The use of atosiban prolongs pregnancy in patients treated with fetoscopic endotracheal occlusion (FETO)

2019 ◽  
Vol 47 (9) ◽  
pp. 910-914
Author(s):  
Przemyslaw Kosinski ◽  
Katarzyna Luterek ◽  
Michal Lipa ◽  
Miroslaw Wielgos
Keyword(s):  
Demographic Data ◽  
Cervical Length ◽  
Control Group ◽  
Maternal Body Mass Index ◽  
Premature Rupture Of Membranes ◽  
Maternal Characteristics ◽  
Tocolytic Agent ◽  
Prolonged Pregnancy ◽  
The Impact ◽  
Univariate Linear Regression Model

Abstract Objective To evaluate the impact of atosiban as a tocolytic agent in patients treated with the fetoscopic endotracheal occlusion (FETO) procedure due to congenital diaphragmatic hernia (CDH). As premature birth after fetoscopy remains a serious concern, an effort to reduce prematurity is required. Methods A total of 43 patients with severe CDH treated with FETO were enrolled in this study. The study group consisted of 22 patients who received atosiban during the FETO procedure and a control group of 21 patients who did not receive atosiban during the FETO procedure. Demographic data, gestational age (GA) at delivery, cervical length and GA at premature rupture of membranes (PROM) were evaluated. Results The GA at delivery was significantly different between the two groups studied. The median GA at delivery was 32.6 and 34.5 weeks in the no-atosiban vs. atosiban groups, respectively (P = 0.013). The median cervical length was 29.9 and 31.2 mm for the no-atosiban and atosiban groups, respectively, and was not statistically significant (P = 0.28). There were no significant correlations between groups for the occurrence of PROM, GA at the time of PROM, duration of the procedures, parity, maternal body mass index (BMI) or age. In the univariate linear regression model, the only factor independently associated with GA at delivery was the use of atosiban during FETO procedures (β = 0.375; P < 0.013). Conclusion In cases of severe CDH treated with FETO, the use of atosiban as a tocolytic agent during the procedure prolonged pregnancy by 2 weeks. Cervical length, duration of FETO or maternal characteristics were not associated with GA at delivery.

scholarly journals Impact of Resistance Exercise On Hand Grip: An Experimental study

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 371-375
Author(s):  
Bhuvaneshwari G ◽  
Nithya Manogaran
Keyword(s):  
Resistance Exercise ◽  
Research Design ◽  
Elderly Population ◽  
Demographic Data ◽  
The Elderly ◽  
Muscle Quality ◽  
Control Group ◽  
Hand Grip ◽  
The Impact ◽  
Experimental Group

Sarcopenia is a significant medical issue related with aging, characterized as loss of bulk and capacity. It is a condition portrayed by loss of skeletal bulk and quality, with a danger of antagonistic results, for example, handicap, improvement of delicacy, low quality of life and death. Its etiology is still inadequately comprehended. Opposition preparing intercession is sheltered and compelling for checking sarcopenia. Resistance exercise (RE) programs improve muscle anabolism, bulk and muscle quality. The present study aims to assess the impact of resistance exercise on hand grip among the elderly population with sarcopenia. A quasi experimental research design with non-randomized control research design was conducted among 30 elderly population in Arrakonam among which 15 were chosen for the experimental group and 15 were chosen as the control group. A purposive sampling technique was used to select samples. Structured questionnaires were used to collect demographic data and BMI and hand grip was assessed. The resistance exercises were taught to the elderly population and they were asked to perform the exercise every day for one week. After a week, the BMI and hand grip was re-assessed. The studies thus indicates that the experimental group had a reduction in the hand grip and increase in the BMI value after resistance exercise and is also an effective method to prevent further complications that can be caused due to sarcopenia.

scholarly journals The Impact of Time-use Training on the Quality of Time Management in the Mothers of Children With Intellectual Disabilities

