scholarly journals Professionalization of non-medical support of women in perinatal period: the significance of the doula profession

2021 ◽  
Vol 16 (2(30)) ◽  
pp. 231-245
Author(s):  
Justyna Stępkowska ◽  
Anna Królak ◽  
Katarzyna Stępkowska
Keyword(s):  
Perinatal Period ◽  
Medical Support ◽  
On Line

Wprowadzenie:Doula (gr. „kobieta, która służy”) to osoba przeszkolona do udzielania kobiecie i jej rodzinie wsparcia emocjonalnego, fizycznego i informacyjnego w czasie ciąży,porodu i połogu. Cel:Celem pracy jest próba analizy roli i zadań douli na płaszczyźnie zróżnicowanych potrzeb kobiet rodzących z uwzględnieniem wyników wstępnych badań dotyczących opinii i doświadczeń polskich kobiet na temat wsparcia douli w okresie okołoporodowym. Metody: Przeprowadzone badanie miało charakter wstępny. Badaniem ilościowym objęto 526 kobiet z wywiadem położniczym, w wieku od 18 do 50 lat. Próba została podzielona na grupę badaną (kobiety, które kiedykolwiek skorzystały z usług douli) N=62 i grupę kontrolną (kobiety, które nigdy nie korzystały z asysty douli) N=464. Dane zostały zebrane anonimowo, za pomocą autorskiego kwestionariusza w formie badania on-line. Dobór próby celowy. Wyniki poddano analizie statystycznej. Obliczeniawykonano w programie PQStat (wersja 1.6.6). Wyniki: Zawód douli i możliwość skorzystania z jej wsparcia w okresie okołoporodowym nie są szeroko rozpoznawane wśród badanych kobiet w Polsce. Wyniki wskazują na konieczność lepszego wsparcia rodzącej, zwłaszcza w zakresie potrzeb informacyjnych, emocjonalnych oraz wsparcia w zakresie niefarmakologicznych metod łagodzenia bólu porodowego. W opinii badanych kobiet, które korzystały z asysty douli, jej wsparcie miało korzystny wpływ na przebieg okresu okołoporodowego. Wnioski:Wydaje się, że wsparcie douli jako dodatkowa forma opieki na oddziałach położniczych powinna być traktowana bardziej otwarcie. Niezbędna jest również promocja i popularyzacja alternatywnych form wsparcia prenatalnego i poporodowego poprzez kampanie edukacyjne i promocję dedykowanych usług opiekuńczych i wspierających, takich jak usługi douli, w celu zapewnienia lepszej opieki dla kobiet w okresie około porodowym i redukcji czynników stresogennych. Przeprowadzone badania wskazują na potrzebę popularyzowania informacji o istnieniu zawodu douli oraz rozpowszechniania wiedzy o zadaniach i roli douli.

Tele-assistance in intellectual disability

2007 ◽  
Vol 13 (5) ◽  
pp. 241-245 ◽  
Author(s):  
Serafino Buono ◽  
Santina Città
Keyword(s):  
Intellectual Disability ◽  
Computer Network ◽  
Medical Support ◽  
Problem Behaviours ◽  
On Line ◽  
Continuous Support ◽  
Case Discussions ◽  
Psychological Educational ◽  
One Year ◽  
Programme Planning

We conducted a trial of multidisciplinary tele-assistance to support 20 families of patients with intellectual disability. Psychological, educational, social and medical support was provided by videoconferencing, email and on-line sharing of diagnostic and rehabilitation tools. The main topics dealt with were self-care, learning processes, adaptation skills, management of problem behaviours and health problems. A computer network was developed which connected workstations at the patients' houses and two main sites at the Oasi Institute. It was based on ISDN transmission. During the study, 840 videoconference sessions and 805 programme planning and case discussions took place. After one year of tele-assistance, most families (84%) stated that they were satisfied with the experience, underlining, among various advantages, the availability of professional and continuous support, the reduction of inconvenient travelling to specialized centres and the increase in adaptation skills of their children. Although the present study was empirical, our experience suggests that tele-assistance can satisfy some of the main needs of persons with intellectual disability and their families.

