Relevant bibliographies by topics / Sloane Hospital for Women

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Academic literature on the topic 'Sloane Hospital for Women'

Author: Grafiati
Published: 22 February 2023
Last updated: 27 February 2023

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Journal articles on the topic "Sloane Hospital for Women"

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Taylor, Howard. "El manejo de la hemorragia obstétrica." Revista Peruana de Ginecología y Obstetricia 11, no. 3 (July 9, 2015): 311–19. http://dx.doi.org/10.31403/rpgo.v11i1278.

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Se discute el problema de la hemorragia obstétrica en base a 56 ,347 partos a tendidos en el "Sloane Hospital for Women" del Centro Médico Columbia - Presbyterian. Durante este período hubo 291 casos de placenta previa. En 2% del total la hemorragia sobrepasó los 500 mI. En los últimos 10 años se han observado y tratado 101 casos de hipofibrinogenemia, para lo cual se aconseja la administración endovenosa de 3 á 6 gramos de fibrinógeno.
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Li, Daneng, Beatriz Korc-Grodzicki, Qin Zhou, Alexia Iasonos, Dennis Chi, Ginger J. Gardner, Stuart M. Lichtman, and William P. Tew. "Preoperative geriatric assessment (GA) and surgical outcomes in older women with gynecological (gyn) cancer." Journal of Clinical Oncology 30, no. 15_suppl (May 20, 2012): 5108. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.5108.

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5108 Background: GA can predict surgical outcomes in older patients (pts); however, pre-surgical evaluation for older pts with gyn malignancies has not been well-described. This study will determine the association between GA variables with post-operative morbidity and mortality. Methods: Women 75yrs or older who had geriatric evaluation before any gyn surgery at Memorial Sloan Kettering Cancer Center (MSKCC) between 1/2010-6/2011 were identified. Pre-operative GA included: Mini-Cog Test (cognition), fall history, medication list, nutritional status (weight loss >10lbs, albumin), functional status (activities of daily living (ADL), instrumental I-ADL), and Charlson comorbidity index. Outcomes included: delirium, length of hospital stay (LOS), 30-day surgical adverse events (AE, grade 1-5, via prospective-MSKCC surgical database), 30-day hospital readmission and 6-month mortality. Utilizing bivariate analyses, associations between GA measures and post-operative outcomes were evaluated. Results: 72 pts (median age 79yrs, range 75-92) with gyn cancer (54% uterine, 36% ovarian/peritoneal/tubal, 10% cervical/vaginal/vulvar) had gyn surgery. 34 pts (47%) had stage III/IV disease. 21pts (30%) had secondary cancer history. Pt’s baseline GA measures: ADL-dependent (13%), IADL-dependent (19%), weight loss (18%), fall history (18%), mini cog score (median 4, range 0-5), Charlson score (median 2, range 0-9). 24pts (33%) had surgical AE; no significant association with age or GA. Median LOS was 2 days (range 0-20); 11pts (15%) required 30-day readmission. Delirium (p=0.01), nutrition (weight loss p=0.04, albumin p=0.04), anemia (p=0.003) and high comorbidity index (p=0.013) were associated with longer LOS. Six-month mortality was 8%; older age (p=0.02), poor functional status (lower ADL and IADL, p<0.001 and p=0.007), number of medications (p=0.05) and poor cognition (p<0.001) were associated with shorter survival. Conclusions: Surgical morbidity is common in older pts. Although AE’s were not associated with GA variables, GA can detect high-risk features for longer LOS and shorter survival. Further prospective studies with pre-operative GA and interventions are warranted.
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Tasneem, Fasiha, and Vijayalakshmi Shanbhag. "Study of cases of double mishap in a tertiary care teaching hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 4 (March 26, 2019): 1650. http://dx.doi.org/10.18203/2320-1770.ijrcog20191236.

