检索结果-南通市图书馆

Asian Pacific Journal of Tropical Medicine 2009年第6期2卷 48-51页

作者： Singhal S Quazi Z MahajanSN Diwan SK Gaidhane A Department of Chest and Tuberculosis Acharya Vinoba Bhave Rural HospitalDMIMSSawangi(M)WardhaMaharashtraIndia Department of Community Medicine Acharya Vinoba Bhave Rural HospitalDMIMSSawangi(M)WardhaMaharashtraIndia Department of Medicine Acharya Vinoba Bhave Rural HospitalDMIMSSawangi(M)WardhaMaharashtraIndia

Objective:To judge for reasons of interrupting the treatment as told by patient himself/herself and see for adherence to therapy and treatment outcome after ***:All patients with history of interrupting the treatment presenting to chest OPD were included in this *** was done by medical officer on first interaction and by health care worker(as guidance of medical officer) *** for interrupting the treatment were *** and their relatives were counselled about the urgent need for strict adherence to therapy with special focus on reasons for which that particular patient had ***:Total 56 patients were included in the study during First Quarter of year *** outcomes of 40 patients were available.6 out of them had interrupted the treatment(15%)(National figures;19%and Maharashtra: 21%),13 patients died during the treatment(5 of them were Cat 2 defaulters).Multiple reasons for interrupting the treatment were *** common reasons were alcoholism and feeling of relief with treatment (46.4%).Conclusion:There is an urgent need for stressing upon counselling during Revised National Tuberculosis Control Programme(RNTCP) sensitization and *** officers can play an important role in reducing the defaulter rate by counselling of patient and their relatives.

关键词： Defaulter RNTCP Treatment interruption counselling

Infertility in China: Culture, society and a need for fertility counselling

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian pacific Journal of Reproduction 2019年第1期8卷 1-6页

作者： Shanna Logan Royce Gu Wen Li Shuo Xiao Antoinette Anazodo School of Women and Children's Health University of New South WalesSydneyAustralia Fertility and Research Centre Royal Hospital for WomenSydneyAustralia Kids Cancer Centre Sydney Children's HospitalSydneyAustralia Reproductive Medical Center Shanghai Changzheng HospitalSecond Military Medical UniversityShanghaiChina Reproductive Health and Toxicology Laboratory Department of Environmental Health SciencesArnold School of Public HealthUniversity of South CarolinaColumbiaSC29208USA Nelune Comprehensive Cancer Centre Prince of Wales HospitalSydneyAustralia

With a high rate of infertility, it is important to understand the context of fertility and family planning in China, to inform the necessity of supportive care. A literature review was undertaken to explore the societal constructs informing perspectives of childbearing, family planning and infertility, alongside Chinese considerations of fertility treatments, including assisted reproductive technologies and fertility counselling. In China, childbearing attitudes and behaviours are shaped by tensions between traditional cultural values of the filial piety originating from Confucianism, the history of strict family planning policy, the recent termination of one-child policy and the socioeconomic circumstance. For infertile Chinese individuals, the inability to meet these childbearing expectations gives rise to significant pressure and consequent psychological distress, particularly depressive symptoms. Demographic factors such as gender, education, income and geographical location have been found to influence prevalence and degree of depression in infertile Chinese men and women. These difficulties are compounded by barriers of cultural acceptance, legislative restrictions and availability of resources for alternative options such as adoption and surrogacy. It is important that these fertility sociocultural factors are taken into consideration when assisting Chinese patients to access and utilise fertility treatment services.

关键词： China Infertility Family planning policy Sociocultural factors Fertility treatment Fertility counselling

The Effectiveness of Clinical Colloquium Established by the “Drawing Recall” Technique in University counselling Services for Student Mental Health

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Health 2015年第5期7卷 521-532页

作者： Valeria Biasi Paolo Bonaiuto Nazarena Patrizi James M. Levin Department of Education “Roma Tre” University Rome Italy Faculty of Medicine and Psychology “Sapienza” University of Rome Rome Italy John Jay College City University of New York New York USA

