scholarly journals Follow-up of copper intrauterine device insertion by nurses: a prospective longitudinal study

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Tatiane Herreira Trigueiro ◽  
Jerferson Cleiton Ferrari ◽  
Silvana Regina Rossi Kissula Souza ◽  
Marilene Loewen Wall ◽  
Rute Barbosa
Keyword(s):  
Intrauterine Device ◽  
Descriptive Analysis ◽  
Maternity Hospital ◽  
Prospective Longitudinal Study ◽  
Irregular Bleeding ◽  
One Year ◽  
Nursing Training ◽  
Prospective Longitudinal ◽  
Copper Intrauterine Device

ABSTRACT Objective: to assess the complications, acceptability and causes of discontinuation of women who inserted copper intrauterine devices at a usual risk maternity for one year. Methods: a longitudinal-prospective study, lasting 12 months. Eighty-three women who received the device by a doctor or nurse in a maternity hospital between September and October 2017 participated. Data were collected at one, six and 12 months after insertion and underwent descriptive analysis. Results: most were inserted by nurses and 71 continued with the device. Women chose IUD use because there is no risk of forgetfulness, it is non-hormonal and effective. The 12 who discontinued use reported dysmenorrhea, menorrhagia, irregular bleeding, fall out, and endometrium perforation. Conclusion: the method was continued by most of participants and the complications found are common to the literature. There is a need to expand nursing training to increase the offer to the population.

scholarly journals The clinical value of the delta finger to palm distance in systemic sclerosis

Reumatismo ◽  
2020 ◽  
Vol 72 (1) ◽  
pp. 44-51
Author(s):  
A. Javinani ◽  
S. Mostafaei ◽  
F. Gharibdoost ◽  
A.R. Jamshidi ◽  
R. Atef Yekta ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Clinical Manifestations ◽  
Digital Ulcers ◽  
Clinical Value ◽  
Prospective Longitudinal Study ◽  
Linear Effect ◽  
One Year ◽  
The One ◽  
Prospective Longitudinal

Systemic sclerosis (SSc) is a collagen-vascular disorder characterized by fibrosis and vasculopathy. Delta finger to palm distance (delta FTP) is an index measuring the distance between the tip of the third finger to the distal palmar crease in the flexed and extended position. The present study aimed to evaluate the clinical value of delta FTP and to assess the correlation of delta FTP with modified Rodnan skin score (mRSS) and forced vital capacity (FVC) over the 12-month follow-up. This prospective longitudinal study began with 50 participants who were followed for twelve months. Lowess smoothing and linear regression were applied to detect and assess the relationship between delta FTP and mRSS. p-values were adjusted by the Benjamini-Hochberg method (BHM) as a control for false discovery rate. Delta FTP was lower among patients with higher disease duration (p-valueadj: 0.008), diffuse cutaneous SSc (p-valueadj: 0.006), digital ulcers (p-valueadj: 0.003), telangiectasia (p-valueadj: 0.006) and dysphagia (p-valueadj: 0.036). The mRSS has a significant negative linear effect on the delta FTP at the baseline and the end of the follow-up (r: -0.31 and -0.40, respectively). Moreover, changes of mRSS and delta FTP showed a negative linear association over time (r: -0.22). These linear effects remained significant after regrouping the patients based on their SSc subtype. Delta FTP and FVC were not correlated either at the baseline or at the end. It seems that the delta FTP can be a valuable clinical index, supported by its correlated changes with mRSS and other SSc clinical manifestations over the one-year follow-up.

scholarly journals Prospective evaluation of clinical profile and treatment outcome of patients presenting with polyarthritis diagnosed as rheumatoid arthritis

2012 ◽  
Vol 10 (2) ◽  
pp. 22-28
Author(s):  
Arpana Neopane ◽  
Mona Sharma ◽  
Sumugdha Rayamajhi
Keyword(s):  
Rheumatoid Arthritis ◽  
Treatment Response ◽  
Clinical Presentation ◽  
Prospective Longitudinal Study ◽  
Early Presentation ◽  
Common Presentation ◽  
Characteristic Features ◽  
One Year ◽  
Prospective Longitudinal