scholarly journals STUDY OF EMOTIONAL STATE AND MEANING SPHERE IN WOMEN WHO CONSCIOUSLY REFUSED MEDICAL SUPPORT DURING PREGNANCY

2021 ◽  
Vol 9 (4) ◽  
pp. 403-412
Author(s):  
I.A. Zolotova ◽  
Keyword(s):  
Life Support ◽  
Emotional State ◽  
Modern Society ◽  
Perinatal Period ◽  
Medical Support ◽  
Emotional Tension ◽  
Total Deviation ◽  
Intrapersonal Conflict ◽  
The Family

The article deals with the relevance of studying the phenomenon of motherhood in modern society in various aspects. It is assumed that the features of the level of psycho-emotional tension can be considered as an indicator of the actual functional state in women during pregnancy. The presence of two competing dominant foci in the perinatal period, represented as: motherhood and career, motherhood and independence, motherhood and life support of the family, motherhood and selfdevelopment, lead to the development of intrapersonal conflict. Resolution of intrapersonal conflict leads to an increase in psycho-emotional tension. Quantitative determination of the vegetative coefficient and the total deviation from the autogenic norm allows you to identify the level of psycho-emotional tension. Significant differences in the severity of the vegetative coefficient and the total deviation from the autogenic norm in women who consciously refused medical support during the period of pregnancy are described.

scholarly journals Co-production of an e-resource to help women who have experienced childhood sexual abuse prepare for pregnancy, birth, and parenthood

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elsa Montgomery ◽  
Julia S. Seng ◽  
Yan-Shing Chang
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Population Data ◽  
Perinatal Period ◽  
Postnatal Period ◽  
Hidden Population ◽  
Telephone Interviews ◽  
Major Transition ◽  
On Line ◽  
Two Phases

Abstract Background This paper reports the development of a co-produced e-resource to support those who have experienced childhood sexual abuse through pregnancy, birth, and parenthood. These are times of major transition for any woman but can present particular challenges for those who have experienced childhood sexual abuse. Re-traumatisation during the perinatal period is common and can occur in ways that may not be anticipated by those involved. Survivors often do not disclose their abuse and the childbearing journey can be lonely. Methods The work was conducted in collaboration with The Survivors Trust and in keeping with the Survivor’s Charter. A participatory approach was used. There were two phases: the generation of new qualitative data and development of the resource. To encourage participation from this hidden population, data were collected by a variety of means including focus groups, telephone interviews and an on-line survey. Survivors who had children and those who hoped to one day participated. Resource development was facilitated by two workshops and email feedback. Results Overall, 37 women participated, all of whom were positive about development of the resource. Although many issues identified during data collection were specific to the participants’ history of abuse other areas of concern would be relevant for any woman contemplating the journey to parenthood. Women often assumed that they were alone in their concerns and were reassured to discover that others shared their experiences. The final resource is hosted on The Survivors Trust Website and is accessible from all electronic devices. It follows the journey from deciding to have a baby, pregnancy, labour, birth, and the postnatal period through to parenthood. Links are provided to further information and sources of support. The process of developing the resource used trauma-informed principles and it speaks with women’s words in a peer-to-peer voice. Conclusions This paper describes the development of an innovative and accessible e-resource that is based on the words and experiences of survivors of childhood sexual abuse. It recognises the importance of control and feeling safe and aims to empower those who use the resource as they embark on pregnancy, birth, and parenthood.

The on-line use of histogram data for high-speed correction and alignment of electron microscope images

1984 ◽  
Vol 42 ◽  
pp. 556-557
Author(s):  
William Krakow
Keyword(s):  
Power Spectrum ◽  
High Speed ◽  
Direct Memory Access ◽  
Digital Television ◽  
Contrast Transfer Function ◽  
The Past ◽  
High Resolution Tem ◽  
On Line ◽  
Correction Of Astigmatism ◽  
The Fourier Transform

In the past few years on-line digital television frame store devices coupled to computers have been employed to attempt to measure the microscope parameters of defocus and astigmatism. The ultimate goal of such tasks is to fully adjust the operating parameters of the microscope and obtain an optimum image for viewing in terms of its information content. The initial approach to this problem, for high resolution TEM imaging, was to obtain the power spectrum from the Fourier transform of an image, find the contrast transfer function oscillation maxima, and subsequently correct the image. This technique requires a fast computer, a direct memory access device and even an array processor to accomplish these tasks on limited size arrays in a few seconds per image. It is not clear that the power spectrum could be used for more than defocus correction since the correction of astigmatism is a formidable problem of pattern recognition.