An experimental assessment of the effectiveness of university counselling was conducted through the “Stress Drawing Recall” Technique applied before and after a clinical colloquium with 70 university students of both genders, aged 18 - 35 years, who had requested this service. Another 70 students waiting to undergo the colloquium were interviewed as a control group. Two parallel series of drawings depicting personal stress situations were collected and, after evaluation by three expert judges in “double-blind” conditions, led to establishing five forms of development of the graphic language from the first to second drawing, defined as follows: a) distension, with a reduction in stress indicators and increase in comfort indicators;b) explicit representation of conflict resolution;c) appearance of new elements, with persisting conflict;d) increase in stress indicators;e) invariant or equivalent repetition of the stress drawing. Results showed that students who underwent the clinical colloquium (experimental group) changed their stress drawings mainly in the direction of distension and conflict resolution, while the control group had more invariant or equivalent repetition of the stress situation (?= 62.77;p counselling.

关键词： Assessment Clinical Colloquium counselling Service Drawing Recall Technique Personality Test

Impact of Nutritional counselling on Nutritional Status of Postmenopausal Women

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Food and Nutrition Sciences 2015年第4期6卷 429-436页

作者： Gurpreet Kaur Paramjit Chawla Department of Food and Nutrition College of Home Science Punjab Agricultural University Ludhiana India

The aim of the study was to assess the impact of nutrition counselling on food intake and anthropometric measurements in postmenopausal women. Sixty postmenopausal women were selected from two villages of Sangrur district and were divided into two groups—Group I (Control) and Group II (Experimental) containing 30 subjects each. Subjects of Group II were imparted nutrition counselling (NC) regarding benefits of Aloe vera and its use in diet in individual and group contacts once in a week, for a period of three months. Aloe vera plants were also distributed to be used in their diets. Dietary intake of subjects for 3 consecutive days by 24 hr recall method was recorded before and after nutrition counselling. The average daily nutrient intake of diets was calculated by using Diet Cal. Anthropometric parameters were calculated before and after counselling. Dietary survey revealed that intake of cereals, fats/oil and sugar/jaggery decreased significantly (p ≤ 0.05) whereas intake of green leafy vegetable, other vegetables and fruits increase significantly (p ≤ 0.01) after counselling. A significant decrease in energy, carbohydrate, fat and significant increase intake in iron, calcium, potassium, Vitamin C and β-carotene content was observed. A significant reduction was observed for weight, body mass index (BMI), mid upper arm circumference (MUAC), triceps skinfold thickness (TSFT) and waist hip ratio (WHR) by 4.9%, 3.98%, 2.9% and 2.17% respectively, while random blood sugar (RBS), systolic blood pressure (SBP) and diastolic blood pressure (DBP) decreased by 25.21%, 13.74% and 8.03% after counselling. After nutrition counselling subjects adopted good nutritional practices and use of Aloe vera leaves in diets which improved their health status of postmenopausal women.

关键词： Aloe vera Leaves Anthropometric Measurements Nutrient Intake Nutrition counselling

Quality of DOTS Adherence counselling among Hospitalized Tuberculosis Patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Tuberculosis Research 2019年第2期7卷 77-94页

作者： Shikongo IN Taati Francis Kalemeera Dan Kibuule School of Pharmacy Faculty of Health Sciences University of Namibia Windhoek Namibia

Setting: Non-adherence to tuberculosis treatment is a risk factor for multidrug-resistant tuberculosis (MDR-TB). In 2015, 480,000 cases of MDR-TB were notified worldwide, leading to 250,000 deaths. Aim: The quality of the Directly Observed Treatment (DOT) adherence counselling among patients with drug resistant and sensitive was assessed. Methods: A hospital based crossectional analytical study was conducted at the national TB hospital in Windhoek among patients with MDR-TB and drug susceptible TB (DS-TB). The quality of adherence counselling was assessed against the WHO counselling guidelines using an interviewer-administered questionnaire. Quality was measured by completeness, duration and frequency of the adherence counselling sessions or program as well as patient satisfaction and preferences. Quantitative and qualitative data were by descriptive statistics in SPSS v23 and thematic analysis respectively. Results: Of the 50 patients, 60% were male, 76% were aged Conclusions: The quality of DOT adherence counselling among hospitalized TB patients is sub-optimal. There is need for a standard operating procedure and guidelines for effective adherence counselling among TB patients to optimize treatment outcomes.

