scholarly journals Management of Follow-Up With Preterm Infants During the Outbreak in China

2021 ◽  
Vol 9 ◽  
Author(s):  
Linlin Li ◽  
Zhenghong Li ◽  
Weilin Wan ◽  
Ji Li ◽  
Yu Zhang ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Anxiety Level ◽  
Medical Services ◽  
Oral Medicine ◽  
Face To Face ◽  
The Family ◽  
Before And After ◽  
First Time

Introduction: Coronavirus disease 2019 (COVID-19) swept Wuhan in January 2020. Other cities in China also suffered during the pandemic. Routine medical services were conducted in the Neonatal Intensive Unit (NICU) as usual, but the follow-up after discharge was seriously affected.Objective: To investigate the feasibility and effectiveness of a combination of online and face-to-face follow-up for preterm infants during the COVID-19 epidemic and to explore a follow-up pattern that can provide follow-up services while maximizing the protection of preterm infants and soothing the fear of their parents.Methods: Preterm infants (n = 35) whose first follow-up appointment was scheduled from February 1 to April 30, 2020, and preterm infants (n = 43) in the NICU follow-up group who were discharged from January 1, 2018, to January 31, 2020, who had a second or later routine follow-up appointment scheduled from February 1 to April 30, 2020, were enrolled. We provided a combination of online and face-to-face follow-up for preterm infants surveyed with the Wenjuanxing platform before and after the online follow-up and compared the first-time follow-up rate between the outbreak and the same period of the previous year.Results: Feeding and oral medicine and supplements were the most concerning problems of the parents of preterm infants. The anxiety level of the family was significantly decreased after online follow-up (P < 0.05). A total of 96.8% of parents were satisfied or very satisfied with online follow-up, and 95.2% of parents thought that online follow-up had answered all their questions. Only 35.5% of parents thought online follow-up could replace face-to-face follow-up.Conclusion: The combination of online and face-to-face follow-up alleviated the anxiety of the parents during the outbreak and achieved a similar first-time follow-up rate as the same period in 2019.

scholarly journals Two new records of flowering plants from Lesotho

Bothalia ◽  
2017 ◽  
Vol 47 (2) ◽  
Author(s):  
Khotso Kobisi ◽  
Lerato S. Kose ◽  
Annah Moteetee
Keyword(s):  
National Park ◽  
New Records ◽  
Field Trips ◽  
Flowering Plants ◽  
Plant Identification ◽  
The Family ◽  
National University ◽  
The University ◽  
First Time

Background: A number of books, articles and checklists have been published on Lesotho’s flora. The species presented here have been recorded for South Africa but have not previously been recorded for Lesotho.Objectives: As part of a study aimed at updating biodiversity records of the southern parts of Lesotho (Qacha’s Nek and Quthing districts), with the main focus of compiling a checklist for the Sehlabethebe National Park, this report presents plant species that have until now not been recorded for the Lesotho flora.Method: Several field trips were undertaken between 2004 and 2009. Plant identification was done based on observation and photographic records. After the compilation of the checklist, it became clear that two of the species observed had not been previously recorded for Lesotho. A follow-up trip was carried out in February 2016, during which plant specimens of the presumed new records were collected and deposited at the National University of Lesotho Herbarium (ROML) [and the University of Johannesburg Herbarium (JRAU)]. Plant identification was confirmed by experts in the family Apocynaceae.Results: Two species not previously recorded for Lesotho, namely Ceropegia africana subsp. barklyi and Duvalia caespitosa subsp. caespitosa, were found during the exploration of the southern parts of Lesotho which included the Sehlabathebe National Park.Conclusions: The fact that two species have been recorded in Lesotho for the first time clearly indicates that documentation of the flora of Lesotho needs to be updated. This work is therefore regarded as complementary to previous publications on the Lesotho flora.