Introduction: Polyarthritis is a common presentation of patients attending medicine outpatient department. Among various causes Rheumatoid arthritis is the commonest and a well established case has distinct characteristic features. However the early presentation of this disease has not been clear thus leading to delay in treatment. The objectives of this study was to identify the various causes of polyarthritis in our clinical practice, discuss the varied clinical presentation of rheumatoid arthritis including early Rheumatoid arthritis and to evaluate the treatment response during one year follow up. Methods: Prospective longitudinal study conducted in a teaching hospital over a two years period Results: Rheumatoid arthritis was the commonest cause of polyarthritis (77.8%) with a period prevalence of 0.7%. Early presentation included atypical features like asymmetry, unilateral presentation, manifesting within 2 months to 2 years of diagnosis. 43% (n=18) of the patients had swelling and tenderness in overused joints 1.5 years prior to full clinical manifestation. Flitting or migratory joint pain not considered to be a feature of rheumatoid arthritis was also present in 14.3% (n=6) patients with mean duration of 1.5 years prior to full blown presentation. MCPJ (metacarpophalyngeal joints) and PIP (proximal interphalyngeal joints) were involved in 90%. Treatment response with Methotrexate as a single DMARD was good as compared with DAS 28 ESR score. Conclusions: RA is a common arthritis with varied clinical presentation. Recognition of early symptoms is needed for early diagnosis and initiation of DMARD. Methotrexate as a DMARD is effective and should be initiated early. DOI: http://dx.doi.org/10.3126/mjsbh.v10i2.6459 Medical Journal of Shree Birendra Hospital July-Dec 2011 10(2) 22-28

scholarly journals Introducing the hormonal Intrauterine Device in Madagascar, Nigeria, and Zambia: results from a pilot study

2022 ◽  
Vol 19 (1) ◽  
Author(s):  
Kendal Danna ◽  
Grace Jaworski ◽  
Bakoly Rahaivondrafahitra ◽  
Francia Rasoanirina ◽  
Anthony Nwala ◽  
...  
Keyword(s):  
Intrauterine Device ◽  
Descriptive Analysis ◽  
Unmet Need ◽  
Cumulative Probability ◽  
User Characteristics ◽  
Middle Income ◽  
Prospective Longitudinal Study ◽  
Highly Effective ◽  
Long Acting ◽  
Prospective Longitudinal

Abstract Background The hormonal Intrauterine Device (IUD) is a highly effective contraceptive option growing in popularity and availability in many countries. The hormonal IUD has been shown to have high rates of satisfaction and continuation among users in high-income countries. The study aims to understand the profiles of clients who choose the hormonal IUD in low- and middle-income countries (LMICs) and describe their continuation and satisfaction with the method after 12 months of use. Methods A prospective longitudinal study of hormonal IUD acceptors was conducted across three countries—Madagascar, Nigeria, and Zambia—where the hormonal IUD had been introduced in a pilot setting within the of a broad mix of available methods. Women were interviewed at baseline immediately following their voluntary hormonal IUD insertion, and again 3 and 12 months following provision of the method. A descriptive analysis of user characteristics and satisfaction with the method was conducted on an analytic sample of women who completed baseline, 3-month, and 12-month follow-up questionnaires. Kaplan–Meier time-to-event models were used to estimate the cumulative probability of method continuation rates up to 12 months post-insertion. Results Each country had a unique demographic profile of hormonal IUD users with different method-use histories. Across all three countries, women reported high rates of satisfaction with the hormonal IUD (67–100%) and high rates of continuation at the 12-month mark (82–90%). Conclusions Rates of satisfaction and continuation among hormonal IUD users in the study suggest that expanding method choice with the hormonal IUD would provide a highly effective, long-acting method desirable to many different population segments, including those with high unmet need.

scholarly journals One-Year Follow-Up of Corneal Biomechanical Changes After Accelerated Transepithelial Corneal Cross-Linking in Pediatric Patients With Progressive Keratoconus

2021 ◽  
Vol 8 ◽  
Author(s):  
Weijun Jian ◽  
Mi Tian ◽  
Xiaoyu Zhang ◽  
Ling Sun ◽  
Yang Shen ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Corneal Thickness ◽  
Cross Linking ◽  
Radius Of Curvature ◽  
Prospective Longitudinal Study ◽  
Biomechanical Response ◽  
Biomechanical Changes ◽  
One Year ◽  
Prospective Longitudinal

