scholarly journals Long-Term Outcomes from a 10-Year Follow-Up of Women Living with a Restrictive Eating Disorder: A Brief Report

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2331
Author(s):  
Enza Speranza ◽  
Lidia Santarpia ◽  
Maurizio Marra ◽  
Emilia De Filippo ◽  
Olivia Di Vincenzo ◽  
...  

Background: This study aimed to evaluate several socio-demographic and long-term clinical outcomes in a cohort of women living with a restrictive eating disorder. Methods: Patients were asked to fill in a general data collection form aiming to investigate their current conditions and to attend the outpatient unit for a 10-year follow-up clinical and laboratory evaluation. Results: Forty-four patients completed the follow-up general data collection form and 20 agreed to attend the outpatient unit for the 10 year-follow-up evaluation. In total, 52% of patients were single, 55% had achieved a university degree, and 55% had steady employment. After 10 years, there was a clear improvement in biochemical markers, but cholesterol levels were still slightly high. The prevalence of osteopenia in the whole sample was 70% when measured on the lumbar column and 20% on the total body, while osteoporosis was found in 10% of patients and only on the lumbar column. Conclusion: According to the collected data, women with a history of restrictive eating disorders appear to re-adapt well to social life by obtaining the level of their unaffected peers in terms of education and employment.

Author(s):  
Vicky Narea Morales ◽  
Jorge Daher Nader ◽  
Katherine Rodriguez ◽  
Yesica Pazmiño Mera ◽  
Cecilia Herrera Martínez

The objective of this research work was to determine the benefits and difficulties of obstetric psychoprophylaxis in pregnant women of the Cerecita Health Center, Guayas - Ecuador from January - December 2017. The study design is non-experimental, cases and controls, retrospective, in the The research methodology used the data collection form and an ad hoc form was prepared. To carry out the investigation, an application was submitted to the director of the health center. The sample consisted of 80 nulliparous and multiparous pregnant women, who met the inclusion and exclusion criteria. The following results were obtained: that if there are significant benefits with pregnant women who attended the psychoprophylaxis sessions; With an adequate assistance of pregnant women, 70% completed all the sessions of Psychoprophylaxis, with a time of less than 6 hours of the dilation period of 46.43%; With an expulsion period of less than 25 minutes in 76.79% More eutocic deliveries in 82.14% of the pregnant women who completed the PPO sessions, 78.57% of the cases did not require medication in the dilation phase; Apgar at the minute, greater than 8 in 96.43%, and at 5 minutes in 98.21%. Only 1.78% of the newborns of the mothers in the case group had apnea and in fetuses of 3500 gms or more, the 40% had an expulsive no greater than 25 minutes. The benefits observed in the present study, on labor, on the newborn, was a better Apgar at the first minute of life (p = 0.091x10-4, OR = 9).


10.2196/18588 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e18588
Author(s):  
Katherine Tassiopoulos ◽  
Carla Roberts-Toler ◽  
Carl J Fichtenbaum ◽  
Susan L Koletar

Background Longitudinal follow-up of older persons living with HIV is essential for the ascertainment of aging-related clinical and behavioral outcomes, and self-administered questionnaires are necessary for collecting behavioral information in research involving persons living with HIV. Web-based self-reported data collection results in higher data quality than paper-and-pencil questionnaires in a wide range of populations. The option of remote web-based surveys may also increase retention in long-term research studies. However, the acceptability and feasibility of web-based data collection in clinical research involving older persons living with HIV have never been studied. Objective This study aims to assess the acceptability and feasibility of a web-based survey to collect information on sexual, substance use, and physical activity behaviors; compare the data quality of the web-based survey with that of a paper-and-pencil questionnaire; and summarize web-based survey metrics. Methods This pilot study took place within the AIDS Clinical Trials Group A5322 study, a longitudinal cohort of men and women living with HIV (aged ≥40 years), followed at 32 clinical sites in the United States and Puerto Rico. A total of 4 sites participated in this study. A web-based survey was created using self-administered questionnaires typically completed in A5322 via paper and pencil. Pilot study participants completed these questionnaires via web-based survey at one research visit in lieu of paper-and-pencil administration. Two questions were added to assess feasibility, defined as participants’ perception of the ease of web-based survey completion (very hard, hard, easy, very easy), and their preferred format (computer or tablet, paper and pencil, no preference) for completing the questions in the future (acceptability). Feasibility and acceptability were summarized overall and by demographic and clinical characteristics; the proportion of evaluable data by web-based survey versus previously administered paper-and-pencil questionnaires (data quality) was compared for each question. Results Acceptability and feasibility were high overall: 50.0% (79/158) preferred computer or tablet, 38.0% (60/158) reported no preference, and 12.0% (19/158) preferred paper and pencil; 93.0% (147/158) reported survey completion easy or very easy. Older age was associated with lower odds of preferring computer or tablet to paper and pencil (odds ratio per 1-year increase in age: 0.91, 95% CI 0.85-0.98). Individuals who found the survey hard or very hard had a lower median neurocognitive test score than those who found it easy or very easy. Data quality with web-based survey administration was similar to or higher than that with paper-and-pencil administration for most questions. Conclusions Web-based survey administration was acceptable and feasible in this cohort of older adults living with HIV, and data quality was high. Web-based surveys can be a useful tool for valid data collection and can potentially improve retention in long-term follow-up studies.