Who We Are

2020 ◽  
pp. 26-46
Author(s):  
Kevin M. Fitzpatrick ◽  
Matthew L. Spialek
Keyword(s):  
Data Collection ◽  
Recovery Process ◽  
Methodological Framework ◽  
Online Surveys ◽  
Specific Data ◽  
Face To Face ◽  
Secondary Sources ◽  
Recovery Processes ◽  
Before And After

Chapter two describes the methodological framework and design for this project. The authors present a discussion of the methods used to select persons for both face-to-face interviews and online surveys, along with the follow-up strategies used to talk with civilians and organizational officials involved in the recovery process. This chapter discusses both the approach to the data collection, as well as what specific data the authors were interested in acquiring as it pertained to understanding how displacement and recovery processes varied across individual survivors. Finally, the chapter discusses in detail the numerous strategies employed to tell the survivors’ stories—pictures, maps, tables, charts, and narratives, along with additional data from secondary sources to help characterize the places where survivors were living both before and after the disaster.

The effect of psychological management on dental anxiety in children

2003 ◽  
Vol 27 (4) ◽  
pp. 365-370 ◽  
Author(s):  
M Folayan ◽  
D. Ufomata ◽  
C Adekoya-Sofowora ◽  
O Otuyemi ◽  
E. Idehen
Keyword(s):  
Short Form ◽  
Dental Anxiety ◽  
Anxiety Level ◽  
Psychological Techniques ◽  
Dental Management ◽  
The Mean ◽  
Psychological Management ◽  
First Time ◽  
Single Technique

The aim of this study was to determine the effect of using of psychological management techniques on the level of anxiety in Nigerian children during dental management. The Short Form of the Dental Anxiety Survey Schedule was administered to 81 children who were attending a suburban dental clinic for the first time. This schedule was re-administered again two weeks later when they came for a follow up visit. The age of the patients was recorded. The types as well as number of psychological techniques employed during treatment were also noted. The overall mean dental anxiety level of the children decrease from an average of 15.23±5.03 before treatment to 13.40+4.13 after treatment (p < 0.001). However, the mean dental anxiety score in children in whom no psychological technique was employed during treatment increased after treatment. On the other hand, there was also a statistically significant decrease in the mean dental anxiety level of children treated using either a single psychological technique or combined psychological techniques after treatment. Better results were obtained when combined psychological techniques where used than when only a single technique was used. It was concluded that psychological techniques used in the management of dental anxiety in children are highly effective in decreasing dental anxiety levels. Better results are obtained when a number of techniques are combined effectively.

scholarly journals Creating Colored Letters: Familial Markers of Grapheme–Color Synesthesia in Parietal Lobe Activation and Structure

2017 ◽  
Vol 29 (7) ◽  
pp. 1239-1252 ◽  
Author(s):  
Olympia Colizoli ◽  
Jaap M. J. Murre ◽  
H. Steven Scholte ◽  
Romke Rouw
Keyword(s):  
Parietal Lobe ◽  
Diffusion Tensor ◽  
Brain Connectivity ◽  
Brain Activation ◽  
Angular Gyrus ◽  
Group Differences ◽  
The Family ◽  
Before And After ◽  
The Right ◽  
First Time

Perception is inherently subjective, and individual differences in phenomenology are well illustrated by the phenomenon of synesthesia (highly specific, consistent, and automatic cross-modal experiences, in which the external stimulus corresponding to the additional sensation is absent). It is unknown why some people develop synesthesia and others do not. In the current study, we tested whether neural markers related to having synesthesia in the family were evident in brain function and structure. Relatives of synesthetes (who did not have any type of synesthesia themselves) and matched controls read specially prepared books with colored letters for several weeks and were scanned before and after reading using magnetic resonance imaging. Effects of acquired letter–color associations were evident in brain activation. Training-related activation (while viewing black letters) in the right angular gyrus of the parietal lobe was directly related to the strength of the learned letter–color associations (behavioral Stroop effect). Within this obtained angular gyrus ROI, the familial trait of synesthesia related to brain activation differences while participants viewed both black and colored letters. Finally, we compared brain structure using voxel-based morphometry and diffusion tensor imaging to test for group differences and training effects. One cluster in the left superior parietal lobe had significantly more coherent white matter in the relatives compared with controls. No evidence for experience-dependent plasticity was obtained. For the first time, we present evidence suggesting that the (nonsynesthete) relatives of grapheme–color synesthetes show atypical grapheme processing as well as increased brain connectivity.

