scholarly journals Social Immersion for Women After Repair for Obstetric Fistula: An Experience in Guinea

2021 ◽  
Vol 2 ◽  
Author(s):  
Alexandre Delamou ◽  
Moussa Douno ◽  
Patrice Bouédouno ◽  
Sita Millimono ◽  
Thierno Hamidou Barry ◽  
...  
Keyword(s):  
Obstetric Fistula ◽  
Health Providers ◽  
Child Loss ◽  
Post Discharge ◽  
Obstructed Labor ◽  
The Social ◽  
Before And After ◽  
Qualitative Descriptive ◽  
Host Families

Background: Reintegration of women after repair of their female genital fistula remains a challenge. The objective of this study was to document the medical pathway and the reintegration process of women through the “social immersion” program of EngenderHealth in Kissidougou and Labé (Guinea).Methods: This was a qualitative descriptive study with 55 participants, including women seeking fistula care and stakeholders involved in the social immersion for repaired women in Kissidougou and Labé. The study included collecting demographic and clinical data of women, interviews with women before and after surgery, after social immersion, and 3 months post-discharge. Municipal officials, health providers, and members of host families were also interviewed. The study protocol was approved by the Guinea National Ethics Committee for Health Research.Results: The study confirmed that obstetric fistula still occurs among women living in rural and underserved areas. Most women attended at least two to five antenatal care visits, but nine over 10 reported a tragic experience of child loss associated with the occurrence of fistula. Most of them received support from their husband/partner during referral after the obstructed labor and later in the search for treatment. Women and stakeholders reported a good experience of surgery and social immersion in both Kissidougou and Labé. About 3 months after discharge, women who were continent reported being happy with their new life compared to women discharged with repair failure and residual incontinence.Conclusion: The study found the positive impacts of social immersion on the quality of life of women after fistula repair, particularly for those women who had a successful repair. The approach can be included in fistula care programs, either through direct provision or through referral to programs that can provide this service.

scholarly journals Quality of life of obstetrics fistula patients before and after surgical repair in the Jimma University Medical Center, Southwest Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tilahun Fufa Debela ◽  
Zerihun Asefa Hordofa ◽  
Aster Berhe Aregawi ◽  
Demisew Amenu Sori
Keyword(s):  
Quality Of Life ◽  
Surgical Repair ◽  
Obstetric Fistula ◽  
Medical Center ◽  
Mean Value ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
Jimma University

Abstract Background The consequences of obstetric fistula on affected women are more than the medical condition. It has extensive physical, psychological, social, and economic consequences on them. Obstetric fistula affects the entire health and entire life of women. Women suffering from obstetric fistula are often abandoned by her partner, relatives, and the community. This study aimed to determine the quality of life of obstetrics fistula patients before and after surgical repair. Methods Institutional-based prospective, before and after study design was conducted in the Jimma University Medical Center from November 1, 2019–October 30, 2020. A face-to-face interview was conducted with fistula patients who visited Jimma University Medical center, fistula clinic during the study period. All fistula patients were included in the study. Accordingly, 78 women who underwent surgical repair were interviewed. The means and the standard deviation were computed using conventional statistics formulas. The unpaired t-test was used to compare two independent means, and one-way analysis of variance (ANOVA) was used to compare the quality of life before repair and after a successful repair. Linear regression analysis was done for identifying determinants of quality of life. A P value of 0.05 will be considered statistical significance. Result The overall quality of life of women was 58.17 ± 7.2 before the surgical repair and 71.20 ± 10.79 after surgical repair. The result indicates there is a significant difference in the mean value of pre and post-operative (P < 0.001). The overall satisfaction of women with their health status before the surgical repair was 22.5 ± 1.30and it has increased to 53.0 ± .90after surgical repair. The physical health dimension score was 16.51 ± 5.27 before the surgical repair while it has increased to 21.77 ± 5.38 after the surgical repair. The score of the social domain before the surgical repair was 5.19 ± 1.34 and it has increased to 7.13 ± 3.67 after the surgical repair. The score of the environmental health domain was 17.41 ± 2.89 before the surgery while it also increased to 21.65 ± 4.04 after the surgical repair. The results have shown there was a significant difference in the mean values of pre and post-operatives in both social and environmental scores (P < 0.001). The score of the psychological health domain before the surgery was 19.06 ± 1.46 and it was increased to 19.84 ± 3.21 after the surgical repair. The result showed there is a significant difference in mean value pre and post-operative (P = 0.048), though it is a slight improvement compared to other domains. Conclusion The overall quality of life of the patient with fistula was improved after successful surgical repair. Although all domains of quality of life had shown significant improvement after successful surgical repair, the psychological domain showed slight improvement.

scholarly journals Did Universal Access to ARVT in Mexico Impact Suboptimal Antiretroviral Prescriptions?

