1,720,965 research outputs found
Opinions of Obstetricians and Midwives for Vaginal Birth after Cesarean Section: A Qualitative Study in Türkiye
No full textBACKGROUND/AIMS: The most effective strategy to stop the increasing worldwide popularity of cesarean delivery and to break the logic of once a cesarean, always a cesarean is vaginal birth after cesarean (VBAC). Health professionals are highly influential in women's birth preferences. Therefore, there is an urgent need to focus on the views of midwives and obstetricians about VBAC section. The aim of this study was to investigate the opinions of obstetricians and midwives about VBAC. MATERIALS AND METHODS: This study adopted two qualitative research approaches, phenomenology and case study. A total of 26 healthcare professionals, including 12 obstetricians and 14 midwives, were interviewed in this study. One-to-one in-depth phone interviews were held with the midwives and obstetricians and these interviews were audio-recorded. The obtained data were written out completely and analyzed thematically. This study aligns with the Consolidated Criteria for Reporting Qualitative Research checklist. RESULTS: Three main themes and nine sub-themes were obtained in this research. The main themes described are Healthcare Professional CONCLUSION: As a result of the interviews, in addition to the lack of information about VBAC delivery, various factors which prevent this application from being widespread were determined. Accordingly, with these ideas in mind, there is a need to organize training programs in order to improve healthcare professionals' knowledge and skills about VBAC section. It is recommended to provide the necessary legal regulations and raise awareness on vaginal births after cesarean deliveries
SWOT Analysis on The Views of Midwives Assigned in The Delivery Room About The Effects of The Covid-19 Pandemic: A Qualitative Study
No full textObjective: The aim of this study is to examine the experiences of midwives working in the maternity ward during the COVID-19 pandemic by SWOT analysis. Materials and Methods: A descriptive qualitative study reported following the COREQ guidelines. For the purposes of this study, 40 midwives working in the delivery room throughout the pandemic were interviewed. Research data were collected using a Personal Information Form (PIF) and a SWOT analysis interview form. One-on-one and in-depth telephone interviews were conducted with the midwives. All interviews were recorded with the consent of the midwives. Collected data were transcribed and a content analysis was carried out using the MAQDA 2020 program. Results: Data collected in the study were categorized under four main themes as Strengths, Weaknesses, Opportunities and Threats. Conclusion: Midwives worked under difficult conditions during pandemi, so they were extremely tired and worn out. Midwives who could not go home during this difficult period gave psychological warfare because they were separated from their families. In addition, they thought that they could not provide adequate care and support to pregnant women at the time of delivery within the framework of social distance protection measures. This made them feel professionally inadequate
Barriers on Breast Cancer Early Detection Methods
No full textObjective: Breast cancer is the most common type of cancer in women throughout the world. It is the second leading cause of cancer related deaths, after lung cancer. Breast cancer is the most common cancer in women in Turkey with a rate of 23,4%. One out of every four women has breast cancer. This study was conducted to determine the barriers on methods of early diagnosis of breast cancer. Materials and Methods: The research population consisted of women over the age of 40 years who live in the neighborhood of Doganlar (N=2404). The sample size was determined (n=251) with Epi Info Statcalc account program with 95% confidence interval, with the incidence of breast cancer accepted as 24%. Women over the age of 40 years who agreed to participate were included in the study. In order to collect the necessary data, a 27-item questionnaire including socio-demographic characteristics and methods of early diagnosis was created according to the literature. This study was conducted between March-October 2012 in Doganlar neighborhood. Results: Two-hundred-fifty-four women participated in the study, with a mean age of 54,27 +/- 1, and an average monthly income of 895,0197 TL (min= 0 TL, max= 7000 TL). 79,1% were married, 89,8% were housewives, 56,7% were literate, and 83,1% had health insurance. The status of performing regular Breast Self Examination (BSE) was significantly higher in women who had knowledge about BSE, (p= 0.000). Married (p= 0.015) women and those who had a social security system (p= 0.048) had significantly higher rates of mammography. Women who were informed on mammography (p= 0.000) had significantly higher rates of mammography. When reasons for not getting mammography was addressed, it was observed that 99,2% was due to lack of information and education. Women who had regular BSE had significantly higher Clinical Breast Examination (CBE) (p= 0.024). Women's sociodemographic characteristics did not affect the status of performing regular BSE and CBE significantly. Conclusion: Barriers against implementation of breast cancer screening methods in women were related to level of education and lack of adequate information about breast cancer screening, and symptoms of breast cancer. Women's lack of information about signs, symptoms and treatment in the early stages of breast cancer needs to be eliminated. Health care providers may have a key role in increasing breast cancer early detection rates
The effect of acupressure on labor pain and the duration of labor when applied to the SP6 point: Randomized clinical trial
No full textAim This study aims to determine the effect of acupressure (SP6) on first stage of labor pain and duration. Methods A single blind, randomized controlled experimental trial was conducted with 60 pregnant women: 30 in the experimental group and 30 in the control group. At the active and transition stages of labor, acupressure was applied to the SP6 point of the experimental group, and the SP6 point of the control group was touched each contraction. the data were collected using the Pregnant Information Form. the Partograph Form was used to determine the duration of active stage and transition stage. the labor pain severity was measured using a numeric rating scale (NRS) immediately after each acupressure/touch SP6 in active and transition stages. A participant questionnaire on satisfaction was administered in the immediate postnatal period. the group difference was tested for statistical significance using the Chi-square test, Fisher's exact test, and the Mann-Whitney U test. Results As the primary outcome, labor pain was less and duration of labor was shorter for the experimental group. As the secondary outcome, satisfaction was increased that could be as a result of reduced pain in labor and/or shorter duration of labor. the perceived pain level in the active stage in the experimental group (n = 30) was less than the control group (n = 30) (labor pain: 7.17 + 0.89 vs. 7.66 + 0.71, p = .002). the mean duration of the first stage of labor in the experimental group was shorter than the control group (4.88 + 0.85 hr vs. 5.56 +/- 0.66, p = .001). It was also found that pregnant women in the experimental group would recommend this method to other pregnant women (Chi-square = 5.711, p = .017). Conclusions Application of acupressure on SP6 was found to have a positive effect on pregnant women's labor experience and reducing the labor pain and shortening the duration of first stage of labor compared to touch on SP6. the women receiving acupressure had higher levels of satisfaction in acupressure application than women receiving only touch on SP6, which could be as a result of reduced pain in labor and/or shorter duration of labor
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
Get PDF“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
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
- …