scholarly journals Impact of the ablation technique on release of the neuronal injury marker S100B during pulmonary vein isolation

EP Europace ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. 1502-1508
Author(s):  
Katharina Scherschel ◽  
Katja Hedenus ◽  
Christiane Jungen ◽  
Paula Münkler ◽  
Stephan Willems ◽  
...  
Keyword(s):  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Cox Regression ◽  
Cox Regression Analysis ◽  
Ablation Technique ◽  
Molecular Pattern ◽  
Before And After ◽  
Study Population ◽  
First Time

Abstract Aims S100B, a well-known damage-associated molecular pattern protein is released acutely by central and peripheral nerves and upon concomitant denervation in pulmonary vein isolation (PVI). We aimed to investigate whether the ablation technique used for PVI impacts S100B release in patients with paroxysmal atrial fibrillation (AF). Methods and results The study population consisted of 73 consecutive patients (age: 62.7 ± 10.9 years, 54.8% males) undergoing first-time PVI with either radiofrequency (RF; n = 30) or cryoballoon (CB; n = 43) for paroxysmal AF. S100B determined from venous plasma samples taken immediately before and after PVI increased from 33.5 ± 1.8 to 91.1 ± 5.3 pg/mL (P < 0.0001). S100B release in patients undergoing CB-PVI was 3.9 times higher compared to patients with RF-PVI (ΔS100B: 21.1 ± 2.7 vs. 83.1 ± 5.2  pg/mL, P < 0.0001). During a mean follow-up of 314 ± 186 days, AF recurrences were observed in 18/71 (25.4%) patients (RF-PVI: n = 9/28, CB-PVI: n = 9/43). Univariate Cox regression analysis indicated that an increase in S100B was associated with higher freedom from AF in follow-up (hazard ratio per 10  pg/mL release of S100B: 0.83; 95% confidence interval: 0.72–0.95; P = 0.007). Conclusion The ablation technique used for PVI has an impact on the release of S100B, a well-established biomarker for neural damage.

scholarly journals POS1496-HPR IS NUTRITIONAL FOLLOW-UP IN PATIENTS LIVING WITH RHEUMATOID ARTHRITIS BETTER WITH TELECONSULTATION? - EXPERIENCE BEFORE AND AFTER PANDEMIC

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1032.2-1033
Author(s):  
I. Mozo ◽  
M. Marquez ◽  
O. Valencia
Keyword(s):  
Rheumatoid Arthritis ◽  
Remote Monitoring ◽  
Eating Habits ◽  
Feeding Habits ◽  
The Body ◽  
Santa Fe ◽  
Face To Face ◽  
Specialized Center ◽  
Before And After

Background:Nutritional follow-up as part of the integral attention for patients living with rheumatoid arthritis (RA) has been limited due to the COVID-19 pandemic. It made necessary to implement a remote monitoring for the care of the patients and to evaluate the outcomes of the changes in the care model.Objectives:To identify the effects of the telemonitoring intervention within the pandemic scenario and the outcomes of the traditional face-to-face nutrition consultation.Methods:A retrospective analysis of health records and the administrative data base of the patient’s follow-up, between 2019 and 2020, was developed at the arthritis specialized center of the Santa Fe de Bogotá Foundation in Bogotá, Colombia. The outcomes measured include the number of visits per year and the proportion of patients who attend their nutritional follow-up by telemonitoring in 2020 vs patients attending to face-to-face nutrition consultation. Differences in the Body Max Index (BMI) and the changes based on eating habits, defined by the quality of food consumption per day, were also measured.Results:A total of 212 patients from 2020 and 179 from 2019 were analyzed; An increase of 61.5% in the number of consultations, using nutritional telemonitoring per year, was identified in 2020 (n=412) compared to 2019 (n=255). In patients followed from 2019 to 2020, 13% (10/77) experienced an increase of more than 2 units of their BMI, while 22% (17/77) showed a decrease; in 2% of patients was not possible to evaluate their current weight; in the same way, 49% (103/212) in 2020 showed a positive change in their feeding habits compared with a 12% (21/179) in 2019. 135 new patients were recruited for nutritional telemonitoring 2020.Conclusion:Nutritional telemonitoring to follow-up patients with RA has increased considerably in terms of consultations per year and changes in the feeding habits. However, more evaluation is required for this model.References:[1]Melanie J Martin, Nora Ng, Laura Blackler, Toby Garrood, P227 Remote monitoring of patients with RA: a user-centred design approach, Rheumatology, Volume 59, Issue Supplement_2, April 2020, keaa111.221, https://doi.org/10.1093/rheumatology/keaa111.221[2]Principio del formularioDisclosure of Interests:None declared

