Academic literature on the topic 'Female Surgery Patients Interviews'
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Journal articles on the topic "Female Surgery Patients Interviews"
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Lynch, Rebecca, Philip Toozs-Hobson, Jonathan Duckett, Douglas Tincello, and Simon Cohn. "Making a decision about surgery for female urinary incontinence: a qualitative study of women’s views." International Urogynecology Journal 32, no. 1 (June 29, 2020): 127–33. http://dx.doi.org/10.1007/s00192-020-04383-5.
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Abstract Introduction and hypothesis This qualitative interview study explores aspects women with urinary incontinence(UI) reflect upon when considering whether or not to have surgery. Conducted prior to the recent mesh pause in the UK, the article provides insights for current and future approaches to shared decision-making. Methods Qualitative in-depth interviews of 28 patients referred to secondary care for stress and mixed UI who were considering UI surgery. Participants were recruited from four urogynaecology clinics in the Midlands and South England, UK. Interviews were conducted in clinics, in patient homes, and by telephone. Data analysis was based on the constant comparative method. Results Participants’ accounts comprised three key concerns: their experience of symptoms, the extent to which these impacted a variety of social roles and demands, and overcoming embarrassment. Accounts drew on individual circumstances, values, and concerns rather than objective or measurable criteria. In combination, these dimensions constituted a personal assessment of the severity of their UI and hence framed the extent to which women prioritized addressing their condition. Conclusions Acknowledging women’s personal accounts of UI shifts the concept of ‘severity’ beyond a medical definition to include what is important to patients themselves. Decision-making around elective surgery must endeavour to link medical information with women’s own experiences and personal criteria, which often change in priority over time. We propose that this research provides insight into how the controversy around the use of mesh in the UK emerged. This study also suggests ways in which facilitating shared decision-making should be conducted in future.
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Baker, Daniel Mark, Matthew James Lee, Georgina Louise Jones, Steven Ross Brown, and Alan Joseph Lobo. "The Informational Needs and Preferences of Patients Considering Surgery for Ulcerative Colitis: Results of a Qualitative Study." Inflammatory Bowel Diseases 24, no. 1 (December 19, 2017): 179–90. http://dx.doi.org/10.1093/ibd/izx026.
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Abstract Background Patients considering surgery for ulcerative colitis (UC) face a difficult decision as surgery may or may not improve quality of life. National Institute for Health and Care Excellence guidelines for UC emphasize the importance of providing quality preoperative information to patients but note no quality studies for the desired content of this information. Our aim was to explore patient information preferences prior to undergoing surgery for ulcerative colitis. Methods Semistructured interviews with patients who underwent an operation and patients who considered but declined an operation were conducted. Interviews explored informational preferences, with emphasis on preoperative information given, preoperative information desired but not received, and retrospective informational desires. Interviews were transcribed and coded using an inductive thematic analysis using NVivo software. Data saturation was assessed after 12 interviews, with interviews continuing until saturation was achieved. Ethical approval was gained prior to interviews commencing (16/NW/0639). Results A total of 16 interviews were conducted before data saturation was achieved (male n = 7, female n = 9). Eight patients declined surgery, and 8 opted for subtotal colectomy with permanent end ileostomy (n = 5) or ileoanal pouch (n = 3). A total of 4 themes and 14 subthemes were identified. Three dominant subthemes of informational shortcomings emerged: “long-term effects of surgery,” “practicalities of daily living,” and “long-term support.” Peer support was desired by patients but was infrequently supported by health care professionals. Conclusions Current preoperative information does not address patient informational needs. Surgical consultations should be adapted to suit patient preferences. Clinical practice may need to be altered to ensure that patients are better supported following surgery.
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Lisee, Caroline Michele, Justin S. DiSanti, Megan Chan, Jessica Ling, Karl Erickson, Michael Shingles, and Christopher M. Kuenze. "Gender Differences in Psychological Responses to Recovery After Anterior Cruciate Ligament Reconstruction Before Return to Sport." Journal of Athletic Training 55, no. 10 (September 23, 2020): 1098–105. http://dx.doi.org/10.4085/1062-6050-558.19.
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Context Female patients with anterior cruciate ligament reconstruction (ACLR) are less likely to return to sport than males. Psychological readiness predicts successful return to sport, but it is unclear if psychological experiences differ between males and females during recovery. Objective To explore gender differences in psychological readiness factors of return to sport after ACLR. Design Qualitative study. Setting Laboratory. Patients or Other Participants A total of 12 male (months since surgery = 6.2 ± 1.2) and 13 female (months since surgery = 6.4 ± 1.3) high school athletes with a history of ACLR. Data Collection and Analysis Participants were interviewed before physician clearance to return to activity. Transcribed interviews were analyzed using deductive thematic coding of 5 themes identified from previous research (psychological distress, self-efficacy, locus of control, athletic identity, and fear of reinjury) and inductive secondary subthematic coding. Gender comparisons were generated within primary themes and secondary subthemes. Results All deductive themes were consistently reinforced. Male and female participants reported fear of movement, loss of athletic identity, and motivational mindsets for return to sport and self-improvement. Males reported a stronger sense of internal locus of control using positive internal reinforcement, whereas females described balancing internal and external control and valuing external support systems. Male participants described mood changes influenced by physical and social limitations. Female participants closely monitored their emotions throughout recovery and were influenced by rehabilitation fluctuations. Conclusions Male and female high school athletes described different psychological factors related to return to sport and locus of control as well as psychological distress. Gender-specific psychological interventions may be warranted to overcome psychological barriers after ACLR.
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Janse Van Vuuren, Michele, Esben Strodl, Katherine M. White, and Philip D. Lockie. "Psychosocial presentation of female bariatric surgery patients after multiple revisional surgeries: A qualitative study." Journal of Health Psychology 23, no. 10 (June 7, 2016): 1261–72. http://dx.doi.org/10.1177/1359105316648673.
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Bariatric surgery is currently the most viable and cost-effective treatment for obesity. This study aimed to understand, from a female patient’s perspective, what contributed to not achieving or maintaining excess weight loss from a primary laparoscopic adjustable gastric band surgery, leading to subsequent multiple revisional bariatric surgeries. The purposive sample of participants ( N = 17 females) were over 18 years, had a primary failed laparoscopic adjustable gastric band and had more than three revisional procedures. Participants were individually interviewed and data were analysed from a grounded theory methodology to build a causal model with the core category of unrealistic expectations of bariatric surgery and other important conceptual categories.
