Gynaecologists’ views on the management of Vaginal Vault Prolapse: A qualitative study

Objective: This study examined gynaecologists’ experience and views on the management of vaginal vault prolapse (VVP) using laproscopic sarcocolpopexy (LSCP) versus open sarcocolpopexy (OSCP). Methods: In a qualitative study conducted at the University of Surrey and Homerton University Hospital, UK, from 2016 to 2017, semi-structured interviews were conducted with 15 consultants experienced in minimal access surgery or urogynecology. Interviews were recorded and transcripts were analyzed using the qualitative description (QD) approach. Results: Eight broad themes emerged: VVP management, LSCP for management of VVP, OSCP and vaginal surgery with or without mesh use in VVP management, laparoscopic training and support as well as surgeons’ attitude towards LSCP. All participants acknowledged the importance of LSCP in the management of post-hysterectomy VVP as benefits outweighed risks in their view. OSCP was considered suitable in very specific circumstances. Vaginal surgery could be an excellent alternative to OSCP bearing in mind long-term efficacy and sexual activity in young women. Most participants agreed with national recommendations to avoid use of mesh in vaginal surgery for VVP and expressed the view that it should be done in specialised centres by trained surgeons who do such operations. Conclusions: This study showed that the acceptability of LSCP was dependent on participants’ experience and consideration of the balance between patient’s goals and potential risks. It provides useful guidance for future large-scale projects. doi: https://doi.org/10.12669/pjms.38.3.5215 How to cite this:Al-Baghdadi O, Barnick C, Srivastava G, Elbiss HM. Gynaecologists’ views on the management of Vaginal Vault Prolapse: A qualitative study. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.5215 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Elopement (DOPOFILEIGHOO) Tradition on the Muna Ethnic Society at Muna Barat Regency of Southeast Sulawesi, Indonesia

This study discusses the factors that caused the Muna ethnic society to elope (dopofileighoo) at Muna Barat regency of Southeast Sulawesi, Indonesia. This research needs to be carried out because of several reasons, such as: First, the tradition of elopement (dopofileighoo) at Muna Barat regency of Southeast Sulawesi, Indonesia has attracted the attention of many people, including the Muna ethnic society itself. Second, the factors that cause the Muna ethnic society to elope seem to be a very important and interesting topic to discuss. This study uses a qualitative description through the technique of interviews, observations, and document studies. The research data were analyzed descriptively, qualitatively, and interpretively. The results of the research showed that several factors that caused the Muna ethnic society to elope (dopofileighoo) tradition are as follows: (1) male's parents wanted a big party, (2) one of the male’s or the female’s parents did not approve their marriage, and (3) the female has been pregnant before the marriage party.

Experimental Study of Proppant Bridging in a Model of a Hydraulic Fracture

Summary In this article, we investigate formation of the local clogging (bridging) of proppant in a channel with gradually narrowing walls. The experimental facility allows us to simulate the process of the proppant transport in a hydraulic fracture by reproduction of the characteristic channel width, velocity of slurry, rheology of fracturing fluids, and typical concentrations of proppant. The goal of the study is to give qualitative description of the dynamics of the congestion of the proppant up to the complete blockage of the flow. In contrast to common practice of imposing bridging criteria by postulating certain threshold value of the width to proppant size ratio, we demonstrate that the bridging process involves several stages: clogging of two to three particles, growth of stable “islands,” connection of the islands by arches, and, finally, the total sandout of the cell by the bridged proppant. The observations of the paper gives better understanding of the bridging process giving the directions for more precise numerical simulations.

AKSESIBILITAS LAYANAN FISIK BAGI PENYANDANG DISABILITAS DI PERPUSTAKAAN UMUM DAERAH KABUPATEN JEMBER

The Government of Jember Regency is actively implementing the Regional Regulation (PERDA) of Jember Regency No. 7 of 2016 concerning the Protection and Fulfillment of the Rights of Persons with Disabilities, especially on equal distribution of access to information in public spaces, one of which is the library. This study discusses the accessibility of disabled users at the Regional Public Library of Jember Regency. The method used in this study is a qualitative description through data collection, interviews, observations and literature. The analysis of physical accessibility which includes parking areas, pedestrian paths, guide paths for library door services, circulation desks, signs, ramps, layouts and toilets so far has carried the spirit of a disability-friendly library, although it is not fully compliant with IFLA standards, but this is a capital for its development. management of the main causes of the program and the diversity of types of services with consideration of the degree of disability in the Jember Regency Public Library.

