scholarly journals Educational Diabetic Care Program: Clinical and Biochemical Evaluation One Year after the End of the Program

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
González-Ballesteros Mario Alberto ◽  
TeresaReyes-Gabino Patricia ◽  
Espinoza-Rodriguez Juan Carlos ◽  
Jiménez-Baez Maria Valeria ◽  
Sandoval-Jurado Luis
Keyword(s):  
Care Program ◽  
Biochemical Evaluation ◽  
One Year ◽  
Diabetic Care

Feasibility of hybrid telerehabilitation as component of a novel comprehensive care program after acute myocardial infarction in a one-year follow-up preliminary experience of a single center

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
E Piotrowicz ◽  
P Orzechowski ◽  
I Kowalik ◽  
R Piotrowicz
Keyword(s):  
Myocardial Infarction ◽  
Blood Pressure ◽  
Acute Myocardial Infarction ◽  
Heart Rate ◽  
Functional Capacity ◽  
Care Program ◽  
Comprehensive Care ◽  
Monitoring Center ◽  
One Year

Abstract Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): National Health Fund Background. A novel comprehensive care program after acute myocardial infarction (AMI) „KOS-zawał" was implemented in Poland. It includes acute intervention, complex revascularization, implantation of cardiovascular electronic devices (in case of indications), rehabilitation or hybrid telerehabilitation (HTR) and scheduled outpatient follow-up. HTR is a unique component of this program. The purpose of the pilot study was to evaluate a feasibility, safety and patients’ acceptance of HTR as component of a novel care program after AMI and to assess mortality in a one-year follow-up. Methods The study included 55 patients (LVEF 55.6 ± 6.8%; aged 57.5 ± 10.5 years). Patients underwent a 5-week HTR based on Nordic walking, consisting of an initial stage (1 week) conducted within an outpatient center and a basic stage (4-week) home-based telerehabilitation five times weekly. HTR was telemonitored with a device adjusted to register electrocardiogram (ECG) recording and to transmit data via mobile phone network to the monitoring center. The moments of automatic ECG registration were pre-set and coordinated with exercise training. The influence on physical capacity was assessed by comparing changes in functional capacity (METs) from the beginning and the end of HTR. Patients filled in a questionnaire in order to assess their acceptance of HTR at the end of telerehabilitation. Results HTR resulted in a significant improvement in functional capacity and workload duration in exercise test (Table). Safety: there were neither deaths nor adverse events during HTR. Patients accepted HTR, including the need for interactive everyday collaboration with the monitoring center. Prognosis all patients survived in a one-year follow-up. Conclusions Hybrid telerehabilitation is a feasible, safe form of rehabilitation, well accepted by patients. There were no deaths in a one-year follow-up. Outcomes before and after HTR Before telerehabilitation After telerehabilitation P Exercise time [s] 381.5 ± 92.0 513.7 ± 120.2 <0.001 Maximal workload [MET] 7.9 ± 1.8 10.1 ± 2.3 <0.001 Heart rate rest [bpm] 68.6 ± 12.0 66.6 ± 10.9 0.123 Heart rate max effort [bpm] 119.7 ± 15.9 131.0 ± 20.1 <0.001 SBP rest [mmHg] 115.6 ± 14.8 117.7 ± 13.8 0.295 DBP rest [mmHg] 74.3 ± 9.2 76.2 ± 7.3 0.079 SBP max effort [mm Hg] 159.5 ± 25.7 170.7 ± 25.5 0.003 DBP max effort [mm Hg] 84.5 ± 9.2 87.2 ± 9.3 0.043 SBP systolic blood pressure, DBP diastolic blood pressure.

scholarly journals Performance and Outcomes of Routine Viral Load Testing in People Living with HIV Newly Initiating ART in the Integrated HIV Care Program in Myanmar between January 2016 and December 2017

2020 ◽  
Vol 5 (3) ◽  
pp. 140
Author(s):  
Sai Soe Thu Ya ◽  
Anthony D. Harries ◽  
Khin Thet Wai ◽  
Nang Thu Thu Kyaw ◽  
Thet Ko Aung ◽  
...  
Keyword(s):  
Viral Load ◽  
Virologic Failure ◽  
Secondary Data ◽  
Care Program ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Second Line ◽  
Load Testing ◽  
One Year ◽  
Living With Hiv