关键词： Quality Dots Adherence counselling Namibia

The Role of Physical counselling in Patients with Type 2 Diabetes Mellitus: A Systematic Review

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Diabetes Mellitus 2015年第2期5卷 97-110页

作者： Elisabetta Carraro Mattia Roppolo Sara Bonetta Giorgio Gilli Department of Public Health and Pediatrics University of Torino Torino Italy

Context: Physical exercise is a key component of treatment and management of people with Type 2 Diabetes, but the role of strategies and interventions to increase and promote physical activity is unclear. Objective: To conduct a systematic review of intervention studies assessing the effects of physical activity counselling on health outcomes in subjects with type 2 diabetes mellitus. Data sources: The Cochrane Library, MEDLINE, EMBASE, CINAHL, LILACS, *** databases were used for the literature search. Data Selection: Studies that assessed the effects of interventions mainly based on physical activity counselling strategies, on physical activity level and glycosylated hemoglobin (HbA1c) were included in the review. Data Extraction: Two independent reviewers extracted the data. Data Synthesis: A total of 23 studies out of 1425 retrieved from databases search, were included in the review. The global number of subjects included in the selected studies was 9913, and the mean age of participants was 58.8 (±8.2) years (min = 46.3;max = 73.6). The most part of the studies (19) reported values of physical activity level;13 of them (68.4%) found a significant effect after the counselling intervention, while 6 (31.6%) did not found significant changes. Among the 17 studies reporting data on HbA1c 9 (52.9%) described a significant decrease in the counselling intervention group, while 7 (41.2%) did not find any statistically significant change and 1 (5.9%) reported a significant HbA1c reduction in the comparison group rather than the counselling group. Conclusions: The results presented in this systematic review seem to affirm the usefulness of physical counselling interventions on physical activity and HbA1c, however the lack of homogeneity in the intervention protocols and the contrasting results limit the comprehension of the usefulness of such an approach in patient with type 2 diabetes.

关键词： Physical Activity counselling Interventions Health Promotion Lifestyle Change Type 2 Diabetes Mellitus

Contraceptive Continuation, Pregnancy and Abortion Rate Two Years after Post Abortion counselling

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Obstetrics and Gynecology 2015年第3期5卷 135-141页

作者： Ana Laura Carneiro Gomes Ferreira Mariana Moreira Boa-Viagem Ariani Impieri Souza Women’s Health Research Department of the Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) Recife Brazil Medical School of Faculdade Pernambucana de Saúde (FPS) Recife Brazil

Objectives: To estimate the contraceptive use rate, pregnancy and abortion rate two years after post abortion counselling. Methods: In this current paper we conducted a cross-sectional study from September to December 2011 among women who participated of original randomized trial. In this study 118 women who had been allocated in the group that received the personalized contraceptive counselling and 103 women who had been allocated in the group that received standard counselling service were contacted by phone. The analyzed variables were the use of contraceptive methods, reasons for not using them, satisfaction in used method, and occurrence of pregnancy and abortion. Results: The pregnancy rate was lower in the personalized counselling group (p = 0.022), whereas abortion (p = 0.543) and contraceptive use rate (p = 0.270) had no difference between groups. The overall contraceptive use rate was high in both groups and the injectable method use rate was higher in personalized counselling group (p?= 0.004). Conclusions: Two years after the intervention the pregnancy rate was lower in personalized counselling group. The contraceptive use rate had no difference between the groups, except for the injectable which the use rate was higher in the personalized counselling group. These results could be encouraging because the intervention improved the uptake of one of the long-acting methods of contraception.

关键词： counselling Education and Training Family Planning Service Provision Abortion

Assessment of Knowledge and Attitudes of Expectant Mothers towards HIV Screening and counselling at Jachie-Pramso in the Ashanti Region of Ghana

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of AIDS 2019年第4期9卷 183-194页

作者： Christiana Asiedu Evans Opoku Agyemang Emmanuel Appiah Agyei Department of Adult Health School of Nursing and Midwifery College of Health and Allied Sciences University of Cape Coast Cape Coast Ghana Department of Science Education Faculty of Science and Technology Education College of Education Studies University of Cape Coast Cape Coast Ghana.