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Background: “Make every mother and child count”- the slogan for World health day 2005 reflects the reality and need of the society even today. In India, many women die due to pregnancy-related complications and those who survive suffer from severe maternal morbidity. Authors have been impressed that the same obstetric conditions that kill mothers are also responsible for most of the stillbirths and many of the neonatal deaths as well. This is the study to identify the risk factors that has an effect on the health of both mother and baby, to evaluate the complications leading to maternal and perinatal morbidity or mortality so that timely interventions to prevent maternal and perinatal morbidity and mortality can be made.Methods: All the cases getting admitted in Dr SCGMC Nanded are analysed for maternal and foetal outcome over the study period of 18 months. The cases with both maternal and perinatal morbidity or mortality are included in the study. The associating factors and comorbidities if associated with the cases of double mishap are studied.Results: During the study period of 18mths, there were 21905 deliveries conducted in the study hospital and 742 reffered cases of outside hospital deliveries, it was found that there were 204 cases of double mishap. Out of 204 cases of double mishap, 71.56% had preeclampsia, 29.41% were anaemic, 6.86% had febrile illness, 4.41% were of placenta praevia, 33.33% had abruptio placenta.Conclusions: Authors can conclude by stating that through better antenatal care, early detection and proper management of risk factors like pre-eclampsia, anaemia and active management of third stage of labour with careful feto maternal monitoring the absolute goal of Obstetrics of having a healthy mother and healthy baby at the end of delivery can be achieved.
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Agarwal, Rajiv, Andrew S. Epstein, and Leonard B. Saltz. "Survival outcomes and end of life use of immunotherapy (IO) supplied free of charge for cancer patients." Journal of Clinical Oncology 36, no. 34_suppl (December 1, 2018): 62. http://dx.doi.org/10.1200/jco.2018.36.34_suppl.62.

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62 Background: IO has increased both hope and uncertainty for patients (pts) with cancer. Many pts who do not qualify for trials have received IO from manufacturers free of charge (“compassionate use” or “expanded access”). We report the survival outcomes of such pts using free IO at Memorial Sloan Kettering Cancer Center (MSK). Methods: Pharmacy dispensing logs from 1/1/2015 to 12/31/2017 were reviewed to identify cancer pts who received free ipilimumab (I), nivolumab (N), or pembrolizumab (P) at MSK’s clinics and inpatient hospital. Outcomes and IO use relative to the end of life were analyzed. Results: Outpatient use: n = 484 pts, with 10 pts using free IO in more than one case: median age 61 (range 18 - 93); 222 women, 262 men. 99% had metastatic or locally advanced disease; 6 pts received adjuvant IO. IO case distribution: 303 P, 3 I, 134 N, and 55 with variable combinations of I/N. Median number of doses per pt: 4. Table shows progression free survival (PFS) rates by cancer type. Of 317 known pt deaths, 90 pts received IO in the last 30 days of life. 17 pts initiated IO as an inpatient: median age 57 (range 25-79); 10 women, 7 men. IO case distribution: 12 P, 3 N, and 2 I/N. Median number of doses per pt: 1. The median overall survival from first dose was 24 days. No pts achieved 3-month PFS and 12 pts received IO in the last 30 days of life. Conclusions: To date, this is the largest published cohort of pts who received IO free of charge. IO started in patients too sick to be outpatient was ineffective. Ongoing analyses are examining response relative to mutational burden, healthcare-associated costs, and key end-of-life outcomes for this patient population. [Table: see text]
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Jenkinson, David, Karoline Freeman, Karen Clements, Bridget Hilton, Joanne Dulson-Cox, Olive Kearins, Nigel Stallard, et al. "Breast screening atypia and subsequent development of cancer: protocol for an observational analysis of the Sloane database in England (Sloane atypia cohort study)." BMJ Open 12, no. 1 (January 2022): e058050. http://dx.doi.org/10.1136/bmjopen-2021-058050.

