scholarly journals Immediate impact of medical abortion on women's health and clients' satisfaction with medical abortion

2013 ◽  
Vol 1 (2) ◽  
pp. 91-95
Author(s):  
N Paudel
Keyword(s):  
Social Sciences ◽  
Women’S Health ◽  
Women's Health ◽  
Medical Abortion ◽  
Easy Method ◽  
Safe Abortion ◽  
Medical College ◽  
Interview Method ◽  
Structured Questionnaire

Background: Medical abortion has been proved to be effective method for safe abortion. It is highly acceptable to women in a variety of settings, including where resources are limited. Objective: The objective of the study was to assess the immediate impact of medical abortion on women’s health and clients’ satisfaction with medical abortion.  Methods: A descriptive study was conducted at Marie Stopes Center, Satdobato, Lalitpur. A total of 100 consecutive women visiting the center for medical abortion during 2010 September to 2010 October were included. Respondents were the women attending follow up visit following medical abortion using Mifepristone 200 mg orally followed by Misoprostol 800μg per vaginal after 24 hours of oral Mifepristone. Structured questionnaire was designed and interview method was used for data collection. Statistical Package for Social Sciences version16 was used to analyze the data. Results: The success rate of medical abortion was 91%. Most of the respondents did not have any problems besides the expected effects and side effects of the method such as bleeding, abdominal cramping, nausea, vomiting, dizziness and headache. Majority (79%) of respondents was satisfied with medical abortion and 76% respondents said they would recommend this method to others in future. There was no significant relationship between information and counseling and client’s satisfaction with medical abortion. Conclusions: The immediate impact of medical abortion on women’s health is positive. It is a safe and easy method in termination of early pregnancy and most of the clients were satisfied with this method. DOI: http://dx.doi.org/10.3126/jkmc.v1i2.8144 Journal of Kathmandu Medical College, Vol. 1, No. 2, Oct.-Dec., 2012: 91-95

Investigating Predictors of Preserved Cognitive Function in Older Women Using Machine Learning: Women’s Health Initiative Memory Study

2021 ◽  
pp. 1-12
Author(s):  
Ramon Casanova ◽  
Sarah A. Gaussoin ◽  
Robert Wallace ◽  
Laura Baker ◽  
Jiu-Chiuan Chen ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cognitive Function ◽  
Women’S Health ◽  
Women's Health ◽  
Later Life ◽  
Cognitive Status ◽  
Women's Health Initiative ◽  
Women’S Health Initiative ◽  
Health Initiative

Background: Identification of factors that may help to preserve cognitive function in late life could elucidate mechanisms and facilitate interventions to improve the lives of millions of people. However, the large number of potential factors associated with cognitive function poses an analytical challenge. Objective: We used data from the longitudinal Women’s Health Initiative Memory Study (WHIMS) and machine learning to investigate 50 demographic, biomedical, behavioral, social, and psychological predictors of preserved cognitive function in later life. Methods: Participants in WHIMS and two consecutive follow up studies who were at least 80 years old and had at least one cognitive assessment following their 80th birthday were classified as cognitively preserved. Preserved cognitive function was defined as having a score ≥39 on the most recent administration of the modified Telephone Interview for Cognitive Status (TICSm) and a mean score across all assessments ≥39. Cognitively impaired participants were those adjudicated by experts to have probable dementia or at least two adjudications of mild cognitive impairment within the 14 years of follow-up and a last TICSm score <  31. Random Forests was used to rank the predictors of preserved cognitive function. Results: Discrimination between groups based on area under the curve was 0.80 (95%-CI-0.76–0.85). Women with preserved cognitive function were younger, better educated, and less forgetful, less depressed, and more optimistic at study enrollment. They also reported better physical function and less sleep disturbance, and had lower systolic blood pressure, hemoglobin, and blood glucose levels. Conclusion: The predictors of preserved cognitive function include demographic, psychological, physical, metabolic, and vascular factors suggesting a complex mix of potential contributors.

scholarly journals Comparing infrastructure of anganwadi centres under integrated child development services of urban and rural Bangalore: a cross sectional study

2019 ◽  
Vol 6 (10) ◽  
pp. 4510
Author(s):  
Abhijnana G. ◽  
Selvi Thangaraj ◽  
Ranganath T. S. ◽  
Vishwanath .
Keyword(s):  
Child Development ◽  
Contact Point ◽  
Cross Sectional Study ◽  
Quality Service ◽  
Cross Sectional ◽  
Medical College ◽  
Interview Method ◽  
Toilet Facility ◽  
Field Practice ◽  
Structured Questionnaire