2020 ◽  
Vol 18 (2) ◽  
pp. 145-154
Author(s):  
Sanaz Arzhangi ◽  
◽  
Meimanat Hosseini ◽  
Samaneh Hosseinzadeh ◽  
Mansoureh Zagheri Tafreshi ◽  
...  
Keyword(s):  
Time Use ◽  
Time Management ◽  
Demographic Data ◽  
Intervention Group ◽  
Educational Interventions ◽  
T Test ◽  
Control Group ◽  
Cluster Sampling ◽  
The Impact

Objectives: The present research aimed to determine the effect of time-use training on the quality of time management in the mothers of girls with Intellectual Disability (ID) attending special schools.  Methods: This was a quasi-experimental study with a control group design. In total, 80 mothers (40 mothers in the intervention group & 40 mothers in the control group) of children with ID (age range: 6-13 years) were studied. The study participants were selected by cluster sampling method. The required data were collected using a demographic data questionnaire and the Mothers’ Time Use Questionnaire (MTUQ). A time management training program was provided in a one-day workshop for the intervention group. The obtained data were analyzed in SPSS using Independent Samples t-test, Paired Samples t-test, and Chi-squared test. Results: After the intervention period, the quality of time management of the mothers in the intervention group significantly increased, compared to the controls (P<0.05). Discussion: The current research findings suggested that time-use training improved the quality of time management in the studied subjects. Therefore, educational interventions related to time management are recommended for the parents of children with ID. Besides, paying attention to this vulnerable group should be among nurses’ responsibilities.

scholarly journals Effect of Video-assisted Teaching on Knowledge of Staff Nurses regarding Lamaze Breathing Exercises during the First Stage of Labour to Improve Maternal and Foetal Outcome among Primi Parturient Mothers

2020 ◽  
Vol 11 (04) ◽  
pp. 12-18
Author(s):  
Sharda Nagvanshi ◽  
Keyword(s):  
Demographic Data ◽  
Staff Nurses ◽  
Control Group ◽  
Knowledge Gain ◽  
Breathing Exercises ◽  
Video Assisted ◽  
Post Test ◽  
And Control ◽  
The Impact ◽  
Experimental Group

Background: The present study was conducted to assess the impact of video aided teaching on knowledge gain of staff nurses regarding lamaze breathing exercises throughout the first stage of labour. Method: An experimental research design was chosen with pre-test and post-test of experimental and control group. The sample size was sixty registered staff nurses divided into two groups, thirty in experimental and thirty in control group. The tools used for conducting the study included demographic data and a self structured questionnaire to assess knowledge of experimental and control group. The experimental group was given video assisted teaching as an intervention and the control group was used for comparison without intervention. Result: The data were analysed with the help of descriptive and inferential statistics. The study clearly shows that there was a significant gain in knowledge of staff nurses of the experimental group with video assisted teaching that emphasises the lamaze breathing exercises during first stage of labour are safe measures to enhance maternal and foetal outcomes. Conclusion: The staff nurses are benefited with video assisted teaching to enhance knowledge and they can use the breathing exercises during first stage of labour to promote comfort to labouring women and also minimise the use of medication and risk of LSCS during labour.

scholarly journals Comparison of the Effect of Electronic Learning and Blended Learning on the Empowerment of the Caregivers of Cancer Patients Under Chemotherapy

2021 ◽  
Author(s):  
Nahid Karimi ◽  
Nahid ZarifSanaiey ◽  
Fatemeh Vizeshfar
Keyword(s):  
Blended Learning ◽  
Cancer Patients ◽  
Statistical Tests ◽  
Demographic Data ◽  
Simple Random Sampling ◽  
Control Group ◽  
Electronic Learning ◽  
Significant Difference ◽  
And Performance ◽  
The Impact