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IntroductionThe National Health Service (NHS) Breast Screening Programme aims to detect cancer earlier when treatment is more effective but can harm women by over diagnosing and overtreating cancers which would never have become symptomatic. As well as breast cancer, a spectrum of atypical epithelial proliferations (atypia) can also be detected as part of screening. This spectrum of changes, while not cancer, may mean that a woman is more likely to develop breast cancer in the future. Follow-up of atypia is not evidence based. We currently do not know which atypia should be detected to avoid future cancer. This study will explore how atypia develops into breast cancer in terms of number of women, time of cancer development, cancer type and severity, and whether this varies for different types of atypia.Methods and analysisThe Sloane cohort study began in April 2003 with ongoing data collection including atypia diagnosed through screening at screening units in the UK. The database for England has 3645 cases (24 September 2020) of epithelial atypia, with follow-up from 1 to 15 years. The outcomes include subsequent invasive breast cancer and the nature of subsequent cancer. Descriptive statistics will be produced. The observed rates of breast cancer at 1, 3 and 6 years for types of atypia will be reported with CIs, to enable comparison to women in the general population. Time to event methods will be used to describe the time to breast cancer diagnosis for the types of atypia, including flexible parametric modelling if appropriate. Patient representatives from Independent Cancer Patients’ Voice are included at every stage of the research.Ethics and disseminationThe study has received research ethics approval from the University of Warwick Biomedical and Scientific Research Ethics Committee (BSREC 10/20–21, 8 October 2020), Public Health England office for data release approvals (ODR1718_313) and approval from the English Breast Research Advisory Committee (BSPRAC_031). The findings will be disseminated to breast screening clinicians (via journal publication and conference presentation), to the NHS Breast Screening Programme to update their guidelines on how women with atypia should be followed up, and to the general public.
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Clements, Karen, David Dodwell, Bridget Hilton, Isabella Stevens-Harris, Sarah Pinder, Matthew G. Wallis, Anthony J. Maxwell, et al. "Cohort profile of the Sloane Project: methodology for a prospective UK cohort study of >15 000 women with screen-detected non-invasive breast neoplasia." BMJ Open 12, no. 12 (December 2022): e061585. http://dx.doi.org/10.1136/bmjopen-2022-061585.

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PurposeThe introduction of breast screening in the UK led to an increase in the detection of non-invasive breast neoplasia, predominantly ductal carcinoma in situ (DCIS), a non-obligatory precursor of invasive breast cancer. The Sloane Project, a UK prospective cohort study of screen-detected non-invasive breast neoplasia, commenced in 2003 to evaluate the radiological assessment, surgical management, pathology, adjuvant therapy and outcomes for non-invasive breast neoplasia. Long-term follow-up and accurate data collection are essential to examine the clinical impact. Here, we describe the establishment, development and analytical processes for this large UK cohort study.ParticipantsWomen diagnosed with non-invasive breast neoplasia via the UK National Health Service Breast Screening Programme (NHSBSP) from 01 April 2003 are eligible, with a minimum age of 46 years. Diagnostic, therapeutic and follow-up data collected via proformas, complement date and cause of death from national data sources. Accrual for patients with DCIS ceased in 2012 but is ongoing for patients with epithelial atypia/in situ neoplasia, while follow-up for all continues long term.Findings to dateTo date, patients within the Sloane cohort comprise one-third of those diagnosed with DCIS within the NHSBSP and are representative of UK practice. DCIS has a variable outcome and confirms the need for longer-term follow-up for screen-detected DCIS. However, the radiology and pathology features of DCIS can be used to inform patient management. We demonstrate validation of follow-up information collected from national datasets against traditional, manual methods.Future plansConclusions derived from the Sloane Project are generalisable to women in the UK with screen-detected DCIS. The follow-up methodology may be extended to other UK cohort studies and routine clinical follow-up. Data from English patients entered into the Sloane Project are available on request to researchers under data sharing agreement. Annual follow-up data collection will continue for a minimum of 20 years.
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Paice, Elisabeth. "Women in hospital medicine." Clinical Medicine 1, no. 5 (September 1, 2001): 344–45. http://dx.doi.org/10.7861/clinmedicine.1-5-344.

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Campbell, C., M. Haselden, V. Quan, and C. Rayner. "Women in hospital medicine." Clinical Medicine 2, no. 2 (March 1, 2002): 167.1–167. http://dx.doi.org/10.7861/clinmedicine.2-2-167.

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Johnson, M., J. Smith, S. Haddad, J. Walker, and A. Wong. "Women prefer hospital births." BMJ 305, no. 6847 (July 25, 1992): 255. http://dx.doi.org/10.1136/bmj.305.6847.255.

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Nahar, K. "Women friendly hospital in Bangladesh." International Journal of Gynecology & Obstetrics 70 (2000): D118. http://dx.doi.org/10.1016/s0020-7292(00)84561-0.

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Dissertations / Theses on the topic "Sloane Hospital for Women"

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Lockhart, Judith. "Women, health and hospitals in Birmingham : the Birmingham and Midland Hospital for Women, 1871-1948." Thesis, University of Warwick, 2008. http://wrap.warwick.ac.uk/3647/.

