scholarly journals Comparative study of post placental cut insertion following vaginal and caesarean delivery

2017 ◽  
Vol 6 (3) ◽  
pp. 901 ◽  
Author(s):  
Jasmine Lall ◽  
Oby Nagar
Keyword(s):  
Caesarean Delivery ◽  
Prospective Observational Study ◽  
Postpartum Women ◽  
Expulsion Rate ◽  
Excessive Bleeding ◽  
Level Of Satisfaction ◽  
Post Placental ◽  
High Level ◽  
Effective Contraceptive

Background: The IUCD is a safe and effective contraceptive option for postpartum women who wish to either space or limit subsequent births.Methods: In a hospital based prospective observational, study we compared outcome of post placental IUCD in vaginal and caesarean delivery groups.Results: We found that expulsion rate is significantly higher in vaginal group (10%) as compared to caesarean delivery (2%) group at 3 months of follow up. Excessive bleeding is mostly commonly found complication (18% in both groups at 6weeks of follow up).Conclusions: Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women.

scholarly journals Follow up survey in Taunton shows high level of satisfaction

BMJ ◽  
1995 ◽  
Vol 310 (6982) ◽  
pp. 803-804
Author(s):  
M. Sowter ◽  
K. Bidgood
Keyword(s):  
Level Of Satisfaction ◽  
High Level

scholarly journals Telephone Follow-Up following Office Anorectal Surgery

2008 ◽  
Vol 90 (6) ◽  
pp. 464-466 ◽  
Author(s):  
Rebecca C Fallaize ◽  
Christine Tinline-Purvis ◽  
Anthony R Dixon ◽  
Anne-Marie Pullyblank
Keyword(s):  
Patient Satisfaction ◽  
Medical Treatment ◽  
Patient Treatment ◽  
Second Line ◽  
Anorectal Surgery ◽  
Fissure In Ano ◽  
Level Of Satisfaction ◽  
Patient Appointment ◽  
High Level

INTRODUCTION Patients with minor anorectal conditions are frequently reviewed at an 8-week out-patient appointment (OPA). This study was designed to assess whether telephone follow-up could reduce OPA numbers whilst maintaining patient satisfaction. PATIENTS AND METHODS Over an 11-month period, 46 patients (23 male) underwent banding of haemorrhoids and 14 were prescribed medical treatment for fissure-in-ano (3 male). All were telephoned at 6 weeks and were offered an 8-week OPA if they had continuing problems. Patients were telephoned at a later date by a member of the hospital's patient panel to assess satisfaction. RESULTS Overall, 88% were contacted at 6 weeks, 60% at the first attempt; 40% required two or more attempts. Of those who underwent banding, 68% were asymptomatic, 17% requested an OPA for re-banding and 15% requested an OPA for a different problem. Of fissure patients, 25% were cured; the remainder were prescribed either second-line medical treatment (8%), anorectal physiology (42%) or surgery (25%). All avoided an OPA. Of a potential 60 OPAs, 47 were saved by telephone follow-up. None of 7 non-contactable patients accepted a written offer of an OPA. Overall, 89% of patients were contacted by the patient panel; of these patients, 93% reported a high level of satisfaction. CONCLUSIONS Telephone follow-up can reduce the number of OPAs following out-patient treatment of minor anorectal conditions whilst maintaining a high level of patient satisfaction. However, it requires considerable consultant time. This process could be developed into either a nurse-led service with booked telephone appointments or a patient-led service to a dedicated hotline.

scholarly journals A prospective study to evaluate the acceptance, efficacy, side effects and expulsion rates of post-placental intrauterine device

2017 ◽  
Vol 6 (11) ◽  
pp. 4821
Author(s):  
Richa S. Sankhe ◽  
Meenal T. Kamble
Keyword(s):  
Side Effects ◽  
Intrauterine Device ◽  
Excessive Bleeding ◽  
Factors Associated ◽  
Insertion Techniques ◽  
Insertion Efficacy ◽  
Post Placental ◽  
A Prospective Study ◽  
Lost To Follow Up

