Comparative Study of Satisfaction and Acceptability between Using Menstrual Cup versus Sanitary Pads in Health Care Personnel: A Randomized Crossover Trial

2021 ◽  
Vol 104 (1) ◽  
pp. 1-9
Keyword(s):  
Health Care ◽  
Sexual Intercourse ◽  
Crossover Trial ◽  
Health Care Personnel ◽  
The Past ◽  
Randomized Crossover Trial ◽  
Significant Difference ◽  
Hcp Materials ◽  
Group A ◽  
Sanitary Pads

Background: In the past decade, menstrual cups (MC) have become increasingly popular in many countries but there was no previous reporting on MC usage in Thailand. Objective: To evaluate and compare the satisfaction and acceptability of using MC and sanitary pads (SP) in health care personnel (HCP). Materials and Methods: Participants were HCP in Bhumibol Adulyadej Hospital who were willing to participate in the study between October 2019 and March 2020. They were randomly assigned into groups A and B. During the first three cycles of menstruation, participants in group A and B used SP and MC, respectively. In the later three cycles of menstruation, they were switched from SP to MC and vice versa. The demographic and menstrual characteristics were recorded. Satisfaction was evaluated by using the five-point Likert scale. Acceptability of MC usage was recorded on the sixth cycle questionnaire. Results: Ninety-eight HCP were recruited and equally divided into two groups (A and B). Acceptability for MC was significantly lower than SP (89 versus 100 percent, respectively). Participants who had regular sexual intercourse had more acceptability with MC than those who had no regular intercourse (98.4 versus 68.7 percent, respectively). Participants reported more significant satisfaction for MC than SP in terms of leakage prevention, cleaning, odor prevention, land activity, daily activity, comfortable sleep, and overall satisfaction. Contact dermatitis associated with MC was less than with SP with a statistically significant difference. Conclusion: Acceptability for MC was lower than SP. MC’s acceptability was preferred among HCPs with regular sexual intercourse. MC had higher satisfaction and less side effects than SP. Keywords: Acceptability, Menstrual cup, Menstruation, Sanitary pads, Satisfaction

Wax versus plastinated models in teaching human anatomy to health-care professionals. A randomized crossover trial

2021 ◽  
Vol 70 (3) ◽  
pp. 140
Author(s):  
Veronica Macchi ◽  
Rafael Boscolo-Berto ◽  
Cinzia Tortorella ◽  
Andrea Porzionato ◽  
Raffaele De Caro
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Crossover Trial ◽  
Human Anatomy ◽  
Randomized Crossover Trial

Patient-Controlled Analgesia: A Review of Effectiveness of Therapy and an Evaluation of Currently Available Devices

DICP ◽  
1989 ◽  
Vol 23 (11) ◽  
pp. 899-904 ◽  
Author(s):  
Robert P. Rapp ◽  
Brack A. Bivins ◽  
Robert A. Littrell ◽  
Thomas S. Foster
Keyword(s):  
Health Care ◽  
Pain Control ◽  
Health Care Personnel ◽  
Hard Copy ◽  
Major Advance ◽  
Patient Controlled Analgesia ◽  
The Past ◽  
Pca Method ◽  
Care Situation ◽  
Single Publication

Patient-controlled analgesia (PCA) is a major advance in the management of pain in postoperative and cancer patients. The success of PCA has resulted in a proliferation of marketed devices to administer small bolus doses of parenteral pain-control drugs at fixed intervals controlled by the patient with the push of a button. Because patients demonstrate marked individual variation in pain medication requirements, PCA devices should be able to accommodate rapidly changing requirements for drugs with a minimum amount of effort on behalf of health care personnel. Crude electronic devices were developed in the late 1960s and the early 1970s and usually consisted of a syringe pump connected to some sort of timing device. Most modern PCA devices marketed in the past five years are much more sophisticated devices that are microprocessor based and some newer devices even generate hard copy for a permanent record of drug administration. Although many such devices are available (including a totally disposable PCA device), few have undergone extensive clinical evaluation. A review of the literature shows many devices are available for use without a single publication to document the safety and utility of the device in the routine patient care situation. Use of the PCA method of pain control will grow, and all hospital-based health care personnel should become familiar with their use and limitations.

scholarly journals U.S. Army Combat Medic eFAST Performance with a Novel Versus Conventional Transducers: A Randomized, Crossover Trial

2020 ◽  
Vol 185 (Supplement_1) ◽  
pp. 19-24 ◽  
Author(s):  
Brian J Ahern ◽  
Jonathan D Monti ◽  
Jason F Naylor ◽  
Aaron J Cronin ◽  
Michael D Perreault
Keyword(s):  
Diagnostic Accuracy ◽  
Crossover Trial ◽  
Ease Of Use ◽  
Technical Adequacy ◽  
Brief Training ◽  
Randomized Crossover Trial ◽  
Significant Difference ◽  
Combat Medics ◽  
Life Threatening ◽  
Conventional Ultrasound

