scholarly journals Case Report: Prenatal Genetic Counseling to Parents of Fetuses Suspected of Having Ambiguous Genitalia

2021 ◽  
Vol 8 ◽  
Author(s):  
Takeshi Sato ◽  
Tomohiro Ishii ◽  
Yu Yamaguchi ◽  
Yosuke Ichihashi ◽  
Daigo Ochiai ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Medical Information ◽  
Birth Certificate ◽  
Bladder Exstrophy ◽  
Production Capacity ◽  
Ambiguous Genitalia ◽  
Prenatal Genetic Counseling ◽  
Sex Assignment ◽  
The Impact ◽  
Legal Sex

The occurrence of fetuses suspected of having ambiguous genitalia will likely increase in the future. Currently, the impact of prenatal genetic counseling on parents' understanding and psychological preparedness has not been addressed. We provided prenatal genetic counseling to parents of two fetuses suspected of ambiguous genitalia. Case 1: At 22 weeks of gestation, swelling of the labia majora, and a clitoris-like structure were noted despite 46,XY detected in amniotic fluid cells. Case 2: At 28 weeks of gestation, bladder exstrophy and a scrotum-like structure were noted. At 32 weeks (Case 1) and 37 weeks (Case 2) of gestation, we shared information with parents regarding the possible difficulty of legal sex assignment at birth, and a scenario for registration of the birth certificate. At birth, both babies presented with ambiguous genitalia. For both cases, the parents remained calm on seeing their baby's genitalia for the first time. After a month, we shared medical information with parents, including karyotype, testosterone production capacity, and surgical schedule. In both cases parents assigned their respective baby's legal sex as male. Several months later, parents were questioned on prenatal genetic counseling. Case 1: Mother, “I was prepared to address our baby's genitalia calmly.” Father, “I understood the procedure of legal sex assignment.” Case 2: Mother, “Without counseling, I would have been more upset and worried.” Father, “We were assured that multidisciplinary experts would support us.” Prenatal genetic counseling provides reassurance to parents, who remain informed and emotionally secure throughout the legal sex assignment of their child.

Parents’ experiences of having a baby with ambiguous genitalia

2015 ◽  
Vol 28 (7-8) ◽  
Author(s):  
Mailme de Souza Oliveira ◽  
Roberto Benedito de Paiva-e-Silva ◽  
Gil Guerra-Junior ◽  
Andréa Trevas Maciel-Guerra
Keyword(s):  
Health Professionals ◽  
Disorders Of Sex Development ◽  
Ambiguous Genitalia ◽  
Initial Management ◽  
Sex Development ◽  
Personal Belief ◽  
Sex Assignment ◽  
Previous Assignment ◽  
The Moment ◽  
The Impact

AbstractHealth professionals must be aware of the impact on parents of the birth of children with ambiguous genitalia. This study aimed to analyze the experiences and perceptions of such parents. Parents of 30 children who were evaluated in a reference center for disorders of sex development (DSD) were interviewed. The questionnaire covered the prenatal period, the moment they were told about the disorder, initial management by health professionals, and problems they experienced. Only two cases were detected during pregnancy. The news was usually given to the mother alone by pediatricians. Most parents kept it secret and avoided exposing the baby to the prejudice of others. Parents of children who were referred without sex assignment usually held a personal belief of their child’s sex. Previous assignment was based on clinical examination and/or karyotype. Spreading knowledge about DSD could increase awareness of this issue, thus reducing parents’ shock and societal stigma. Training of neonatal care teams is required to avoid assignment before evaluation.

scholarly journals Offering a choice between NIPT and invasive PND in prenatal genetic counseling: the impact of clinician characteristics on patients’ test uptake

2018 ◽  
Vol 27 (2) ◽  
pp. 235-243 ◽  
Author(s):  
Sanne L. van der Steen ◽  
Diewertje Houtman ◽  
Iris M. Bakkeren ◽  
Robert-Jan H. Galjaard ◽  
Marike G. Polak ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Prenatal Genetic Counseling ◽  
The Impact

Hospital Informatization in China During the COVID-19 Pandemic: A Cross-Sectional Internet-Based Survey Study (Preprint)

2020 ◽  
Author(s):  
Ke Zeng ◽  
Weiguo Zhu ◽  
Caiyou Wang ◽  
Liyan Zhu
Keyword(s):  
Information Technology ◽  
Information Security ◽  
Medical Information ◽  
Survey Study ◽  
Chinese Government ◽  
Qr Code ◽  
Cross Sectional ◽  
Network Information ◽  
Tertiary Hospitals ◽  
The Impact