Background: This study was conducted to know the factors associated with acceptability of immediate post placental IUCD insertion in women and to know the level of safety, efficacy and expulsion of post placental insertion of IUCD.Methods: This study was conducted in Obstetrics and Gynecology Department of Kasturba General Hospital, Mumbai over a period of 1 year. Women admitted and delivered at KGH were informed and counselled regarding intrauterine devices regarding its insertion, efficacy and side effects. Cu T 380A was inserted within 15 minutes of delivery of placenta and membranes in women who gave consent and had no contraindications for IUD insertion. All these women were followed for 6 months in the post insertion period.Results: Total number of women counselled was 400 over the period of six months from August 2015 to January 2016. Out of these only 250 women gave consent for PPIUCD insertion. 50 were lost to follow up.  200 women were followed, out of which 15 women had expulsion, 15 women had excessive bleeding, 20 women complained of pelvic pain, bleeding and abdominal pain together was found in 25 women. 160 out of 200 continued with the method   while the rest discontinued.Conclusions: Based on present study it may be concluded that post placental intrauterine device is an effective method of contraception. Proper counselling and insertion techniques would further improve the acceptability and reduce the expulsion rates.

scholarly journals Effectiveness of the Virtual Reality System Toyra on Upper Limb Function in People with Tetraplegia: A Pilot Randomized Clinical Trial

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
I. Dimbwadyo-Terrer ◽  
A. Gil-Agudo ◽  
A. Segura-Fragoso ◽  
A. de los Reyes-Guzmán ◽  
F. Trincado-Alonso ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Upper Limb ◽  
Conventional Therapy ◽  
Control Group ◽  
Virtual Reality System ◽  
Limb Function ◽  
Upper Limb Function ◽  
Level Of Satisfaction ◽  
High Level

The aim of this study was to investigate the effects of a virtual reality program combined with conventional therapy in upper limb function in people with tetraplegia and to provide data about patients’ satisfaction with the virtual reality system. Thirty-one people with subacute complete cervical tetraplegia participated in the study. Experimental group received 15 sessions with Toyra®virtual reality system for 5 weeks, 30 minutes/day, 3 days/week in addition to conventional therapy, while control group only received conventional therapy. All patients were assessed at baseline, after intervention, and at three-month follow-up with a battery of clinical, functional, and satisfaction scales. Control group showed significant improvements in the manual muscle test (p= 0,043, partialη2= 0,22) in the follow-up evaluation. Both groups demonstrated clinical, but nonsignificant, changes to their arm function in 4 of the 5 scales used. All patients showed a high level of satisfaction with the virtual reality system. This study showed that virtual reality added to conventional therapy produces similar results in upper limb function compared to only conventional therapy. Moreover, the gaming aspects incorporated in conventional rehabilitation appear to produce high motivation during execution of the assigned tasks. This trial is registered with EudraCT number2015-002157-35.

scholarly journals Evaluation of acceptability, safety and expulsion rate of PPIUCD

2018 ◽  
Vol 7 (3) ◽  
pp. 1083
Author(s):  
R. Chauhan ◽  
Sonal Sahni ◽  
Shaily Hanumantaiya
Keyword(s):  
Cost Effective ◽  
Contraceptive Device ◽  
Low Literacy ◽  
Eligibility Criteria ◽  
Expulsion Rate ◽  
Medical College ◽  
Antenatal Counseling ◽  
Post Placental ◽  
Long Acting

Background: The modern intrauterine contraceptive device (IUCD) is highly effective, safe, private, long acting, coitus independent, rapidly reversible, cost effective and can be used by women who are breastfeeding. This study was conducted to evaluate factors associated with acceptability, safety and expulsion rates of PPIUCD among clients in the Department of Obstetrics and Gynecology, N. S. C. B Medical College, Jabalpur.Methods: A questionnaire based prospective study was conducted between March 2016 -17 on all the clients who were counseled for PPIUCD and who fulfilled the WHO Medical Eligibility criteria. Proforma included follow up at 6 weeks post-delivery.Results: In our study 961 women accepted PPIUCD (53.3%). Majority of the cases belonged to low socioeconomic group with low literacy rates. Most acceptors counseled in antenatal period (53.1%). Majority (67.3%) of insertions were post placental and instrumental (89%). At the time of insertion most clients experienced mild pain (49.7%) & anxiety (42.5%). Amongst clients who followed up (51.1%), the most common complaint was pain (16.7%) and most common reason for removal was heavy bleeding. Continuation rate was 77.7%, spontaneous expulsion in 9.75% while voluntarily removal was done in 12.6%. At follow up 91.3% clients were satisfied with PPIUCD.Conclusions: Antenatal counseling has a very important role. Demographic factors influencing acceptance are education, socioeconomic status and family structure. PPIUCD is demonstrably safe and effective method of contraception with low expulsion rate. Awareness about the safety and efficacy of PPIUCD should be emphasized during antenatal visits.