Abstract Objective: Cancer is a chronic disease that affects the person and family. E-learning is a common method of educating for patients and caregivers. The present study aimed to compare the impact of electronic learning and blended learning on the empowerment of the caregivers of cancer patients under chemotherapy. Methods: This clinical trial was performed in the main chemotherapy center of Shiraz University of Medical Sciences during October 2018-December 2020. A total of 123 caregivers of cancer patients who were under chemotherapy were selected through simple random sampling based on drawing in two intervention groups and one control group. The empowerment of caregivers was evaluated using the caregivers’ empowerment questionnaire in all three groups at the beginning of the study, immediately after the intervention, and one month after intervention. The data were analyzed by descriptive and statistical tests utilizing the SPSS software version 22. Results: The comparison of knowledge scores between the two intervention groups shows not significant difference between the two groups (P=0.3). Comparison of attitude scores demonstrated the group intervention one had a better attitude than the two others groups after intervention (P0.003). The mean performance score increased in both intervention groups with a significant difference (P=000). No significant differences were observed between demographic data and knowledge, attitude and performance of three groups (P>0.05). Conclusion: Our results indicated that electronic and blended learning types affected the attitude and performance of patients’ caregivers. Therefore, blended learning could be applied as a source of enhancing the empowerment of caregivers.

scholarly journals Cervical Ripening With Multiple Medical or Combined Induction Methods: Risks of Subsequent Preterm Birth in Nulliparous Women

2021 ◽  
Author(s):  
Naama Farago ◽  
Yuval Ginsberg ◽  
Gal Bachar ◽  
Ron Beloosesky ◽  
Dana Vitner ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Demographic Data ◽  
Mode Of Delivery ◽  
Cervical Ripening ◽  
Control Group ◽  
Study Group ◽  
Nulliparous Women ◽  
Fetal Complications ◽  
The Impact ◽  
Combined Methods

Abstract Objectives: Cervical ripening is one of the most frequently used procedures in modern obstetrics; it can be conducted with mechanical (single or double balloon), medical (PGE2), or combinations of both methods. We aimed to determine the impact of combined methods on the risk of preterm birth in subsequent pregnancy, in nulliparous women. Methods: A retrospective cohort study of term singleton gestations in nulliparous women, who were induced by mechanical, medical, or combined methods for any indication, managed at one tertiary medical center from 2019 to July 2019, and had their subsequent second birth in our institution. Study groups were compared to a control group of nulliparous women not induced. The primary outcome was risk of preterm labor in the second consecutive birth. Secondary outcomes included maternal and fetal complications, postpartum hemorrhage, chorioamnionitis, mode of delivery, and fetal Apgar score. Results: Our cohort included 1277 nulliparous women who underwent cervical ripening with mechanical, medical, or combined methods, and a subsequent singleton live birth in our institution. Our study group consisted of 942 women induced by one dose of PGE2, 248 women induced by multiple doses of PGE2 or combined methods, and 87 women induced by mechanical method. The study group was matched to 3903 women in the control group. Demographic data of the four groups were identical, including maternal age, body mass index, and maternal diseases. The rates of spontaneous pre-term birth in the subsequent births, defined as birth at < 37 weeks, did not differ among the four groups (4.9% in single dose group, 2% in multiple induction group, 6.9% in mechanical induced group, and 4.3% in the control group). Moreover, the rates of spontaneous early preterm birth at < 34 weeks did not differ among the groups. Conclusions: Cervical ripening with combined methods or multiple medical doses did not increase the rate of subsequent spontaneous preterm births in nulliparous women. The rate of maternal or fetal complications was identical in our study and control group.

