16 research outputs found
Recognition of and care-seeking for maternal and newborn complications in Jayawijaya district, Papua province, Indonesia: a qualitative study
Background: Indonesia\u2019s progress on reducing maternal and newborn
mortality rates has slowed in recent years, predominantly in rural
areas. To reduce maternal and newborn mortality, access to quality and
skilled care, particularly at the facility level, is crucial. Yet,
accessing such care is often delayed when maternal and newborn
complications arise. Using the \u201cThree Delays\u201d model
originated by Thaddeus and Maine (1994), investigation into reasons for
delaying the decision to seek care, delaying arrival at a health
facility, and delaying the receiving of adequate care, may help in
establishing more focused interventions to improve maternal and newborn
health in this region. Methods: This qualitative study focused on
identifying, analyzing, and describing illness recognition and
care-seeking patterns related to maternal and newborn complications in
the Jayawijaya district of Papua province, Indonesia. Group interviews
were conducted with families and other caregivers from within 15
villages of Jayawijaya who had either experienced a maternal or newborn
illness or maternal or newborn death. Results: For maternal cases,
excessive bleeding after delivery was recognized as a danger sign, and
the process to decide to seek care was relatively quick. The
decision-making process was mostly dominated by the husband. Most care
was started at home by birth attendants, but the majority sought care
outside of the home within the public health system. For newborn cases,
most of the caregivers could not easily recognize newborn danger signs.
Parents acted as the main decision-makers for seeking care. Decisions
to seek care from a facility, such as the clinic or hospital, were only
made when healthcare workers could not handle the case within the home.
All newborn deaths were associated with delays in seeking care due to
caretaker limitations in danger sign identification, whereas all
maternal deaths were associated with delays in receiving appropriate
care at facility level. Conclusions: For maternal health, emphasis
needs to be placed on supply side solutions, and for newborn health,
emphasis needs to be placed on demand and supply side solutions,
probably including community-based interventions. Contextualized
information for the design of programs aimed to affect maternal and
newborn health is a prerequisite
Breed and Sex of Calf and Breed of Cow Influence Colostral Immunoglobulin Production
Last updated: 5/30/201
ACPSEM position paper: dosimetry for magnetic resonance imaging linear accelerators
Consistency and clear guidelines on dosimetry are essential for accurate and precise dosimetry, to ensure the best patient outcomes and to allow direct dose comparison across different centres. Magnetic Resonance Imaging Linac (MRI-linac) systems have recently been introduced to Australasian clinics. This report provides recommendations on reference dosimetry measurements for MRI-linacs on behalf of the Australiasian College of Physical Scientists and Engineers in Medicine (ACPSEM) MRI-linac working group. There are two configurations considered for MRI-linacs, perpendicular and parallel, referring to the relative direction of the magnetic field and radiation beam, with different impacts on dose deposition in a medium. These recommendations focus on ion chambers which are most commonly used in the clinic for reference dosimetry. Water phantoms must be MR safe or conditional and practical limitations on phantom set-up must be considered. Solid phantoms are not advised for reference dosimetry. For reference dosimetry, IAEA TRS-398 recommendations cannot be followed completely due to physical differences between conventional linac and MRI-linac systems. Manufacturers’ advice on reference conditions should be followed. Beam quality specification of TPR20,10 is recommended. The configuration of the central axis of the ion chamber relative to the magnetic field and radiation beam impacts the chamber response and must be considered carefully. Recommended corrections to delivered dose are kQmsrQ0fmsrfref, a correction for beam quality and kB→,Qmsrfmsr, for the impact of the magnetic field on dosimeter response in the magnetic field. Literature based values for kB→,Qmsrfmsr are given. It is important to note that this is a developing field and these recommendations should be used together with a review of current literature
Infective endocarditis following Melody valve implantation: comparison with a surgical cohort
Role of an international non-governmental organisation in strengthening health systems in fragile-state context: Evaluation results from South Sudan
World Vision implemented the community-based Maternal and Child Health Transformation (MaCHT) Project from September 2010 to September 2014 in fragile-state South Sudan. To document and measure health-related activities executed by an international nongovernmentalo rganisation to sustainably strengthen the capacity of the health system in delivering essential health services to pregnant women and children under two years of age, including new-borns and infants. A range of mixed methods, including in-depth interviews, focus group discussions, observation, and uncontrolled cross-sectional before-and-after surveys using Henderson’s method were carried out. The unit of analysis was mothers of children under two years of age, and community health workers (CHWs). An estimated 39 000 children under age two were attended to by CHWs. Coverage of essential maternal and childhealth care (MCH) increased in all single interventions, ranging from a minimum of 5% points to a maximum of 49% points during the implementation period. The capacity of the health system to deliver essential MCH services improved by building the supply and performance of the health workforce through task-shifting and in-service training. Likewise, operational linkages between community structures and local health services were strengthened. In conclusion, this program supported health system strengthening, mainly in the areas of service delivery, health workforce, and medical products, vaccines, and technologies. The project also informed policy at district and national levels and repositioned the maternal, neonatal, and child health (MNCH) agenda to further scale up these activities. An evaluation of a four year USAID-funded child survival project implemented by an international non-governmental organisation (NGO) in fragile-state context showed progress and challenges in health system strengthening for maternal health practices and community case management of diarrhoea, pneumonia, and malaria in children under five
Metabolite and Metabolic Hormone Responses to Nonrepinephrine in Bos Taurus and Bos Taurus Newborn Calves
Last updated: 5/30/201
Metabolite and Metabolic Hormone Responses to Nonrepinephrine in Bos Taurus and Bos Taurus Newborn Calves
Last updated: 5/30/201
Evaluation of 5 Commercially Available Zika Virus Immunoassays
Because of the global spread of Zika virus, accurate and high-throughput diagnostic immunoassays are needed. We compared the sensitivity and specificity of 5 commercially available Zika virus serologic assays to the recommended protocol of Zika virus IgM-capture ELISA and plaque-reduction neutralization tests. Most commercial immunoassays showed low sensitivity, which can be increased