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Adachi, Tomoaki, Shoko Kochi, and Tai Yamaguchi. "Characteristics of Nonverbal Behavior in Patients with Cleft Lip and Palate during Interpersonal Communication." Cleft Palate-Craniofacial Journal 40, no. 3 (May 2003): 310–16. http://dx.doi.org/10.1597/1545-1569_2003_040_0310_conbip_2.0.co_2.
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Objective This study examined characteristics of nonverbal behavior that patients with cleft lip and palate (CLP) presented during interpersonal communication. Design This was a case-control design comparing nonverbal behavior of adult women with CLP with females without CLP. Participants Subjects were 20 adult women with CLP and 20 noncleft control women matched for age and educational experience. Main Outcome Measures Subject gestures and facial expressions were videotaped during interviews and analyzed with a computer-based kinematic measurement system. Results The clinical group displayed significantly fewer head movements and a lower smile frequency than the control group. Furthermore, head and hand movements and smiles were less coordinated or congruent for the subjects with CLP than for the comparison group. Conclusions Even slight facial disfigurement could have a harmful effect on communication behavior in female patients with CLP.
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Lama Yonzon, Choden, Retna Siwi Padmawati, Raj Kumar Subedi, Sagun Paudel, Ashmita Ghimire, and Elsa Herdiana Murhandarwati. "Exploring determinants of hydrocele surgery coverage related to Lymphatic Filariasis in Nepal: An implementation research study." PLOS ONE 16, no. 2 (February 26, 2021): e0244664. http://dx.doi.org/10.1371/journal.pone.0244664.
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Background Hydrocele is a chronic condition in males in which there is an excessive collection of straw-colored fluid, which leads to enlargement of the scrotum. It is a common manifestation of lymphatic filariasis (LF) affecting nearly 25 million men worldwide. Surgery is the recommended treatment for hydrocele and is available free of cost in all government hospitals in Nepal. This research explored patient, provider, and community factors related to accessing hydrocele surgery services by the patients. Methods This study employed a qualitative method. The research was conducted in two LF endemic districts, namely Kanchanpur and Dhading, which are reported to have the highest number of hydrocele cases during morbidity mapping conducted in 2016. In addition to five key informant interviews with the LF focal persons (one national and 4 district-level), nine in-depth interviews were conducted with hydrocele patients (5 of whom had undergone surgery and 4 who had not undergone surgery) and with 3 family members, and two focus group discussions with the female community health volunteers. Results Most of the respondents did not have knowledge of hydrocele as one of the clinical manifestations of LF nor that it is transmitted through a mosquito bite. Although perceived as treatable with surgery, most of the patients interviewed believed in as well as practiced home remedies. Meanwhile, fear of surgery, embarrassment, lack of money, along with no knowledge of the free hydrocele surgery acted as barriers for accessing the surgery. On the other hand, financial support, flexible guidelines enabling the hospital to conduct surgery, decentralization and scaling up of morbidity mapping along with free hydrocele surgery camps in any remaining endemic districts were identified as enablers for accessing surgery. Conclusion Hydrocele surgery coverage could be improved if the program further addresses community awareness. There is a need for more focus on information dissemination about hydrocele and hydrocele surgery.
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Ikeda, Allison, Robin Marsh, Crystina McShay, Shireen Saini, Maya Sardesai, Edward Weaver, and Emily Boss. "452 Patient Factors and Preferences in Decision for Sleep Surgery: A Qualitative Analysis." Sleep 44, Supplement_2 (May 1, 2021): A179. http://dx.doi.org/10.1093/sleep/zsab072.451.
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Abstract Introduction Patients with obstructive sleep apnea (OSA) are offered many treatment options spanning the spectrum of lifestyle modification, device therapy, and surgery. Sleep surgery, while often effective, results in moderate morbidity and has variable effectiveness on OSA improvement. Little is known about what patients consider when choosing treatment. We aim to identify factors that influenced the decision for sleep surgery among adults with OSA. Methods We conducted semi-structured virtual interviews with patients (≥18 years) with OSA (apnea-hypopnea index ≥5 events per hour of sleep) who underwent sleep surgery at a tertiary academic center, querying patients about factors in their decision for OSA treatment. Interviews were audio-recorded, transcribed, and analyzed for thematic content. We anticipate enrolling 10–18 total participants based on previously reported sample size in specialty groups for thematic saturation in specialty groups (ie, when no new concepts or factors emerge from interviews). Here we report pilot qualitative analysis results. Results Of nine eligible patients, eight enrolled (mean +/- standard deviation age 45.8 +/- 13.4 years, 2 female/6 males). Four patients underwent nasal surgery only, two patients underwent staged procedures, one underwent pharyngeal surgery only, and the last underwent nasal surgery with tori removal. Patients reported decision making duration of days to years for scheduling surgery. Reasons for pursuing sleep surgery included fatigue, quality of life, work performance, and safety. Overarching thematic domains related to decision for surgery were (1) major concerns, (2) external factors influencing decision, and (3) retrospective satisfaction/regret with decision. Major concerns involved factors beyond surgeon’s control, such as anesthesia and postoperative pain management, not surgery itself. Family and friends were reported to be highly influential in the process, both in favor and against surgery. Social media features and celebrity patients with OSA heightened awareness of sleep surgery and set preconceived expectations. Patients were mostly satisfied with outcomes, despite unanticipated acute recovery challenges. Conclusion This pilot qualitative analysis identifies factors influencing patients’ OSA treatment decisions. Understanding patients’ major concerns and sources of information may help to guide physician counseling, set realistic expectations, offer peri-operative support, and better engage parents in shared decision-making for sleep surgery. Support (if any) None.
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Mariano, Maria Luiza Lobato, Maria Angela Boccara de Paula, Deomir Germano Bassi, and Pedro Roberto de Paula. "Bariatric surgery: impact on sexuality of the obese person." Revista do Colégio Brasileiro de Cirurgiões 41, no. 6 (December 2014): 412–20. http://dx.doi.org/10.1590/0100-69912014006006.