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This study considers the social history of the Birmingham and Midland Hospitals for Women Incorporated between 1871 and 1948. The hospitals were an integral part of the voluntary hospital system in Birmingham, where two general infirmaries and a range of smaller specialist institutions had been set up to deal with the health care needs of a growing population during the period of industrialization. Two underlying historiographical themes are discussed throughout the thesis; the motivation of those that founded and supported such institutions and the feminist critique of the developments in the practice of gynaecology. Much of the current literature on women's health in this period concentrates on the underlying ideology rather than health care. Here the emphasis is reversed; it is to the medical care and treatment of diseases associated with women's sexual and reproductive organs that this thesis is directed. I have adopted a broadly chronological approach, with Chapters 1 to 4 exploring the founding of the hospital in 1871 and the important early years during which it became established. Chapters 5 to 7 consider developments during the Edwardian period and the inter-war years. In the organization of the individual chapters I have adopted a thematic approach considering the association that different group of people had with the hospital; the governors, medical staff and patients, both within the context of their health care and the lives and circumstances of working-class women in the wider sense. To provide an analytical framework for this study, the dominant historiographical paradigms in the field of women's health are discussed in the introduction to this thesis.
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Munro, Anne. "Women in trade unions : a study of hospital ancillary workers." Thesis, University of Warwick, 1990. http://wrap.warwick.ac.uk/98494/.

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This thesis is about working class women and the way in which their interests are represented in trade unions. The key argument made is that there operates a 'trade union agenda' which precludes the full representation of women's interests, even when individual members strive to have these interests represented. The study is based on empirical research with four trade union branches, two from NUPE and two from COHSE, covering ancillary workers at four NHS hospitals. The thesis stresses the importance of understanding how women's work is structured in order to investigate the role of trade unions in challenging or reproducing inequalities. It focuses on catering and cleaning workers, and therefore includes a detailed analysis of these areas of work. The research shows that this work is constructed around gender and results in women having specific interests in the workplace. It suggests that these workplace interests reflect an underlying conflict between men and women based on the hierarchical division of the labour market by sex. Throughout the study the importance of racial divisions to the development of unity or division is considered. The thesis analyses the role of local trade union branches in representing the interests of these workers, showing that unions vary in their success in this process. It argues that structural modification in unions cannot guarantee improved participation and representation of women members, although is a prerequisite. The thesis concludes that the 'trade union agenda' presents an underlying limitation to this process.
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Golfam, Mohammad. "Optimization of Lung Scintigraphy in Pregnant Women at The Ottawa Hospital." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35961.

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INTRODUCTION: Pulmonary embolism (PE) is a major cause of mortality during pregnancy. It is estimated that about 20% of maternal deaths in north america are due to PE. A lung V/Q study in a standard (non-gravid) patient typically consists of a low dosage ventilation study followed by a higher dosage perfusion study. In some centers however, perfusion-only imaging, without accompanying ventilation imaging has been employed. In this method, a several-fold lower dose of radioactivity is used. Perfusion-only imaging has multiple advantages. In addition to reduction of radiation dose to the mother and the fetus, there is decreased cost to the health-care system as well as improved patient convenience and shortened hospital workflow. OBJECTIVES: The present study aimed at assessing the negative predictive value (among other diagnostic accuracy measures) of perfusion-only imaging in a large group of pregnant patients with suspected pulmonary embolism. METHODS: This study was a retrospective cohort study of the entire pregnant patients with suspected PE who underwent V/Q scan at The Ottawa Hospital and their V/Q scans were available in the PACS system. After acquiring REB approval, a comprehensive search in the PACS (Picture Archiving and Communication System) was conducted to find pregnant patients who were assessed for PE in our division since 2004 (the earliest date the V/Q images were available in our system). A statistical consultation was made before the initiation of data collection and at the time of data analysis. All patients who met the inclusion criteria were included. Initially a nuclear medicine resident with 2 years of experience read all the perfusion- only images. The PISAPED criteria were used for image interpretation. Then the results were compared against the reports made by nuclear medicine staffs that were available to us in our electronic system and a final interpretation was made after such comparison. The follow-up clinical notes were used as the gold standard to make a final diagnosis of PE. Finally, diagnostic accuracy measures were calculated. RESULTS: A total of 364 patients were included. Mean maternal age at the time of lung V/Q scan was 30.3 years-old (SD=5.8) ranging from 16 to 51 years-old. From a total of 362 lung perfusion scans, 316/362 (87.3%) scans interpreted as normal, 17/362 (4.7%) scans were interpreted as high probability and 29/362 (8.0%) scans were interpreted as non-diagnostic. Pulmonary embolism was diagnosed in a total of 15 patients directly after performing lung scan. None of the patients with normal perfusion-only scans were diagnosed later with PE, proving a negative predictive value of 100%. The sensitivity and specificity of perfusion-only imaging after including the non-diagnostic studies were 100% (100% to 100%) and 99.1% (88.1% to 94.1%), respectively with a negative predictive value of 100% (100% to 100%) and a positive predictive value of 32.6% (19.1% to 46.2%). Conclusion: The results of the current study show that perfusion-only imaging has a very high negative predictive value for PE in pregnant population and therefore can exclude PE with a very high degree of accuracy.
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Carey, Leslie Sean, and Kathie Sylvies. "Gender and violence: A study of inpatients at a forensic psychiatric hospital." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1582.

