1,721,165 research outputs found
Postnatal care: exploring the views of first-time mothers
No full textGovernment policy has highlighted the provision of a postnatal service that responds to women's physical, psychological, emotional and social needs. This paper presents the results of a small in-depth qualitative study that aimed to explore the views of first-time mothers with regard to the level of support they would have liked to receive from health visitors during the postnatal period, focusing on the theme of health visitor contact. Homogenous sampling was used to identify seven first-time mothers. Data was collected from semi-structured interviews and analysed using a thematic network approach. Four organising themes were identified - health visitor contact, emotional adjustment to motherhood, infant feeding and other support.Although the first-time mothers valued the postnatal support provided by the health visitor highly, there were varying levels of satisfaction with the frequency and pattern of health visitor contacts. The findings also raise issues about the perception of need and the value of home visiting during the postnatal period. <br/
A feasibility and acceptability study and a qualitative process evaluation of a coping intervention for recurrent miscarriage
No full textBackground: Recurrent miscarriage is diagnosed when a woman has had three or more consecutive miscarriages. Increased levels of distress and anxiety are common during the early stages of any subsequent pregnancies, as women affected by this condition wait for confirmation that their pregnancy is ongoing. This can pose a significant threat to their psychological well-being, however only limited support and therapy are available. The Positive Reappraisal Coping Intervention (PRCI) is a novel self-administered supportive technique that has been shown to be effective in patients awaiting the outcome of fertility treatment.Study objectives: The primary objective of this study was to assess the feasibility of running a future definitive study to test the effectiveness of the PRCI in improving quality of life in the difficult waiting period that women with previous miscarriage endure before an ongoing pregnancy can be confirmed.Methodology: A two-centre randomised controlled trial feasibility study and qualitative process evaluation recruited seventy-six participants. Forty-seven of these were randomised at the point of a positive pregnancy test in to one of two study groups. The PRCI intervention group received the PRCI card and weekly questionnaires to assess their psychological well-being during the waiting period of their new pregnancy. The non-intervention group completed the same weekly questionnaires. The qualitative process evaluation employed semi-structured interviews (n=14) to address relevant aspects of the study objectives.Feasibility findings: Data suggest that successful recruitment to a future definitive study investigating a coping intervention for recurrent miscarriage is possible and that there is an appropriate and sizeable patient population willing to take part. The study participants demonstrated a positive attitude to using the PRCI, finding it an acceptable and practical intervention to use during the challenging waiting period of a new pregnancy. Results are encouraging and demonstrate that use of the PRCI was popular and conveyed some benefits to participants. An effectiveness RCT is warranted, however with some modification to take into account feasibility findings including varying recruitment rates between study sites, the reactive effect of Weekly Record Keeping data collection questionnaire and the adaptation of the use of the PRCI
Randomized controlled trial of Hyalobarrier® versus no Hyalobarrier® on the ovulatory status of women with Periovarian adhesions: a pilot study
No full textIntroduction: periadnexal adhesions are known to contribute to subfertility. The restoration of the tubo-ovarian anatomy is one the key principles in reproductive surgery, and this involves adhesiolysis. However, adhesion formation/reformation is very common after periovarian adhesiolysis. It is not known if the application of Hyalobarrier®, an anti-adhesion gel, around the adnexal region postsurgery influences ovulatory status. The study is a pilot randomized controlled trial (RCT) randomizing women into the application of Hyalobarrier® versus no Hyalobarrier® at the time of laparoscopy, where postsurgical ovulatory status and pregnancy rates were evaluated.Methods: this was a pilot RCT where women were recruited from the gynecological and subfertility clinic who were deemed to require an operative laparoscopy. If intraoperatively they were found to have periovarian adhesions, they were