scholarly journals Contraceptive Use of Levonorgestrel Intrauterine System: Case Series

2020 ◽  
Vol 11 (3) ◽  
pp. 116-123
Author(s):  
Zeynep Ayaz ◽  
Arzu Uzuner

Aim: Levonorgestrel intrauterine system (LNG-RIS) is a highly effective, safe and reversible contraceptive method. It suppresses endometrial cell proliferation, thickens cervical mucus, disrupts tubal motility by creating a high levonorgestrel concentration in the endometrium and tubal mucosa. In our country, LNG-RIS is mostly used in Gynecology and Obstetrics clinics in the treatment of pathologies such as adenomyosis, endometriosis, hyperplasia and their symptoms such as menorrhagia, dysmenorrhea, pelvic pain, and is prescribed at the hospitals due to a medication report. It has a high level of protection (99.9%), and its contraceptive effect is considered to last five years, and fertility returns rapidly after removal. In this study it was aimed to evaluate retrospectively the continuation rate, the presence of unwanted effects and the patient satisfaction after insertion of LNG-RIS. Method: This is a retrospective, descriptive study of women who had been inserted LNG-IUS with contraceptive purpose in the family planning unit of the Marmara University Pendik Training and Research Hospital, between 2013-2019; the data of a total 38 patients were retrospectively analyzed. Results: The average age of the participants was 36±5 years. No pregnancy is detected during the use of the method. Five-year usage rate was 21% among users. A total of nine patients discontinued the method; one because being diagnosed with a glial tumor, two because of excessive bleeding, one other patient because having hysterectomy due to myoma uteri, two patients because the threads were not visible, two others because they have been told that their LNG-IUS had slipped down and one patient because of her pregnancy plan. The satisfaction rate was 52.6%. There was a decrease in both the duration and the amount of bleeding of menstruation but this decrease was not statistically significant. Conclusion: LNG-RIS is an effective, reliable contraception method with low side effect. It is still limited in primary care and it will be more appropriate to spread its use.

1999 ◽  
Vol 31 (3) ◽  
pp. 311-326
Author(s):  
FIONA STEELE ◽  
FATMA EL-ZAHRAA M. M. GEEL

This paper examines the reasons for the high level of unmet need for contraception in rural Egypt, using data from the individual survey and service availability module of the 1988Ð89 Egypt Demographic and Health Survey. Two broad sets of potential factors are considered: characteristics of a woman which influence her desire for children and thus her propensity to use contraception, and factors relating to the family planning service environment in which she lives. The results from a multivariate analysis show that certain individual characteristics, such as family composition and education, have a strong impact on the level of contraceptive use and on the proportion of total demand for spacing or limiting childbearing that is met by use of family planning. Unmet need, however, remains fairly constant across demographic and socioeconomic subgroups of the population. The largest variations in unmet need are regional, but elements of the family planning services, namely the provision of a community-based nurse who distributes family planning and female doctors at clinics, also play an important role.


Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 146
Author(s):  
Rebecca McClay

The purpose of this project was to determine if bedside intensive care unit (ICU) nurse buy-in to the Family Hospital Elder Life Program (HELP) protocol was sufficient to make implementation feasible at one county hospital in West Texas. Surveys were anonymous with ballot box collection being available to the bedside ICU nurses for one week each. Questions were based on literature findings of expected outcomes, identified barriers and facilitators, Calgary Family Intervention Method framework domains, and the Centers for Disease Control and Prevention Framework for program evaluation. Outcome measures were taken from the stated aims of the project and evaluated from paired baseline and summative survey questions. Survey participation was approximately half of nurses employed in the studied ICU. Analysis of the surveys showed a positive perception of family presence decreasing patient delirium symptoms, and a positive perception of the Family HELP protocol. The results described a high perception of family members as partners in care and high intention to implement the Family HELP protocol, indicating strong support of a full implementation of the protocol. The high level of bedside nurse buy-in present in this study has large implications for successful implementation of the Family HELP protocol in the near future, with sustainability and continued use supported by potential inclusion of the task in the electronic health record charting.