2017 ◽  
Vol 27 (8) ◽  
pp. 984-1001 ◽  
Author(s):  
Nazan Çakirer Çalbayram ◽  
Sebahat Altundağ ◽  
Bahise Aydin

Hospitalized children can have various fantasies about hospital, health staff, and related tools and equipment. They need to develop new coping strategies for compliance with hospitalization.This study aimed to investigate the perception of nurses by children with acute and chronic illness through their drawings. The study was carried out using a descriptive research model. “Nurses through the eyes of sick children data collection form” was used in data collection procedure. The instruction “draw a picture of a nurse, please” was used to get the children to draw a picture. The majority of the children portrayed nurses as a smiling face. The children with chronic diseases featured nurses more in their drawings and they mentioned more nurse duties. The most important sign of the progression of nursing is that the mentioning of the modern roles of nursing by the children in their drawings and expressions. As children are influenced by their emotions, thoughts, observations, and experiences while drawing pictures, nurses can determine their thoughts about the disease, hospitals, physicians, and nurses by having sick children draw pictures.


2014 ◽  
Author(s):  
Naime Altay ◽  
Ebru Kilicarslan Toruner ◽  
Ebru Akgun Citak

2011 ◽  
Vol 65 (1) ◽  
pp. 45-54 ◽  
Author(s):  
L. A. Lehman ◽  
B. S. Sindhu ◽  
J. Johnson ◽  
C. A. Velozo

2020 ◽  
Vol 13 (1) ◽  
pp. 35-41
Author(s):  
Alfonso Papa ◽  
Elisabetta Saracco ◽  
Maria Teresa Di Dato ◽  
Pietro Buonavolontà ◽  
Anna Maria Salzano ◽  
...  

Objectives: The dorsal root ganglion (DRG) is involved in the transduction of pain signals to the central nervous system (CNS) and undergoes a number of physiopathological changes during chronic pain. The purpose of this data collection was to evaluate the long-term safety and efficacy of DRG stimulation for the treatment of chronic pain and its impact on functional aspects. Materials and Methods: Forty-four subjects with non-reactive chronic neuropathic pain syndrome were implanted with DRG stimulation. Patients were evaluated at baseline as well as at 15, and 30 days, and at 3, 6, 12, 24, 36 and 48 months after medical intervention/surgery using the Visual Analogic Scale (VAS), which measures pain intensity, and the Oswestry Scale, for the estimation of disability (ODI). Results: After four years of simulation, VAS and ODI showed a statistically significant reduction throughout the follow-up period. The average pain relief obtained after 48 months of treatment was 74.1% ± 3.4. Conclusion: The results of this data collection demonstrate the feasibility of DRG stimulation, the correspondence between the clinical indications at the DRG implant and what is commonly found in the literature on this technique.(18,20) Patients defined as clinical responders to DRG stimulation and so implanted with definitive IPG showed a sustained and long term efficacy. Eight patients had previously been implanted with a traditional SCS without any clinically relevant efficacy; they were then explained for unsatisfactory results. Six of them (75%) were later implanted with DRG, with long-term effectiveness. Another advantage of this therapy is the absence of positional effects and lead migration. The adverse events proved to be independent of the anatomical level of insertion; moreover, this series of cases show a lower incidence of lead migration than reported in the literature. In summary, DRGs have been ignored for too long, probably due to the technical difficulty of reaching their deep, almost extra-spinal anatomical position.


2017 ◽  
Vol 14 (2) ◽  
pp. 1609 ◽  
Author(s):  
İlknur Münevver Gönenç ◽  
Nazan Çakırer Çalbayram

The purpose of finding out the opinions of pregnancy on the education given in their antenatal periods, their post-education experiences and contributions. This research was conducted retrospectively. The study was completed with 40 pregnant women who took part in the pregnancy school program and  met the study criteria. The research data were collected using a data collection form developed by the investigators. 95% of the women stated that the education that they received was helpful during their pregnancy and 72.5% stated in the process of delivery and all of them stated during their postpartum periods. 52.5% of the woman stated that they lived labour fear and all of them explained they defeated fear using education given by pregnancy school program. 70% woman found the education satisfactory, the others proposed that some topics should be detailed especially coping accidents during pregnancy and also wished husbands should participate this education. We found in the research that the pregnancy school program had contributions during pregnancy and delivery and in the postpartum period and we think that it has an important role in solving the obstetric problems.  Pregnancy school program will increase the women’s adaptation to pregnancy and decrease the workload of healthcare professionals. ÖzetAraştırma, gebelerin antenatal dönemde verilen eğitim hakkındaki görüşlerini, eğitim sonrası deneyimlerini ve katkılarını belirlemek amacıyla yapılmıştır. Retrospektif olarak yürütülen araştırma gebe okulu programına katılan ve çalışma kriterlerine uyan 40 gebe ile tamamlanmıştır. Araştırmanın verileri araştırmacılar tarafından geliştirilen veri toplama formu ile toplanmıştır. Kadınların %95’i gebe okulunda aldıkları eğitimin gebelik döneminde, %72.5’i ise doğum sürecinde fayda sağladığını ifade etmiştir. Kadınların %52.5’i gebeliğinde doğum korkusu yaşadığını, korku yaşadığını ifade edenlerin tamamına yakını ise gebe okulundan aldığı bilgilerle bu korkuları ile baş edebildiğini belirtmiştir.  Kadınların %70’i eğitimi yeterli bulurken, diğerleri ise bazı konuların daha detaylı verilmesini, gebelikte görülen kazalar ve baş etme konusunun programa eklemesini, eşlerinde bu eğitime katılmalarını önermişlerdir. Araştırmada gebe okulu programının; gebelik, doğum ve doğum sonrası dönemde önemli katkıları olduğu belirlenmiş olup obstetrik problemlerin çözümünde önemli bir yere sahip olduğu düşünülmektedir. Gebe okulu programı kadınların gebeliğe adaptasyonunu arttıracak ve sağlık bakım profesyonellerinin iş yükünü azaltacaktır.


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