scholarly journals Management of sexual dysfunction following poorly healed episiotomy in a multipara in low-income setting

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Chukwuemeka Chukwubuikem Okoro ◽  
◽  
George Uchenna Eleje ◽  
Gerald Okanandu Udigwe ◽  
Tobechi Kingsley Njoku ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Low Income ◽  
Positive Outcomes ◽  
Case Presentation ◽  
Appropriate Care ◽  
Vaginal Orifice ◽  
Successful Recovery ◽  
Living Children ◽  
Low Income Setting

Background: Episiotomy describes an incision made on the perineum to widen the vaginal orifice so as to aid delivery of the baby. Though not routinely recommended, it is a common during delivery. Despite the intended positive outcomes, complications like sexual dysfunction, urinary incontinence, chronic pelvic pain, perineal infection do occur following it. When sexual dysfunction occurs as sequelae as a result of poor episiotomy repair technique or poor healing, it can affect sexual intercourse and lead to marital disharmony especially in societies that tend to lean towards patriarchy Case presentation: A 31-year-old Nigerian multiparous lady with three living children presented on account of complaints of lax introitus and lack of sexual satisfaction by the partner. She had poorly healed bilateral episiotomy scar following her last delivery. She has been practicing Kegel’s exercise with no improvement. There was associated threat to their relationship by her partner. Perineolasty and vaginoplasty was done. She had successful recovery and improvement in the quality of sex. Conclusion: This is a rare case of a woman in our clime visiting the clinic to request for perineal reconstruction following complaints by her partner and threat to their relationship. Obstetricians should pay attention to any complaint or worry following episiotomy and offer appropriate care to meet the sexuality needs of the parous following childbirth. Keywords: episiotomy; Kegel’s exercise; perineoplasty; vaginoplasty.

‘Quality of Life’ of Parents of Children Suffering from Pediatric Malignancies in a Low Income Setting

2018 ◽  
Vol 85 (9) ◽  
pp. 718-722 ◽  
Author(s):  
Vibha Sanjay Bafna ◽  
Tanvi Ajay Bafna ◽  
Abhilasha Sampagar ◽  
Sunita Raman Rupavataram
Keyword(s):  
Quality Of Life ◽  
Low Income ◽  
Pediatric Malignancies ◽  
Low Income Setting

scholarly journals A hidden burden of neonatal illness? A cross-sectional study of all admissions aged less than one month across twelve Kenyan County hospitals

2017 ◽  
Vol 2 ◽  
pp. 119
Author(s):  
Georgina A.V. Murphy ◽  
Vivian N. Nyakangi ◽  
David Gathara ◽  
Morris Ogero ◽  
Mike English ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Low Income ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Appropriate Care ◽  
District Hospitals ◽  
Admission Policies ◽  
Using Data

Background: Small and sick newborns need high quality specialised care within health facilities to address persistently high neonatal mortality in low-income settings, including Kenya. Methods: We examined neonatal admissions in 12 public-sector County (formerly District) hospitals in Kenya between November 2014 and November 2016. Using data abstracted from newborn unit (NBU) admission registers and paediatric ward (PW) medical records, we explore the magnitude and distribution of admissions. In addition, interviews with senior staff were conducted to understand admission policies for newborns in these facilities. Results: Of the total 80,666 paediatric admissions, 28,884 (35.8%) were aged ≤28 days old. 24,212 (83.8%) of newborns were admitted to organisationally distinct NBU and 4,672 (16.2%) to general PW, though the proportion admitted to NBUs varied substantially (range 59.9-99.0%) across hospitals, reflecting widely varying infrastructure and policies. Neonatal mortality was high in NBU (12%) and PW (11%), though varied widely across facilities, with documentation of outcomes poor for the NBU. Conclusion: Improving quality of care on NBUs would affect almost a third of paediatric admissions in Kenya. However, comprehensive policies and strategies are needed to ensure sick newborns on general PWs also receive appropriate care.

scholarly journals A hidden burden of neonatal illness? A cross-sectional study of all admissions aged less than one month across twelve Kenyan County hospitals

2018 ◽  
Vol 2 ◽  
pp. 119
Author(s):  
Georgina A.V. Murphy ◽  
Vivian N. Nyakangi ◽  
David Gathara ◽  
Morris Ogero ◽  
Mike English ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Low Income ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Appropriate Care ◽  
District Hospitals ◽  
Admission Policies ◽  
Using Data

Background: Small and sick newborns need high quality specialised care within health facilities to address persistently high neonatal mortality in low-income settings, including Kenya. Methods: We examined neonatal admissions in 12 public-sector County (formerly District) hospitals in Kenya between November 2014 and November 2016. Using data abstracted from newborn unit (NBU) admission registers and paediatric ward (PW) medical records, we explore the magnitude and distribution of admissions. In addition, interviews with senior staff were conducted to understand admission policies for neonates in these facilities. Results: Of the total 80,666 paediatric admissions, 28,884 (35.8%) were aged ≤28 days old. 24,212 (83.8%) of neonates were admitted to organisationally distinct NBUs and 4,672 (16.2%) to general PWs, though the proportion admitted to NBUs varied substantially (range 59.9-99.0%) across hospitals, reflecting widely varying infrastructure and policies. Neonatal mortality was high in NBUs (12%) and PWs (11%), though varied widely across facilities, with documentation of outcomes poor for the NBUs. Conclusion: Improving quality of care on NBUs would affect almost a third of paediatric admissions in Kenya. However, comprehensive policies and strategies are needed to ensure sick neonates on general PWs also receive appropriate care.