Myanmar has introduced routine viral load (VL) testing for people living with HIV (PLHIV) starting first-line antiretroviral therapy (ART). The first VL test was initially scheduled at 12-months and one year later this changed to 6-months. Using routinely collected secondary data, we assessed program performance of routine VL testing at 12-months and 6-months in PLHIV starting ART in the Integrated HIV-Care Program, Myanmar, from January 2016 to December 2017. There were 7153 PLHIV scheduled for VL testing at 12-months and 1976 scheduled for VL testing at 6-months. Among those eligible for testing, the first VL test was performed in 3476 (51%) of the 12-month cohort and 952 (50%) of the 6-month cohort. In the 12-month cohort, 10% had VL > 1000 copies/mL, 79% had repeat VL tests, 42% had repeat VL > 1000 copies/mL (virologic failure) and 85% were switched to second-line ART. In the 6-month cohort, 11% had VL > 1000 copies/mL, 83% had repeat VL tests, 26% had repeat VL > 1000 copies/mL (virologic failure) and 39% were switched to second-line ART. In conclusion, half of PLHIV initiated on ART had VL testing as scheduled at 12-months or 6-months, but fewer PLHIV in the 6-month cohort were diagnosed with virologic failure and switched to second-line ART. Programmatic implications are discussed.

scholarly journals Effects of a Prenatal Care Intervention for Adolescent Mothers on Birth Weight, Repeat Pregnancy, and Educational Outcomes at One Year Postpartum

2002 ◽  
Vol 11 (1) ◽  
pp. 35-38 ◽  
Author(s):  
Kathleen Ford ◽  
Linda Weglicki ◽  
Trace Kershaw ◽  
Cheryl Schram ◽  
Paulette J. Hoyer ◽  
...  
Keyword(s):  
Birth Weight ◽  
Prenatal Care ◽  
Low Birth Weight ◽  
Adolescent Mothers ◽  
Unplanned Pregnancy ◽  
Care Program ◽  
Control Group ◽  
Pregnant Adolescents ◽  
One Year ◽  
Experimental Group

About one-third of adolescent mothers receive inadequate prenatal care, and babies born to young mothers are more likely to be of low birth weight. The objective of this study is to evaluate a peer-centered prenatal care program for adolescent mothers. Pregnant adolescents were randomly assigned to an experimental or control group in a mastery modeling peer-support intervention designed to improve long- and short-term perinatal outcomes. A sample of 282 urban pregnant adolescents (94% African American, 4% Caucasian, 2% other) participated in the study. Participants were recruited from five clinics located mainly in Detroit, Michigan. Participants in the experimental group received care in a small group setting and learned to perform critical measurements with a peer partner during prenatal visits. Participants in the control group received individual prenatal care in the same clinics. Outcome measures included birth weight, years of schooling completed at one year postpartum, planned and unplanned pregnancy at one year postpartum, and employment and school attendance at one year postpartum. Mothers in the experimental group had a lower rate of low birth weight (6.6% vs. 12.5%, p=0.08). The rate of unplanned pregnancy was also lower for adolescents in the experimental group (13.4% vs. 15.9%), although this difference was not statistically significant. Adolescents who participated in the intervention were more likely to have continued their education during the pregnancy and the postpartum year. The mastery modeling, peer-centered, prenatal care program produced some positive pregnancy outcomes for adolescent mothers.

scholarly journals Precocious weaning causes of nursing professionals inside a hospital’s children’s care program

2011 ◽  
Vol 5 (11) ◽  
pp. 2592
Author(s):  
Keyla Soares Da Silva ◽  
Patrícia Pereira De Queiroz ◽  
Giselle Carlos Da Silva Santos ◽  
Francisca Márcia Pereira Linhares ◽  
Luciana Pedrosa Leal ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Care Program ◽  
Structured Interview ◽  
External Influence ◽  
Second Year ◽  
Las Mujeres ◽  
One Year ◽  
Nursing Professionals ◽  
Auxiliary Nurses ◽  
Breast Fed

