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C Damaskos, D Dimitroulis, V Pergialiotis, C Doula, G Koulermou, E A Antoniou, M Frangoulis, K Stergios, K Kontzoglou
Breast cancer is the most common cancer among women and ranks second in cancer deaths worldwide. Breast cancer can metastasize to the skin but rarely, cutaneous metastases may be the first indication of the cancer. Skin metastases of breast cancer are usually found on the chest and close to the point of the mastectomy. We present the rare clinical entity of a breast cancer which was first diagnosed due to the skin metastasis away from the breast tumor. This is a rare case because the skin lesions usually appear simultaneously or secondary...
May 2016: Il Giornale di Chirurgia
Emmanouil Petrou, Ioannis Malakos, Stamatina Kampanarou, Nikolaos Doulas, Vassilis Voudris
A pseudoaneurysm refers to a defect in the arterial wall, allowing communication of arterial blood with the adjacent extra-luminal space. Pseudoaneurysms result from traumatic arterial injury. With the increasing utilization of percutaneous arterial interventions, iatrogenic arterial injury has become the predominant cause of pseudoaneurysm formation. Rupture of the pseudoaneurysm comprises a vascular emergency. Clinical suspicion and imaging techniques are the cornerstones of timely diagnosis and appropriate management of the condition...
2016: Open Cardiovascular Medicine Journal
Helen Spiby, Jenny Mcleish, Josephine Green, Zoe Darwin
BACKGROUND: Support from a doula is known to have physical and emotional benefits for mothers, but there is little evidence about the experiences of volunteer doulas. This research aimed to understand the motivation and experiences of volunteer doulas who have been trained to support women during pregnancy, birth and the postnatal period. METHODS: A postal questionnaire survey was sent to volunteer doulas at five volunteer doula projects working in low-income areas in England...
September 29, 2016: BMC Pregnancy and Childbirth
Louise Roth, Megan M Henley, Marla J Seacrist, Christine H Morton
OBJECTIVE: To analyze factors that lead nurses and doulas to have positive views of each other. DESIGN: A multivariate analysis of a cross-sectional survey, the Maternity Support Survey. SETTING: Online survey with labor and delivery nurses, doulas, and childbirth educators in the United States and Canada. PARTICIPANTS: A convenience sample of 704 labor and delivery nurses and 1,470 doulas. METHODS: Multiple regression analysis was used to examine five sets of hypotheses about nurses' and doulas' attitudes toward each other...
September 10, 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Susan F Wilson, Elizabeth P Gurney, Mary D Sammel, Courtney A Schreiber
BACKGROUND: Women undergoing office-based surgical management of a failed or undesired pregnancy often report fear of pain and anxiety pertaining to the procedure. Doulas are trained to specifically address women's physical and emotional needs in obstetric care, and recently have extended their practice to support women through all pregnancy outcomes. OBJECTIVE: We sought to evaluate the impact of doulas on patients' physical and emotional responses to surgical management of a first-trimester failed or undesired pregnancy under local anesthesia...
September 6, 2016: American Journal of Obstetrics and Gynecology
Shirley E Van Zandt, Soohyun Kim, Amanda Erickson
Of 1,511 women served by nursing student birth doulas (Birth Companions) between 1998 and 2014, 34.5% were identified as vulnerable (refugees, non-English speakers, teens, low income, low education). This retrospective evaluation of the Birth Companions Program showed that vulnerable mothers had more epidurals and smaller babies, and attempted breastfeeding less frequently than nonvulnerable. There was no difference in the frequency of caesarean births, pitocin induction/augmentation, low birth weight, or preterm newborns among the vulnerable women...
July 2016: Journal of Community Health Nursing
Katharine McCabe
The literature on neoliberal health governance explores how macro-economic neoliberal policies as well as individual attitudes and behaviors reflect an increasingly individualized construction of health and citizens' responsibility over it. This study contributes to this literature and expands it in important ways. Drawing on qualitative interviews from 22 midwives and birth workers (doulas, childbirth educators, lactation consultants) practicing in the US, this study explores how midwives and birth workers act as "experts of conduct" who promote certain neoliberal values in their logics of care and interactions with clientele...
August 2016: Social Science & Medicine
Ann P Aschenbrenner, Lisa Hanson, Teresa S Johnson, Sheryl T Kelber
OBJECTIVE: To describe the attitudes of intrapartum nurses about the importance of and intent to provide professional labor support (PLS); barriers to PLS, such as perceived subjective norms and perceived behavioral control; and relationships among attitudes, behaviors, and nurse and site characteristics. DESIGN: A cross-sectional, mixed-methods, descriptive design was guided by the Theory of Planned Behavior. SETTING: Three hospital sites in one region of a single Midwestern state...
July 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Katy B Kozhimannil, Carrie A Vogelsang, Rachel R Hardeman, Shailendra Prasad
PURPOSE: The goal of this study was to assess perspectives of racially/ethnically diverse, low-income pregnant women on how doula services (nonmedical maternal support) may influence the outcomes of pregnancy and childbirth. METHODS: We conducted 4 in-depth focus group discussions with low-income pregnant women. We used a selective coding scheme based on 5 themes (agency, personal security, connectedness, respect, and knowledge) identified in the Good Birth framework, and we analyzed salient themes in the context of the Gelberg-Anderson behavioral model and the social determinants of health...