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Objective: To assess the impact of surgical treatment in the sexuality of the obese.Methods: We conducted a qualitative / quantitative research with 30 patients who had undergone Fobi-Capella Roux-Y gastric bypass for at least one year. We collected data through individual interviews using a questionnaire with 10 mixed questions and one open, between May and June 2011. The objective data were quantified in absolute numbers and percentages, and the subjective ones were analyzed using the Discourse of the Collective Subject (DCS) and discussed in view of reference published on the subject.Results: 30 patients were enrolled, with a mean age 44 ± 12 years, 24 (80%) were female and six (20%) were male, 23 (77%) were married, 23 (96%) were hypertensive and eight (33%) were diagnosed with Diabetes Mellitus. After the operation, 11 (37%) individuals reported no change in the number sexual intercourses, but 19 (63%) reported that this number was altered, 16 (53%) informed increased frequency, one (3%) reported a decrease in frequency, one (3%) did not practice sexual intercourse anymore and one (3%) did not report the frequency. The central ideas (CI) raised originated four DCSs: Experience of female sexuality; No experience of female sexuality; Experience of male sexuality; and improvements of comorbidities and psychological factor.Conclusion: there are positive repercussions of physical and emotional orders of the surgical treatment of obesity, favoring the quality of life, including sexuality.
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Broder, Hillary L., Fraser B. Smith, and Ronald P. Strauss. "Habilitation of Patients with Clefts: Parent and Child Ratings of Satisfaction with Appearance and Speech." Cleft Palate-Craniofacial Journal 29, no. 3 (May 1992): 262–67. http://dx.doi.org/10.1597/1545-1569_1992_029_0262_hopwcp_2.3.co_2.
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This study examined ratings regarding satisfaction with facial appearance and speech performance from 495 parent-child pairs. Data were obtained from school-aged children (5–18 years old) and their parents using standardized independent interviews. Results revealed that 54 percent of the children with cleft lip (CL) or cleft lip and palate (CLP) were very pleased with their appearance, and 62 percent of the cleft palate or CLP subjects were very pleased with speech. Low, but statistically significant correlations exist between the female subjects and their parents in satisfaction with appearance. Although older cleft lip and/or palate patients reported increased satisfaction with speech, no age differences in patient satisfaction with appearance were observed in subjects with CL/CLP. Parents of females expressed more concern about their daughters' appearance than parents of males, while parents of males were more concerned about speech. Implications for craniofacial habilitation teams and research suggestions are discussed.
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Strimas, Rachel, Michelle M. Dionne, Stephanie E. Cassin, Susan Wnuk, Marlene Taube-Schiff, and Sanjeev Sockalingam. "Psychopathology in severely obese women from a Canadian bariatric setting." Ethnicity and Inequalities in Health and Social Care 7, no. 2 (June 10, 2014): 72–85. http://dx.doi.org/10.1108/eihsc-10-2013-0033.
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Purpose – Evidence suggests high rates of psychiatric disorders in bariatric surgery candidates (e.g. Mitchell et al., 2012), although no rigorous studies have examined the prevalence in a Canadian sample. Improved understanding of the prevalence of psychopathology among female patients is an important area of study, as females comprise approximately 80 percent of surgical candidates (Martin et al., 2010; Padwal, 2005). The purpose of this paper is to assess the prevalence of Axis I disorders and associations with quality of life in a Canadian sample of female bariatric surgery candidates. Design/methodology/approach – Female patients (n=257) were assessed using a structured psychodiagnostic interview and completed a health-related quality of life questionnaire. Findings – Results indicated that 57.2 percent of patients met DSM-IV-TR criteria for a lifetime psychiatric disorder and 18.3 percent met criteria for a current psychiatric disorder. Major depressive disorder was the most common lifetime psychiatric disorder (35.0 percent) and binge eating disorder was the most prevalent current psychiatric disorder (6.6 percent). Patients scored significantly lower than Canadian population norms on all domains of the SF-36 (all p's<0.001). Patients with a current Axis I disorder also reported significantly worse functioning on four mental health domains and one physical health domain (p's<0.01) compared to patients without a current Axis I disorder. Originality/value – Results confirm high rates of psychiatric disorders in Canadian female bariatric surgery candidates and provide evidence for associated functional health impairment. Further study is needed to elucidate how pre-operative psychopathology may impact female patients’ post-operative outcomes.
Dissertations / Theses on the topic "Female Surgery Patients Interviews"
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Tarassova, Inna. "Factors associated with recovery from cardiac surgery in female patients." Honors in the Major Thesis, University of Central Florida, 2001. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/254.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Nursing
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Ismail, Zarina. "Pre-operative anxiety and uncertainty in gynecological cancer patients /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36396692.
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Auer, Deborah. "The experience of female patients seeking elective rhinoplasty surgery : a narrative inquiry." Thesis, Middlesex University, 2018. http://eprints.mdx.ac.uk/25906/.
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The aim of this research is to understand what motivates patients to have an elective rhinoplasty, taking into consideration any societal, familial, cultural and intrapersonal influences. The research question explored how, if at all, surgery impacts women's embodied sense of themselves and if there is a way of providing psychological support to this patient group. Four female patients were interviewed preoperatively and postoperatively using a narrative inquiry approach. The research offers a detailed qualitative contribution in a field that is predominantly quantitatively studied. The research explored the nuances of why female patients want to have rhinoplasty surgery. The narratives of the patients showed that the motivation to have surgery is based on external and internal factors. The external factors revealed the following: society's acceptance of cosmetic surgery, the influence of the media, the experience of the consultation and how risk is understood. The internal factors were influenced by the patients' experience of the death of significant family members, a need to separate from patriarchal and matriarchal family members, feelings of body shame, a fear of negative evaluation from others, and objectification of their body in preparation for surgery. Following surgery, a psychological shift was discussed by each patient; this indicates that cosmetic surgery does indeed have a psychological impact. The implication for practice is that clinicians need to have a better understanding of the motivation of this patient group to be able to offer the appropriate psychological support. Awareness also needs to be raised with surgeons, to help them better understand how the surgery they perform can have a psychological impact. This research showed that patients proceeding with cosmetic surgery could benefit from having specialised psychological support preoperatively and postoperatively. This would contribute to more realistic expectations for surgery and, hopefully, a better outcome for both patient and surgeon.
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Eriksson, Nathalie, and Jennifer Berggren. "Att hantera komplexiteten i att vårda personer med demenssjukdom : En kvalitativ studie med fokus på anestesisjuksköterskans erfarenheter." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-43481.
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Background: Research shows that caring for people with dementia (PMD) at the perioperative stage often is a major challenge for anesthetic nurses. PMD suffers from cognitive impairments, making it difficult to communicate, collaborate and understand information. Research shows that PMD are more likely to develop anxiety due to lack of these abilities. Aim: The aim of the study is to investigate the experiences of registered nurse anesthesia in caring for PMD at the perioperative stage. Method:A qualitative research design, with eight semi-structured interviews were chosen. The sample were anesthetic nurses with at least 1 year experience. All interviews were recorded and transcribed. Result: The result shows two generic categories: Resources in the care of PMD and obstacles in the care of PMD. the eight subcategories were: Measures to reduce anxiety, Safe care environment, Support of relatives, Problems in communication, Challenges in medication, Differences in various surgical procedures, Lack of time, Lack of education. Conclusion:PMD are a challenging group of patients due to their cognitive impairment. The caregiver therefore has an increased need for resources and requires that certain specific measures are been taken.