Semantic study of the use of association, ambiguity, and lexical meanings, daily news headlines of Sinar Indonesia Baru Medan

This research was field research taken from the Daily News Sinar Indonesia Baru, Medan. The problems to be discussed were association, ambiguity, and lexical meaning. The purpose of this study was to explore or find out the meanings contained in the Daily News headlines in the Sinar Indonesia Baru Medan. To analyze the meaning of the Daily News headlines of the Sinar Indonesia Baru, a structural-semantic theory was used which referred to Abdul Chaer's view. The method used in data collection was the listening method by listening to the collection of existing materials on the daily news headlines of the Medan Sinar Indonesia Baru, then proceeding with the note-taking technique.After that, they were grouped based on the uses of association, ambiguity, and lexical meanings found in the headlines. The equivalent method was a method whose determination tool was outside and did not become part of the language in question (Sudariyanto, 1993:13). In this case, the basic technique used was the determining element sorting technique. As a continuation, a qualitative description method was used. This means that this qualitative method as a whole makes use of interpretive ways of presenting in the form of a description.

Identifying adoption and usability factors of locator devices for persons living with dementia

A growing number of Canadians live with dementia. Strategies to reduce the risks of getting lost include physical barriers, restraints and medications. However, these strategies can restrict one’s participation in meaningful activities and reduce quality of life. Locator devices can be used to manage safety risks while also supporting engagement and independence among persons living with dementia. As more locator devices become available on the market, adoption rates would be affected by certain factors. There is no clear, standardized approach to identify the factors that have an influence on the acceptance and usability of locator devices for persons with dementia and their care partners. This project aimed to identify factors related to acceptance and usability of locator devices that are important to individuals with dementia, their care partners, service providers and technology developers. Qualitative description and conventional content analysis guided our approach. We conducted 5 focus groups with 21 participants. Trustworthiness strategies included multiple data sources, data verification for accuracy and peer debrief. Five overarching factors emerged as critical aspects in the acceptance and usability of locator devices. These factors were inclusivity, simplicity, features, physical properties and ethics. Participants thought that locator devices do not adequately consider privacy and stigma. Therefore, the acceptance and usability of locator devices could be enhanced if privacy and stigma are addressed. The factors identified will inform the creation of an acceptance and usability scale for locator devices used by persons living with dementia, their care partners and service providers.

Promoting Disposal of Left-Over Opioids After Surgery in Rural Communities: A Qualitative Description Study

Background Patients rarely dispose of left-over opioids after surgery. Disposal serves as a primary prevention against misuse, overdose, and diversion. However, current interventions promoting disposal have mixed efficacy. Increasing disposal in rural communities could prevent or reduce the harms caused by prescription opioids. Aims Identify barriers and facilitators to disposal in the rural communities of the United States Mountain West region. Methods We conducted a qualitative description study with 30 participants from Arizona, Idaho, Montana, Nevada, Oregon, Utah, and Wyoming. We used a phronetic iterative approach combining inductive content and thematic analysis with deductive interpretation through the Precaution Adoption Process Model (PAPM). Results We identified four broad themes: (a) awareness, engagement, and education; (b) low perceived risk associated with nondisposal; (c) deciding to keep left-over opioids for future use; and (d) converting decisions into action. Most participants were aware of the importance of disposal but perceived the risks of nondisposal as low. Participants kept opioids for future use due to uncertainty about their recovery and future treatments, breakdowns in the patient–provider relationship, chronic illness or pain, or potential future injury. The rural context, particularly convenience, cost, and environmental contamination, contributes to decisional burden. Conclusions We identified PAPM stage-specific barriers to disposal of left-over opioids. Future interventions should account for where patients are along the spectrum of deciding to dispose or not dispose as well as promoting harm-reduction strategies for those who choose not to dispose.

