Women’s health literacy and the complex decision-making process to use complementary medicine products in pregnancy and lactation

© 2019 The Authors Health Expectations published by John Wiley & Sons Ltd Background: Little is known about women's decision-making processes regarding using complementary medicine products (CMPs) during pregnancy or lactation. Objectives: To explore the decision-making processes of women choosing to use CMPs in pregnancy and lactation; and to investigate how women's health literacy influences their decisions. Design, setting and participants: In-depth interviews and focus group discussions were held with twenty-five pregnant and/or breastfeeding women. Data were analysed using thematic analysis. Results: Key to women's decision making was the desire to establish a CMPs safety and to receive information from a trustworthy source, preferably their most trusted health-care practitioner. Women wanted positive therapeutic relationships with health-care practitioners and to be highly involved in the decisions they made for the health of themselves and their children. Two overarching components of the decision-making process were identified: (a) women's information needs and (b) a preference for CMP use. Women collated and assessed information from other health-care practitioners, other mothers and published research during their decision-making processes. They showed a strong preference for CMP use to support their pregnancy and breastfeeding health, and that of their unborn and breastfeeding babies. Discussion and Conclusions: Complex decision-making processes to use CMPs in pregnancy and lactation were identified. The participants showed high levels of communicative and critical health literacy skills in their decision-making processes. These skills supported women's complex decision-making processes

Complementary medicine products used in pregnancy and lactation and an examination of the information sources accessed pertaining to maternal health literacy: A systematic review of qualitative studies

© 2018 The Author(s). Background: The prevalence of complementary medicine use in pregnancy and lactation has been increasingly noted internationally. This systematic review aimed to determine the complementary medicine products (CMPs) used in pregnancy and/or lactation for the benefit of the mother, the pregnancy, child and/or the breastfeeding process. Additionally, it aimed to explore the resources women used, and to examine the role of maternal health literacy in this process. Methods: Seven databases were comprehensively searched to identify studies published in peer-reviewed journals (1995-2017). Relevant data were extracted and thematic analysis undertaken to identify key themes related to the review objectives. Results: A total of 4574 articles were identified; 28 qualitative studies met the inclusion criteria. Quantitative studies were removed for a separate, concurrent review. Herbal medicines were the main CMPs identified (n=21 papers) in the qualitative studies, with a smaller number examining vitamin and mineral supplements together with herbal medicines (n=3), and micronutrient supplements (n=3). Shared cultural knowledge and traditions, followed by women elders and health care professionals were the information sources most accessed by women when choosing to use CMPs. Women used CMPs for perceived physical, mental-emotional, spiritual and cultural benefits for their pregnancies, their own health, the health of their unborn or breastfeeding babies, and/or the breastfeeding process. Two over-arching motives were identified: 1) to protect themselves or their babies from adverse events; 2) to facilitate the normal physiological processes of pregnancy, birth and lactation. Decisions to use CMPs were made within the context of their own cultures, reflected in the locus of control regarding decision-making in pregnancy and lactation, and in the health literacy environment. Medical pluralism was very common and women navigated through and between different health care services and systems throughout their pregnancies and breastfeeding journeys. Conclusions: Pregnant and breastfeeding women use herbal medicines and micronutrient supplements for a variety of perceived benefits to their babies' and their own holistic health. Women access a range of CMP-related information sources with shared cultural knowledge and women elders the most frequently accessed sources, followed by HCPs. Culture influences maternal health literacy and thus women's health care choices including CMP use

Properties of implanted and CVD incorporated nitrogen-vacancy centers: preferential charge state and preferential orientation

The combination of the long electron state spin coherence time and the optical coupling of the ground electronic states to an excited state manifold makes the nitrogen-vacancy (NV) center in diamond an attractive candidate for quantum information processing. To date the best spin and optical properties have been found in centers deep within the diamond crystal. For useful devices it will be necessary to engineer NVs with similar properties close to the diamond surface. We report on properties including charge state control and preferential orientation for near surface NVs formed either in CVD growth or through implantation and annealing

Feasibility of detecting single atoms using photonic bandgap cavities

We propose an atom-cavity chip that combines laser cooling and trapping of neutral atoms with magnetic microtraps and waveguides to deliver a cold atom to the mode of a fiber taper coupled photonic bandgap (PBG) cavity. The feasibility of this device for detecting single atoms is analyzed using both a semi-classical treatment and an unconditional master equation approach. Single-atom detection seems achievable in an initial experiment involving the non-deterministic delivery of weakly trapped atoms into the mode of the PBG cavity.Comment: 11 pages, 5 figure

Shape Invariance and Its Connection to Potential Algebra

Exactly solvable potentials of nonrelativistic quantum mechanics are known to be shape invariant. For these potentials, eigenvalues and eigenvectors can be derived using well known methods of supersymmetric quantum mechanics. The majority of these potentials have also been shown to possess a potential algebra, and hence are also solvable by group theoretical techniques. In this paper, for a subset of solvable problems, we establish a connection between the two methods and show that they are indeed equivalent.Comment: Latex File, 10 pages, One figure available on request. Appeared in the proceedings of the workshop on "Supersymmetric Quantum Mechanics and Integrable Models" held at University of Illinois, June 12-14, 1997; Ed. H. Aratyn et a

New Shape Invariant Potentials in Supersymmetric Quantum Mechanics

Quantum mechanical potentials satisfying the property of shape invariance are well known to be algebraically solvable. Using a scaling ansatz for the change of parameters, we obtain a large class of new shape invariant potentials which are reflectionless and possess an infinite number of bound states. They can be viewed as q-deformations of the single soliton solution corresponding to the Rosen-Morse potential. Explicit expressions for energy eigenvalues, eigenfunctions and transmission coefficients are given. Included in our potentials as a special case is the self-similar potential recently discussed by Shabat and Spiridonov.Comment: 8pages, Te

Bound-States of the Spinless Salpeter Equation for the PT-Symmetric Generalized Hulthen Potential by the Nikiforov-Uvarov Method

The one-dimensional spinless Salpeter equation has been solved for the PT-symmetric generalized Hulth\'{e}n potential. The Nikiforov-Uvarov {NU) method which is based on solving the second-order linear differential equations by reduction to a generalized equation of hypergeometric type is used to obtain exact energy eigenvalues and corresponding eigenfunctions. We have investigated the positive and negative exact bound states of the s-states for different types of complex generalized Hulthen potentials.Comment: 24 page

Resonant enhancement of the zero-phonon emission from a color center in a diamond cavity

We demonstrate coupling of the zero-phonon line of individual nitrogen-vacancy centers and the modes of microring resonators fabricated in single-crystal diamond. A zero-phonon line enhancement exceeding ten-fold is estimated from lifetime measurements at cryogenic temperatures. The devices are fabricated using standard semiconductor techniques and off-the-shelf materials, thus enabling integrated diamond photonics.Comment: 5 pages, 4 figure