May 2016: Journal of the American Board of Family Medicine: JABFM
Katy B Kozhimannil, Rachel R Hardeman
No abstract text is available yet for this article.
June 2016: Birth
Richard M Simon, Katherine M Johnson, Jessica Liddell
BACKGROUND: This paper examines the separate effects of the perceived amount, source, and quality of support during labor and delivery on women's positive and negative evaluations of their birth experiences. METHODS: Data come from the Listening to Mothers I and II (LTM) surveys (n = 2,765). Women's perception of support was regressed separately onto indices of positive and negative words that women associated with their labor and delivery. RESULTS: The total number of support sources, type of support person, and quality of support all impacted women's birth evaluations across different regression models, controlling for demographics, birth interventions, and other birth characteristics...
September 2016: Birth
Denise Moreau, Viola Polomeno, Catherine De Pierrepont, Jocelyne Tourigny, Marie-Christine Ranger
In the last few years, there has been an important decrease in parents' interest and participation in prenatal classes in Canada and elsewhere in the world. Partial results were obtained on parenting couples' participation in and satisfaction with prenatal classes, from a larger study involving 103 francophone couples living in Ottawa, using'a mixed methods descriptive and longitudinal research design. This article aims to present the reasons why parents do not participate in prenatal classes and their suggestions to improve them...
December 2015: Recherche en Soins Infirmiers
Zoe Darwin, Josephine Green, Jenny McLeish, Helen Willmot, Helen Spiby
Disadvantaged childbearing women experience barriers to accessing health and social care services and face greater risk of adverse medical, social and emotional outcomes. Support from doulas (trained lay women) has been identified as a way to improve outcomes; however, in the UK doula support is usually paid-for privately by the individual, limiting access among disadvantaged groups. As part of an independent multi-site evaluation of a volunteer doula service, this study examined women's experiences of one-to-one support from a trained volunteer doula during pregnancy, labour and the post-natal period among women living in five low-income communities in England...
February 25, 2016: Health & Social Care in the Community
Layla Haidrani
No abstract text is available yet for this article.
February 24, 2016: Nursing Standard
Sheryl L Coley, Tracy R Nichols
In this study, we examined factors that influenced doula use among adolescent mothers in a community-based childbirth education and doula program. We used a qualitative case study approach to gather perspectives from adolescent mothers and doulas through semistructured interviews, field observations, and a focus group. These women collectively revealed multiple themes related to doula use among adolescent mothers, including relationship development and barriers to doula use at the individual and structural levels...
2016: Journal of Perinatal Education
M K Doula, A Sarris, A Hliaoutakis, A Kydonakis, N S Papadopoulos, L Argyriou
Agricultural wastes (AW) are produced in huge quantities worldwide and may cause detrimental effects on environmental quality, affecting soil, water, and air quality. Given the growing soil degradation worldwide, the need for more food of good quality and therefore the intensified agriculture, it is important to develop recycling plans even for those types of treated AW (e.g., composts) that are not considered hazardous. Two strategic approaches for safe and sustainable landspreading of organic wastes are proposed, depending on wastes properties and hazard potential, i...
March 2016: Environmental Monitoring and Assessment
Chrysoula Doula, Ioannis D Kostakis, Christos Damaskos, Nikolaos Machairas, Dimitrios V Vardakostas, Themistoklis Feretis, Evangelos Felekouras
INTRODUCTION: Minimally invasive approaches (laparoscopic or robotic) are used in various operations. Our aim was to compare them with the open approach in pancreaticoduodenectomy. METHODS: We conducted a search for articles published in MEDLINE database comparing minimally invasive (laparoscopic or robotic) with open pancreaticoduodenectomy on June 15, 2014. RESULTS: Our search yielded 136 articles. We excluded 122 articles and we took into consideration 14 (10 for laparoscopic and 4 for robotic pancreaticoduodenectomies)...
February 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Ruth E Zielinski, Mollie Gilbert Brody, Lisa Kane Low
The benefits of normal, physiologic birth have been well documented. Health care providers such as nurses, midwives, and physicians have distinct and significant roles in the promotion of physiologic birth processes. By supporting women and families, doulas can enhance the maternity care team and further facilitate physiologic birth. A collaborative maternity care team can foster and support a common goal of safe, satisfying, and affordable care practices associated with physiologic birth.
March 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Katy B Kozhimannil, Rachel R Hardeman, Fernando Alarid-Escudero, Carrie A Vogelsang, Cori Blauer-Peterson, Elizabeth A Howell
BACKGROUND: One in nine US infants is born before 37 weeks' gestation, incurring medical costs 10 times higher than full-term infants. One in three infants is born by cesarean; cesarean births cost twice as much as vaginal births. We compared rates of preterm and cesarean birth among Medicaid recipients with prenatal access to doula care (nonmedical maternal support) with similar women regionally. We used data on this association to mathematically model the potential cost-effectiveness of Medicaid coverage of doula services...
March 2016: Birth
Darcy Stanley, Nicole Sata, Julia Chinyere Oparah, Monica R McLemore
The East Bay Community Birth Support Project provides entry into the health professions for previously incarcerated women and enhances access to culturally appropriate doula support for low-income communities. Sixteen women of color were trained as doulas: eight were identified as low-income and eight were previously incarcerated. Qualitative focus group data from program participants showed an increase in empowerment, improved assessment of skills, and confidence in perceived ability to provide doula support...
November 2015: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
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