7 research outputs found
Counselling to include tailored use of combined oral contraception in clinical practice: an evaluation
BACKGROUND: Combined oral contraception (COC, 'the pill') remains the most prescribed method of contraception in the UK. Although a variety of regimens for taking monophasic COC are held to be clinically safe, women are not routinely counselled about these choices and there is a lack of evidence on how to provide this information to women. AIM: To assess the usefulness and feasibility of including tailored use of monophasic COC within routine COC counselling in a sexual and reproductive health (SRH) service using a structured format. METHOD: Using a structured format, healthcare professionals (HCPs) counselled new and established COC users attending an SRH service about standard and tailored ways of taking the pill. Questionnaires were used to survey both the HCPs and patients immediately after the initial consultation, and then the patients again 8 weeks later. RESULTS: Nearly all patients (98%, n=95) felt it was helpful to be informed of the different ways of using monophasic COC by the HCP, without giving too much information at one time (96%, n=108). The HCPs were confident of their COC counselling (99%, n=110) and did not think the consultations took significantly longer (88%, n=98). CONCLUSION: This study demonstrates that information on different pill taking regimens is useful and acceptable to patients, and can improve contraceptive pill user choice. It is also feasible for HCPs to perform COC counselling to include tailored pill use during routine consultations in a clinical setting
Ophthalmic manifestations in patients with intracranial tumours
Introduction LâĂ©tude a pour but dâapprĂ©cier les manifestations ophtalmologiques des patients prĂ©sentant des tumeurs cĂ©rĂ©brales au NigĂ©ria dans un hĂŽpital tertiaire. MĂ©thode Il sâagit dâune Ă©tude rĂ©trospective avec une revue des tumeurs cĂ©rĂ©brales dans le Neurosurgical Unit of Obafemi Awolowo University Teaching Hospitals Complex, Ile- Ife de janvier 2003 Ă dĂ©cembre 2007. Lâanalyse des donnĂ©es, diagnostique, acuitĂ© visuelle, et prise en charge, ont Ă©tĂ© analysĂ©es selon la frĂ©quence en utilisant avec la version 1 11 SPCS . LâacuitĂ© visuelle a Ă©tĂ© classifiĂ©e selon celle de lâOMS. RĂ©sultat Sur un total de 94 patients, 88 patients ont Ă©tĂ© revus. Il sâagissait de 53 patients de sexe masculin et 35 de sexe fĂ©minin. La moyenne dâĂąge Ă©tait de 36.2 plus ou moins 20 ans. 14 patients ont Ă©tĂ© pris en charge par les ophtalmologistes. La rĂ©partition des tumeurs Ă©tait la suivante: mĂ©ningiomes, 36,4 %, craniopharyngiomes, 13,6 % et gliomes, 9,1 %. 67,9 % des patients se plaignaient de troubles visuels Ă lâadmission dont 46,6 % avec une baisse importante et 12,5 % une vision double. Il a Ă©tĂ© objectivĂ© une artrophie optique dans 23,9 % . 46 malades (52 %) Ă©taient aveugles et 14 (16 %) avaient un trouble visuelimportant. Conclusion Les troubles visuels sont des manifestations cliniques frĂ©quentes de prĂ©sentation des tumeurs cĂ©rĂ©brales. Une information mĂ©dicale prĂ©coce est requise