Background: Anganwadi centres under integrated child development services is the largest Project in India to improve not only child health but reproductive, maternal and adolescent health. The aim of the present study is to compare the infrastructure of urban and rural anganwadi which is one of the basic need to provide quality services.Methods: A total of 30 anganwadi centres are involved in our study in which 20 are from rural and 10 are from urban field practice area of Department of Community Medicine, Bangalore Medical College and Research Institute, Bangalore. This study employed interview method with anganwadi worker’s and observation of anganwadi centre using pre-designed, semi structured questionnaire and checklist.Results: 85% of rural and 60% urban anganwadi centres have their own buildings to carry out the services. 20% of rural anganwadi centres lack fixed name boards compared to urban anganwadi centres. 55% of rural anganwadi centres and 90% of urban anganwadi centres lack separate storage for raw food materials. 15% of rural anganwadi centres lack functional toilet facility. 40% of rural anganwadi centres lack functional weighing machine.Conclusions: Anganwadi centres are remote contact point of health care system within the community. The infrastructure of anganwadi centre such as type of building, space for cooking and activities, availability of functional equipments ensure the quality service deliveries which in turn are enhanced by timely supervision from higher authorities.

scholarly journals To Evaluate the Outcome of Epididymal Cystectomy at Liaquat Medical College Hospital Jamshoro Pakistan

2021 ◽  
pp. 50-54
Author(s):  
Zameer Husaain Laghari ◽  
Qumber Laghari ◽  
Ahsan Ali Laghari ◽  
Ambreen Munir ◽  
Sheeraz Ahmed Shaikh ◽  
...  
Keyword(s):  
Social Sciences ◽  
Chronic Pain ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Scrotal Edema ◽  
Complications Rate ◽  
Multiple Cysts ◽  
Surgical Unit

Introduction: Epididymal cystectomy is the procedure in which removal of cyst attached to epididymis is done. The cyst contains cleat/straw colored fluid. It is excised because of its increasing size causing discomfort or pain to patient. Methodology: A Cross sectional observational study was conducted at Surgical Unit 1, Department of of Surgery LMC Hospital Jamshoro from January 2020 to January 2021. All the patients were admitted through Surgical OPD (SOPD) with cystic swellings in scrotum. History and clinical examination of inguino-scrotal region was done. Transillimination test was also done. Ultrasound was obtained to confirm the diagnosis, number of cysts, sizes and site of cyst. Hydrocele, spermatocele and testicular malignancies were ruled out through investigations. Surgery was planned after getting cardiac and anesthesia fitness. The surgery was done. Patients were shifted to ward and assessed for 3 to 5 days. Patient was called for follow up for 6 months. Results were analyzed using statistical package for social sciences (SPSS) version 23. Results: Total patients included in our study are 49.32 (65%) patients had solitary cyst and 17 (35%) had multiple cysts. 30 (61.2%) patients had left sided epididymal cysts and 19 (38.7%) had right sided cysts. Hematoma was developed by 6.1%, chronic pain by 12.2%, infection by 8.1%, scrotal edema by 10.2% and recurrence by 6.1% patients. Conclusion: Epididymal cystectomy is the procedure with better outcome and least complications rate.

scholarly journals Residual urinary Incontinence after Successful Repair of Obstetric Fistula

2016 ◽  
Vol 30 (2) ◽  
pp. 86-91
Author(s):  
Fahmida Zabin ◽  
Sayeba Akhter ◽  
Musarrat Sultana
Keyword(s):  
Risk Factors ◽  
Obstetric Fistula ◽  
Fistula Closure ◽  
College Hospital ◽  
Medical College ◽  
Genitourinary Fistula ◽  
Genital Fistula ◽  
Successful Repair ◽  
Structured Questionnaire

Objective(s): Aim of the study was to identify the risk factors in those women who remain with incontinence after successful fistula repair.Materials & method: The women admitted in Dhaka Medical College Hospital with obstetrical genitourinary fistula were the study population.A observational study was done with all women having successful repair. They were asked to return for a follow-up appointment, 3 months after discharge . Women were examined and questioned at discharge and at follow up appointment. A structured questionnaire were used and information entered into a database.Results: Women who returned for follow-up 3 month postsurgery were included in predictors of closure analyses. Small bladder size (ARR 3.7; 95% CI 1.2–11.8), severe scarring (ARR 1.2; 95% CI 1.1–2.7), urethral involvement (ARR 7.3; 95% CI 3.3–1.46), were predicted failed fistula closure. Women with a closed fistula at 3 month follow-up were included in predictors of residual incontinence analyses .Conclusion:The prognosis for genital fistula closure is related to preoperative bladder size, previous repair, vaginal scarring, and urethral involvement.Bangladesh J Obstet Gynaecol, 2015; Vol. 30(2) : 86-91

scholarly journals PARTICIPAÇÃO PATERNA NO CICLO GRAVÍDICO-PUERPERAL E SEUS EFEITOS SOB A SAÚDE DA MULHER

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Thais Rafaela Lira Cavalcanti ◽  
Viviane Rolim De Holanda
Keyword(s):  
Women’S Health ◽  
Women's Health ◽  
Emotional Support ◽  
Scientific Evidence ◽  
Integrative Review ◽  
Parental Participation ◽  
Partner Participation