386: Health Related Quality of Life in Low-Income, Uninsured Men with Prostate Cancer

2004 ◽  
Vol 171 (4S) ◽  
pp. 101-102
Author(s):  
Tracey L. Krupski ◽  
Arlene Fink ◽  
Lorna Kwan ◽  
Sarah Connor ◽  
Sally L. Maliski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Low Income ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Access to Technology for Communication Improves Health-Related Quality of Life for Low Income Families after NICU Discharge:

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 491A-491A
Author(s):  
Nicole I. Flores ◽  
Philippe Friedlich ◽  
Mandy Belfort ◽  
Douglas L. Vanderbilt ◽  
Roberta Williams ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Income ◽  
Health Related Quality ◽  
Access To Technology ◽  
Related Quality ◽  
Health Related ◽  
Low Income Families

Building research capacity and capabilities in Fiji: are we there yet?

2020 ◽  
Vol 21 (5) ◽  
pp. 265-271
Author(s):  
Jyotishna Mudaliar ◽  
Bridget Kool ◽  
Janice Natasha ◽  
Judith McCool
Keyword(s):  
Low Income ◽  
Research Capacity ◽  
Research Knowledge ◽  
Research Skills ◽  
Research Findings ◽  
Access And Quality ◽  
The University ◽  
Local Investigator ◽  
Research Capacity Development

Introduction: A barrier to local investigator-led research in low income settings, is the limited availability of personnel with appropriate research skills or qualifications to conduct the type of research required for evidence-informed policy making to improve access and quality of health care. In response to this, Fiji National University’s College of Medicine, Nursing and Health Sciences in Fiji, collaborated with academics based at the University of Auckland, New Zealand to deliver a series of research capacity development workshops in Fiji. Methods: Participants who attended any of the nine workshops (n=123) were contacted via email to take part in a brief survey regarding their perceptions of the effectiveness of the research capacity building workshops. Of the possible 123 participants, 80% (n=76) completed the questionnaire.  Results: Findings demonstrate that the majority of participants reported that they had gained research skills from the workshops (75%) including proposal development skills (68%) and knowledge of appropriate research methods (59%). Furthermore, 70% agreed that the workshops built their research confidence.  Since attending a workshop, 18% of respondents had successfully applied and received funding for research grants and/or fellowships.  Barriers to conduct research included workload (75%), lack of research knowledge, experience or skills (51%), and lack of institutional support (41%). Suggestions for future workshops included: more focus on data analysis, regular courses rather than ‘one offs’, and preparation of research findings (e.g. publications). Conclusion: Our findings indicate that research workshops of this nature may increase individual research capabilities but sustained, locally led initiatives, backed by institutional and supplementary technical support are essential.

POLARYZACJA GRUPOWA W WARUNKACH DEBATY DELIBERATYWNEJ

2014 ◽  
Vol 2 (2) ◽  
pp. 19-29
Author(s):  
Elżbieta Wesołowska
Keyword(s):  
Social Psychology ◽  
John Rawls ◽  
Empirical Data ◽  
Group Decision ◽  
Group Discussion ◽  
Positive Outcomes ◽  
Group Consensus ◽  
Group Polarization ◽  
Normative Requirements

In social psychology the group polarization refers to the tendency for groups to make decisionsthat are more extreme than the initial inclinations of its members. This phenomenon constitutesa potential obstacle to positive outcomes attributed to deliberative debates. A deliberative debateis a particular kind of a group discussion tasked with fi nding group consensus on controversialissues. The idea of deliberation originates from the writings of John Rawls, Jürgen Habermas, AmyGutmann and Denis Thompson. Deliberative debate imposes numerous normative requirementson the communication, relationships among the disputants and their approach to the issue underdiscussion. These normative requirements make a big difference between deliberative debates andthe situations in which the phenomenon of polarization was observed. Thus, we presume that indeliberative debates conditions the phenomenon of group polarization may be limited.The paper investigates the following questions: would the normative conditions of deliberationlimit the occurrence of polarization in discussing groups? and What infl uence (if any) would thepolarization process have on the quality of group decision? In the light of the empirical data we concluded what follows: (1) In 50% of the analyzed casesof group discussion the phenomenon of group polarization was observed despite the normativeconditions of deliberation. (2) The occurrence of group polarization in some cases coincided withmaking the fi nal decisions which did not alter the initial preferences of the disputants (but did nottotally predestinated the fi nal outcome).

Sexual dysfunction, Depression and Quality of Life in Female Patients with HIV Infection

2015 ◽  
Vol 2 (2) ◽  
pp. 12-19 ◽  
Author(s):  
Sudharani P Naik ◽  
Rajesh Raman ◽  
S N Moth ◽  
Arun Kumar
Keyword(s):  
Quality Of Life ◽  
Sexual Dysfunction ◽  
Hiv Infection ◽  
Female Patients
Sign in / Sign up

Export Citation Format

Share Document