-course anonymous essays suggest that students may be open to learning in this context; however, they have specific concerns as well. Students raised issues regarding faculty communication patterns, learning styles, and the value of clear connections between online and traditional learning experiences. Student concerns and feedback need to be addressed through the course design and by the instructor in order for them to have a positive learning experience in a hybrid format course.


2015 ◽  
Vol 18 (1) ◽  
pp. 16-31 ◽  
Author(s):  
Flora Keshishian ◽  
Rebecca Wiseheart

There is a growing demand for bilingual services in speech-language pathology and audiology. To meet this growing demand, and given their critical role in the recruitment of more bilingual professionals, higher education institutions need to know more about bilingual students' impression of Communication Sciences and Disorders (CSD) as a major. The purpose of this qualitative study was to investigate bilingual and monolingual undergraduate students' perceptions of the CSD major. One hundred and twenty-two students from a large university located in a highly multicultural metropolitan area responded to four open-ended questions aimed at discovering students' major areas of interest (and disinterest) as well as their motivations for pursuing a degree in CSD. Consistent with similar reports conducted outside the United States, students from this culturally diverse environment indicated choosing the major for altruistic reasons. A large percentage of participants were motivated by a desire to work with children, but not in a school setting. Although 42% of the participants were bilingual, few indicated an interest in taking an additional course in bilingual studies. Implications of these findings as well as practical suggestions for the recruitment of bilingual students are discussed.


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