Objetivo: buscar evidências científicas sobre a participação paterna no processo de gestação, parto, nascimento e puerpério, relacionando-os com os seus efeitos para a saúde da mulher. Metodologia: revisão integrativa realizada nas bases de dados LILACS, MEDLINE e CINAHL norteada pela questão: quais os efeitos da participação do pai/parceiro no ciclo gravídicopuerperal sobre a promoção da saúde da mulher? Resultados: foram selecionados 9 artigos e agrupados em três momentos do ciclo gravídico-puerperal onde houve intervenção paterna com vistas a melhor qualidade no apoio e acompanhamento da mulher. Conclusão: há evidências de que a participação do pai/parceiro representa uma importante fonte de apoio emocional, reforço no fortalecimento da prática de aleitamento materno, na evolução do trabalho de parto natural e na recuperação puerperal.Descritores: Paternidade; Saúde do homem; Gravidez; Parto; Pré-natal.PARTICIPATION IN THE GRAVID-PUERPERAL CYCLE AND ITS EFFECTS ON WOMEN’S HEALTHObjective: to seek scientific evidence on parental participation in the process of gestation, childbirth, birth and puerperium, relating them to their effects on women’s health. Methodology: integrative review carried out in the LILACS, MEDLINE and CINAHL databases guided by the question: what are the effects of the father /partner’s participation in the pregnancypuerperal cycle on the promotion of women’s health? Results: 9 articles were selected and grouped in three moments of the pregnancy-puerperal cycle where there was paternal intervention with a view to better quality in the support and follow-up of the woman. Conclusion: there is evidence that parent /partner participation represents an important source of emotional support, reinforcement in the practice of breastfeeding, the evolution of natural labor and puerperal recovery.Descriptors: Paternity; Man´s health; Pregnancy; Parturition; Prenatal care.LA PARTICIPACIÓN PATERNA EN EL EMBARAZO Y EL PARTO Y SUS EFECTOS EN SALUD DE LA MUJERObjetivo: buscar evidencias científicas sobre la participación paterna en el proceso de gestación, parto, nacimiento y puerperio, relacionándolos con sus efectos para la salud de la mujer. Metodología: revisión integrativa realizada en las bases de datos LILACS, MEDLINE y CINAHL orientada por la cuestión: ¿cuáles son los efectos de la participación del padre /socio en el ciclo gravídico-puerperal sobre la promoción de la salud de la mujer? Resultados: fueron seleccionados 9 artículos y agrupados en tres momentos del ciclo gravídico-puerperal donde hubo intervención paterna con vistas a la mejor calidad en el apoyo y acompañamiento de la mujer. Conclusión: hay evidencia que la participación del padre /socio representa una importante fuente de apoyo emocional, refuerzo en el fortalecimiento de la práctica de lactancia materna, en la evolución del trabajo de parto natural y en la recuperación puerperal.Descriptores: Paternidad; Salud del Hombre; Embarazo; Parto; Atención Prenatal.

scholarly journals Development of medical aptitude amongst fresh medical entrants by way of relevant teaching learning sessions:a cross sectional pre-post study

2021 ◽  
Vol 8 (10) ◽  
pp. 5013
Author(s):  
Ranu Rawat ◽  
Parmal Singh
Keyword(s):  
Social Sciences ◽  
Data Collection ◽  
Medical Science ◽  
Cross Sectional ◽  
Medical College ◽  
College Entry ◽  
Before And After ◽  
Teaching Learning ◽  
Structured Questionnaire

Background: Medical Science is still one of the most sought after professions. The possession of an aptitude for the profession is a pre requisite, considering its strenuous demands from the candidate. Presently, there is no mechanism in place in India to assess aptitude in students prior to medical college entry. The aims and objectives of the study were to assess the baseline medical aptitude in the new medical entrants, to Introduce Teaching Learning Sessions for Development of Medical Aptitude in new Medical Entrants, to assess the post T/L session medical aptitude in the new medical entrants.Methods: A cross sectional, one group pre- post study was undertaken amongst 150 fresh MBBS students of Adesh Medical College and Hospital, Shahabad, after approval from the IEC. A pre-tested and pre-validated semi-structured questionnaire was used for data collection both at baseline and after relevant Teaching learning sessions. Data collected was analyzed by using Statistical package for social sciences (SPSS) Version 21.Results: The overall mean aptitude value before and after the T/L session was 102.98±8.47 and 114.51±8.60 respectively (p<0.001). Also, there was increase in the proportion of students having average and above average aptitude and decline in those having below average aptitude in the post T/L sessions as compared to the baseline levels.Conclusions: It can be concluded that medical aptitude can be built up in the new medical entrants by making them aware about it through well crafted teaching learning sessions.

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