scholarly journals Isolation, Community and Spirituality: British Muslim Experiences of Ramadan in Lockdown

Religions ◽  
2022 ◽  
Vol 13 (1) ◽  
pp. 74
Author(s):  
Laura Jones-Ahmed
Keyword(s):  
Muslim Community ◽  
Online Activities ◽  
At Home

Ramadan, the Islamic month of fasting, is typically a time associated with individual worship and communal gatherings as Muslims meet, eat and pray together. In 2020 especially, COVID-19 had a significant impact on the observation of the holy month. With lockdown measures in place, mosques were closed and there were prohibitions on visiting family and friends, making the month an unusual occasion. This paper draws upon qualitative PhD research on Ramadan 2020 in Britain comprising more than 50 Ramadan photo diaries from diverse Muslim participants and follow-up interviews. The findings highlight how participants experienced the benefits of isolation by being able to reflect and connect more with God and via the establishment of “Ramadan corners” in homes, while at the same time missing the mosque and the Muslim community. I further highlight how communal aspects of the holy month were maintained and transformed to suit lockdown conditions, including the use of online activities, praying in congregation at home and sharing food. Emerging from these two facets of Ramadan, I explore ideas of socially dependent spirituality and how participants negotiated communal and individual elements of their spiritual lives. Through the diverse examples discussed, I argue that material, embodied, aesthetic and emotive practices were emphasised in 2020 to recreate a ‘feeling’ of Ramadan when typical expressions of the month were unavailable.

scholarly journals Acceptability of no-test medical abortion provided via telemedicine: analysis of patient-reported outcomes

2021 ◽  
pp. bmjsrh-2020-200954
Author(s):  
Chelsey Porter Erlank ◽  
Jonathan Lord ◽  
Kathryn Church
Keyword(s):  
Patient Reported Outcomes ◽  
Medical Abortion ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Post Procedure ◽  
High Satisfaction ◽  
First Choice ◽  
Patient Reported ◽  
At Home

IntroductionThe English government approved both stages of early medical abortion (EMA), using mifepristone and misoprostol under 10 weeks’ gestation, for at-home use on 30 March 2020. MSI Reproductive Choices UK (MSUK), one of the largest providers of abortion services in England, launched a no-test telemedicine EMA pathway on 6 April 2020. The objectives of this study were to report key patient-reported outcome measures and to assess whether our sample was representative of the whole population receiving no-test telemedicine EMA.MethodsA sample of all MSUK’s telemedicine EMA patients between April and August 2020 were invited to opt in to a follow-up call to answer clinical and satisfaction questions. A total of 1243 (13.7% of all telemedicine EMAs) were successfully followed-up, on average within 5 days post-procedure.ResultsPatients reported high confidence in telemedicine EMA and high satisfaction with the convenience, privacy and ease of managing their abortion at home. The sample responding were broadly equivalent to the whole population receiving telemedicine. No patient reported that they were unable to consult privately. The majority (1035, 83%) of patients reported preferring the telemedicine pathway, with 824 (66%) indicating that they would choose telemedicine again if COVID-19 were no longer an issue.ConclusionsTelemedicine EMA is a valued, private, convenient and more accessible option that is highly acceptable for patients seeking an abortion, especially those for whom in-clinic visits are logistically or emotionally challenging. Evidence that this pathway would be a first choice again in future for most patients supports the case to make telemedicine EMA permanent.

TELE-MONITORING SYSTEM OF RISK IN RESPIRATORY PATIENTS

2021 ◽  
pp. 2150041
Author(s):  
Awad Al-Zaben ◽  
Lina M.K. Al-Ebbini ◽  
Badr Qatashah
Keyword(s):  
Health Care ◽  
Signal Processing ◽  
Health Care Providers ◽  
Mobile Phones ◽  
Model Parameters ◽  
Care Providers ◽  
Server Side ◽  
Respiration Signal ◽  
At Home

In many situations, health care professionals need to evaluate the respiration rate (RR) for home patients. Moreover, when cases are more than health care providers’ capacity, it is important to follow up cases at home. In this paper, we present a complete system that enables healthcare providers to follow up with patients with respiratory-related diseases at home. The aim is to evaluate the use of a mobile phone’s accelerometer to capture respiration waveform from different patients using mobile phones. Whereas measurements are performed by patients themselves from home, and not by professional health care personnel, the signals captured by mobile phones are subjected to many unknowns. Therefore, the validity of the signals has to be evaluated first and before any processing. Proper signal processing algorithms can be used to prepare the captured waveform for RR computations. A validity check is considered at different stages using statistical measures and pathophysiological limitations. In this paper, a mobile application is developed to capture the accelerometer signals and send the data to a server at the health care facility. The server has a database of each patient’s signals considering patient privacy and security of information. All the validations and signal processing are performed on the server side. The patient’s condition can be followed up over a few days and an alarm system may be implemented at the server-side in case of respiration deterioration or when there is a risk of a patient’s need for hospitalization. The risk is determined based on respiration signal features extracted from the received respiration signal including RR, and Autoregressive (AR) moving average (ARMA) model parameters of the signal. Results showed that the presented method can be used at a larger scale enabling health care providers to monitor a large number of patients.