ABSTRACTObjective:  to analyze precocious weaning causes presented through the professionals in the nursing sector of hospitals who take part in the “Hospital Amigo da Criança” initiative in Recife-PE. Methodology:  descriptive study with an exploratory and quantitative analysis. The samples were collected from 142 nursing professionals who had breast-fed, despite the period they spent breast-feeding, and which continued their regular daily activities during the data collecting period. The technique adopted a structured interview. Data was processed through Epi-Info, version 6.04 (statistics software). Precocious weaning causes found in the research were put together following the model suggested by Rea and Cukier into four different categories: external influence (from other people), mother’s organic general disability, baby’s responsibility and mother’s responsibility. This study was approved by the Ethics Committee on the research of the Health Sciences Center from the Federal University of Pernambuco.  (CAAE: 0094.0.172.000-09). Results: The majority of the professionals (81.8%) weaned their babies before they were one year old and only 9.8% weaned after the child’s second year of life. Among the reasons for precocious weaning:  54.9% of the nurses; 57.1% of the nurse technicians; and 37.2% of auxiliary nurses mentioned external influences (from other people). Conclusion:  causes of precocious weaning claimed by women in this study have exempted them from their responsibilities, regardless of working title, education and working department. Descriptors: breast-feeding, precocious weaning, nursing.RESUMOObjetivo: analisar as causas de desmame precoce apresentadas pelas profissionais de enfermagem de um Hospital Amigo da Criança, em Recife-PE. Método: estudo descritivo, exploratório e quantitativo. A amostra correspondeu a 142 profissionais de enfermagem que vivenciaram o ato de amamentar, independente da duração, e que estavam exercendo suas atividades durante o período da coleta dos dados, cuja técnica utilizada foi a entrevista estruturada. Os dados foram processados pelo Programa Estatístico Epi-Info versão 6.04, sendo realizada análise univariada. As causas de desmame precoce encontradas foram agrupadas em quatro categorias, segundo o modelo proposto por Rea e Cukier: influência de terceiros, deficiência orgânica da mãe, responsabilidade do bebê, responsabilidade da mãe. Esta pesquisa foi aprovada pelo Comitê de Ética em Pesquisa do Centro de Ciências da Saúde, da Universidade Federal de Pernambuco (CAAE: 0094.0.172.000-09). Resultados: a maioria das profissionais (81,8%) desmamou o filho antes do primeiro ano de idade, e apenas 9,8% após o 2º ano. Entre os motivos para o desmame precoce, 54,9% das enfermeiras, 57,1% das técnicas de enfermagem e 37,2% das auxiliares de enfermagem citaram a influência de terceiros. Conclusão: as causas de desmame precoce alegadas pelas mulheres deste estudo, às eximem de suas responsabilidades, independente da categoria profissional, escolaridade e setor de trabalho. Descritores: aleitamento materno; desmame precoce; enfermagem.RESUMENObjetivo: analizar las causas de destete precoz presentadas por las profesionales de enfermería de un Hospital “Amigo del Niño” en Recife (PE, Brasil). Método: estudio descriptivo, exploratorio y cuantitativo. El muestreo correspondió a 142 profesionales de enfermería que vivieron el acto de amamantar, independientemente de su duración, y que estaban ejerciendo sus actividades durante el periodo de recogida de datos, cuya técnica utilizada fue la entrevista estructurada. Los datos se procesaron por medio del Programa Estadísitico Epi-Info versión 6.04, realizándose análisis univariado. Las causas de destete precoz encontradas se agruparon en cuatro categorías, según el modelo propuesto por Rea y Cukier: influencia de terceros, deficiencia orgánica de la madre, responsabilidad del bebé, responsabilidad de la madre. Esta investigación fue aprobada por el Comité de Ética en Investigación del Centro de Ciencias de la Salud de la Universidad Federal de Pernambuco (CAAE: 0094.0.172.000-09). Resultados: la mayoría de las profesionales (81,8%) destetó a su hijo antes del primer año de edad, y apenas el 9,8% tras el segundo año. Entre los motivos para el destete precoz, el 43,9% de las enfermeras, el 57,1% de las Técnicas Sanitarias y el 37,2% de las Auxiliares de enfermería citaron la influencia de terceros. Conclusión: las causas de destete precoz alegadas por las mujeres de este estudio, las eximen de sus responsabilidades, independientemente de la categoría profesional, nivel escolar y sector de trabajo. Descriptores: amamantamiento materno; destete precoz; enfermería.

