scholarly journals Feasibility, Safety, and Satisfaction of Combined Hysterectomy with Bilateral Salpingo-Oophorectomy and Chest Surgery in Transgender and Gender Non-Conforming Individuals

2021 ◽  
Vol 18 (13) ◽  
pp. 7133
Author(s):  
Ilaria Mancini ◽  
Davide Tarditi ◽  
Giulia Gava ◽  
Stefania Alvisi ◽  
Luca Contu ◽  
...  
Keyword(s):  
Rare Complication ◽  
Length Of Hospital Stay ◽  
Structured Interview ◽  
Combined Surgery ◽  
Post Intervention ◽  
Surgery Group ◽  
Chest Surgery ◽  
Expected Length ◽  
Post Operation ◽  
And Gender

The demand for masculinizing breast surgery and hysterectomy with bilateral salpingo-oophorectomy (HBSO) from transmen has increased. With a multidisciplinary approach, these surgeries can be performed in a single session. The objective of this study was to retrospectively evaluate the feasibility, safety, and satisfaction of HBSO and chest surgery in transmen. A cohort of 142 subjects who underwent HBSO alone or combined with chest surgery at Sant’Orsola Hospital was analyzed. Intra and post operation events were evaluated. Subjective post-intervention satisfaction, acceptability, and impact of intervention were assessed via a semi-structured interview. Nineteen transmen underwent HBSO alone and 123 underwent combined surgery. HBSO was performed laparoscopically in 96.5% of transmen (137/142). As expected, length of hospital stay and blood loss were significantly higher in the combined surgery group. A total of 13 intra or post-operative complications occurred in the combined surgery group (10.5%) with thoracic hematoma being the most frequent complication (7.6%). Only one rare complication occurred in the HBSO group (omental herniation through a laparoscopic breach). The overall subjective satisfaction score was 9.9 out of 10 for both groups. Positive changes in all areas of life were reported, with no significant differences. We found that the combined surgery appears to be well tolerated, safe, and feasible in transmen and satisfaction with the combined procedure was high in all subjects.

scholarly journals Gastro- or Duodenojejunostomy Leaks After Pancreatoduodenectomy: Single Center Experience and Narrative Literature Review

2021 ◽  
Author(s):  
Knut Jørgen Labori ◽  
Tore Tholfsen ◽  
Sheraz Yaqub ◽  
Kristoffer Lassen ◽  
Dyre Kleive ◽  
...  
Keyword(s):  
Literature Review ◽  
Rare Complication ◽  
Length Of Hospital Stay ◽  
Single Center ◽  
Unsuccessful Attempt ◽  
Feeding Jejunostomy ◽  
Single Center Experience ◽  
Endoscopic Gastrostomy ◽  
Narrative Literature ◽  
Narrative Literature Review

Abstract Background and Methods Gastro- or duodenojejunostomy leaks after pancreatoduodenectomy is rare. This study aims to analyze the incidence, management, and outcome of gastro- or duodenojejunostomy leaks after pancreatoduodenectomy based on a single center experience from 2004 to 2020 with a narrative literature review. Results Of a total of 1494 pancreatoduodenectomies, eight patients with gastrojejunostomy (n=1) or duodenojejunostomy (n=7) leak were identified from the institutional pancreatic database. All leaks were treated operatively. In two patients dismantling of the duodenojejunostomy, distal gastrectomy, and closure of the pyloric and jejunal side, a percutaneous endoscopic gastrostomy and a feeding jejunostomy ultimately had to be performed after an unsuccessful attempt of gastrojejunostomy and suture of the duodenojejunostomy, respectively. The literature search revealed three more studies specifically addressing this complication after pancreatoduodenectomy (36 patients of a total of 4739 pancreatoduodenectomies). Based on an analysis of the current study and the literature review, the overall incidence of gastro- or duodenojejunostomy leaks after pancreatoduodenectomy was 0.71 % (44/6233 pancreatoduodenectomies). The occurrence of a gastro- or duodenojejunostomy leak was associated with a concomitant postoperative pancreatic fistula in 50 % of the cases, an increased length of hospital stay, and a mortality rate of 15.9 %. Surgical treatment was performed in 84 % of the cases. Conclusion Gastro- or duodenojejunostomy leak is a rare complication after pancreatoduodenectomy. Prompt diagnosis and early repair is important. In most cases, a surgical intervention is necessary for a good outcome. Under salvage conditions, a bailout strategy may be to temporarily dismantle the gastro- or duodenojejunal anastomosis.