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"Our society has generally viewed women as less aggressive and less likely to commit acts of violence in comparison to men. Statistics show that only 13 per cent of the violent crimes in the United States have been committed by women (Steffensmeier and Allan, 1996). However, employees at psychiatric hospitals often report problems of increased violent behavior among their female inpatients. This perception of the female inpatient population is further complicated by the mixed research findings regarding gender and violence. Considering the possible other environmental causations, gender alone should not prove an accurate variable in addressing violent behavior. Variables such as age, location, time, ethnicity, institutionalization and violence to self as opposed to violence to others will likely show significant relevance. This study will attempt to demonstrate how these other biopsychosocial variables play a role in violence prediction for this group of forensically committed patients other than gender."
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Arnold, Rachel E. "Afghan women and the culture of care in a Kabul maternity hospital." Thesis, Bournemouth University, 2015. http://eprints.bournemouth.ac.uk/24519/.

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Female Afghan healthcare providers are vital to reduce the number of women dying in labour. Since 2001 the numbers of female providers have been substantially increased. Ensuring quality care for women in childbirth, however, remains a more elusive goal. The aim of this qualitative ethnographic study was to analyse the culture of care of a Kabul maternity hospital and explore the barriers and facilitators to quality care. My particular focus was the experiences, thoughts, feelings, and values of the doctors, midwives and care assistants. Six weeks of participant observation, 23 semi-structured interviews with hospital staff, 41 background interviews and 2 focus group discussions with women in the community, between 2010 and 2012, were used to gather diverse perspectives on childbirth and care in Kabul maternity hospitals. A thematic approach was used to analyse the data. Five themes were identified: the culture of care; motivation; fear, power and vulnerability; challenges of care; family and social influences. Three themes are explored in depth in this thesis. They are discussed in the following order: the culture of care, challenges of care, and fear, power and vulnerability. The influence of family and social norms on healthcare providers was integral to understanding hospital life; it therefore contributes to each chapter. Women in childbirth laboured alone with minimal monitoring, kindness or support. For staff, the high workload was physically and emotionally demanding, resident doctors struggled to acquire clinical skills, midwives were discouraged from using their skills. Family expectations and social pressures influenced staff priorities. A climate of fear, vulnerability and horizontal violence fractured staff relationships. ‘Powerful’ hospital staff determined the behavioural agenda. This study offers multiple insights into healthcare provider behaviour. It reveals complex interrelated issues that affect care in this Afghan setting but its relevance is far broader. It is one of few international studies that explore care from the perspective of healthcare providers in their cultural and social environment. It reveals that understanding the context of healthcare is pivotal to understanding behaviour and the underlying obstacles to quality care. Furthermore, it challenges conventional assumptions about individual staff agency, motivation, and common strategies to improve the quality of care.
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Churley-Strom, Ruth Ann. "Post Hysterectomy Discharge Destination and Risk of Hospital Readmission in Elderly Women." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/574.