Image registration with a computer driven S.T.E.M.

1978 ◽  
Vol 36 (1) ◽  
pp. 98-99
Author(s):  
A.M.H. Schepman ◽  
J.A.P. van der Voort ◽  
J.E. Mellema
Keyword(s):  
Spot Size ◽  
Scanning Transmission Electron Microscope ◽  
Small Computer ◽  
Structural Studies ◽  
Area Of Interest ◽  
Transmission Electron ◽  
Scanning Transmission ◽  
Specimen Area ◽  
On Line ◽  
Minimum Distances

A Scanning Transmission Electron Microscope (STEM) was coupled to a small computer. The system (see Fig. 1) has been built using a Philips EM400, equipped with a scanning attachment and a DEC PDP11/34 computer with 34K memory. The gun (Fig. 2) consists of a continuously renewed tip of radius 0.2 to 0.4 μm of a tungsten wire heated just below its melting point by a focussed laser beam (1). On-line operation procedures were developped aiming at the reduction of the amount of radiation of the specimen area of interest, while selecting the various imaging parameters and upon registration of the information content. Whereas the theoretical limiting spot size is 0.75 nm (2), routine resolution checks showed minimum distances in the order 1.2 to 1.5 nm between corresponding intensity maxima in successive scans. This value is sufficient for structural studies of regular biological material to test the performance of STEM over high resolution CTEM.

Design and calibration of an IVEM for general 3-dimensional imaging of non-diffracting materials

1992 ◽  
Vol 50 (2) ◽  
pp. 1040-1041
Author(s):  
Neil Rowlands ◽  
Jeff Price ◽  
Michael Kersker ◽  
Seichi Suzuki ◽  
Steve Young ◽  
...  
Keyword(s):  
3D Imaging ◽  
Tomographic Reconstruction ◽  
Three Dimensional ◽  
3 Dimensional ◽  
3D Microstructure ◽  
Image Translation ◽  
Digital Correlation ◽  
On Line ◽  
Mechanical Stage ◽  
Projection Angle

Three-dimensional (3D) microstructure visualization on the electron microscope requires that the sample be tilted to different positions to collect a series of projections. This tilting should be performed rapidly for on-line stereo viewing and precisely for off-line tomographic reconstruction. Usually a projection series is collected using mechanical stage tilt alone. The stereo pairs must be viewed off-line and the 60 to 120 tomographic projections must be aligned with fiduciary markers or digital correlation methods. The delay in viewing stereo pairs and the alignment problems in tomographic reconstruction could be eliminated or improved by tilting the beam if such tilt could be accomplished without image translation.A microscope capable of beam tilt with simultaneous image shift to eliminate tilt-induced translation has been investigated for 3D imaging of thick (1 μm) biologic specimens. By tilting the beam above and through the specimen and bringing it back below the specimen, a brightfield image with a projection angle corresponding to the beam tilt angle can be recorded (Fig. 1a).

Software pattern recognition applied to nanodiffraction patterns from a STEM instrument

1986 ◽  
Vol 44 ◽  
pp. 694-695
Author(s):  
G.Y. Fan ◽  
J.M. Cowley
Keyword(s):  
Image Processing ◽  
Pattern Recognition ◽  
Computer Software ◽  
Processing System ◽  
Light Level ◽  
Host Computer ◽  
Low Light ◽  
Image Processing System ◽  
Recent Developments ◽  
On Line

In recent developments, the ASU HB5 has been modified so that the timing, positioning, and scanning of the finely focused electron probe can be entirely controlled by a host computer. This made the asynchronized handshake possible between the HB5 STEM and the image processing system which consists of host computer (PDP 11/34), DeAnza image processor (IP 5000) which is interfaced with a low-light level TV camera, array processor (AP 400) and various peripheral devices. This greatly facilitates the pattern recognition technique initiated by Monosmith and Cowley. Software called NANHB5 is under development which, instead of employing a set of photo-diodes to detect strong spots on a TV screen, uses various software techniques including on-line fast Fourier transform (FFT) to recognize patterns of greater complexity, taking advantage of the sophistication of our image processing system and the flexibility of computer software.