ABSTRACT Background Point-of-injury extended focused assessment with sonography in trauma (eFAST) may identify life-threatening torso hemorrhage and expedite casualty evacuation. The purpose of this study was to compare combat medic eFAST performance between the novel and conventional ultrasound (US) transducers. Methods We conducted a randomized crossover trial. Medic participants, previously naïve to US, were randomized to the type of transducer first utilized. The primary outcome was eFAST completion time in seconds. Secondary outcomes included diagnostic accuracy, technical adequacy, and transducer ease-of-use rating. Results Forty medics performed 160 eFASTs. We found a statistically significant difference in eFAST completion times in favor of conventional transducers (304 vs. 358 s; P = 0.03). There was no statistically significant difference between the conventional and novel transducers in terms of diagnostic accuracy (97.7% vs. 96.0%; P = 0.25) and technical adequacy (65% vs. 72.5%; P = 0.11). Median transducer ease-of-use rating (Likert 1–5 scale) was statistically significant in favor of the conventional transducers (5 vs. 4; P = < 0.001). Conclusions Extended focused assessment with sonography in trauma exam times was faster with the conventional transducers. Combat medics performed diagnostically accurate eFASTs with both transducer types in a simulated aid station setting after a brief training intervention. Conventional transducers were rated higher for ease-of-use.

Laboratory Diagnosis, Safety and Testing Strategies of Novel SARS COV 2

2020 ◽  
Vol 32 (2 (Supp)) ◽  
pp. 273-276
Author(s):  
Shrikala Baliga ◽  
Suchitra Shenoy ◽  
Pooja Rao
Keyword(s):  
Health Care ◽  
Laboratory Diagnosis ◽  
Health Care Facilities ◽  
Health Care Personnel ◽  
The Past ◽  
Testing Strategies ◽  
Care Facilities ◽  
Health Care Crisis

The COVID 19 Pandemic is the most defining health care crisis of the present times. It has challenged the health care facilities, overwhelmed the health care personnel and baffled the scientists and researchers. There is no quick fix in a pandemic of this proportion. The past four months has seen many new aspects of this disease, and newer evolving strategies to rein in the pandemic. This commentary seeks to deal with the various aspects of laboratory diagnosis, safety and testing strategies adopted by different countries.

Interventions with Battered Women in Health Care Settings

1990 ◽  
Vol 5 (4) ◽  
pp. 243-256 ◽  
Author(s):  
Demie Kurz
Keyword(s):  
Health Care ◽  
Battered Women ◽  
Health Care System ◽  
Health Care Personnel ◽  
Observation Data ◽  
Hospital Emergency ◽  
Health Care Settings ◽  
The Past ◽  
Hospital Emergency Departments ◽  
Care System

Over the past decade advocates for battered women in the health care system, citing the large number of battered women who come to health care settings, have proposed interventions and trainings for health care personnel on behalf of battered women. However, little is currently known about the effectiveness of intervention efforts. This paper presents observation data on characteristics of battered women in four hospital Emergency Departments (EDs) and on staff responses to battered women in these EDs. The data show definite patterns in the women’s characteristics and in staff responses to battered women. These data raise issues which should be considered in the researching and designing of interventions for battered women in the health care system.

scholarly journals A Meal Detection Algorithm for the Artificial Pancreas: A Randomized Controlled Clinical Trial in Adolescents With Type 1 Diabetes

2020 ◽  
Author(s):  
Emilie Palisaitis ◽  
Anas El Fathi ◽  
Julia E. von Oettingen ◽  
Ahmad Haidar ◽  
Laurent Legault
Keyword(s):  
Crossover Trial ◽  
Artificial Pancreas ◽  
Detection Algorithm ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Randomized Controlled ◽  
The Past ◽  
Randomized Crossover Trial ◽  
Reduced Time

<a><b>Background</b>: We developed a meal detection algorithm for the artificial pancreas that detects unannounced meals and delivers an automatic insulin bolus.</a> <p> </p> <p><b>Methods</b>: We conducted a randomized crossover trial in 11 adolescents aged 12-18 years with HbA1c≥7.5% who missed≥1 bolus in the past six months. We compared (i) CSII, (ii) artificial pancreas (AP), and (iii) artificial pancreas with a meal detection algorithm (AP+MDA). Participants underwent three 9-hour interventions involving breakfast with a bolus and lunch without a bolus.</p> <p> </p> <p><b>Results</b>: In AP+MDA, the meal detection time was 40.0 [40.0–57.5] minutes. Compared to CSII, AP+MDA decreased the 4-hour post-lunch iAUC from 24.1±9.5 h.mmol/L to 15.4±8.0 h.mmol/L (p=0.03). iAUC did not differ between AP+MDA and AP (19.6±10.4 h.mmol/L, p=0.21) nor between AP and CSII (p=0.33). The AP+MDA reduced time>10mmol/L (58.0±26.6%) compared to CSII (79.6±27.5%, p=0.02) and AP (74.2±20.6%, p=0.047). </p> <p> </p> <p><b>Conclusions</b>: The AP+MDA improved glucose control after an unannounced meal.</p>

scholarly journals A single-blinded randomized crossover trial comparing peer-to-peer and standard instruction on airway management skill training