scholarly journals Prospective Teachers’ Perceptions of Oral Presentations: An Exploration of Challenges Involved

2019 ◽  
Vol 36 (2) ◽  
Author(s):  
Zafar Iqbal ◽  
Effat Alvi ◽  
Farhat Shafi
Keyword(s):  
Higher Education ◽  
Prospective Teachers ◽  
Structured Interview ◽  
Early Years ◽  
Personal Traits ◽  
Teachers Perceptions ◽  
Use Of Technology ◽  
Significant Difference ◽  
And Gender ◽  
Oral Presentations

Presentation skills are considered as one of the most important proficiencies needed for higher education and future careers for teachers. The present study identifies the challenges faced by prospective teachers during classroom oral presentations while studying at a teacher training institute, Institute of Education and Research, (IER). The participants of the study were 400 prospective teachers enrolled in different programs of teacher education at IER. Independent variables were measured, number of semesters already completed at the institute, gender and GPA in the completed semesters. A questionnaire was developed comprising three main sections: personal traits, oral presentation skills and peers and teachers. The statements were developed on a five-point Likert Scale to know the opinion of prospective teachers regarding challenges involved in oral presentations. In addition, a semi-structured interview was conducted from thirty prospective teachers to probe results obtained from quantitative analysis and investigate reasons behind emerging challenges. The findings revealed that prospective teachers experienced medium level of difficulties in oral presentations with mild tendency towards high rank.  There was no significant difference found in the results regarding the number of semester students already completed, GPA and gender in general, whereas, statistically significant difference was found on factor peer and teachers with respect to variable gender only. Analysis of qualitative data revealed tangible reasons behind the challenges of oral presentations such as second language, personal traits and use of technology. There is a need to encourage sharing of ideas, discussions and presentations in the classrooms right from the early years of school through higher education in order to enable learners to become confident, vocal and effective teachers.

scholarly journals The Role of Medicinal Plants in Traditional Medicine in Adwa District, Tigray, Northern Ethiopia

2020 ◽  
pp. 1-11
Author(s):  
Temesgen Assefa ◽  
Netsanet Nigussie ◽  
Destaw Mullualem ◽  
Gebiru Sinshaw ◽  
Yeshaneh Adimasu
Keyword(s):  
Medicinal Plants ◽  
Traditional Medicine ◽  
Indigenous Knowledge ◽  
Group Discussion ◽  
Structured Interview ◽  
Northern Ethiopia ◽  
Ethnobotanical Survey ◽  
Plant Parts ◽  
And Gender

In Ethiopia, medicinal plants had been used since ancient time and became an important source of health care. Though majority of the people in the study area depend on ethnomedicine to manage different ailments, the indigenous knowledge largely is not documented. As a result, an ethnobotanical survey was conducted with the objective of assessing the role of medicinal plants in traditional medicine. Data was collected by using semi-structured interview and group discussion. Twenty informants were purposefully selected based on indigenous knowledge and gender. Ethnobotanical data was analyzed with descriptive statistics and expressed in tables and flow charts. A total of 25 medicinal plants (22 families) recorded to treat human and livestock ailments. Medicinal plant habit analysis indicates that shrubs occupy the highest proportion (36%), followed by trees and herbs (28% for each) and climbers (8%). The most commonly used plant parts in the study area were leaves and roots. Although medicinal plants play a great role in the society, their  sustainability is declining through time in the study area due to the increasing number of users, improper uses of the plants and poor conservation. Therefore, the conservation of these medicinal plants would be important.

scholarly journals Hemorrhoidectomy in Patients with Grade III and IV Disease: Harmonic Scalpel compared with Conventional technique.