scholarly journals eHub: Enhancing the emergence of the electronic consultation

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X703673
Author(s):  
Ross Dyer-Smith ◽  
Gurbaksh Badial
Keyword(s):  
Clinical Training ◽  
Core Competency ◽  
Training Programme ◽  
Face To Face ◽  
Electronic Consultation ◽  
Educational Package ◽  
Before And After ◽  
Consultation Training ◽  
Area Of Concern

BackgroundAlternatives to face-to-face consulting (F2F) with patients have been developed including telephone consulting and e-consulting. One area of concern about both alternatives is that they may act to increase total consultation time by generating additional F2F consultation activity.AimTo determine the proportion of clinical e-consults where a GP requested a follow-up F2F consultation and to determine whether e-consultation training reduced the proportion of GP requests for a follow-up F2F consultation.MethodA longitudinal study was conducted observing ‘remote closure’ rates (the proportion of clinical e-consults with no F2F follow-up appointment) before and after the launch of a dedicated at scale electronic consultation ‘eHub’ with a bespoke technical and clinical training programme. Remote closure rates were available for 42 months prior and 22 months following the intervention. A follow-up GP consultation was defined as the doctor requesting the patient to make a F2F appointment.ResultsThe remote closure rates were 63% (3019/4778) before and 87% (6957/7993) after the intervention. χ2 with Yates correction 1024.9; P<0.001.ConclusionThe consultation as a core competency of GP training requires specific skills for e-consulting. We have devised a training package for e-consultation training. Following implementation of a package of intensive e-consultation training, remote closure rates of 87% were obtained. Some of the observed increase in remote closure rates may have been attributable to increased familiarity of both GPs and patients with new models of consultation. We plan to test our e-consulting educational package in other settings with low e-consultation closure rates.

scholarly journals The safety and feasibility of the screening for retinopathy of prematurity assisted by telemedicine network during COVID-19 pandemic in Wuhan, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zheng Guo ◽  
Nan Ma ◽  
Yixuan Wu ◽  
Hua Yuan ◽  
Wanjun Luo ◽  
...  
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Retinopathy Of Prematurity ◽  
Preventive Measures ◽  
Delayed Treatment ◽  
Face To Face ◽  
Before And After ◽  
Median Birth Weight ◽  
Rop Screening

Abstract Background During the coronavirus disease 2019 (COVID-19) epidemic, due to the traffic blockade and the shortage of medical resources, more and more premature infants could not receive timely and effective ROP screening, which delayed treatment and even caused children blindness. Therefore, how to carry out ROP screening safely and effectively during the epidemic was very important and urgent. This study aimed to evaluate the safety and feasibility of ROP screening assisted by telemedicine network during COVID-19 outbreak. Methods This retrospective study was conducted at Wuhan Children’s hospital in Wuhan, China, from January to October, 2020. The measures which were performed to make the ROP screening more safe and effective were summarized and the comparison between ROP screening assisted by telemedicine network in 2020 and usual screening in 2019 were analyzed. Results A total of 267 outpatient infants completed ROP screening. The median gestational age was 32 weeks (30w to 34w) and the median birth weight was 1780 g (1460 g to 2100 g). Meanwhile, 149 (55.8%) out of 267 infants were males. During January to May in 2020, 86 screening appointments were received, among which 67 (77.9%) were from telemedicine platform online. The completing percentage of total online ROP appointments was higher than that of total face-to-face appointments (58.1% VS 22. 1%, P = 0.018). As for the number of infants screened between 2020 and 2019 from Februaryto October, 54 infants completed ROP screening in 2020, which was higher than that (51participants) in 2019 on September. Furthermore, compared with the usual screening in 2019, ROP screening assisted by telemedicine network in 2020 had smaller gestational age (32w VS 33w, p<0.001) and lower birth weight (1780 g VS 1900 g, p = 0.001). However, of the 267 infants screened, 18(6.7%) had ROP while the percentage of ROP screened in 2019 was the same (44[6.7%]). During follow-up, none of medical staffs was infected and no adverse reaction was reported. Conclusions The screening for retinopathy of prematurity assisted by telemedicine network was safe and feasible during the COVID-19 pandemic. Preventive measures before and after screening were very necessary, which could effectively avoid cross infection.