The impact of minor trauma on pregnancy

Trauma ◽  
2016 ◽  
Vol 19 (2) ◽  
pp. 113-117 ◽  
Author(s):  
Meike Schuster ◽  
L Jaramillo ◽  
J Wild ◽  
AD Mackeen ◽  
MJ Paglia
Keyword(s):  
Preterm Delivery ◽  
Neonatal Intensive Care ◽  
Control Group ◽  
P Value ◽  
Minor Trauma ◽  
Premature Rupture Of Membranes ◽  
Control Versus ◽  
Trauma In Pregnancy ◽  
The Impact ◽  
Trauma Group

Purpose To determine the impact of a single episode of minor trauma during pregnancy on maternal and fetal outcomes. Methods This is a retrospective cohort study of pregnant women who experienced minor trauma at ≥24 weeks gestation between 2004 and 2014. The subjects who experienced minor trauma (minor trauma group) were matched by gestational age at the time of minor trauma, body mass index, and age to a cohort of women who did not experience trauma in pregnancy (control group). The primary obstetrical outcome was preterm delivery and the primary neonatal outcomes were APGAR scores and neonatal intensive care unit admission. Results There were no significant differences between the two groups with respect to demographics or other risk factors for preterm delivery. Average gestational age at the time of delivery was 39 weeks regardless of whether a woman experienced minor trauma. Preterm delivery occurred more often in the control group (11.8% versus 7.9%, p = 0.0428) as did the rate of neonatal intensive care unit admissions (8.6% versus 5%, p = 0.0273). A subgroup analysis was performed excluding patients with a medically indicated delivery and there was no difference in the rate of preterm delivery (6.4% in the control group, 4% in the minor trauma group, p-value 0.9052). Among women with a spontaneous preterm delivery, the rates of preterm labor (3.0% control versus 2.0% minor trauma, p-value 0.75) and preterm premature rupture of membranes were found to be similar between the two groups (3.8% control versus 2.0% minor trauma PPROM, p-value 0.75). Conclusions One episode of minor trauma in pregnancy does not increase the risk for preterm delivery, premature rupture of membranes, or poor neonatal outcomes.

Information and Communication Technology and Cultural Change

2012 ◽  
Vol 43 (4) ◽  
pp. 222-231 ◽  
Author(s):  
Nina Hansen ◽  
Tom Postmes ◽  
Nikita van der Vinne ◽  
Wendy van Thiel
Keyword(s):  
Cultural Values ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Cultural Change ◽  
Control Group ◽  
Self Construal ◽  
Information And Communication ◽  
The Impact ◽  
Ict For Development ◽  
Practical Implications

This paper studies whether and how information and communication technology (ICT) changes self-construal and cultural values in a developing country. Ethiopian children were given laptops in the context of an ICT for development scheme. We compared children who used laptops (n = 69) with a control group without laptops (n = 76) and a second control group of children whose laptop had broken down (n = 24). Results confirmed that after 1 year of laptop usage, the children’s self-concept had become more independent and children endorsed individualist values more strongly. Interestingly, the impact of laptop usage on cultural values was mediated by self-construal (moderated mediation). Importantly, modernization did not “crowd out” traditional culture: ICT usage was not associated with a reduction in traditional expressions (interdependent self-construal, collectivist values). Theoretical and practical implications are discussed.

A Newspaper’s Effect on the Strength of Automatic Associations in Memory

2012 ◽  
Vol 24 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Florian Arendt
Keyword(s):  
Treatment Group ◽  
Term Effect ◽  
Control Group ◽  
Implicit Measure ◽  
Short Term ◽  
Short Term Treatment ◽  
Short Term Effect ◽  
Automatic Associations ◽  
Foreign Nationality ◽  
The Impact