Patient experiences of in-hospital preparations for follow-up care at home

2017 ◽  
Vol 26 (11-12) ◽  
pp. 1485-1494 ◽  
Author(s):  
Gretchen Keller ◽  
Alefia Merchant ◽  
Carol Common ◽  
Andrea M Laizner
Keyword(s):  
Patient Experiences ◽  
Follow Up Care ◽  
Care At Home ◽  
At Home

scholarly journals RETROSPECTIVE ANALYSIS OF EVENTS OF DEATH AT HOME AMONG PATIENTS UNDER FOLLOW-UP OBSERVATION

2018 ◽  
Vol 35 (1) ◽  
pp. 68-74
Author(s):  
Ya P Sandakov
Keyword(s):  
Cardiovascular Diseases ◽  
Medical Records ◽  
Emergency Calls ◽  
Significant Difference ◽  
Duration Of Disease ◽  
The Moment ◽  
Age Of Death ◽  
At Home

Aim. To study the peculiarities of asking for medical care by patients from among those dead at home, who had been under follow-up observation. Materials and methods. The data, received from ambulatory medical records of 100 dead at home patients with follow-up, were analyzed using the methods of descriptive and inductive statistics. Results. A mean age of death was 74.9 ± 13.4 years, men - 65.8 ± 14.1 years, women - 79.2 ± 10.9 years. Cardiovascular diseases were the cause of follow-up observation in 78 % of cases and the cause of death in 85 %; in 30 % of patients the disease was detected while carrying out prophylactic medical examination. A mean duration of disease by the moment of death was 13.0 ± 8.0 years, among pensioners 13.7 ± 8.5 years, in able-bodied persons 9.6 ± 4.3 years. A mean duration of follow-up observation was 9.2 ± 5.8 years. An average number of planned visits was 2.8 ± 0.89, but the number of real visits during the last year of follow-up observation was 2.4 ± 1.2. Disability was registered in 77.6 % of patients, concomitant diseases - in all patients. For the last year, exacerbations were recorded in 92 % of patients, emergency calls - in 80 %, hospitalization events - 52 %, including 55.8 % - urgent ones. Conclusions. The absence of significant difference regarding the duration of disease between pensioners and able-bodied patients (т = 0.16, р = 1.43) as well as the absence of correlation between the age and duration of disease (χ2 = 0.19, p = 0.2) indirectly prove the influence of duration of disease on its outcome, but not the age. Attendance, characterizing clinical loyalty to treatment, does not depend on age (χ2 = -0.19, р = 0.18), sex (т = 1.0, р = 0.32), way of detecting disease (f = 0.9, p = 0.4), class of main disease (f = 0.91, p = 0.44), duration of disease (χ2 = -0.13, р = 0.49), exacerbations (χ2 = -0.17, р = 0.24), concomitant diseases (χ2 = 0.006, р = 0.9). The number of emergency calls, hospitalizations, urgent hospitalizations does not depend on duration of follow-up observation, regularity and number of real visits to a doctor (p > 0.05) that indicates unsatisfactory quality of follow-up observation.

scholarly journals Feasibility and Acceptability of Remote Physical Exercise Programs to Prevent Mobility Loss in Pre-Disabled Older Adults during Isolation Periods Such as the COVID-19 Pandemic

2021 ◽  
Author(s):  
F. Buckinx ◽  
M. Aubertin-Leheudre ◽  
R. Daoust ◽  
S. Hegg ◽  
D. Martel ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Web Technology ◽  
Total Rate ◽  
Exercise Programs ◽  
Home Program ◽  
Level Of Satisfaction ◽  
The Web ◽  
At Home

AbstractThis study aimed to assess the feasibility and acceptability of remote physical exercise (PE) to prevent mobility loss among pre-disabled older adults during the COVID-19 lockdowns.Participants followed a 12-week PE remote program in Zoom© supervised groups (Web-Ex group, n=11) or phone-supervised individual booklet-based home-program (Booklet group, n=33).The total rate of adherence was 82.5% in the Web-Ex group and 85.8% in the Booklet group. The level of satisfaction was « a lot » for 60% of the participants in the Web-ex group and for 37.9% of those included in the Booklet group. Respectively 10% and 31% of the participants rated the difficulty as « low » in the web-ex and Booklet groups.Remote physical exercise using a web technology or booklets at home with regular and personalized follow-up during the lockdown was feasible and acceptable among pre-disabled seniors.