A feasibility study of Dignity Psychotherapy delivered via telemedicine

2004 ◽  
Vol 2 (2) ◽  
pp. 149-155 ◽  
Author(s):  
STEVEN D. PASSIK ◽  
KENNETH L. KIRSH ◽  
SUZANNE LEIBEE ◽  
LISA S. KAPLAN ◽  
CELIA LOVE ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Great Promise ◽  
A Value ◽  
Dignity Therapy ◽  
Level Of Satisfaction ◽  
Timely Fashion ◽  
Dying At Home ◽  
High Level ◽  
Therapy Sessions

Objective: Dignity Psychotherapy has shown great promise as a value-affirming intervention for patients with advanced disease. We delivered the Dignity Psychotherapy intervention in a feasibility study of a series of eight cancer patients via videophone technology to deliver the therapy into their homes.Methods: Once eligible patients were consented on this IRB-approved study, they completed baseline assessments and were scheduled to have the videophone placed in their homes. The Dignity Therapy sessions then encompassed a first session, which was transcribed and edited, followed by a second session to go over the edited transcript and allow the patient to make changes. Patients then filled out follow-up questionnaires and had the telemedicine equipment removed from their homes, and their legacy document delivered.Results: Participants had a mean age of 56.32 years (range = 41–66, SD = 7.65) and were diagnosed with lung (n = 5, 62.5%), breast (n = 2, 25%), or colon cancer (n = 1, 12.5%). They reported overall benefit from the intervention along with a high level of satisfaction. We were able to deliver the intervention in a timely fashion, with minimal length between sessions and transcript delivery and few technical difficulties.Significance of results: Telemedicine can greatly extend the benefits of Dignity Psychotherapy by bringing it to patients who are dying at home. Our very preliminary work suggests that delivering the intervention to patients who are too ill to leave their homes or who are in rural locations may be a feasible way to help them.

scholarly journals High-Volume Transanal Surgery with CPH34 HV for the Treatment of III-IV Degree Haemorrhoids: Final Short-Term Results of an Italian Multicenter Clinical Study

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Giuliano Reboa ◽  
Marco Gipponi ◽  
Maurizio Gallo ◽  
Giovanni Ciotta ◽  
Marco Tarantello ◽  
...  
Keyword(s):  
High Volume ◽  
Complication Rates ◽  
Transanal Surgery ◽  
Satisfaction Index ◽  
Level Of Satisfaction ◽  
High Satisfaction ◽  
High Prevalence ◽  
Anal Dilator ◽  
High Level

The clinical chart of 621 patients with III-IV haemorrhoids undergoing Stapled Hemorrhoidopexy (SH) with CPH34 HV in 2012–2014 was consecutively reviewed to assess its safety and efficacy after at least 12 months of follow-up. Mean volume of prolapsectomy was significantly higher (13.0 mL; SD, 1.4) in larger prolapse (9.3 mL; SD, 1.2) (p<0.001). Residual or recurrent haemorrhoids occurred in 11 of 621 patients (1.8%) and in 12 of 581 patients (1.9%), respectively. Relapse was correlated with higher preoperative Constipation Scoring System (CSS) (p=0.000),Pescatori’s degree (p=0.000),Goligher’s grade (p=0.003), prolapse exceeding half of the length of the Circular Anal Dilator (CAD) (p=0.000), and higher volume of prolapsectomy (p=0.000). At regression analysis, only the preoperative CSS,Pescatori’s degree,Goligher’s grade, and volume of resection were significantly predictive of relapse. A high level of satisfaction (VAS = 8.6; SD, 1.0) coupled with a reduction of 12-month CSS (Δ preoperative CSS/12 mo CSS = 3.4, SD, 2.0;p<0.001) was observed. The wider prolapsectomy achievable with CPH34 HV determined an overall 3.7% relapse rate in patients with high prevalence of large internal rectal prolapse, coupled with high satisfaction index, significant reduction of CSS, and very low complication rates.