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Nilsson, Margareta. "Female urinary incontinence : impact on sexual life and psychosocial wellbeing in patients and partners, and patient-reported outcome after surgery." Doctoral thesis, Umeå universitet, Obstetrik och gynekologi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-55006.
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Background: Urinary incontinence (UI) and urgency are common conditions and can have a profound influence on many aspects of life. Approximately one in four women has UI and one in ten has daily symptoms. Knowledge is lacking, however, on the impact of UI and urgency on the lives of affected women and their partners and on the situation of women with urinary leakage one year postoperatively. Aims: To study the consequences of female UI and urgency for patients and their partners on quality of life (QoL), the partner relationship, and their sexual lives. Also to evaluate the success rates of three operation methods: tension-free vaginal tape (TVT), tension-free vaginal tape-obturator (TVT-O), and transobturator tape (TOT) for stress urinary incontinence (SUI), with a particular focus on women who still have urinary leakage one year after surgery. Methods: Women seeking healthcare for UI and/or urgency and their partners were invited to answer questionnaires. The women completed disease-specific questionnaires and both the women (n = 206) and their partners (n = 109) answered questions about their psychosocial situation, partner relationship, and sexual life. Patient-reported outcomes one year after surgery with TVT, TVT-O, or TOT (n = 3334) were derived from the Swedish National Quality Register for Gynaecological Surgery. Results: Most of the women reported that their urinary problems negatively affected their physical activities, and almost half reported negative consequences for their social life. Women aged 25–49 years were less satisfied with their psychological health, sexual life, and leisure than women aged 50–74 years. One third of both the women and their partners (all the partners were men) experienced a negative impact on their relationship, and sexual life was negatively affected in almost half of the women and one in five of their men. Coital incontinence was reported in one third of the women. Most of their men did not consider this a problem, but the majority of the affected women did. Satisfaction with outcome of the operation did not differ between TVT, TVT-O, and TOT, but TVT showed a higher success rate for SUI than TOT did. Higher age, higher body mass index, a diagnosis of mixed urinary incontinence, and a history of urinary leakage in combination with urgency each constitute a risk for a lower operation success rate. After one year, 29% of the women still had some form of UI, but half of these were satisfied with the outcome and most reported fewer negative impacts on family, social, working, and sexual life than before the operation. Conclusions: Female UI and/or urgency impaired QoL, particularly in young women, and had negative effects on partner relationships and on some partners’ lives. Sexual life was also affected, more often in women with UI and/or urgency than in their partners. At one-year follow-up after surgery, about one third of the women still had some form of UI, but the negative impact on their lives was reduced. A challenge for health care professionals is to initiate a dialogue with women with urinary symptoms about sexual function and what surgery can realistically be expected to accomplish.
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Nilsson, Elin, and Linn Svensson. "Upplevelser efter obesitaskirurgi." Thesis, Högskolan Kristianstad, Sektionen för Hälsa och Samhälle, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-7883.
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Bakgrund: Sjukligt feta människor upplever ofta ohälsa eller minskad livskvalité i form av fysiska komplikationer, stigmatisering och diskriminering. En metod att hjälpa sjukligt feta personer att gå ner i vikt är obesitaskirurgi. Majoriteten av människorna som väljer obesitaskirurgi är kvinnor. Detta tros bero på att kvinnor blir mer stigmatiserade än män och att de blir psykiskt påverkade vid relativt lågt BMI. Syfte: Syftet med studien var att belysa kvinnliga patienters upplevelser efter obesitaskirurgi. Metod: Studien genomfördes som en allmän litteraturstudie och baserades på elva vetenskapliga artiklar. Resultat: Kvinnorna upplevde att tiden efter operationen förändrade deras liv, vilket upplevdes som både positivt och negativt. Upplevelsen att få en andra chans i livet och upplevelsen av att få en förändrad relation till mat var vanligt förekommande känslor. Slutsats: Operationen hjälper kvinnorna att äta mindre genom den förminskade magsäcken, men ingreppet botar inte de psykosociala problem som de eventuellt har innan operationen. Sjuksköterskor har en viktig uppgift i att stödja och vägleda dessa kvinnor.Background: Obese people often experience illness and low quality of life which can be expressed in physical complications, stigma and discrimination. Obesity surgery is a method to help obese people to lose weight. The majority of people who chose obesity surgery are women. Women are thought to be more effected mentally by their obesity in lower BMI than men. Aim: The aim of this study was to describe the experiences of female patients after obesity surgery. Method: The study was constructed as a general literature review based on eleven scientific articles. Results: The patients experienced that the time after surgery had changed their lives. The experience was both positive and negative. The experience of getting a second chance in life and the experience of changed relationship to food was common feelings. Conclusion: The surgery helps women to eat smaller portions because of the diminished stomach, but doesn’t cure the underlying psychosocial problems they might have before surgery. Nurses have an important task in supporting and guiding these women.
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Ismail, Zarina. "Pre-operative anxiety and uncertainty in gynecological cancerpatients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45011795.
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Vowden, Kath, and Peter Vowden. "A pilot study on the potential of remote support to enhance wound care for nursing-home patients." 2013. http://hdl.handle.net/10454/9799.
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NoOBJECTIVE: To evaluate the effectiveness of a telehealth system, using digital pen-and-paper technology and a modified smartphone, to remotely monitor and support the effectiveness of wound management in nursing home residents. METHOD: A randomised controlled pilot study was conducted in selected nursing homes in Bradford, which were randomised to either the control or evaluation group. All patients with a wound of any aetiology or severity, resident in the selected nursing homes were considered eligible to participate in the study. Residents in the control homes who had, or developed, a wound during the study period, continued to receive unsupported care directed by the nursing home staff (defined as 'standard care'), while those in the evaluation homes received standard care supported by input from the remote experts. RESULTS: Thirty-nine patients with a wound were identified in the 16 participating Bradford nursing homes. Analysis of individual patient management pathways suggested that the system provided improved patient outcomes and that it may offer cost savings by improving dressing product selection, decreasing inappropriate onward referral and speeding healing. Despite initial anxiety related to the technology most nursing-home staff found the system of value and many were keen to see the trial continue to form part of routine patient management. CONCLUSION: The current study supports the potential value of telemedicine in wound care and indicates the value that such a system may have to nursing-home staff and patients. DECLARATION OF INTEREST: This study was funded by a Regional Innovation Fund grant from the Yorkshire and Humberside Strategic Health Authority. The authors have no conflict of interest to declare with respect to the article or its contents.