Ultrastructural alterations in the fetal mouse myocardium in response to genetic and environmental factors

1987 ◽  
Vol 45 ◽  
pp. 724-725
Author(s):  
K.C. Feng-Chen ◽  
F.B. Essien ◽  
K.J. Prestwidge ◽  
J.T. Cheng ◽  
C.L. Shen
Keyword(s):  
Fetal Heart ◽  
Perinatal Period ◽  
Primary Energy ◽  
Cardiac Contraction ◽  
Ultrastructural Changes ◽  
Fetal Mouse ◽  
The Subject ◽  
Physiological Adjustments ◽  
Genetic And Environmental Factors ◽  
Genetically Determined

The physiology of the fetal heart differs significantly from that of the mature post-natal organ: e.g., the metabolic supply for adult cardiac contraction relies mainly on fatty acids; whereas, the fetal heart uses carbohydrates as its primary energy source. Limited morphological descriptions of the developing myocardium have appeared. However, additional studies are required to elucidate the ultrastructural changes occuring in the perinatal period when enormous physiological adjustments are made. Although adult animals are most often used in toxocological and pathological analyses, it is also important to investigate fetal cardiac responsiveness to various agents. The vulnerability of the ultrastructure of the fetal mouse myocardium to genetic and environmental assault is the subject of this report. The genetically determined effect on the heart was observed in mouse embryos homozygous for the cab (cardiac abnormality) mutation discovered by Essien.

Thickness Measurement in the AEM by Macintosh-Based Analysis of Two-Beam Convergent Beam Patterns

1990 ◽  
Vol 48 (2) ◽  
pp. 504-505
Author(s):  
John F. Mansfield ◽  
Douglas C. Crawford
Keyword(s):  
Electron Microscope ◽  
Video Camera ◽  
Thickness Measurement ◽  
Specimen Thickness ◽  
Crystalline Materials ◽  
Beam Dynamic ◽  
Line Measurement ◽  
On Line ◽  
Image Position ◽  
Convergent Beam

A method has been developed that allows on-line measurement of the thickness of crystalline materials in the analytical electron microscope. Two-beam convergent beam electron diffraction (CBED) patterns are digitized from a JEOL 2000FX electron microscope into an Apple Macintosh II microcomputer via a Gatan #673 CCD Video Camera and an Imaging Systems Technology Video 1000 frame-capture board. It is necessary to know the lattice parameters of the sample since measurements are made of the spacing of the diffraction discs in order to calibrate the pattern. The sample thickness is calculated from measurements of the spacings of the fringes that are seen in the diffraction discs. This technique was pioneered by Kelly et al, who used the two-beam dynamic theory of MacGillavry relate the deviation parameter (Si) of the ith fringe from the exact Bragg condition to the specimen thickness (t) with the equation:Where ξg, is the extinction distance for that reflection and ni is an integer.

Recent developments in automated Transmission Electron MI

1989 ◽  
Vol 47 ◽  
pp. 46-47
Author(s):  
W.J. de Ruijter ◽  
P. Rez ◽  
David J. Smith
Keyword(s):  
Image Analysis ◽  
Computer Image ◽  
Lens Design ◽  
Computer Image Analysis ◽  
Transmission Electron ◽  
Resolution Electron ◽  
Recent Developments ◽  
On Line ◽  
Routine Procedures ◽  
Near Future

There is growing interest in the on-line use of computers in high-resolution electron n which should reduce the demands on highly skilled operators and thereby extend the r of the technique. An on-line computer could obviously perform routine procedures hand, or else facilitate automation of various restoration, reconstruction and enhan These techniques are slow and cumbersome at present because of the need for cai micrographs and off-line processing. In low resolution microscopy (most biologic; primary incentive for automation and computer image analysis is to create a instrument, with standard programmed procedures. In HREM (materials researc computer image analysis should lead to better utilization of the microscope. Instru (improved lens design and higher accelerating voltages) have improved the interpretab the level of atomic dimensions (approximately 1.6 Å) and instrumental resolutior should become feasible in the near future.

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