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Yanink Caro-Vega ◽  
Patricia Volkow ◽  
Juan Sierra-Madero ◽  
M. Arantxa Colchero ◽  
Brenda Crabtree-Ramírez ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
State Of The Art ◽  
Universal Access ◽  
National Institutes Of Health ◽  
Health Providers ◽  
Prescription Patterns ◽  
Before And After ◽  
Training Of Personnel ◽  
Over Time

Background. Universal access to antiretroviral therapy (ARVT) started in Mexico in 2001; no evaluation of the features of ARVT prescriptions over time has been conducted. The aim of the study is to document trends in the quality of ARVT-prescription before and after universal access.Methods. We describe ARVT prescriptions before and after 2001 in three health facilities from the following subsystems: the Mexican Social Security (IMSS), the Ministry of Health (SSA), and National Institutes of Health (INS). Combinations of drugs and reasons for change were classified according to current Mexican guidelines and state-of-the-art therapy. Comparisons were made usingχ2tests.Results. Before 2001, 29% of patients starting ARVT received HAART; after 2001 it increased to 90%. The proportion of adequate prescriptions decreased within the two periods of study in all facilities (Pvalue < 0.01). The INS and SSA were more likely to be prescribed adequately (Pvalue < 0.01) compared to IMSS. The distribution of reasons for change was not significantly different during this time for all facilities (Pvalue > 0.05).Conclusions. Universal ARVT access in Mexico was associated with changes in ARVT-prescription patterns over time. Health providers’ performance improved, but not homogeneously. Training of personnel and guidelines updating is essential to improve prescription.

scholarly journals Shifting social and economic structural community: rapid development of tourism sector

2019 ◽  
Vol 3 (1) ◽  
pp. 115-124
Author(s):  
A. A. Gde Putra Pemayun ◽  
I Wayan Suderana
Keyword(s):  
Public Awareness ◽  
Rapid Development ◽  
Economic Structure ◽  
Human Beings ◽  
Positive Direction ◽  
Tourism Sector ◽  
The Social ◽  
Qualitative Descriptive ◽  
Descriptive Method

This study examines "shifting social and economic structural community due to the rapid development of the tourism sector in Bentuyung Village, Bali." The purpose of this study is to find out and describe the shift in the social and economic structure of society due to the disruption of tourism in Bentuyung Village, Ubud, Bali. This is a qualitative descriptive method, using proportional sampling techniques consisting of Villas and Hotels Owners and communities directly involved in the tourism sector. Shifting social and economic structure is inseparable from the embryo of globalization that is felt in all sectors of people's lives. Globalization is the spread of values ??and certain cultures throughout the world. Things that need to be anticipated in order to be able to avoid the negative aspects of globalization are the development of the quality of Indonesian human beings through education. Providing life skills to be able to create creativity and independence. Cultivating a culture and attitude to global life. The results of the discussion show that the creation of a transparent and democratic government. Increasing global public awareness to promote the tourism sector as a leading sector and transform tourism unlike catalyst for changing more positive direction.

scholarly journals HUBUNGAN KOMPETENSI SOSIAL GURU KELAS TERHADAP PENANAMAN PENDIDIKAN KARAKTER SISWA DI SEKOLAH DASAR

2019 ◽  
Vol 3 (6) ◽  
pp. 1226
Author(s):  
Maslan Maslan
Keyword(s):  
Social Competence ◽  
Character Education ◽  
Average Score ◽  
School Students ◽  
Average Value ◽  
The Social ◽  
Qualitative Descriptive ◽  
Field Notes ◽  
Relationship Of

Teachers play a very important role in improving the quality of education. Therefore, professional teachers are required to always improve their competence, one of them is social competence. Learning will not run well and effectively if the teacher is not able to develop social competence. The purpose of this study is to describe and find out the relationship of teacher social competence in inculcating student character education. This research was carried out at SD Negeri 014 Pulau Rengas. This type of research is a qualitative descriptive. Methods of data collection using questionnaires, interviews, field notes. The results showed that the social competence of teachers obtained an average score of 90% in the excellent category and the assessment of students' character education planting had an average value of 85% in the very good category. The results of the study prove the teacher's social competence is very important in instilling character education in elementary school students 014 Pulau Rengas

scholarly journals Representações sociais de travestis profissionais do sexo sobre qualidade de vida