2020 ◽  
Vol 27 (05) ◽  
pp. 929-934
Author(s):  
Safia Zahir Ahmed ◽  
Noor ul Mobeen ◽  
Bilal Ahmed
Keyword(s):  
Operative Time ◽  
Harmonic Scalpel ◽  
Controlled Trial ◽  
Length Of Hospital Stay ◽  
Conventional Technique ◽  
Equal Distribution ◽  
Conventional Hemorrhoidectomy ◽  
Significant Difference ◽  
And Gender ◽  
Group B

Objectives: To compare conventional hemorrhoidectomy with harmonic scalped hemorhoidectomy for Ferguson hemorrhoidectomy is traditional closed procedure for 3rd and 4th degree hemorrhoids that is being practiced since centuries. With new innovations and technology, harmonic scalpel is an ultrasonic device which has shown to have promising results. With these two techniques a comparison study variables of pain outcome as a patient perceives, time taken for operation and length of stay in hospital. Study Design: Randomized controlled trial. Setting: Services hospital Lahore. Period: From August 2015 to February, 2016. Material & Methods: Patients were divided into two equal groups: Group A: conventional hemorrhoidectomy and Group B: Harmonic Scalpel. The study was performed by a single surgical operating team. Patient’s selection criteria were male and female between 20 to 80 ages with III and IV degree hemorrhoids. The outcomes were operative time, post-operative pain and duration of stay in the hospital. Results: One hundred patients with mean age 40.86+10.26 were included and randomly assigned. This came out significant difference in operative time 28.4+11.004, postoperative pain 3.73+1.96, and length of hospital stay 2.43+1.795. There were equal distribution in age and gender in both groups. Conclusions: It is concluded that harmonic scalpel technique in hemorrhoidectomy is better than conventional closed hemorrhoidectomy in 3rd and 4th degree hemorrhoids.

scholarly journals Cost Savings Analysis of Individualized Exercise Oncology Programs

2019 ◽  
Vol 18 ◽  
pp. 153473541983946 ◽  
Author(s):  
Karen Y. Wonders ◽  
Rob Wise ◽  
Danielle Ondreka ◽  
Josh Gratsch
Keyword(s):  
Cancer Care ◽  
Cost Savings ◽  
Length Of Hospital Stay ◽  
Standard Of Care ◽  
National Standard ◽  
Cost Burden ◽  
Post Intervention ◽  
Before And After ◽  
The Impact ◽  
Exercise Oncology

Background: The physical and economic toll of cancer make it a high health priority. The rising cost of cancer care is now a primary focus for patients, payers, and providers. Escalating costs of clinical trials and national drug regulations have led the median monthly costs of cancer drugs to rise from less than $100 in 1965 to 1969, to more than $5000 in 2005 to 2009, stressing the importance of finding innovative ways to reduce cost burden. In the present study, we report the economic evaluation of an individualized exercise oncology program beginning early after diagnosis. Methods: An independent research group, ASCEND Innovations, retrospectively analyzed patient records to statistically demonstrate the impact of exercise oncology during cancer treatment. All patients completed 12 weeks of prescribed, individualized exercise that included cardiovascular, strength training, and flexibility components. The 3 primary hospital measures leveraged for statistical comparison before and after supportive care enrollment were number of encounters, number of readmissions, and average total charges, as well as emergency room visits and length of hospital stay ( P < .05). Results: The resulting dataset consisted of 1493 total hospital encounters for 147 unique patients. The results statistically demonstrate a positive effect of exercise oncology during cancer care, in terms of reductions in overall cost per patient pre- to post-intervention. Conclusions: Individualized exercise oncology programs should be employed as part of the national standard of care for individuals battling cancer, in order to improve patient outcome and reduce cost burden.