Aims: This study aimed to investigate the corneal biomechanical changes and topographic outcomes of accelerated transepithelial corneal cross-linking (ATE-CXL) in pediatric progressive keratoconus.Methods: In this prospective longitudinal study, 31 eyes of 28 pediatric patients with keratoconus (21 boys and 7 girls; mean age, 14.35 ± 2.68 years) undergoing ATE-CXL (epithelium-on procedure with 45 mW/cm2 for 320 s) were included. Corvis ST was used to measure dynamic corneal response parameters at baseline and at 12 month after ATE-CXL. Corneal keratometry and corneal thickness were measured using Pentacam pre-operatively and 1, 6, and 12 month post-operatively.Results: No serious complications occurred during or after ATE-CXL. The maximum keratometry values were 60.10 ± 7.51 D pre-operatively and 61.42 ± 8.92, 61.17 ± 7.96, and 60.02 ± 7.58 D at 1, 6, and 12 month after ATE-CXL (P > 0.05), respectively. Corneal thickness remained stable during the 12-month follow-up (P > 0.05). At post-operative 12 month, first applanation time (P < 0.001), first applanation length (P = 0.004), second applanation velocity (P = 0.014), highest concavity time (P = 0.022), and radius of curvature at highest concavity (P = 0.031) increased significantly. The value of stiffness parameter at first applanation was significantly increased from 57.70 ± 27.57 pre-operatively to 63.36 ± 27.09 at 12 months after ATE-CXL (P = 0.018).Conclusions: ATE-CXL is safe and effective in stabilizing the progression of pediatric keratoconus. Changes in corneal biomechanical response consistent with stiffening following ATE-CXL were observed in pediatric patients with keratoconus.

scholarly journals PERCUTANEOUS DISCECTOMY: A CURRENT TREATMENT FOR LUMBAR DISC HERNIATION

2016 ◽  
Vol 15 (2) ◽  
pp. 127-130 ◽  
Author(s):  
Pablo Gerardo Lima-Ramírez ◽  
David Benavides-Rodríguez ◽  
Juan Yahir Viera-Ordóñez ◽  
José Augusto Ruíz-Gurría ◽  
Iván del Castillo-Vergara ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Pain Scale ◽  
Current Treatment ◽  
Prospective Longitudinal Study ◽  
Student’S T ◽  
One Year ◽  
Prospective Longitudinal

ABSTRACT Objective: Describe the functional outcomes of patients with contained lumbar disc herniation (L4-L5, L5-S1) treated with manual percutaneous nucleotomy (MPN) and demonstrate that it remains a technique with good results. Methods: A prospective, longitudinal study with 110 patients contained with lumbar disc herniation (LDH) treated with (MPN). The evaluation was pre-surgical and 4, 30, 180 and 365 days after the surgery. We used Numeric Pain Scale (NPS), Oswestry Disability Index (ODI) and Macnab criteria. Descriptive and inferential statistics for differences. Results: N=110: 58 (52.72%) men, 52 (47.27%) women; average age 37.95 years (14-56) ± 10.60; most affected level: L4-L5 in 63 (57.14%) patients. NPS preoperative average: 7.75 (5-9) ± 1.12, and at 365 days: 2.14 (0-7) ± 2.37. The mean preoperative ODI was 37% (28%-40%) + 3.06, and at 365 days 9.52% (0%-40%) + 13.92. The prognosis (ODI) was good to 79 (71.81%) patients at 365 days, regular in 26 (23.63%) and poor in 5 (4.57%), corresponding respectively to patients with no, mild, moderate and severe disability. The Macnab criteria showed similar results (p = 0.00, 95% CI 0.00 to 0.13 - Student's t). Conclusions: The results were good at one-year follow-up (p = 0.00), demonstrating that the MPN is still a good option for lumbosciatic pain relief.

Establishing dental recall interval for Pakistani children: a longitudinal study

2021 ◽  
pp. 1-13
Author(s):  
Muhammad Taqi ◽  
Jaffar Abbas Zaidi ◽  
Hafeez Shaikh ◽  
Adnan Sukkurwalla
Keyword(s):  
Longitudinal Study ◽  
Response Rate ◽  
Descriptive Analysis ◽  
Repeated Measure ◽  
Progression Rate ◽  
Prospective Longitudinal Study ◽  
Recall Interval ◽  
Caries Increment ◽  
Prospective Longitudinal