Books on the topic "Female Surgery Patients Interviews"
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Gross, Amy. Women talk about gynecological surgery: From diagnosis to recovery. New York: C. Potter, Publishers, 1991.
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Bijin ni naritai: Usagiteki seikei nikki. Tōkyō: Shōgakkan, 2003.
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McGregor, Deborah Kuhn. Sexual surgery and the origins of gynecology: J. Marion Sims, his hospital, and his patients. New York: Garland Pub., 1990.
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1976-, Ricciardi Lindsey, ed. Obesity surgery: Stories of altered lives. Reno: University of Nevada Press, 2008.
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Goldberg, Jeffrey M. Atlas of endoscopic techniques in gynecology. London: W.B. Saunders, 2000.
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A dented image: Journeys of discovery from subarachnoid haemorrhage. Hove, East Sussex: Routledge, 2008.
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Change of heart: The bypass experience. New York: Perennial Library, 1987.
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Is Lap Band Surgery For Me Your Stepbystep Guide To Lasting Weight Loss. Wheatmark, 2011.
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Choi, Michael, and Miguel Burch. Bariatric Surgery versus Intensive Medical Therapy in Obese Patients with Diabetes. Edited by Danny Sherwinter and Miguel A. Burch. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199384075.003.0039.
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This chapter provides a summary of a landmark study in bariatric surgery. In obese patients with uncontrolled type 2 diabetes, does bariatric surgery plus intensive medical therapy achieve improved glycemic control in significantly more patients than medical therapy alone? Starting with that question, this chapter describes the basics of the study, including funding, study location, who was studied, who was excluded, how many patients, study design, study intervention, follow-up, endpoints, results, criticisms, and limitations. The chapter also briefly reviews other relevant studies and information, discusses implications and concludes with a relevant clinical case about bariatric surgery for a morbidly obese female patient with a BMI of 37 and type 2 diabetes.
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Cohen, Jeffrey A., Justin J. Mowchun, Victoria H. Lawson, and Nathaniel M. Robbins. A 40-Year-Old Female with Balance Problems and Numbness After Bariatric Surgery. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190491901.003.0011.
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A number of nutritional causes of peripheral neuropathy have been identified. Patients who have gastrointestinal disease or who have undergone bariatric surgery are at risk, although frequently the specific cause is not ascertained. Vitamin B12 and thiamine deficiencies are the most common causes in bariatric surgery patients. The classic clinical picture of Vitamin B12 deficiency is a myelopathy with a concomitant peripheral neuropathy. Thiamine deficiency is the classic triad of mental status changes, opthalmoplegia, and ataxia. Copper deficiency is often unrecognized. Its presentation can be similar to Vitamin B12 deficiency. It is important that bariatric surgery patients receive continual follow up of their nutritional status and adherence to vitamin supplementation. Alcohol may cause a peripheral neuropathy through nutritional deficiency or perhaps direct toxic effects. Other deficiency states are discussed.
Book chapters on the topic "Female Surgery Patients Interviews"
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Xu, Kai, Hongzhao Li, Xin Ma, Fam Xeng Inn, and Xu Zhang. "Laparoscopic Radical Cystectomy for Female Patients." In Laparoscopic and Robotic Surgery in Urology, 207–15. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-13-3738-3_22.
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Ferrando, Cecile A. "Genital Affirmation Surgery for Patients Assigned Male at Birth." In Female and Male Fertility Preservation, 517–28. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-47767-7_40.
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Selvaggi, Gennaro. "Gender Affirming Surgery: Assigned Female at Birth." In Practical Clinical Andrology, 307–18. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-11701-5_24.
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AbstractThe acronym AFAB refers to those persons who have been ‘Assigned Female at Birth’. AFAB persons who, later in life, do not identify as female, are said to present a condition named ‘Gender Incongruence’ (GI). They might identify as men, or as non-binary. Persons presenting the condition of GI might experience a Gender Dysphoria (GD), which is defined as the discomfort due to the mismatch between their anatomical characteristics and the gender in which they are self-identifying. Thus, patients with GD are requesting surgical procedure (s) in order to align one’s body—mostly chest and genitals—to best match with one’s identity. The final aim is to reduce one’s dysphoria.The World Professional Association for Transgender Health currently publishes a series of guidelines, which are named as Standards of Care, for patients presenting GI.In this chapter, we provide an overview on surgical planning and technics, and possible outcomes for Chest-Contouring-Mastectomy (CMM) and genital surgery (metoidioplasty and phalloplasty). Nearly all trans men, and many non-binary AFAB individuals might seek for CCM; the surgery mostly consists in (partial) removal of the breast glandular tissue and, often, reduction of the Nipple-Areola-Complex. Some AFAB individuals with GI are also interested in penis reconstruction: metoidioplasty consists in the surgical enlargement of an hypertrophic clitoris, while phalloplasty consists in the construction of a penis with either larger, local, or distant flaps (including free flaps). Limitations and complications of the different surgical approaches are also presented.
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Morelli, Girolamo, Giorgio Pomara, Cinzia Traversi, Domenico Canale, and Filippo Turri. "Follow-Up of Patients After Male-to-Female (Mtf) Sex Reassignment Surgery (SRS)." In Management of Gender Dysphoria, 185–91. Milano: Springer Milan, 2015. http://dx.doi.org/10.1007/978-88-470-5696-1_22.
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Löwy, Ilana. "Knife, Rays and Women: Controversies about the Uses of Surgery versus Radiotherapy in the Treatment of Female Cancers in France and in the US, 1920–1960." In Cancer Patients, Cancer Pathways, 103–29. London: Palgrave Macmillan UK, 2012. http://dx.doi.org/10.1057/9781137272089_6.
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van Baar, Margriet E. "Epidemiology of Scars and Their Consequences: Burn Scars." In Textbook on Scar Management, 37–43. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-44766-3_5.