Author(s):  
Nishta Rana ◽  
Shivani Kapoor

Academic achievement is often considered as a key criterion to judge one's total potentialities and capabilities. Academic achievement has become a prime interest for the teachers, educationists, psychologists and parents to predict children's academic success which is considered to be an outcome of the learning environment and the family. The present study aimed at seeking the level of academic achievement of female students at the college level with respect to their family environment and locale. Random Sampling Technique was applied to draw the sample of 200 female students studying in the five-degree colleges of Jammu City (J&K) in the year 2015. Family Environment Scale (FES-BC) by Bhatia and Chadha (2012) was used for data collection. This tool has eight dimensions-Cohesion, Expressiveness, Conflict, Acceptance and Caring, Independence, Active-Recreational Orientation, Organisation and Control. The findings revealed that most of the female students were having an average level of academic achievement. Very few female students were found to have a high level of academic achievement. No significant differences in the level of academic achievement were found among female students in relation to their residential background, whereas significant differences were found in the family environment of female students with respect to the locality at the sub-scale “Acceptance and Caring” and “Active Recreational Orientation”. The value of the coefficient of correlation was found to be low, positive but significant at the 0.01 level of significance at the sub-scale “Cohesion” of Family Environment Scale. It shows that academic achievement and cohesion in the family are positively related with each other, however, the correlation is low.


2010 ◽  
Vol 18 (1) ◽  
pp. 26-32 ◽  
Author(s):  
Keika Inouye ◽  
Elisete Silva Pedrazzani ◽  
Sofia Cristina Iost Pavarini ◽  
Cristina Yoshie Toyoda

This paper aimed to compare the reports of patients and caregivers about how they perceive quality of life (QoL) in general and each of its dimensions in elderly with Alzheimer’s Disease (AD). The participants were elderly diagnosed with AD (n=53) attended by the Exceptional Medication Program in a city in the interior of Sao Paulo; and their respective family caregivers. The QoL measures were obtained through the Quality of Life Assessment Scale on Alzheimer’s Disease. The results showed statistically significant differences in the “memory” (p<0.05) and “you in general” (p<0.005) dimensions. Regarding the final score, the average in the patient’s version was 29.32 points (sd=6.27), against 28.33 points (sd=5.58) in the family version, p>0.100. Although the relative and patient reports were not identical, the results pointed to a high level of consistency among information.


2021 ◽  
Vol 16 (1) ◽  
pp. 13
Author(s):  
Mugia Bayu Raharja ◽  
Robani Catursaptani ◽  
Rahmadewi Rahmadewi

The number and sex composition of children are important for some married couples in Indonesia. Having sons in the family is considered as a must since they are argued to be the successor of the family lineage. The presence of daughters is expected to help with household chores and care for their elderly parents. The sex preference for children by the married couples can affect their number of children. This study aims to assess the relationship between the number and sex composition of children, contraceptive use, and the desire to have more children among women in Indonesia. The study employed the data from the 2017 Indonesian Demography and Health Survey (IDHS), with the unit of analysis of currently married women aged 15-49 who have at least one living children. The results show that women with two or more children of the same sex had a higher tendency to have additional children and no use of contraceptives. The Family Planning program's campaign of similar values shared between son and daughter is still hardly accepted, hence, sex preference still exists. It is necessary to reformulate an effective concept for proper socialization of these values as an effort to control the fertility rate in Indonesia.


2020 ◽  
Vol 11 (87) ◽  
Author(s):  
Elena Vishtalenko ◽  
◽  
Emma Andreasyan ◽  

Most researchers of socialization processes agree that the primary socialization carried out in the family is crucial. The phenomenon of the family was considered in terms of psychological, sociological, anthropological, philosophical, biological and cultural approaches. Now the question of surrogacy is being studied in terms of the psychology of the life path of the individual; as manifestations of the meaning of life, will, responsibility; as a world of the subjective, where is always something more. Many scientists pay attention to the methodology, organization, functioning of foster families; the problems of lifestyle of orphan children in general, and in particular – in a professionally foster family. Scientists have considered the motivation of the adopted child into the family and some socio-psychological characteristics of parents. However, there are almost no studies of some individual-typological features that dysfunctionally affect family relationships, although these features may be the reason for the denial of the family's ability to be a substitute. The relevance of the study is due to the need of supplement the structural and semantic components of the psychological diagnosis of potential parents in foster families. The empirical study was conducted on the basis of the Odessa Regional Center for Social Services for Families, Children and Youth, a territorial division of the Odessa Regional State Administration. In testing took a part about 30 applicants for foster parents. With the help of Individual-typological questionnaire LM Sobchyk (ITO) there was created an average statistical portrait of candidates for the role of parents in foster families. They are characterized by a high level of extraversion (48.6%); average level of rigidity (82.9%), aggression (54.3%), anxiety (82.9%), introversion (71.5%), lability (74.3%), sensitivity (62.9%), spontaneity (60%). All these qualities positively characterize all members of the sample and confirm their reliability as potential parents in foster families. These conclusions can be used by psychologists in the selection of candidates for the role of foster parents in foster families, as well as in psychological counseling.


Author(s):  
Can Doruk Basa ◽  
İsmail Eralp Kaçmaz ◽  
Vadym Zhamilov ◽  
Ayfer Gider ◽  
Hüseyin Gökhan Karahan ◽  
...  

