RepoMed (Medizinische Hochschule Hannover)
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    Terminology of women’s embodied experience of labouring and birthing sounds—a qualitative interview study

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    Background Human beings have a diverse repertoire of linguistic and non-linguistic sounds used for self-expression. During labour and birth, women produce a range of sounds described in the scientific literature as moaning, primal sounds, roaring, screaming, singing, and vocalising. However, research on women's experiences of vocalisation during childbirth remains limited. Aim To explore women's experiences of the sounds they produce during labour and birth and deepen our understanding of these sounds. Methods Semi-structured interviews with 18 women were conducted within the first six weeks postpartum. The interviews were transcribed verbatim and analysed using reflexive thematic analysis following the approach of Braun and Clarke, with MAXQDA used to organise and manage the data. Findings Two themes emerged from the data: 'embodied sound and memory' and 'giving the sound a name'. The first theme explored women's embodied memory of sounds, including how they recalled these sounds during the interviews. The second theme explored in depth their subjective experiences and descriptions of the various sounds they produced. Conclusion The terminology used to describe the non-linguistic sounds produced by labouring and birthing women reflects a nuanced approach to conveying sound as a physical experience. Sounds such as breathing, humming, moaning, vocalising, and screaming, as well as the sounds made moments before birth, seem to be remembered as embodied, physical sensations rather than solely through cognitive reflection

    What do patients with substance use disorders know about their medication? A cross-sectional interview-based study

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    Purpose This study investigates the medication knowledge of patients with substance use disorders (SUDs) treated at a psychiatric clinic in northern Germany, aiming to identify gaps in understanding and to enhance patient safety, particularly concerning ATC group A drugs. Setting The study was conducted in the Department of Psychiatry, Social Psychiatry, and Psychotherapy at Hannover Medical School, Germany. Design A cross-sectional, interview-based study using a convenience sample of 100 patients was conducted between March 2023 and April 2024. Participants The cohort included patients with SUDs who had been hospitalized for at least 72 hours, regularly took at least one medication in addition to withdrawal drugs, and who displayed no cognitive impairments. Participants had a median age of 46.5 years; 62% were male. Intervention Patients were interviewed using a customized questionnaire addressing knowledge of drug name, indication, dosage, and frequency of application. The questionnaire also assessed the sources of medication knowledge and patient opinions on their medication regimen. Primary and secondary outcome measures The primary outcome was the average medication knowledge score (range 0-6). Secondary measures included differences in knowledge across drug groups, sources of information, and demographic influences. Results The median medication knowledge score was 3.8 out of 6. Knowledge was significantly lower for ATC group A drugs compared to groups B, C, and N (p < 0.001). No significant differences were observed between men and women nor between age groups. Hospital physicians were the primary information source for 40% of patients. Most participants (84%) considered their medication regimen adequate. Conclusion Patients with SUDs demonstrated suboptimal medication knowledge, particularly regarding ATC group A drugs. Future strategies should prioritize patient education and enhanced physician engagement to improve understanding and adherence, ultimately fostering better therapeutic outcomes

    Exzellente Lehre: Gesundheitsberufe im Wandel

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    RepoMed (Medizinische Hochschule Hannover)
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