2019 ◽  
Author(s):  
Usapan Surabenjawong ◽  
Paul Edward Phrampus ◽  
John Lutz ◽  
Deborah Farkas ◽  
Apoorva Gopalakrishna ◽  
...  
Keyword(s):  
Nursing Students ◽  
Airway Management ◽  
Crossover Trial ◽  
Peer Group ◽  
Peer To Peer ◽  
Peer Instruction ◽  
P Value ◽  
Management Skills ◽  
Randomized Crossover Trial ◽  
Significant Difference

ABSTRACTBackgroundPeer-to-peer teaching, which is an alternative to standard teaching (by expert instructors), has the potential to emphasize student self-learning and reduce the cost and workload of the instructor. Self-instruction videos with peer feedback are highlighted in many medical and nursing school curricula.ObjectiveTo evaluate whether peer to peer instruction supported by a structured curriculum and video exemplars is not inferior to standard instructor-led teaching in basic airway management skill, knowledge, and confidence attainment.MethodThis single blinded randomized crossover trial was conducted with a sample of novice nursing students. Data was collected through the pre-to post-knowledge and confidence assessments. The students were randomly assigned to two crossover groups. Each student learned basic airway management skills through both methods. The students’ performances were recorded in every session with recordings reviewed by blinded expert instructors.ResultsThe study included 48 participants, who were assigned into both the expert instruction group and peer-to-peer group through computer generated randomization. The skill rating scores of the peer-to-peer group were not inferior to the standard teaching. With further analysis, we noted that the peer-to-peer group scores had significantly higher scores demonstrating a large effect size (Cohen’s d of 1.07 (p-value 0.002) for oropharyngeal airway insertion, 1.14 (p-value <0.001) for nasopharyngeal airway insertion and 0.81 (p-value 0.003) for bag mask ventilation). There was no significant difference between pre- and post-knowledge scores across groups (p-value of 0.13 and 0.22 respectively). Participants in both groups reported higher confidence after learning. However, the difference was not statistically significant.ConclusionsUndergraduate nursing students trained in basic airway management skills by peer-to-peer instruction and a structured curriculum did not show inferior scores compared to the students who were trained by expert instructors. There was no significant difference in the knowledge and confidence levels between the groups.

Single Rescuer Ventilation Using a Bag Valve Mask with Removable External Handle: A Randomized Crossover Trial

2017 ◽  
Vol 32 (6) ◽  
pp. 625-630 ◽  
Author(s):  
Paul Reed ◽  
Baruch Zobrist ◽  
Monica Casmaer ◽  
Steven G. Schauer ◽  
Nurani Kester ◽  
...  
Keyword(s):  
Health Care ◽  
Tidal Volume ◽  
Health Care Providers ◽  
Crossover Trial ◽  
Rest Period ◽  
Primary Outcome Measure ◽  
Adult Health ◽  
Care Providers ◽  
Publication Type ◽  
Randomized Crossover Trial

AbstractIntroductionVentilation with a bag valve mask (BVM) is a challenging but critical skill for airway management in the prehospital setting.HypothesisTidal volumes received during single rescuer ventilation with a modified BVM with supplemental external handle will be higher than those delivered using a standard BVM among health care volunteers in a manikin model.MethodsThis study was a randomized crossover trial of adult health care providers performing ventilation on a manikin. Investigators randomized participants to perform single rescuer ventilation, first using either a BVM modified by addition of a supplemental external handle or a standard unmodified BVM (Spur II BVM device; Ambu; Ballerup, Denmark). Participants performed mask placement and delivery of 10 breaths per minute for three minutes, as guided by a metronome. After a three-minute rest period, they performed ventilation using the alternative device. The primary outcome measure was mean received tidal volume as measured by the manikin (IngMar RespiTrainer model; IngMar Medical; Pittsburgh, Pennsylvania USA). Secondary outcomes included subject device preference.ResultsOf 70 recruited participants, all completed the study. The difference in mean received tidal volume between ventilations performed using the modified BVM with external handle versus standard BVM was 20 ml (95% CI, -16 to 56 ml; P=.28). There were no significant differences in mean received tidal volume based on the order of study arm allocation. The proportion of participants preferring the modified BVM over the standard BVM was 47.1% (95% CI, 35.7 to 58.6%).ConclusionsThe modified BVM with added external handle did not result in greater mean received tidal volume compared to standard BVM during single rescuer ventilation in a manikin model.ReedP, ZobristB, CasmaerM, SchauerSG, KesterN, AprilMD. Single rescuer ventilation using a bag valve mask with removable external handle: a randomized crossover trial. Prehosp Disaster Med. 2017;32(6):625–630.