Objective: The aim of this study was the determine educational status, anxiety, the use of prevention methods and their knowledge level of nurses, operation theatre staffs and technicians about radiation. Methods: This study is a cross-sectional descriptive survey. The universe of our study consists of non-medical doctor staffs (nurses, technicians and operating theatre personnel) of one university and two training and research hospitals in İzmir. The sample selection was not made in our study and the personnels who accepted to participate in the study constituted the sample of the study (n=97). This was a survey of 21 questions. The survey includes participants’ demographical datas, protection type from radiation, anxiety about radiation, knowledge about radiation and education level about radiation. SPSS v21.0 were used for statistical analysis. Results: In our study, 97 participants completed the questionnaire. 51 of the participants were female (52.6%) and 46 were male (47.4%). Forty-one (42.3%) of the participants were 9 health technician (9.3%), 20 (20.6%) anesthesia technicians and 27 (27.8%) operating theatre staffs. It was found that 85 (87.6%) of the participants had operations requiring fluoroscopy in the operating room. It was learned that 29 (29.9%) participants answered the question examining the knowledge about radiation and 38 (39.2%) were educated about radiation safety. When the relationship between the participants’ answers to the question examining the knowledge about radiation and the educational level about radiation was examined, a statistically significant relationship was found between them (p=0.043). Conclusion: It was thought that non-medical doctor employees in the orthopedics and traumatology operating theatre had a high level of anxiety about radiation, had insufficient knowledge, and that training on radiation should be repeated periodically.


Discourse ◽  
2021 ◽  
Vol 6 (6) ◽  
pp. 87-98
Author(s):  
M. N. Yashina

Introduction. The practice of obtaining family education has become a fashionable trend in our country in recent years. Despite the growing popularity among the population, we have not yet received enough scientific understanding of this form of training. The purpose of the article is to describe the social portrait of families who have chosen a family form of education for a child. The scientific novelty of the work is due to the empirical data presented in it, which have a dynamic nature of observing the studied object.Methodology and sources. The methodological basis for the study was the conflict approach and the principles of a radical humanistic approach to education in the interpretation of I. Illich. The empirical basis of the study is the results of three surveys of parents o f c hildren f rom 6 t o 1 8 y ears o ld w ho are o n f amily e ducation. S urveys w ere implemented from 2016 to 2020, according to the same methodology and tools. To collect data, a questionnaire for an online survey was developed, which was distributed on social networks, mainly in VKontakte communities dedicated to family education. The total data set includes 443 respondents.Results and discussion. According to surveys, children in family education grow up in full families, where the parent's ode has a high level of education, the mother, as a rule, does not work or has the possibility of a free schedule and is a teacher for the child. The main source of income in the family is the father. The total income of the family, which averages from 40 to 60 thousand rubles per month. In the family, most often two children, one of whom is in family education. Family education is mainly provided with primary school children.Conclusion. The peculiarity of studying family education not only in our country, but also in the world is the lack of accurate statistics on the number of children of homeschoolers. In this regard, only non-random samples are possible in the implementation. The portrait of Russian homeschoolers differs from American ones, in particular in the level at which family education is implemented, the place of residence of families, and their income.


Acta Medica ◽  
2021 ◽  
pp. 1-5
Author(s):  
Gülsüm Kavalci ◽  
Selvi Ceran Kayipmaz

Objective: The ongoing Covid-19 pandemic further increased this stress of employees. This disease, which did not have a cure and a vaccine at the beginning, increased the anxiety of the employees and forced them to live separately due to the risk of infecting family members. This study aimed to investigate the burnout levels of doctors and technicians working in Yenimahalle Training and Research Hospital Anaesthesiology and Reanimation Clinic. Materials and Methods: This study was conducted prospectively by using a questionnaire method in the Yenimahalle Training and Research Hospital. Maslach Burnout questionnaire applied to the participants. Quantitative data were expressed as %, the number of subjects as (n). The distribution of continuous variables was evaluated with the Kolmogorov-Smirnow test. Qualitative data were expressed in mean±SD (standard deviation). X2 test was used for comparison of categorical variables. Independent Student T-test was used for comparison of continuous variables. The relationship between burnout level and variables was determined by Pearson Correlation Test. The value of p<0.05 was considered statistically significant. Results: A total of 52 volunteers participated in the study. The average emotional exhaustion score of the volunteers participating in the study was 31.13±4.6, the average depersonalization score was 15.06±3.3, and the mean personal achievement score was 23.60±3.7. There was no statistically significant relationship between any of the variables and the burnout level (p>0.05). Conclusion: The high level of burnout in a clinic that is at the forefront of the fight against Covid-19, such as anesthesiology and reanimation, is important in terms of determining the situation.


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