randomized into having adhesiolysis with and without usage of Hyalobarrier®. Demographic details and intraoperative details including the severity, extent, and the ease of use of Hyalobarrier® were recorded. Prior to the surgery and postoperatively, the participants had their serum hormonal status (day 2 FSH, LH and day 21 progesterone) evaluated. Postoperatively, they underwent a follicular tracking cycle at 3 months.Results: fifteen women were randomized into use of Hyalobarrier® (study group) and 15 into the no Hyalobarrier® group (control group) between December 2011 and January 2014. There was no difference in the patient characteristics in terms of age, BMI, the number of previous pregnancies, or the extent, site, and severity of adhesions between the two groups. There was no significant difference between the study versus control groups in terms of the hormonal profile (day 2 FSH and day 21 progesterone) before or after surgery. The 3-month postoperative day 10-12 follicular tracking findings and endometrial thickness were similar between the study and control groups. Four women were pregnant in the study group (24%) and one in the control group (7%) cumulatively over 2 years.Conclusions: the use of Hyalobarrier® post salpingo-ovariolysis did not influence follicular development as inferred from the results of the day 21 progesterone and folliculogram on day 10-12 3-month postsurgery.Trial registration: ISRCTN number, ISRCTN1833588.Funding: Nordic Pharma.</p
Randomised controlled trial of Hyalobarrier® versus no Hyalobarrier® on the ovulatory status of women with peri-ovarian adhesions: a pilot study
No full textIntroduction: Peri-adnexal adhesions are known to contribute to subfertility. The restoration of the tubo-ovarian anatomy is one the key principles in reproductive surgery, and this involves adhesiolysis. However, adhesion formation/reformation is very common after peri-ovarian adhesiolysis. It is not known if the application of Hyalobarrier®, an anti-adhesion gel around the adnexal post-surgery influence ovulatory status. The study is a randomised controlled pilot study (RCT) randomising women into the application of Hyalobarrier® versus no Hyalobarrier® at the time of laparoscopy, where post-surgical ovulatory status and pregnancy rates were evaluated. Methods: This was a pilot randomised controlled trial where women were recruited from the gynaecological and subfertility clinic who were deemed to require an operative laparoscopy. If intra-operatively they were found to have peri-ovarian adhesions, they were randomised into having adhesiolysis with and without usage of Hyalobarrier®. Demographic details and intraoperative details including the severity, extent and the ease of use of Hyalobarrier® was recorded. Prior to the surgery, and post operatively, the participants had their serum hormonal status (Day 2 FSH, LH and Day 21 progesterone) evaluated. Post operatively, they underwent a follicular tracking cycle at 3 months. Results: 15 women were randomised into use of Hyalobarrier® (study group), 15 into the no Hyalobarrier® group (control group) between December 2011- January 2014. There was no difference in the patient characteristics in terms of age, BMI, the number of previous pregnancies, the extent, site and severity of adhesions between the two groups. There was no significant difference between the study versus control groups in terms of the hormonal profile (Day 2 FSH and D21 progesterone) before or after surgery. The 3-month post-operative Day 10-12 follicular tracking findings and endometrial thickness were similar between the study and control groups. Four women in the study group (24%) and one in the control group were pregnant cumulatively over 2 years. All the pregnant patients were randomised into the Hyalobarrier® group. The majority of surgeons reported that the Hyalobarrier® Gel Endo was easy to apply. Conclusion: The use of Hyalobarrier® post salpingo-ovariolysis did not influence follicular development as inferred from the results of the Day 21 progesterone and folliculogram on Day 10-12 3-month post-surgery<br/
Marine and freshwater invasive species research with emphasis on South America: An overview and synthesis of MFIS, Argentina
No full textFil: Munawar, Mohiuddin. Memorial University Of Newfoundland. Faculty Of Science. Fisheries And Oceans Canada; CanadáFil: Bailey, Sarah. Memorial University Of Newfoundland. Faculty Of Science. Fisheries And Oceans Canada; CanadáFil: Sylvester, Francisco. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta; Argentina. Universidad Nacional de Salta. Facultad de Ciencias Naturales; Argentin
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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