Abstract Objective: This study aims to determine the caries increment rate in children of 12 years of age after 6, 12 and18 months to establish appropriate dental recall interval. Subjects and Methods: Prospective longitudinal study of 18 months duration was conducted from May 2016 to October 2017 in the Bhakkar city of Punjab, Pakistan. School children of 12-years-old were selected in this study using convenience sampling. The caries progression rate was measured using Modified Beck’s method or adjusted caries increment. Descriptive analysis was conducted to estimate the response rate at baseline and at each follow-up, to estimate the number of children who attended the examinations, mean DMFT/DMFS scores and mean caries increments. Repeated measure ANOVA with post hoc test using Bonferroni correction was used to compare baseline mean caries increment with caries increment on 6, 12 and 18 months. Results: In the last follow-up, 183 children were present, giving a response rate of 81%. Significantly high caries increment among cavitated lesions was observed at 6 months (0.49±1.45, p=0.0001), 12 months (0.66±2.35, p=0.0001), and 18 months (0.86±2.39, p=0.0001) when compared with baseline caries increment.  Continuous...  

scholarly journals Introducing the Hormonal Intrauterine Device in Madagascar, Nigeria, and Zambia: Results From a Pilot Study

2021 ◽  
Author(s):  
Kendal Danna ◽  
Grace Jaworski ◽  
Bakoly Rahaivondrafahitra ◽  
Francia Rasoanirina ◽  
Anthony Nwala ◽  
...  
Keyword(s):  
Intrauterine Device ◽  
Descriptive Analysis ◽  
Unmet Need ◽  
User Characteristics ◽  
Middle Income ◽  
Prospective Longitudinal Study ◽  
Highly Effective ◽  
Estimate Method ◽  
Long Acting ◽  
Prospective Longitudinal

Abstract Background: The hormonal Intrauterine Device (IUD) is a highly effective contraceptive option growing in popularity and availability in many countries. The hormonal IUD has been shown to have high rates of satisfaction and continuation among users in high-income countries. The study aims to understand the profiles of clients who choose the hormonal IUD in low-and middle-income countries (LMICs) and describe their continuation and satisfaction with the method after 12 months of use. Methods: A prospective longitudinal study of hormonal IUD acceptors was conducted across three countries—Madagascar, Nigeria, and Zambia—where the hormonal IUD had been introduced in a pilot setting within the context of a broad mix of available methods. Women were interviewed at baseline immediately following their voluntary hormonal IUD insertion, and again three and 12 months following provision of the method. A descriptive analysis of user characteristics and satisfaction with the method was conducted on an analytic sample of women who completed baseline, three-month, and 12-month follow-up questionnaires. Kaplan-Meier cumulative hazard models were used to estimate method continuation rates up to 12 months post-insertion.Results: Each country had a unique demographic profile of hormonal IUD users with different method use histories. Across all three countries, women reported high rates of satisfaction with the hormonal IUD (67-100%) and high rates of continuation at the 12-month mark (91-93%).Conclusions: Rates of satisfaction and continuation among hormonal IUD users in the study suggest that expanding method choice with the hormonal IUD would provide a highly effective, long-acting method desirable to many different population segments, including those with high unmet need.

Prospective longitudinal study of depression and anosognosia in Alzheimer's disease

1997 ◽  
Vol 171 (1) ◽  
pp. 47-52 ◽  
Author(s):  
Sergio E. Starkstein ◽  
Erán Chemerinski ◽  
Liliana Sabe ◽  
Gabriela Kuzis ◽  
Gustavo Petracca ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Major Depression ◽  
Cognitive Status ◽  
Initial Evaluation ◽  
Consecutive Series ◽  
Psychiatric Interview ◽  
Prospective Longitudinal Study ◽  
Prospective Longitudinal

BackgroundThe aim was to examine the longitudinal evolution of depression and anosognosia in patients with probable Alzheimer's disease (AD).MethodSixty-two of a consecutive series of 116 AD patients that were examined with a structured psychiatric interview had a follow-up evaluation between one and two years after the initial evaluation.ResultsAt the initial evaluation 19% of the 62 patients had major depression, 34% had dysthymia, and 47% were not depressed. After a mean follow-up of 16 months, 58% of patients with major depression at the initial evaluation were still depressed, whereas only 28% of patients with initial dysthymia and 21% of the non-depressed patients were depressed at follow-up. During the follow-up period, all three groups showed similar declines in cognitive status and activities of daily living. At the initial evaluation, 39% of the patients had anosognosia, and there was a significant increment of anosognosia during the follow-up period.ConclusionsWhile dysthymia in AD is a brief emotional disorder, major depression is a longer-lasting mood change. Anosognosia is another prevalent disorder among AD patients, and increases with the progression of the illness.

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