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AbstractPathological scarring in burn wounds can result in hypertrophic scars and/or contractures. Prevalences of hypertrophic scarring after burn injuries between 8% and 67% are reported. A recent prospective study revealed a prevalence of 8%. Data on prevalence of burn scar contractures are limited; reported prevalence at discharge varied between 38 and 54% and decreased with an increasing time post burn. About 5–20% of the people who suffered from burn injuries received reconstructive surgery after burns, up to 10 years post injury.Factors predicting pathological scar formation after burn injuries include patient, injury and treatment characteristics. Injury- and treatment-related characteristics are the main predictors of scar outcomes after burn injury. These characteristics are related to burn size (total body surface area burned) and burn depth (number or type of surgery) or the overall healing process in general (length of stay, wound healing complications). Intrinsic patient-related risk factors seem to play a role as well but are less consistent predictors of scar outcome. This includes the risk factors like the female gender and also a younger age and darker skin.Knowledge on risk factors for poor scar outcome can be used to tailor treatment, aftercare and scar prevention to these patients with a high-risk profile.
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Gupta, Pawan. "Obstetrics and Gynaecology." In Oxford Assess and Progress: Emergency Medicine. Oxford University Press, 2011. http://dx.doi.org/10.1093/oso/9780199599530.003.0022.
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O&G is one of the broadest hospital-based specialties, encompassing medicine, surgery, and childbirth; so it is no wonder that O&G patients with a diverse range of symptoms present to the ED on a daily basis. The most common symptoms are PV bleeding, in both pregnant and non-pregnant females, PV discharge, and lower abdominal pain. The majority of these cases are benign and the patient can be discharged after reassurance and arrangement of primary care follow-up, but a few of them may have an underlying life-threatening condition. One classic example is a ruptured ectopic pregnancy. About 10% of females who present to the ED with PV bleeding or abdominal pain in the first trimester of the pregnancy have an ectopic pregnancy. Such patients may present in shock following a catastrophic haemorrhage in the abdomen or arrive at the ED well but collapse in the waiting room. Management of these emergencies requires establishment of IV fluid resuscitation, analgesia, and involvement of an O&G specialist. Such patients are often rushed to the theatre for emergency operation to control the haemorrhage. In other situations, the normal practice of taking a history and physical examination should be followed. Bear in mind that close attention to privacy and confidentiality is most crucial during the procedure. Interview the patient without the other family members if possible, as the patient may be reluctant to tell the whole story in their presence. Pelvic examination is sometimes painful, undignified, and embarrassing to many patients especially if the examining doctor is a male. This can be avoided to a large extent by explaining the process of examination, and performing it gently in the presence of a chaperone. It must not be forgotten that vaginal bleeding during pregnancy produces maternal distress, for which also the patient will need support. Patients presenting with lower abdominal pain often have a disease related to the female genital tract or the urinary system. But the lower GI tract may also contribute to the pain and should therefore be included in the differentials. With regard to the reproductive system, there are a few causes of pain during pregnancy.
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Bizic, Marta R., and Miroslav L. Djordjevic. "Genital Gender Confirmation Surgery for Patients Assigned Female at Birth." In Comprehensive Care of the Transgender Patient, 93–113. Elsevier, 2020. http://dx.doi.org/10.1016/b978-0-323-49642-1.00011-9.
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N., John. "Effect of Obesity on Circulating Adipokines and Their Expression in Omental Adipose Tissue of Female Bariatric Surgery Patients." In Advanced Bariatric and Metabolic Surgery. InTech, 2012. http://dx.doi.org/10.5772/36059.
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Harbaugh, Calista M., Jay S. Lee, Hsou Mei Hu, Sean Esteban McCabe, Terri Voepel-Lewis, Michael J. Englesbe, Chad M. Brummett, and Jennifer F. Waljee. "Persistent Opioid Use Among Pediatric Patients After Surgery." In Opioid Addiction, 60–68. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/9781610022798-persistent.
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BACKGROUND Despite efforts to reduce nonmedical opioid misuse, little is known about the development of persistent opioid use after surgery among adolescents and young adults. We hypothesized that there is an increased incidence of prolonged opioid refills among adolescents and young adults who received prescription opioids after surgery compared with nonsurgical patients. METHODS We performed a retrospective cohort study by using commercial claims from the Truven Health Marketscan research databases from January 1, 2010, to December 31, 2014. We included opioid-naïve patients ages 13 to 21 years who underwent 1 of 13 operations. A random sample of 3% of nonsurgical patients who matched eligibility criteria was included as a comparison. Our primary outcome was persistent opioid use, which was defined as ≥1 opioid prescription refill between 90 and 180 days after the surgical procedure. RESULTS Among eligible patients, 60.5% filled a postoperative opioid prescription (88 637 patients). Persistent opioid use was found in 4.8% of patients (2.7%–15.2% across procedures) compared with 0.1% of those in the nonsurgical group. Cholecystectomy (adjusted odds ratio 1.13; 95% confidence interval, 1.00–1.26) and colectomy (adjusted odds ratio 2.33; 95% confidence interval, 1.01–5.34) were associated with the highest risk of persistent opioid use. Independent risk factors included older age, female sex, previous substance use disorder, chronic pain, and preoperative opioid fill. CONCLUSIONS Persistent opioid use after surgery is a concern among adolescents and young adults and may represent an important pathway to prescription opioid misuse. Identifying safe, evidence-based practices for pain management is a top priority, particularly among at-risk patients.
Conference papers on the topic "Female Surgery Patients Interviews"
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Pandher, Dilpreet K. "To find the prevalence of female genital tract malignancies in a tertiary care hospital." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685376.
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Genital tract and breast are two most common sites of malignancy in females. Out of the genital tract malignancies, carcinoma cervix is so far found to be the commonest followed by ovary and endometrium. In developed countries, carcinoma cervix incidence is comparatively quite low due to good regular screening of females. One year review of patients was done, who underwent definitive/debulking surgery for a diagnosed malignant pathology of the genital tract, in obstetrics and gynaecology department of Govt medical College and Hospital, Chandigarh. Total 62 patients were operated, most common indication was carcinoma ovary, followed by endometrial cancer, cancer cervix and gestational trophoblastic neoplasia. 166 patients underwent biopsies for suspicious symptoms or the abnormal findings on examination and the patients with final malignancy report were either operated as described above and the inoperable cases were referred to oncotherapy department for further management.
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Pandher, Dilpreet K. "To find the prevalence of female genital tract malignancies in a tertiary care hospital." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685349.