Detecting lung cancer relapse using self-evaluation forms weekly filled at home: the sentinel follow-up

2013 ◽  
Vol 22 (1) ◽  
pp. 79-85 ◽  
Author(s):  
Fabrice Denis ◽  
Louise Viger ◽  
Alexandre Charron ◽  
Eric Voog ◽  
Christophe Letellier
Keyword(s):  
Lung Cancer ◽  
Cancer Relapse ◽  
Self Evaluation ◽  
At Home

Physical health indexes and mortality in a 70 to 75 year old Italian population living at home: A 6 year follow-up study

1994 ◽  
Vol 9 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Eugenio Magni ◽  
Angelo Bianchetti ◽  
Marco Trabucchi ◽  
Renzo Rozzini
Keyword(s):  
Physical Health ◽  
Italian Population ◽  
Follow Up Study ◽  
At Home

Oncology to specialised palliative home care systematic transition: the Domus randomised trial

2020 ◽  
Vol 10 (3) ◽  
pp. 350-357
Author(s):  
Kirstine Benthien ◽  
Pernille Diasso ◽  
Annika von Heymann ◽  
Mie Nordly ◽  
Geana Kurita ◽  
...  
Keyword(s):  
Palliative Care ◽  
Fast Track ◽  
Symptom Burden ◽  
Assessment System ◽  
Place Of Death ◽  
Oncological Treatment ◽  
Care At Home ◽  
At Home

ObjectivesTo assess the effect of a systematic, fast-track transition from oncological treatment to specialised palliative care at home on symptom burden, to explore intervention mechanisms through patient and intervention provider characteristics and to assess long-term survival and place of death.MeasuresThe effect of a systematic, fast-track transition from oncological treatment to specialised palliative care at home on patient symptom burden was studied in the Domus randomised clinical trial. Participants had incurable cancer and limited treatment options. The intervention was provided by specialised palliative home teams (SPT) based in hospice or hospital and was enriched with a psychological intervention for patient and caregiver dyad. Symptom burden was measured with Edmonton Symptom Assessment System (ESAS-r) at baseline, 8 weeks and 6 months follow-up and analysed with mixed models. Survival and place of death was analysed with Kaplan-Meier and Fisher’s exact tests.ResultsThe study included 322 patients. Tiredness was significantly improved for the Domus intervention group at 6 months while the other nine symptom outcomes were not significantly different from the control group. Exploring the efficacy of intervention provider demonstrated significant differences in favour of the hospice SPT on four symptoms and total symptom score. Patients with children responded more favourably to the intervention. The long-term follow-up demonstrated no differences between the intervention and the control groups regarding survival or home deaths.ConclusionsThe Domus intervention may reduce tiredness. Moreover, the intervention provider and having children might play a role concerning intervention efficacy. The intervention did not affect survival or home deaths.Trial registration numberNCT01885637

scholarly journals Telemonitoring of the Elderly at Home: Real-Time Pervasive Follow-up of Daily Routine, Automatic Detection of Outliers and Drifts

10.5772/8414 ◽  
2010 ◽  
Author(s):  
Yannick Fouquet ◽  
Celine Franco ◽  
Jacques Demongeot ◽  
Christophe Villemazet ◽  
Nicolas Vuillerme
Keyword(s):  
Real Time ◽  
Automatic Detection ◽  
The Elderly ◽  
Daily Routine ◽  
Detection Of Outliers ◽  
At Home

scholarly journals Criteria for prosthetic provision: “He who pays the piper calls the tune”

1998 ◽  
Vol 22 (2) ◽  
pp. 147-149 ◽  
Author(s):  
M. Heim ◽  
A. Merelman ◽  
G. Manor ◽  
E. Jacobi ◽  
M. Azaria
Keyword(s):  
Psychiatric Disorders ◽  
Home Visit ◽  
Policy Decision ◽  
Large Majority ◽  
Prosthetic Limb ◽  
Blind Persons ◽  
At Home

Previously instituted policies regarding prosthetic limb provision had been deemed dependable. A follow-up home visit study showed that 18 of 60 patients that had been provided with prostheses, did not make use of them. Analysis showed that three categories of patients made up the large majority of the nonusers; double amputees, blind persons and those with psychiatric disorders. In order to attempt to eliminate the wastage of prosthetic provision to non-ambulators a new policy decision was made. Doubtful ambulators and those from the three aforementioned categories will be initially provided with temporary prostheses. Only after a period of months of temporary prosthetic usage at home will a decision be made as to whether a permanent prosthesis will be issued.

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