2021 ◽  
Vol 20 (4) ◽  
pp. 131-169
Author(s):  
Ana Lilia Souza Barbosa Barbosa ◽  
Alef Diogo da Silva Santana ◽  
Ednaldo Cavalcante de Araújo ◽  
Paula Daniella de Abreu ◽  
Marcos Soares de Lima ◽  
...  
Keyword(s):  
Social Representations ◽  
Structured Interviews ◽  
Governmental Organizations ◽  
Calidad De Vida ◽  
Non Governmental Organizations ◽  
Access To Health ◽  
The Social ◽  
Qualitative Descriptive ◽  
Trabajadoras Sexuales

Objetivo: Identificar las representaciones sociales de las trabajadoras sexuales travestis sobre la calidad de vida. Material y Método: Estudio cualitativo, descriptivo, exploratorio, basado en la Teoría de las Representaciones Sociales, desarrollado con siete travestis trabajadoras sexuales. La producción de los datos se llevó a cabo con entrevistas semiestructuradas y posteriormente se transcribieron, validaron y analizaron a partir del Análisis de contenido temático.Resultados: Surgieron tres clases: 1) Acceso a la salud como principio de calidad de vida; 2) El apoyo de las organizaciones no gubernamentales en la visibilidad y respeto a las demandas de las personas trans y 3) Los vínculos sociales como herramienta útil en el sentido de la calidad de vida.Consideraciones finales: Las representaciones se ubican en la necesidad de acceso a servicios de salud libres de prejuicios; el apoyo de las organizaciones no gubernamentales en el reconocimiento de sus potencialidades y singularidades mediante el establecimiento de vínculos afectivos, solidarios, leales y de confianza, y en el establecimiento de lazos sociales producidos con vecinos y amigos para afrontar las dificultades vividas cotidianamente. Objective: To identify the social representations of transvestite sex professionals regarding quality of life.Material and Method: A qualitative, descriptive, exploratory study, anchored in the Theory of Social Representations, developed with seven professional transvestites of sex. The data production was carried out with semi-structured interviews and later transcribed, validated and analyzed from the Thematic Content Analysis.Results: Three categories emerged: 1) Access to health as a principle to quality of life; 2) Support of non-governmental organizations in the visibility and respect to the demands of the trans population and 3) Social ties as a propositional tool in the meaning of quality of life.Final considerations: The representations are located in the need to access health services free of prejudice; in the support of non-governmental organizations in the recognition of their potentialities and singularities, establishing affective bonds of support, loyalty and trust; and in the establishment of social bonds produced with neighbors and friends to face the difficulties experienced daily. Objetivo: identificar as representações sociais de travestis profissionais do sexo sobre qualidade de vida. Material e Método: Estudo qualitativo, descritivo, exploratório, ancorado na Teoria das Representações Sociais, desenvolvido com sete travestis profissionais do sexo. A produção dos dados foi realizada com entrevistas semiestruturadas e posteriormente transcritas, validadas e analisadas a partir da Análise de Conteúdo Temática. Resultados: Emergiram-se três categorias: 1) O acesso à saúde como princípio à qualidade de vida; 2) Apoio das organizações não governamentais na visibilidade e respeito às demandas das pessoas trans e 3) Os laços sociais como ferramenta propositiva no significado da qualidade de vida.Considerações finais: As representações estão situadas na necessidade de acesso aos serviços de saúde livre de preconceitos; no apoio das organizações não governamentais no reconhecimento de suas potencialidades e singularidades estabelecendo vínculos afetivos, de apoio, lealdade e confiança; e no estabelecimento dos laços sociais produzidos com vizinhos e amigos para o enfrentamento das dificuldades vivenciadas diariamente.

scholarly journals ANALISIS MODAL SOSIAL YANG DIKEMBANGKAN GURU EKONOMI DI SMA NEGERI KOTA PONTIANAK

2020 ◽  
Vol 6 (2) ◽  
pp. 134-144
Author(s):  
Maria Ulfah ◽  
Munawar Thoharudin
Keyword(s):  
High School ◽  
Social Capital ◽  
Data Collection ◽  
Intellectual Capital ◽  
Qualitative Data ◽  
Analysis Techniques ◽  
The Social ◽  
Qualitative Descriptive ◽  
Field Notes