Effect of Ibuprofen on Blood Pressure Control by Propranolol and Bendrofluazide

1988 ◽  
Vol 16 (3) ◽  
pp. 173-181 ◽  
Author(s):  
J. G. Davies ◽  
D. C. Rawlins ◽  
M. Busson
Keyword(s):  
Blood Pressure ◽  
Weight Gain ◽  
Crossover Trial ◽  
Antihypertensive Effect ◽  
Pressure Control ◽  
Double Blind ◽  
Randomized Crossover Trial ◽  
Significant Difference ◽  
Change In Mean ◽  
Drug Free

The effect of 1600 mg/day ibuprofen in two groups of patients with hypertension controlled by either propranolol or bendrofluazide was studied in a double-blind, double-placebo, randomized crossover trial. No significant difference in blood pressure was found at the end of the crossover period in either group, suggesting that the routine co-administration of ibuprofen does not attenuate the antihypertensive effect of thiazide diuretics or propranolol. Significant weight gain, attributable to fluid retention, had occurred in the bendrofluazide-treatment group by the end of the drug-free washout period. No significant change in mean weight occurred in the crossover stages in either group, although substantial weight gain was noted during ibuprofen treatment in two patients given bendrofluazide and one given propranolol. Biochemical variables were unaffected by ibuprofen throughout the crossover period. This study suggests that ibuprofen may be administered routinely to patients receiving thiazides or propranolol without loss of control of the anti-hypertensive action of these drugs but it is recommended that individuals are monitored for possible weight gain or an increase in diastolic blood pressure.

scholarly journals Dried Fruit and Vascular Health: A Randomized Crossover Trial (P12-018-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Valerie Sullivan ◽  
Kristina Petersen ◽  
Penny Kris-Etherton
Keyword(s):  
Crossover Trial ◽  
Augmentation Index ◽  
Cardiometabolic Disease ◽  
Vascular Health ◽  
Dried Fruits ◽  
Randomized Crossover Trial ◽  
End Of Treatment ◽  
Increased Risk ◽  
Significant Difference ◽  
Dried Fruit

Abstract Objectives To evaluate the effect of consuming ¾ cup/day of mixed dried fruits versus a calorie- and carbohydrate-matched snack, on vascular health in adults at risk for cardiometabolic disease. Methods Men and women (n = 55) with overweight or obesity and at least one additional risk factor for cardiometabolic disease were enrolled in a 2-period single-blind randomized crossover trial. Participants received the following treatments for 4 weeks (separated by a 2–4 week washout): 1) ¾ cup mixed unsweetened dried fruits (equal parts raisins, dried plums, figs, and dates); 2) a calorie- and carbohydrate-matched processed snack. Endpoints were assessed at baseline, and the end of each treatment. Participants were advised to consume 1 serving/day of fresh fruit and incorporate study foods into their usual diets. The SphygmoCor XCEL was used to evaluate brachial and central blood pressure (BP), augmentation index, and carotid-femoral pulse wave velocity (PWV). Results At baseline, participants (47% female) had a mean BMI of 28.5 ± 2.7 kg/m2 and mean BP was 111 ± 9/77 ± 8 mmHg. More than half the subjects (56%) had a normal BP (<120/<80 mmHg) at baseline. End-of-treatment mean body weights were not different (P = 0.57). There was no difference in end-of-treatment mean values for brachial and central BP, augmentation index, augmentation pressure, or PWV (all P > 0.05). There was a significant difference in mean central pulse pressure (PP) following the dried fruit treatment versus control (1.6 ± 0.8 mmHg, P = 0.048). This was likely driven by a trend toward lower central diastolic BP (−1.2 ± 0.7 mmHg; P = 0.12) after the fruit, versus control. Conclusions Daily consumption of 1.5 cup-equivalents of mixed dried fruits for 4 weeks did not affect systolic BP or measures of arterial stiffness versus an isocaloric carbohydrate-matched snack in adults at increased risk of cardiometabolic disease. A significant difference in end-of-treatment mean central PP merits further study. Funding Sources International Nut & Dried Fruit Council; the California Dried Plum Board; National Center for Advancing Translational Sciences, NIH.

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