scholarly journals A qualitative evaluation of an Australian public health nutrition workforce development intervention involving mentoring circles

2010 ◽  
Vol 14 (8) ◽  
pp. 1458-1465 ◽  
Author(s):  
Claire Palermo ◽  
Roger Hughes ◽  
Louise McCall
Keyword(s):  
Public Health ◽  
Workforce Development ◽  
Qualitative Evaluation ◽  
Structured Interview ◽  
Public Health Nutrition ◽  
Post Intervention ◽  
Development Intervention ◽  
Supportive Environment ◽  
Split Function ◽  
And Function

AbstractObjectiveTo evaluate a mentoring circle workforce development intervention among a group of public health nutrition novices.DesignThe mentoring circle intervention focused on facilitating practice-based public health nutrition competence development and supporting reorientation of practice from clinical services to preventive services. A retrospective post-intervention qualitative semi-structured interview was used to explore the experiences of those participating in the mentoring circle and to make evaluative judgements about intervention attributes and effectiveness.SettingVictoria, Australia.SubjectsThirty-two novice public health nutrition practitioners employed in the state public health system.ResultsKey evaluative theme categories relating to the mentoring circle intervention were identified, including the structure and function of the group, the utility of using advanced-level competency items to guide planning, having a safe and supportive environment for learning and the utility of learning via mentoring and on-the-job experiences. These qualitative evaluation data identify the attributes of the mentoring circle intervention contributing to intervention effectiveness.ConclusionsThis qualitative evaluation indicates that mentoring circles can be an effective workforce capacity-building intervention, particularly in novice workforces characterised by professional isolation and split function roles.

Group Acupuncture to Relieve Radiation Induced Xerostomia: A Feasibility Study

2009 ◽  
Vol 27 (3) ◽  
pp. 109-113 ◽  
Author(s):  
Richard Simcock ◽  
Lesley Fallowfield ◽  
Valerie Jenkins
Keyword(s):  
Quality Of Life ◽  
Feasibility Study ◽  
Randomised Trial ◽  
Subjective Assessment ◽  
Structured Interview ◽  
Acupuncture Points ◽  
Post Intervention ◽  
Oral Dryness ◽  
Radiation Induced

Background A distressing complication of radiotherapy treatment for head and neck cancer is xerostomia (chronic oral dryness). Xerostomia is difficult to treat conventionally but there are reports that acupuncture can help. We conducted a feasibility study to examine the acceptability of a standardised group acupuncture technique and adherence to group sessions, together with acceptability of the objective and subjective measurements of xerostomia. Methods 12 males with established radiation induced xerostomia were treated in three groups of four. Each received eight weekly sessions of acupuncture using four bilateral acupuncture points (Salivary Gland 2; Modified Point Zero; Shen Men and one point in the distal radial aspect of each index finger (LI1)). Sialometry and quality of life assessments were performed at baseline and at the end of treatment. A semi-structured interview was conducted a week after completing the intervention. Results Adherence to and acceptability of the treatment and assessments was 100%. There were objective increases in the amounts of saliva produced for 6/12 patients post intervention and the majority also reported subjective improvements. Mean quality of life scores for domains related to salivation and xerostomia also showed improvement. At baseline 92% (11/12) patients reported experiencing a dry mouth “quite a bit/very much” as compared to 42% (5/12) after the treatment. Qualitative data revealed that the patients enjoyed the sessions. Conclusion The pilot study shows that a standardised group technique is deliverable and effective. The tools for objective and subjective assessment are appropriate and acceptable. Further examination in a randomised trial is now warranted.