A test was done to see if reading a newspaper which consistently overrepresents foreigners as criminals strengthens the automatic association between foreign country and criminal in memory (i.e., implicit cultivation). Further, an investigation was done to find out if reading articles from the same newspaper produces a short-term effect on the same measure and if (1) emotionalization of the newspaper texts, (2) emotional reactions of the reader (indicated by arousal), and (3) attributed text credibility moderate the short-term treatment effect. Eighty-five participants were assigned to one of three experimental conditions. Participants in the control group received short factual crime texts, where the nationality of the offender was not mentioned. Participants in the factual treatment group received the same texts, but the foreign nationality was mentioned. Participants in the emotionalized treatment group received emotionalized articles (i.e., texts which are high in vividness and frequency) covering the same crimes, with the foreign nationality mentioned. Supporting empirical evidence for implicit cultivation and a short-term effect was found. However, only emotionalized articles produced a short-term effect on the strength of the automatic association, indicating that newspaper texts must have a minimum of stimulus intensity to overcome an effect threshold. There were no moderating effects of arousal or credibility pertaining to the impact on the implicit measure. However, credibility moderated the short-term effect on a first-order judgment (i.e., estimated frequency of foreigners of all criminals). This indicates that a newspaper’s effect on the strength of automatic associations is relatively independent from processes of propositional reasoning.

Impact of an educative program on dialysis patients’ knowledge and mental health: controlled before and after program

2018 ◽  
Vol 10 (2) ◽  
pp. 20204
Author(s):  
Laetitia Idier ◽  
Aurélie Untas ◽  
Nicole Rascle ◽  
Michèle Koleck ◽  
Maider Aguirrezabal ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Vascular Access ◽  
Educational Program ◽  
Psychological State ◽  
Control Group ◽  
Dialysis Patients ◽  
Emotional Change ◽  
The Impact ◽  
Experimental Group

Introduction:Psychological impact of Therapeutic Patient Education (TPE) for dialysis patients is rarely evaluated since the focus of many studies is on medical variables (i.e., adherence).Objectives:The aims of this study were: 1) to estimate the impact of a TPE program on knowledge, depression and anxiety, 2) to examine change in knowledge as a mediator of the effects of a TPE program on mental health.Method:This study was conducted in three hemodialysis units and comprised two groups: an experimental group with education and a control group with routine care. The program was based of 5 educative sessions. Knowledge, depressive and anxious symptoms were assessed with self-reported outcomes measured before and 3 months after the program.Results:The sample comprised 125 patients. Knowledge about vascular access and nutrition (p < 0.01) and depressive symptoms increased in the experimental group (p < 0.01). Analysis of mediation showed that changes in knowledge about vascular access were a significant mediator of the effects of the program on depressive symptoms (F = 4.90;p = 0.01).Discussion:Knowledge acquired during an educational program could lead to an emotional change. Improving knowledge often leads to an awareness of the risks that can modify the psychological state of patients by reminding them of their vulnerability. This study shows that it is required to be attentive to the way of transmitting knowledge. It’s necessary adapting this transmission to the needs of patients and promoting the acquisition of psychosocial competence too.Conclusion:This study shows that knowledge acquired during an educational program can lead to an emotional change in the short term. A long-term follow-up of the population should be interesting to observe these emotional effects.

The Impact of Visual Thinking Approach to Promote Elementary Students’ Problem Solving Skill in Mathemathics

2018 ◽  
Vol 1 (2) ◽  
pp. 98
Author(s):  
Muhammad Fendrik ◽  
Elvina Elvina
Keyword(s):  
Elementary Schools ◽  
Problem Solving ◽  
Elementary Students ◽  
Visual Learning ◽  
Control Group ◽  
Visual Thinking ◽  
Quasi Experimental ◽  
Student Skill ◽  
Mathematical Skill ◽  
The Impact

This study aims to examine the influence of visual thinking learning to problemsolving skill. Quasi experiments with the design of this non-equivalent controlgroup involved Grade V students in one of the Elementary Schools. The design ofthis study was quasi experimental nonequivalent control group, the researchbullet used the existing class. The results of research are: 1) improvement ofproblem soving skill. The learning did not differ significantly between studentswho received conventional learning. 2) there is no interaction between learning(visual thinking and traditional) with students' mathematical skill (upper, middleand lower) on the improvement of skill. 3) there is a difference in the skill oflanguage learning that is being constructed with visual learning of thought interms of student skill (top, middle and bottom).

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