UNDERSTANDING SAMPLING BY CHILEAN SECONDARY SCHOOL STUDENTS

In statistical inference, importance of sampling is recognized as one of its key concepts, which has allowed its incorporation internationally in different curricular guidelines and specifically in the Chilean curriculum, since the first notions of sampling are introduced in 7th Grade. This paper presents an analysis of the responses to an open-ended written questionnaire, designed to evaluate understanding of sampling, that was applied to a sample of 1,241 Chilean secondary students of 8th, 10th and 12th Grades in six different secondary schools. A mixed methodology was used, with qualitative description of responses and a quantitative analysis of their frequencies. The results reflect outstanding difficulties in the use of elements related to sampling and its properties in different problem situations. For example, students can distinguish the concept of sample in contexts close to their experiences; but when faced with different sampling methods, they are not able to identify biases associated to sample selection. Thus, when deciding if a sample is representative, they mostly identify cases in which the given sample is not. Abstract: Spanish En inferencia estadística se reconoce la importancia del muestreo como uno de sus conceptos clave, lo que ha permitido su incorporación a nivel internacional en diferentes lineamientos curriculares y específicamente en el currículo chileno, dado que las primeras nociones de muestreo se introducen en el séptimo año de educación primaria. En este trabajo se presenta el análisis de las respuestas a un cuestionario de respuesta abierta, diseñado para evaluar la comprensión del muestreo, que fue aplicado a una muestra de 1241 estudiantes de secundaria chilenos, de octavo año de primaria, segundo año de secundaria y cuarto año de secundaria, en seis centros educativos. Se empleó una metodología mixta, con una descripción cualitativa de las respuestas y un análisis cuantitativo de sus frecuencias. Los resultados reflejan dificultades destacables en la utilización de los elementos relacionados al muestreo y sus propiedades en las diferentes situaciones problema planteadas. Por ejemplo, los estudiantes distinguen el concepto de muestra en contextos cercanos a sus experiencias; pero cuando se enfrentan a diferentes métodos de muestreo, no son capaces de identificar los sesgos asociados a la selección de muestras. Así, al momento de decidir si una muestra es representativa, identifican sobre todo los casos en que la muestra dada no lo es.

ANALISIS STRUKTUR NARATIF TIGA BABAK FILM STORY OF KALE

<p><strong>Abstrak </strong></p><p>Alur cerita yang dikemas dalam sebuah tontonan film tentunya menjadi modal utama keberhasilan film tersebut dalam menarik perhatian penonton. Dari berbagai genre yang ada, tidak banyak film drama Indonesia yang menggunakan alur mundur dalam penyajian ceritanya. Tujuan penelitian ini adalah untuk mengetahui tahapan dramatik tiga babak film Story of Kale dan alur yang digunakan dalam mengemas cerita film <em>spin off</em> garapan sutradara Angga Dwimas Sasongko. Metode penelitian yang digunakan adalah deskripsi kualitatif untuk melihat secara mendalam struktur naratif dan unsur dramatis yang digunakan mulai dari tahap awal, tahap tengah dan tahap akhir. Analisis data pada objek penelitian ini menggunakan teknik analisis struktur naratif tiga babak menurut Syd Field. Hasil analisis penelitian ini menemukan bahwa alur mundur yang disajikan dalam film Story of Kale tidak menggunakan kaidah struktur naratif tiga babak. Penggunaan struktur tiga babak terlihat dalam urutan kronologis cerita film Story of Kale tahap awal, munculnya persoalan dan konflik. Penelitian ini menyimpulkan bahwa penggunaan plot <em>flashback</em> dan teknik editing yang simultan dapat mengubah keseluruhan bentuk cerita naratif.</p><p><em><br /></em></p><p><em><strong>Abstract</strong><br /></em></p><p><em>This study discusses the narrative structure of the three-act film Story Of Kale by looking at the dramatic elements in the story presented. The purpose of this study was to determine the dramatic stages of the three-act film Story of Kale and the plots used in packaging the story of the spin-off film directed by Angga Dwimas Sasongko. The research method used is a qualitative description to see in depth the narrative structure and dramatic elements used starting from the early, middle and final stages. Analysis of the data on the object of this research uses the three-act narrative structure analysis technique according to Syd Field. The results of the analysis of this study found that the backward plot presented in the film Story of Kale does not use the rules of the three-act narrative structure. The use of a three-act structure is seen in the chronological order of the story of the early Story of Kale film, the emergence of problems and conflicts. This study concludes that the simultaneous use of flashback plots and editing techniques can change the overall form of the narrative story.</em></p>

Involvement and Trust in Poland and Bulgaria in Comparison with Other European Societies

A developmental analysis of the two waves: 2008 and 2016 ESS Indicators of social engagement (we mean here organisational engagement) are treated as a measure of the process of social modernisation (Herrmann, 1999, Matei, Apostu, 2012). It is assumed here that higher scores of indicators demonstrate the 'maturity of civil society, the quality of the functioning of democracy and the process of its evolution (Boulding, 2010). The concept of generalised trust and trust in political institutions have a somewhat similar status, and they are treated as indicators of collective capacity and a premise for conclusions about the effectiveness of the development processes (Putnam, 1993, Sonderskov, 2011). The proposed presentation will focus on the changes we were able to register over eight years in Poland and Bulgaria (2008 and 2018) to indicate the position of the societies of these post-communist countries in comparison to other European countries. The main hypotheses would be to verify the relationship between trust indicators and declared involvement in NGO sector organisations as well as basic sociodemographic variables in a temporal perspective. The quantitative analysis will be preceded by a form of qualitative description and interpretation of the existing state of knowledge. ESS data would be used for the analysis, and the basis for inference will be the indices of “generalised trust”, “trust in national political institutions”, and “involvement in NGO” using regression analysis.