Dermis fat grafts for bilateral augmentation mammaplasty

1995 ◽  
Vol 3 (3) ◽  
pp. 1-8
Author(s):  
John Michael Drever
Keyword(s):  
Body Contouring ◽  
Breast Implants ◽  
Augmentation Mammaplasty ◽  
Silicone Implants ◽  
Lower Abdomen ◽  
Silicone Breast Implants ◽  
Fat Grafts ◽  
Level Of Satisfaction ◽  
High Level

Dermis fat grafts for body contouring have been used for over a century and extensively reported and researched, but since the advent of the more reliable silicone implants they have been dropped and neglected. As a consequence of the present controversy surrounding silicone breast implants, women are inquiring about augmentation with their own tissues. Healthy patients with good vascularity are the best candidates. These grafts are removed from the lower abdomen and placed with the dermis side facing the muscle, ‘take’ and then lose about 30 to 50% of their initial volume. Thirty-six cases were performed with this technique, and a two-and-a-half year follow-up with few complications and a high level of satisfaction is reported.

scholarly journals Mental Strategies Predict Performance and Satisfaction with Performance Among Soccer Players

2017 ◽  
Vol 59 (1) ◽  
pp. 79-90 ◽  
Author(s):  
Magdalena Kruk ◽  
Jan Blecharz ◽  
Monika Boberska ◽  
Karolina Zarychta ◽  
Aleksandra Luszczynska
Keyword(s):  
Endurance Performance ◽  
Individual Performance ◽  
Soccer Players ◽  
Emotional Control ◽  
Level Of Satisfaction ◽  
Self Talk ◽  
Predictive Role ◽  
High Level

AbstractThis study investigated the changes in mental strategies across the season and their effects on performance and satisfaction with individual performance. Data were collected three times: at the pre-season at Time 1 (T1; baseline), in the mid-season at Time 2 (T2; two-month follow-up), and at the end-of-season at Time 3 (T3; nine-month follow-up) among male soccer players (N = 97) aged 16-27. Athletes completed the questionnaires assessing the use of nine psychological strategies in competition and the level of satisfaction with individual performance. Endurance performance was measured objectively with a 300 m run. A high level of relaxation (T1) explained better 300 m run performance (T3) and a high level of self-talk explained a higher satisfaction with individual performance (T3). A rare use of distractibility and emotional control (T1) predicted a higher level of satisfaction with individual performance (T3). No predictive role of other psychological strategies was found. The use of emotional control, relaxation, and distractibility increased over the season, whereas the use of imagery and negative thinking declined. Besides the roles of self-talk, imagery, relaxation and goal-setting, the effects of distractibility and emotional control should be taken into account when considering athletes’ mental training programs.

scholarly journals Maxillary Implant-Supported Overdentures: Mechanical Behavior Comparing Individual Axial and Bar Retention Systems. A Cohort Study of Edentulous Patients

Medicina ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 139
Author(s):  
José Félix Mañes Ferrer ◽  
Lucía Fernández-Estevan ◽  
Eduardo Selva-Otaolaurruchi ◽  
Carlos Labaig-Rueda ◽  
María Fernanda Solá-Ruíz ◽  
...  
Keyword(s):  
Mechanical Behavior ◽  
Failure Rate ◽  
Patient Satisfaction Questionnaire ◽  
Level Of Satisfaction ◽  
Satisfaction With Treatment ◽  
Edentulous Patients ◽  
High Level ◽  
Group Failure

Background and objectives: To compare the medium- to long-term mechanical behavior of overdentures with two different retention systems: overdentures with Locator® axial retention, and vertical insertion overdentures with bar retention, used to rehabilitate edentulous maxillar. Material and Methods: This prospective study assessed patients presenting complete maxillary edentulism, rehabilitated by means of implant-supported overdentures (n = 20), 10 with Locator® axial retention (ODA group) and 10 with overdentures on bars (ODB group). Patients also completed a questionnaire to determine their satisfaction with treatment. Results: The mean follow-up time in both groups was 11.4 years, with follow-up times in both groups ranging from 5 to 14 years. The ODA group suffered mechanical complications such as retention loss, need for nylon retention insert changes, resin fracture, and need for relining. In the ODB group, prosthetic dental wear, screw loosening, and complete prosthetic failure were more common. A total of 19 implants failed (23.8%); of these, 11 were in the ODA group (failure rate = 27.5%) and eight in the ODB group (failure rate = 20%). The patient satisfaction questionnaire obtained a mean score of 7.9 out of 10 in the ODA group, and 9.75 in the ODB group. Conclusions: in rehabilitations of edentulous maxillar by means of implant-supported overdentures, both the systems assessed were shown to be effective in the medium to long term. Patients expressed a high level of satisfaction with the treatments received.

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