Background: The prevention of mother to child transmission (PMTCT) of human immunodeficiency virus (HIV) is paramount in safeguarding the lives of unborn children and young babies. The study sought to examine the knowledge and attitudes of expectant mothers towards HIV screening and testing in the Jachie-Pramso Community of the Ashanti Region. Methods: The study adopted a descriptive survey approach as its research design. The population of the study comprised 158 expectant mothers who were registered and attended regular antenatal care sessions at the community hospital. The census approach to sampling was adopted for the study. A structured questionnaire was used as the tool for data collection. Chi-square and descriptive statistics were used to analyse the data. Results: The findings from the study indicated that awareness level of HIV and its related issues were high among expectant mothers. It was also found that attitude of healthcare workers, community members and sexual partners are the main factors that prevent expectant mothers from patronising voluntary counselling and testing (VCT) services. It was generally, recommended that intensive educational programmes be instituted to sensitize both healthcare workers and the general public on discriminative behaviours. Conclusion: Most of the expectant mothers have knowledge of HIV and attitudes of the expectant mothers towards VCT of HIV were positive. The healthcare facility and its professionals may consider training the expectant mothers so they can act as snow-ballers in the dissemination of relevant health education and coerce other expectant mothers in the community to participate in the VCT and HIV programmes.

关键词： Acquired Immune Deficiency Syndrome Expectant Mothers Human Immunodeficiency Virus Voluntary counselling and Test

Virtual reality based apps are the future of patient:Counseling

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2025年第6期13卷 58-60页

作者： Ranjan K Behera Arvind K Morya Parul C Gupta Arshi Singh Department of Ophthalmology MMIMSR Mullana AmbalaAmbala 133207HaryānaIndia Department of Ophthalmology All India Institute of Medical SciencesHyderabad 508126TelanganaIndia Department of Ophthalmology Post Graduate Institute of Medical Education and ResearchChandigarh 160012PunjabIndia Department of Ophthalmology Guru Nanak Eye CentreNew Delhi 110001New DelhiIndia

The use of virtual reality to educate preoperative patients has a positive impact on nurses as well as patients undergoing *** can help improve patient satisfaction and improve favorable outcomes by reducing patient anxiety and proving adequate knowledge about the procedure and possible outcomes to the *** also reduces burden on nursing staff and *** and more diverse cohort studies will help us understand the wider application of this tool on the patient *** may be difficult to apply this tool on elderly patients with failing eyesight,multiple physical ***,there may be reduced acceptance of this modality by older nursing staff and practitioners who may prefer the traditional verbal version for *** will benefit from a combined approach of using virtual reality apps with tradition one-on-one counselling to help alleviate patient concerns and improve patient and healthcare professional satisfaction.

关键词： Nurse Patient Virtual reality counselling Healthcare

Breastfeeding counsel against cancers

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Pacific Journal of Tropical Biomedicine 2016年第5期6卷 422-428页

作者： Prameela Kannan Kutty MAHSA University Department of PaediatricsFaculty of MedicineJalan University CampusJalan University

The anticancer potential by breastfeeding is not fully tapped in the light of the present knowledge of the subject. Literature indicates that breastmilk has anticancer action but may underestimate its full capacity. The protective spectrum within breastmilk hints on the need for a more comprehensive understanding of it as an anticancer tool. Exclusive breastfeeding could confer protection from carcinogenesis with a greater impact than realised. A literature review was conducted using four electronic databases. Selected areas were extracted after thorough perusal of the articles. The uninitiated would take exclusive breastfeeding seriously if actively counselled as an anticancer tool. Advice on details of the breastfeeding process and holistic information on breastfeeding may endow a greater impact among the skeptics. counselling the breastfeeding mother on information sometimes not imparted, such as on maternal nutrition, details of the process of breastfeeding, benefits of direct breastfeeding versus milk expression and her psychosocial well being may make a difference in optimising anticancer action that exists in ***, its anticancer potential provides a platform to universally improve physical and psychosocial well being of women who breastfeed. Statistics of protection by breastfeeding in some maternal and childhood cancers are evident. "Bio-geno-immunonutrition" of breastmilk may shield the mother and infant from carcinogenesis in more ways than appreciated. The molecular basis of mother-to-infant signals and their "energies" need to be researched. Breastfeeding as a modifiable behaviour provides cost effective nutrition with potential for both cancer immunoprophylaxis and immunotherapy.

关键词： Anticancer Breastfeeding Well being counselling Nutrition