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Genital tract and breast are two most common sites of malignancy in females. Out of the genital tract malignancies, carcinoma cervix is so far found to be the commonest followed by ovary and endometrium. In developed countries, carcinoma cervix incidence is comparatively quite low due to good regular screening of females. One year review of patients was done, who underwent definitive/debulking surgery for a diagnosed malignant pathology of the genital tract, in obstetrics and gynaecology department of Govt. medical College and Hospital, Chandigarh. Total 62 patients were operated, most common indication was carcinoma ovary, followed by endometrial cancer, cancer cervix and gestational trophoblastic neoplasia. 166 patients underwent biopsies for suspicious symptoms or the abnormal findings on examination and the patients with final malignancy report were either operated as described above and the inoperable cases were referred to oncotherapy department for further management.
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Ghuge, Dhananjay, Alok Tiwari, Subraharsh Singh, and Satinder Kaur. "Clinico-pathological characterstics of epithelial ovarian malignancy in young female." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685298.
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Background and Objective: Epithelial ovarian cancer mostly appears in aged women, but rarely in young women. Little is known about the clinical characteristics and prognosis of epithelial ovarian cancer in women aged below 40 years. This study was to evaluate the clinical and histopathological characteristics of young patients with epithelial ovarian cancer. Methods: A total of 31 patients with confirmed epithelial ovarian cancer under the age of 40 years between 2007 to 2015 were retrospectively analyzed. Results: Mean age of the patient is 32 years. The common symptoms included abdominal pain (21 patient 67%), self detected pelvic mass (9 patient 29%) and 1 patient with bleeding per vaginum. The average maximum diameter of tumour is 10.7 cm. Family history positive in 8 patient (5 ca.breast and 3 ca.ovary). Mean level of CA. 125 is 883.36 u/ml. CA 125 level lowest is of 6 u/ml and highest is of 7557 u/ml. Tumour located bilaterally in 14 patient (45%). Ascitis present in 18 patient (58%). Pleural effusion seen in 6 patient (19%). Twenty six cases underwent optimal cytoreduction out of them 7 taken NACT. Two patient underwent fertility preservation surgery. Three patient underwent palliative chemotherapy due to unwillingness. Eleven patient classified as stage III and stage IV each (35% of each), six patient is of stage I (19%) and three patient of stage II (9.6%). Serous adenocarcinoma (80.6%) and mucinous adenocarcinoma (19%) are the common histopathological findings. Thirteen patient (41.9%) has well differentiated tumour, eight (25.8%) has moderately differentiated and ten (32.25%) has poorely differentiated tumour. Twenty eight patient received platinum and paclitaxel-based chemotherapy before or after operation. Conclusion: Young women with epithelial ovarian cancer under the age of 40 years mostly have serous adenocarcinoma; well differentiated and tumors are normally bilateral. The ovarian function can be preserved (fertility preservation) in part of stage Ia and Grade I patients.
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Shah, Swati, Shveta Giri, Rupinder Sekhon, and Sudhir Rawal. "Inguinal lymphadenopathy as a presentation for ovarian cancer." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685329.
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Ovarian carcinoma usually presents at an advanced stage with diffuse intra abdominal manifestations. Inguinal lymph node metastasis is rare event in ovarian cancer. We report 7 cases who presented with inguinal lymphadenopathy as the initial manifestation between January 2014 to January 2016. All patients underwent tru-cut biopsy from inguinal area. Morphology and IHC were suggestive of ovarian origin or female genital Tract origin. Two patients underwent primary debulking surgery while four patients were managed by neo-adjuvant chemotherapy followed by interval cytoreductive surgery owing to relatively poor performance status at presentation. One patient underwent secondary debulking in which inguinal Lymph node was positive for metastatic deposits.
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Dentler, Michael, Sarah P. Cornman, Rachael J. Pohle-Krauza, Michele L. McCarroll, Albert Kim, Adrian Dan, John G. Zografakis, and Matthew L. Krauza. "Moderate To Severe Rem (Rapid Eye Movement)- Related Obstructive Sleep Apnea (OSA) Is Associated With Reduced Forced Inspiratory Vital Capacity (FIVC) In Female Bariatric Surgery Patients." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a6324.
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Aquino, Renata Borges, Luiz Henrique Gebrim, Andre Mattar, and Jorge Yoshinori Shida. "TYPES OF SURGERY AND BREAST RECONSTRUCTIONS PERFORMED ON PATIENTS TREATED BY THE BRAZILIAN UNIFIED HEALTH SYSTEM AT PÉROLA BYINGTON HOSPITAL." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1066.
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Introduction: Breast cancer is the most frequent cause of cancer death in women, also haunting them because surgical treatment can vary from expanded resection to mastectomy, causing aesthetic, functional, psychological and social damage. In Brazil, where 70% of the population is treated through the Unified Health System (SUS) and about 55% of cases are treated in advanced stages, most patients undergo mastectomy without immediate reconstruction. However, occasional mammographic screening carried out in some large cities has led to an increase in the number of diagnoses in the initial stages and, thus, a decrease in mortality from breast cancer, in addition to the possibility of less radical surgical treatments. Due to the scarcity of data in this population, we decided to perform an observational study at our institution. Objectives: This work aims at characterizing the types of surgical treatment that patients with breast cancer were submitted to at the Women’s Health Reference Center (CRSM) at Hospital Pérola Byington in São Paulo, SP, from 2015 to 2019 and the breast reconstructions carried out from January 2015 to December 2019. Methods: This is a retrospective, descriptive, observational study performed through the review of medical records of patients followed up at our service. Inclusion criteria were female patients diagnosed with malignant breast cancer treated with conservative and radical surgery, with or without immediate and late reconstruction in this 5-year period. Results: At CRSM, from 2015 to 2019, 9,097 surgical procedures were performed for the treatment of breast cancer. Radical surgeries represented 53.5%, with 2% of adenectomies. Regarding conservative surgeries, there were 4,222 procedures, 43.4% of which were quadrantectomies. From January 2015 to December 2019, 4,902 breast reconstructions were performed, 17.8% of which were immediate. Conclusions: Our data also showed 51.5% of patients underwent mastectomy due to the predominance of tumors in stages II and III. However, about 47% of patients were treated conservatively for their efforts to reduce the time to diagnosis, palpable lesions and the occasional screening performed in the city of São Paulo, resulting in a proportion of 46.5% of the patients who underwent conservative surgery. Breast reconstruction was performed in 46.8% of mastectomies, with only 82.4% being in a late stage.
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Yan Cheung, Hoi, Joanne Yip, Kit Lun Yick, and Sun Pui Ng. "Preliminary wear trial of anisotropic textile brace designed for adolescent idiopathic scoliosis." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002106.