BACKGROUND The rapid spread of COVID-19 has created a severe challenge to China’s healthcare system. Hospitals across the country reacted quickly under the leadership of the Chinese government and implemented a range of informatization measures to effectively respond to the COVID-19. OBJECTIVE To understand the impact of the pandemic on the medical business of Chinese hospitals and the difficulties faced by hospital informatization construction. To discuss the application of hospital informatization measures during the COVID-19 pandemic. To summarize the practical experience of hospitals using information technology to fight the pandemic. METHODS Performing a cross-sectional on-line questionnaire survey in Chinese hospitals, of which the participants are invited including hospital information staff, hospital administrators, medical staff, etc. Statistical analyzing the collected data by using SPSS version 24. RESULTS A total of 804 valid questionnaires (88.45%) are collected in this study from 30 provinces in mainland China, of which 731 (90.92%) were filled out by hospital information staff. 473 (58.83%) hospitals are tertiary hospitals while the remaining 331 (41.17%) are secondary hospitals. The majority hospitals (82.46%) had a drop in their business volume during the pandemic and a more substantial drop is found in tertiary hospitals. 70.40% (n=566) of hospitals have upgraded or modified their information systems in response to the epidemic. The proportion of tertiary hospitals that upgraded or modified systems is significantly higher than that of secondary hospitals. Internet hospital consultation (70.52%), pre-check and triage (62.56%), telemedicine (60.32%), health QR code (57.71%), and telecommuting (50.87%) are the most used informatization anti-pandemic measures. There are obvious differences in the application of information measures between tertiary hospitals and secondary hospitals. Among these measures, most of them (41.17%) are aiming at serving patients and most of them (62.38%) are universal which continue to be used after pandemic. The informatization measures are mostly used to control the source of infection (48.19%), such as health QR Code, etc. During the pandemic, the main difficulties faced by the hospital information department are “information construction projects are hindered” (58.96%) and “increased difficulty in ensuring network information security” (58.58%). There are significant differences in this issue between tertiary hospitals and secondary hospitals. The shortcomings of hospital informatization that should be made up for are “shorten patient consultation time and optimize consultation process” (72.51%), “Ensure network information security” (72.14%) and “build internet hospital consultations platform” (59.95%). CONCLUSIONS A significant number of innovative medical information technology have been used and played a significant role in all phases of COVID-19 prevention and control in China. Since the COVID-19 brought many challenges and difficulties for informatization work, hospitals need to constantly improve their own information technology skills to respond to public health emergencies that arise at any moment.

EFFECTS OF INTERPERSONAL TRUST AMONG USERS OF ONLINE HEALTH COMMUNITIES ON PATIENT TRUST IN AND SATISFACTION WITH THEIR PHYSICIAN

2018 ◽  
Vol 34 (1) ◽  
pp. 56-62 ◽  
Author(s):  
Anne-Françoise Audrain-Pontevia ◽  
Loick Menvielle
Keyword(s):  
Patient Satisfaction ◽  
Structural Equation ◽  
Medical Information ◽  
Interpersonal Trust ◽  
Positive Influence ◽  
Equation Modeling ◽  
Patient Trust ◽  
Online Health Communities ◽  
Health Communities ◽  
The Impact

Objectives:Online Health Communities (OHCs) are increasingly being used by patients in the Web 2.0 era. Today's patients have instant access to a great deal of medical information and contacts. Despite the considerable development of OHCs, little is known regarding the impact on the patient–physician relationship. This research aims at filling this gap and examines how interpersonal trust on peer-to-peer OHCs influences two key relational variables, namely patient trust in the physician and patient satisfaction with the physician. It also investigates their influences on the patient's attitude toward the physician.Methods:Drawing on both the relational and medical literatures, we propose a research model that brings out the relationships between interpersonal trust in OHCs, and patients’ trust, satisfaction and attitude toward the physician. We then conduct a quantitative survey of 512 OHC users in France, using structural equation modeling to test our hypotheses.Results:Our findings indicate that interpersonal trust in OHCs exerts a positive influence on both patients’ trust in and satisfaction with their physician. It also highlights that these two relational variables have a positive influence on patient attitude toward the physician. Our findings also indicate that patient trust influences patient satisfaction with the physician.Conclusions:This research highlights the importance of OHCs, which can be seen as valuable instruments for enhancing patient–physician relationships. It shows that healthcare managers should seek to enhance interpersonal trust among OHC users, because this trust has a positive influence on patient satisfaction with, trust in and attitude toward the physician.