scholarly journals The Role of Sense of Voice Presence and Anxiety Reduction in AVATAR Therapy

2020 ◽  
Vol 9 (9) ◽  
pp. 2748
Author(s):  
Mar Rus-Calafell ◽  
Thomas Ward ◽  
Xiao Chi Zhang ◽  
Clementine J. Edwards ◽  
Philippa Garety ◽  
...  
Keyword(s):  
Anxiety Reduction ◽  
Therapy Outcomes ◽  
Virtual Reality Technology ◽  
Face To Face ◽  
Relational Processes ◽  
First Time ◽  
Therapy Sessions ◽  
The Voice

AVATAR therapy offers a unique therapeutic context that uses virtual reality technology to create a virtual embodiment of the voice-hearing experience, enabling the person to visualize their persecutory voice and engage in real-time “face-to-face” dialogue. The present study explores, for the first time, the contribution of sense of voice presence, together with session-by-session reduction of anxiety and paranoid attributions about the avatar, to changes in primary outcomes following AVATAR therapy. Data from 39 participants, who completed AVATAR therapy and attended a 12-week follow-up assessment, were analysed. Mid- to high-levels of sense of voice presence were reported across the therapy sessions, along with significant reductions of anxiety levels and paranoid attributions about the avatar. The interaction of sense of voice presence and reduction of anxiety was associated with two of the significant therapy outcomes: PSYRATS total and frequency of voices. The findings suggest that improvements in voice severity and frequency at post AVATAR therapy may be influenced by the combination of feeling less anxious in the context of a realistic simulation of the voice, while voice-related distress may involve additional cognitive and relational processes.

A Trial of Family Therapy versus a Relatives' Group for Schizophrenia

1990 ◽  
Vol 157 (4) ◽  
pp. 571-577 ◽  
Author(s):  
J. Leff ◽  
R. Berkowitz ◽  
N. Shavit ◽  
A. Strachan ◽  
I. Glass ◽  
...  
Keyword(s):  
Family Therapy ◽  
Relapse Rate ◽  
Social Intervention ◽  
Previous Trial ◽  
Neuroleptic Drugs ◽  
Face To Face ◽  
The Family ◽  
Relapse Rates ◽  
Risk Of Relapse

The results are reported of a two-year follow-up of a trial of family sessions in the home (including patients) (12 families) versus a relatives' group (excluding patients) (11 families). Subjects were patients with schizophrenia living in high face-to-face contact with high-EE relatives. Patients were maintained on neuroleptic drugs for two years where possible. Relatives' critical comments and hostility were significantly lowered by nine months, but no significant changes occurred subsequently. Relatives' overinvolvement reduced steadily throughout the trial, and reduction in relatives' EE, either alone or in combination with reduced face-to-face contact, appeared to be associated with a lower relapse rate. The relapse rates for patients in the family-therapy and relatives’-group streams were 33% and 36% at two years. When these data were combined with the results of a previous trial, it was found that patients in families assigned to any form of social intervention had a two-year relapse rate of 40%, significantly lower than the 75% relapse rate for patients whose families were offered no help. We therefore recommend that relatives' groups are established in conjunction with some family sessions in the home for patients at high risk of relapse.

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