AbstractThis study aims to describe the social capital developed by economics teachers in Pontianak City High School. The approach used in this research is descriptive qualitative. Data was collected from 10 economics teachers in Pontianak City High School. Data analysis techniques using qualitative descriptive techniques. Data collection techniques used are interviews, observation and documentation and field notes / log books to see intellectual capital and social capital developed by economics teachers to improve the quality of graduates, and data collection instruments in the form: interviews to teachers about the social capital they develop and interviews with students and principals as a cross check data. It also observes the activities of teachers in developing social capital. The results showed that the social capital developed by economics teachers in Pontianak State High School includes Trust through the activities of teachers building mutual trust with their students in race activities. Keywords: Social Capital of Economic Teachers AbstrakPenelitian ini bertujuan untuk mendeskripsikan modal sosial yang dikembangkan guru ekonomi di SMA Negeri Kota Pontianak. Pendekatan yang digunakan dalam penelitian ini adalah deskriptif kualitatif. Data dikumpulkan dari 10 orang guru ekonomi SMA Negeri Kota Pontianak. Teknik análisis data menggunakan tehnik deskriptif kualitatif.Teknik pengumpulan data yang digunakan adalah dengan wawancara, observasi dan dokumentasi dan catatan lapangan /log book untuk melihat modal sosial yang dikembangkan oleh guru ekonomi untuk meningkatkan kualitas lulusan,  dan  Instrumen pengumpulan data berupa: wawancara kepada guru tentang modal social yang dikembangkannya serta wawancara dengan siswa dan kepala sekolah sebagai cros cek data. Selain itu juga melakukan pengamatan terhadap kegiatan guru dalam mengembangkan modal sosial. Hasil penelitian menunjukkan Modal sosial yang dikembangkan guru ekonomi di SMA Negeri Pontianak meliputi Trust melalui kegiatan guru-guru membangun rasa saling percaya dengan para siswanya dalam kegiatan perlombaan.Kata Kunci : Modal Sosial Guru Ekonomi

Abstract 12797: Temporal Changes in Mortality Risk Post-Discharge After Hospitalization for Heart Failure

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Thomas D Cook ◽  
Andreas P Kalogeropoulos ◽  
Gregg C Fonarow ◽  
Ryan Zea ◽  
Karl Swedberg ◽  
...  
Keyword(s):  
Heart Failure ◽  
Mortality Risk ◽  
Risk Profile ◽  
Temporal Changes ◽  
Baseline Risk ◽  
Longitudinal Models ◽  
Post Discharge ◽  
Before And After ◽  
Post Hoc

Importance: In observational studies, the risk for adverse events among patients admitted for heart failure (HF) is highest immediately post-discharge and declines over time. This ‘vulnerable phase’ concept has led to research and quality of care initiatives focusing primarily on early post-discharge period. However, whether this risk trajectory represents lowering of individual patient risk or changes in the population risk profile is not known. Methods: Survival and longitudinal models were used to assess temporal changes in mortality risk post-discharge in the Efficacy of Vasopressin Antagonism in Heart Failure Outcome Study With Tolvaptan (EVEREST) trial. Post hoc analysis of EVEREST included 4017 patients >18 years old discharged alive after hospitalization for HF with an ejection fraction of <40% at 359 sites from 2003-2006 and randomized to receive oral tolvaptan or placebo. Results: After a median of 9.8 months, 971 patients died (24.2%). Mortality at 1 year was 24.2%. Cumulative mortality rate declined from 15.9/100 patient-years immediately post-discharge to 13.4 at 30 days and 12.8 at 90 days; it rose steadily thereafter. The risk variation between quintiles of baseline risk was considerably larger than the temporal variation within risk strata. In a longitudinal model assessing updated mortality risk after each follow up visit, mortality risk increased during the 90 days preceding readmission and then followed a trajectory similar to the index admission. The net increase in mortality attributable to readmission was ~37%. Conclusions and Relevance: Among hospitalized HF patients, although there is a transiently elevated risk in 90 days before and after discharge, the patient’s clinical risk profile rather than temporal change remains the main determinant of mortality risk.

scholarly journals A Phenomenological Study on the Quality of Life Among Patients with Osteoarthritis Admitted for Rehabilitative Physiotherapy in a Private Hospital in Kuala Lumpur

2017 ◽  
Vol 32 (2) ◽  
pp. 104
Author(s):  
R. (III) P. DIOSO ◽  
R. TANGGAYA
Keyword(s):  
Quality Of Life ◽  
Lived Experiences ◽  
Private Hospital ◽  
Phenomenological Study ◽  
Kuala Lumpur ◽  
Exclusion Criteria ◽  
Interview Session ◽  
The Social ◽  
Before And After