scholarly journals 4020 Impact of Patients’ Health Literacy Level on Patients’ Health Outcomes

2020 ◽  
Vol 4 (s1) ◽  
pp. 137-137
Author(s):  
Dae Hyun Kim ◽  
Larry Hearld ◽  
William Opoku-Aygeman
Keyword(s):  
Health Literacy ◽  
Health Outcomes ◽  
Medical Information ◽  
Linear Regression Models ◽  
Negatively Associated ◽  
Surgical Department ◽  
Lengths Of Stay ◽  
Health Literacy Level ◽  
Literacy Level ◽  
The Impact

OBJECTIVES/GOALS: The objective of this study is to examine the relationship between gastro-intestinal (GI) patients’ health literacy levels and patients’ health outcomes (length of stay, readmission, complication). METHODS/STUDY POPULATION: A research team at the University of Alabama at Birmingham (UAB) ‘s Gastro-Intestinal (GI) surgical department collected inpatient GI patients’ health literacy data by distributing the Brief Health Literacy Screen (BRIEF) survey to patients are about to be discharged. Patients’ health outcomes data were gathered through Business Objects, an online platform that allows physicians and researchers to access and gather patients’ medical information with an IRB approval. After accounting for necessary control variables, logistic regression and multiple linear regression models will be run to assess whether there is a significant relationship between patients’ health literacy levels and patients’ health outcomes. RESULTS/ANTICIPATED RESULTS: Three specific hypotheses are proposed in this study. H1: GI patients’ health literacy levels will be negatively associated with their lengths of stay H2: GI patients’ health literacy levels will be negatively associated with their readmission status to the hospital H3: GI patients’ health literacy levels will be negatively associated with their complication status to the hospital DISCUSSION/SIGNIFICANCE OF IMPACT: This study allows us to further our understanding of patients’ health literacy level and its’ relationship with important health outcomes. By looking at a variety of diverse health outcomes, the impact of a patients’ health literacy level on that patients’ health outcomes will be observed more clearly.

Do Notions of Risk Inform Patient Choice? Lessons from a Study of Prenatal Genetic Counseling

2006 ◽  
Vol 25 (3) ◽  
pp. 193-219 ◽  
Author(s):  
LINDA M. HUNT ◽  
HEIDE CASTAÑEDA ◽  
KATHERINE B. DE VOOGD
Keyword(s):  
Genetic Counseling ◽  
Patient Choice ◽  
Prenatal Genetic Counseling

scholarly journals DAMPAK KENAlKAN BARGA MINYAK GORENG TERHADAP KELAYAKAN USAHA INDUSTRI RUMAH TANGGA KERIPIK TEMPE DI KECAMATAN RAWALO KABUPATEN BANYUMAS

Agro Ekonomi ◽  
2017 ◽  
Vol 15 (2) ◽  
Author(s):  
Altri Mulyani ◽  
Masyhuri Masyhuri ◽  
Ken Suratiyah
Keyword(s):  
Production Capacity ◽  
Research Area ◽  
Oil Price ◽  
Profit Function ◽  
Factors Affecting ◽  
Cooking Oil ◽  
Production Frequency ◽  
Unit Output ◽  
Home Industries ◽  
The Impact

The objectives are to know: (1) the impact of cooking oil price increasing to the feasibility of tempe chips home industry; (2) income decreasing of tempe chips home industry after cooking oil price increasing; (3)factors affecting the profit of tempe chips home industry; (4) strategy of the tempe chips home industry when the production cost increase as cooking oil price increase. The research area is Rawalo sub-district, Banyumas district. Data collected by census method of 49 tempe home industries. Analyses used are RIC ratio, 1C/Cratio, BEP production, BEP revenue, BEP price, and Unit-Output-Price Cobb-Douglas Profit Function. The results show that: (1) tempe chips home industries have to be maintained although cooking oil price increasing has increased the product's price also; (2) after cooking oil price increasing period, tempe chips home industry has decreasing income; (3) UOP Cobb-Douglas Profit Function shows that cooking oil price, soybean price, cassava powder price, production capacity, dummy variable of before and after increasing cooking oil price period affect the profit function of tempe chips home industry; (4) strategy have been practiced by tempe chips home industries tempe chips product's size, decrease the tempe chips per pack capacity, decrease the production capacity, decrease the production frequency, and add cassava in the processing of tempe making.

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