A Comparison Study of Parental Adaptation Following a Child's Death at Home or in the Hospital

PEDIATRICS ◽  
1983 ◽  
Vol 71 (1) ◽  
pp. 107-112 ◽  
Author(s):  
Mary E. Lauer ◽  
Raymond K. Mulhern ◽  
Joyce M. Wallskog ◽  
Bruce M. Camitta
Keyword(s):  
Home Care ◽  
Care Program ◽  
Care Experience ◽  
Life And Death ◽  
Parental Adaptation ◽  
Dying Children ◽  
One Year ◽  
Child's Death ◽  
Voluntary Choice ◽  
At Home

Mothers and fathers of 37 deceased pediatric oncology patients were interviewed 3 to 28 months after their child's death. Twenty-four of these families had participated in a formal Home Care Program for dying children, whereas the remaining 13 families had children who died in the hospital. Parental adaptation following the home care experience appeared to be more favorable than following terminal care and death in the hospital. Specifically, the parents who had cared for their terminally ill child at home displayed more positive adjustment patterns as indexed by their perception of how the child's death had affected their marriage, social reorientation, religious beliefs, and views on the meaning of life and death. Ratings given by parents providing home care indicated a significant reduction in guilt during the home care experience which was maintained at 6 and 12 months following the child's death. In contrast, parents who did not provide home care reported intensified feelings of guilt during their child's terminal hospitalization which were unresolved at one year after the child's death. The results are discussed in terms of the practical and emotional benefits that may be derived from a family's voluntary choice of home care for dying children.

Deaths Within the First Year of Admission to Long Term Care

1982 ◽  
Vol 1 (3-4) ◽  
pp. 3-11 ◽  
Author(s):  
Gloria M. Gutman ◽  
Annette J. Stark ◽  
Gail Witney ◽  
Brian McCashin
Keyword(s):  
Resource Allocation ◽  
Long Term Care ◽  
Care Program ◽  
First Year ◽  
Care Providers ◽  
Term Care ◽  
Levels Of Care ◽  
One Year ◽  
Health Districts

ABSTRACTOn January 1, 1978, a new Long Term Care Program was introduced in British Columbia. Five levels of care are offered, any one of which may be provided at home or in a facility. This paper presents data from a longitudinal study of program clients (N = 3518) in two health districts, one urban, one semi-rural. The period of interest is the first twelve months after admission. Approximately one-quarter of these clients were discharged within one year of admission—one-half of them due to death. One-third of the deaths occurred in the first two months after admission and a further one-third in the following four months. Fewer than one-third of clients changed level or placement before death. Where transfers did occur they tended to be to higher levels of care and from home to an institution. The characteristics of clients who died are examined. These data may assist care providers to identify high risk clients. As well, they have implications for future resource allocation and planning.

scholarly journals Anemia, nutrition and ambulatory oxygen weaning in a cohort of oxygen-dependent premature infants.

2020 ◽  
Author(s):  
Adriana Montealegre ◽  
Nathalie Charpak
Keyword(s):  
Weight Gain ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Neonatal Intensive Care ◽  
Care Program ◽  
Oxygen Requirement ◽  
Antenatal Corticosteroids ◽  
Close Relationship ◽  
One Year

Background: In Bogotá, Colombia, oxygen-dependent (OD) preterm infants are home discharged in Kangaroo Position, to a Kangaroo Mother Care program (KMCP) with ambulatory oxygen, strict follow-up and oxygen weaning protocols. Objectives: 1) to describe growth and morbimortality up to 6 months of an OD preterm infants’ cohort. 2) to explore the association between oxygen requirement, perinatal history, Hb levels, transfusions, feeding patterns and growth. Methods: Prospective cohort study. Descriptive and multivariate analysis. Results: 445 patients were recruited with 33 weeks median gestational age (GA). 21% of mothers had preeclampsia, 50% infections and 77% received antenatal corticosteroids. Upon KMCP admission, median GA, chronological age and hospital stay were 36 weeks, 19 and 17 days, respectively; 55.6% of patients had neonatal sepsis and 66.6% were admitted to Neonatal Intensive Care Unit. Patients had on average 52 days with oxygen, a median of 3200g and 42 weeks GA at oxygen weaning. Median follow-up oxygen saturation was 94% with 0.016-0.5 l/min of oxygen. One-year mortality was 0.2% and attrition 20%. At 6 months, all patients had appropriate growth and 66% were breastfeeding. Multiple regression analysis showed that higher GA, Hb levels, weight gain, and exclusive breastfeeding decreased oxygen requirement whilst invasive ventilation and transfusions had the opposite effect (R2=0.48). Conclusions: In OD preterm infants, there is a close relationship between days of oxygen requirement and GA, mechanical ventilation, Hb levels at discharge, transfusions, exclusive breastfeeding and weight gain. Strict monitoring with established protocols in an ambulatory KMCP allows adequate growth and safe oxygen weaning.

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