The aim of this study is to explore patients’ experiences and how their rehabilitation and physiotherapy at a private hospital in Kuala Lumpur, Malaysia has affected their quality of life (QOL) due to osteoarthritis (OA).  In addition, this study also aims to explore patients’ perspectives of the rehabilitation and physiotherapy for their OA before and after which affects moreover their QOL. The seven domains of the QOL were the physiological, social, financial,environmental, psychological, level of independence and spiritual – aimed to guide the theme of the interview sessions. A qualitative design was used. Of the 50 patients purposively enrolled only six were selected using inclusion and exclusion criteria.  Thematic analysis addressed the seven domains of the QOL for data analysis.  A 60-minutes interview session was audio-recorded.  The rehabilitation therapy was explored on all seven domains of the QOL. Of the six respondents four explored their lived experiences on the social and environmental domain, while fiveon the physiologic domain. The spiritual, psychological, level of independence and financialdomains were mostly explored by the six respondents that have affected their QOL.

A Preliminary Study of Short-Term Sexual Function and Satisfaction Among Men Post-Myocardial Infarction

2021 ◽  
pp. 089801012110380
Author(s):  
Asa B. Smith ◽  
Debra L. Barton ◽  
Matthew Davis ◽  
Elizabeth A. Jackson ◽  
Jacqui Smith ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Sexual Function ◽  
Self Report ◽  
Post Discharge ◽  
Adult Men ◽  
The Social ◽  
Male Sexual Function ◽  
And Function ◽  
Satisfaction Subscale

Sexuality is an important component of holistic quality of life, and myocardial infarction (MI) negatively influences many aspects of sexuality, including sexual function. However, there is limited literature that examines sexuality beyond the most basic physical components. This pilot study aimed to describe the relationships between the physical, psychologic, and social domains of holistic sexuality at an early timepoint post-MI. Adult men post-MI were mailed self-report surveys at 2 weeks post discharge. Physical domains of sexuality were measured with the arousal, orgasm, erection, lubrication, and pain subscales of the Male Sexual Function Index (MSFI). The social domain utilized the sexual satisfaction subscale of the MSFI. The psychologic domain included the desire subscale of the MSFI and sexual fear (Multidimensional Sexuality Questionnaire). Spearman correlations were estimated to examine associations among the different measurement subscales. Twenty-four men post-MI were analyzed. Average scores on the MSFI were 9.2 ( SD 7.7). Desire and satisfaction were the highest scoring subscales among men when compared with other subscales (i.e. erection, lubrication). There was minimal evidence supporting a relationship between sexual fear and function. Additional research is also needed with larger samples, and among women post-MI.

scholarly journals Social competitiveness associated with rapid fluctuations in sperm quality in male fowl

2007 ◽  
Vol 274 (1611) ◽  
pp. 853-860 ◽  
Author(s):  
Tommaso Pizzari ◽  
Charles K Cornwallis ◽  
David P Froman
Keyword(s):  
Social Status ◽  
Sperm Quality ◽  
Phenotypic Variability ◽  
Trade Offs ◽  
Social Challenge ◽  
The Social ◽  
Before And After ◽  
Two Stages ◽  
The Relationship

When females copulate with multiple males, paternity is determined by the competitive ability of a male to access females and by the ability of its ejaculates to out-compete those of other males over fertilization. The relationship between the social competitiveness of a male and the fertilizing quality of its sperm has therefore crucial implications for the evolution of male reproductive strategies in response to sexual selection. Here, we present a longitudinal experimental study of the relationship between social status and sperm quality. We monitored sperm quality in socially naive male domestic fowl, Gallus gallus domesticus , before and after exposure to a social challenge which comprised two stages. In the first stage, social dominance was established in male pairs divergent in sperm quality, and in the second, social status was experimentally manipulated by re-shuffling males across pairs. We show that sperm quality fluctuates within males both before and after a social challenge. Importantly, such fluctuations followed consistently different patterns in males that displayed different levels of social competitiveness in the social challenge. In particular, following the social challenge, sperm quality dropped in males that won both contests while the sperm quality of males that lost both contests remained constant. Together, these results indicate that males of different social competitiveness are predisposed to specific patterns of fluctuations in sperm quality. These rapid within-male fluctuations may help explain the recent findings of trade-offs between male social and gametic competitive abilities and may help maintain phenotypic variability in these traits.

Sign in / Sign up

Export Citation Format

Share Document