scholarly journals Feasibility study: honey for treatment of cough in children

2013 ◽  
Vol 5 (2) ◽  
pp. 8 ◽  
Author(s):  
Naveed Ahmed ◽  
Alastair Sutcliffe ◽  
Claire Tipper
Keyword(s):  
Respiratory Tract ◽  
Controlled Trial ◽  
Structured Interview ◽  
Assessment Tools ◽  
World Health ◽  
Upper Respiratory Tract ◽  
Age And Gender ◽  
Cough Assessment ◽  
And Gender ◽  
Tract Infections

Respiratory tract infections are an important health problem because of high incidence and economic costs. The World Health Organization identifies honey as a potential demulcent treatment for cough. The aim of this study is to determine: i) patient public perceptions towards a proposed randomized controlled trial (RCT) comparing the effects of honey to placebo for treatment of cough in children; ii) potential participation rates for proposed trial; iii) whether age and gender of parent or child impacts on proposed cough assessment tools. Forty adult participants with children age 1-6 years presenting with an upper respiratory tract infection were enrolled. They underwent a structured interview regarding the proposed trial and assessed their child’s cough using two validated questionnaires. Eighty-eight percent of those recruited were willing to participate in the proposed trial. The two independently validated cough scores correlated well. A relationship between age and gender of child or parent with cough assessment score was not found. We conclude that a RCT to determine the effects of honey versus placebo is feasible. The public find the outcome measures and trial design acceptable.

scholarly journals Effect of Coping Strategies Education on Knowledge and Behaviors of Women Experienced Workplace Bullying

2020 ◽  
Vol 2 (3) ◽  
pp. 13
Author(s):  
Shimaa M. H. Ali ◽  
Eman M. M. Elsherbeny ◽  
Mervat A. Ahmed ◽  
Hussein M. M. F. Mohamed
Keyword(s):  
Coping Strategies ◽  
Workplace Bullying ◽  
Coping Behavior ◽  
Age Groups ◽  
Structured Interview ◽  
Post Intervention ◽  
Work Related ◽  
Quasi Experimental ◽  
And Behaviors

Context: Workplace bullying is defined as the perceived situation in which an employee is systematically and repeatedly the target of work-related or personal harmful acts. Workplace bullying is an occupational stressor shown to have particular detrimental health outcomes for those targeted. Aim: The study aimed to evaluate the effect of coping strategies education on knowledge and behaviors of women experienced workplace bullying. Methods: A quasi-experimental (pre/posttest) design was used to achieve this study's aim. The study was conducted at Beni-Suef University affiliated to the Ministry of Higher Education. The study conducted on a convenient sample of 500 women working at Beni-Suef University. They included 360 employee women from different age groups, educational backgrounds, and job positions. The sample also includes 100 nurses and 40 workers. The study used two tools. The researcher designed a structured interview questionnaire to assess the women's socio-demographic profile and their knowledge regarding workplace bullying. The second tool was a coping behavior checklist for workplace bullying designed by the researcher to assess the women's behaviors toward workplace bullying. Results: shows that 36.0% of the studied women were in the age group ≥30 with a mean age of 34.38±4.33. Half of the studied women suffering from all mentioned health effects, followed by absenteeism 15%, then depression 12%, and 7% suffering decreased self-esteem, the least health problems 6% was for a physical problem (cardiovascular, diabetes mellites, and neuromuscular problems). The study reveals a statistically significant improvement of women's knowledge regarding workplace bullying at post compared to pre educational intervention and at follow up phase compared to the post-intervention phase at p <0.001. The results also show a highly statistically significant improvement in the women's behaviors toward workplace bullying between pre and post-intervention phases and between post and follow up phases of intervention at p <0.001. Conclusion: The research hypotheses were supported. The women exposed to the coping strategies education had improved knowledge and behaviors compared to their pre-education level. Effective organizational interventions are recommended to help prevent and address bullying incidents, and robust legislative mechanisms are also recommended to allow for restitution and compensation, particularly for women.

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