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Adolescent idiopathic scoliosis (AIS) is a common condition that involves the curvature of the lateral spine and rotation of vertebrae often found in adolescents from age 10 to skeletal maturity. There are various kinds of treatments that prevent the natural progression of the spinal curvature, such as bracing and surgery. However, spinal surgery is mainly reserved for patients with severe scoliosis (spinal curvature that exceeds 45 degrees). For those with moderate scoliosis (spinal curvature larger than 21 but less than 40 degrees), bracing treatment is usually recommended as a non-operative treatment. In this study, the anisotropic textile brace (ATB) is designed to help those with moderate AIS to stop any further progression of their curvature. A case study of a female patient with AIS who has participated a 2-hour wear trial with the ATB is reported. The result of her Cobb angle values shown in the in-brace radiograph is compared without wearing a brace so as to evaluate the immediate effects of this treatment with a soft brace. Besides, the in-brace radiograph is also compared with a supine radiograph to determine the effectiveness of the bracing treatment. A positive result is found in that there is an immediate reduction of the spinal curvature.
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Salvador, Anna Dias, Gabriela Ramos Alves, Enaldo Melo Lima, Bernardo Ferreira Paula Ricardo, and Henrique Moraes Salvador Silva. "METASTATIC THYMOMA OF THE BREAST – CASE REPORT." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1018.
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Introduction: Thymomas are rare malignant epithelial neoplasms arising in the thymus. These tumors are commonly located in the prevascular mediastinum but can also be found in other regions of the mediastinum, neck, pulmonary hilum, thyroid gland, lungs, pleura, or pericardium. This disease could be suspected as an incidental finding identified on imaging, local thoracic symptoms or due to a paraneoplastic syndrome. Pleural or pericardial effusions are the most common manifestations of more disseminated disease and may also cause thoracic symptoms. Extrathoracic metastases are seen in fewer than seven percent of patients at presentation, most commonly in the kidneys, extrathoracic lymph nodes, liver, brain, adrenals, thyroid, and bone. Case report: A 66-year-old, white female patient, with previous left mastectomy due to a phyllodes sarcoma in 1997. Diagnosed with malignant thymoma in 2013 and pleural involvement, undergoing systemic chemotherapy and surgery with complete remission of the disease at that time. Two years after, in 2015, presented with disease recurrence in the diaphragm, pleura and lymph nodes, undergoing new surgery, radiotherapy and a second line chemotherapy regimen. Over the years, the disease progressed despite the cancer treatment instituted. In December 2020, the patient presented nodulation in the right breast, with core biopsy suspicion of ductal carcinoma. Undergoing quadrantectomy with lymph node biopsy, with the surgical pathological report finding of thymoma metastasis, resected with free margins. The patient is currently at the 31st pembrolizumab cycle, in good clinical condition.
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"Vulvar cancer: Patterns of recurrence and clinicopathological prognostic factors involved in recurrent cases." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685347.
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Objective: Vulvar cancer is a rare disease, with an incidence of 0.6% of all female malignancies. With the advances in management of carcinoma vulva to individualisation of treatment to reduce the psychosexual impact an aggressive treatment can have, it is imperative to understand the patterns of recurrence and the common prognostic factors involved. The aim of this study was to determine prognostic variables for recurrence and survival and to identify patterns of recurrence in patients with vulvar cancer. Materials and Methods: All patients (n=87) with primary vulvar cancer treated at the Rajiv Gandhi Cancer Institute between January, 2006 to January, 2015 who underwent surgery were retrospectively analysed regarding the prognostic relevance of different clinicopathological variables. Recurrences were evaluated with regard to their characteristics and localisation and the variables associated with them were analyzed. Results: Age, stage of tumor, size of tumor, location of tumor (central or lateral), lymph node metastasis, depth of invasion and involvement of resection margins, associated intraepithelial abnormality predicted disease-free and overall survival. In multivariate analysis, lymph node status and positive margin status was the most important independent prognostic factor (p = 0.002). Irrespective of the initial nodal involvement, recurrences occurred primarily in the vulvar region. Conclusion: Inguinofemoral lymph node status and adequate margins at initial diagnosis is of critical prognostic importance for patients with vulvar cancer. Further tumour biological characteristics need to be identified to stratify patients with nodal involvement for adjuvant radiotherapy of the vulva to prevent local recurrences.
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Khudadad, Hanan, and Lukman Thalib. "Antibiotics Prescription Patterns in Primary Health Care in Qatar – A Population based study from 2017 to 2018." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0169.
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Background: Antibiotics are antimicrobial drugs used in the treatment and prevention of bacterial infections. They played a pivotal role in achieving major advances in medicine and surgery (1). Yet, due to increased and inappropriate use of antibiotics, antibiotic resistance (AR) has become a growing public health problem. Information on antibiotic prescription patterns are vital in developing a constructive approach to deal with growing antibiotic resistance (2). The study aims to describe the population based antibiotic prescriptions among patients attending primary care centers in Qatar. Methodology: A population based observational study of all medications prescribed in the all Primary Health Care Centers during the period of 2017-2018 in Qatar. Records with all medication prescriptions were extracted and linked to medical diagnosis. Antibiotics prescriptions records were compared to non- antibiotics records using logistic regression model in identifying the potential predictors for antibiotic prescriptions. Results: A total of 11,069,439 medication prescriptions given over a period of two-years, we found about 12.1% (n= 726,667) antibiotics prescriptions were antibiotics, and 65% of antibiotics are prescribed and received by the patients at the first visits. Paracetamol (22.3%) was the first highest medication prescribed followed by antibiotics (12.1 %) and vitamin D2 (10.2 %). More than half of all antibiotics prescribed during the period of January 2017 to December 2018 were Penicillin (56.9%). We found that half of the antibiotics (49.3 %) have been prescribed for the respiratory system comparing to the other body system. We found that males were 29% more likely be given an antibiotic compared to females (OR=1.29, 95% CI= 1.24- 1.33). Implications: The study provides a baseline data to enable PHCC management to design effective intervention program to address the problem of antibiotics resistance. Furthermore, it will help the policymakers to comprehend the size of the issue and develop a system to manage the antibiotics therapy. Conclusion: Antibiotics was the second highest medication prescribed in the Primary Health Care Centers in Qatar after paracetamol and most of the patients received it at the first visit. Most of the prescriptions in Primary Health Care Centers in Qatar were for the respiratory system, and Penicillin was the highest class prescribed. Male visitors were prescribed antibiotics more than female visitors.