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In elderly women, discharge after gynecologic surgery is often associated with increased morbidity. Little information exists about elderly women's discharge destination after gynecologic surgery and the outcome of early hospital readmission. The purpose of this study, conceptualized using the quality health outcomes model, was to examine whether post hysterectomy discharge destination is an independent predictor of 30-day hospital readmission in women age 65 and older. Examination of covariates included patient age, race, medical comorbidity and complications of care, as well as surgical anatomic approach and operative technique. This study involved use of a retrospective cohort design and data from 10,598 cases contained in the Healthcare Cost and Utilization Project 2010 and 2011 California State Inpatient Databases. Results of the bivariate analysis showed a statistically significant association between discharge destination after hysterectomy and 30-day hospital readmission. Additionally, the results of multivariate logistic regression revealed the odds of readmission after discharge with home care were 2.99, p < .001, 95% CI [2.29, 3.67] times greater when compared with discharge home for self-care and 5.99, p < .001, 95% CI [4.68, 7.43] times greater with discharge to continuing inpatient care versus home for self-care. This study may lead to positive social change for elderly women by informing health care providers about the odds of early hospital readmission associated with discharge destination after hysterectomy. Further, this information may stimulate development of interventions to improve health care practices for elderly women preparing for hospital discharge after hysterectomy.
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Nwafor, A. O. "Reasons pregnant women who attend antenatal care in Mecklenburg Hospital eat soil." Thesis, University of Limpopo (Medunsa Campus), 2008. http://hdl.handle.net/10386/198.

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Thesis (M Med.(Family Medicine))--University of Limpopo, 2008.
Objective: To determine what proportion of pregnant women attending antenatal care in Mecklenburg Hospital eat soil. Study Design: A cross-sectional descriptive study was conducted at Mecklenburg Hospital. Results: A total 273 pregnant women participated in the study, of which 85% eat soil. The majority (74%) were single, mean age of 26 years. About seventy-eight percent had secondary education. Most of the women were unemployed. The majority of women believed that soil eating gives energy, taste nice, makes women feel strong, and makes stomach feel full. The other reason given by these women is that soil eating protects unborn baby from poison, gives nutrients to unborn baby, prevent prolonged labor, stops morning sickness. Conclusion: We conclude that the majority of pregnant women seen at Mecklenburg Hospital eat soil. There was not direct relationship between education level and nutritional reasons for eating soil. Furthermore, fetal and maternal reasons for eating soil were not associated with education level.
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Polimeni, Anne-Maree, and Anne-Maree Polimeni@dhs vic gov au. "Narrative of women's hospital experiences the impact of powerlessness on personal identity." Swinburne University of Technology, 2004. http://adt.lib.swin.edu.au./public/adt-VSWT20050309.143640.

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Since women dominate the health care system as consumers, it is important to understand how women want to be treated by medical staff, and the factors that contribute to satisfactory hospital experiences. The present research comprised two separate but integrated studies exploring these issues. The first study adopted an atheoretical approach. Qualitative and quantitative methods were used to examine the importance of hospital experiences in the lives of women, and the role of power within those experiences. Closed answer items about hospital experiences were completed by 124 women who had had a hospital stay of at least one night. In addition, ten of the women provided open-ended oral and written comments about their hospital experiences, which were used as the basis of the qualitative data. The majority of the women were satisfied with their hospital stay, but a small group recalled experiences of powerlessness associated with the non-medical aspects of their treatment, such as behaviours on the part of health professionals that influenced participants� sense of control as hospital inpatients. The qualitative data reflected similar issues to the quantitative data and provided �process� information by demonstrating how health professionals� behaviour could contribute to patients� feelings of powerlessness. The results suggested that hospital experiences were a salient part of these women�s lives. The richness of the qualitative data suggested that qualitative methodology would be a productive way to further study this area. The second study was an extension of the first via in-depth interviews with 19 women who perceived their hospital experiences as life-altering. The interview content and the analysis were based on a narrative approach that used the theoretical framework of McAdams� (1993) Life Story Model of Identity. Using McAdams� methodology enabled the researcher to evaluate how women constructed meaning from their hospital experiences, and the main issues they faced. The life story interview also proved a useful way to explore issues of loss and self-growth in the face of traumatic hospital experiences. Transcripts of descriptions of positive and negative experiences were analysed according to McAdams� themes of agency (sense of power and control) and communion (relationships with others), and sequences of redemption and contamination. Redemption sequences involve the storyline moving from a bad, affectively negative life scene, to a good, affectively positive life scene. In a contamination sequence, the narrator describes a change from a good, affectively positive life scene, to a subsequently bad, affectively negative life scene (McAdams & Bowman, 2001). Participants also rated their experiences according to Hermans� (Hermans & Oles, 1999) list of affects. There was strong agreement between McAdams� coding of agency and communion and Hermans� agentic and communal indices: the women�s hospital stories strongly emphasised the negative or opposite of McAdams� agentic theme �Self Mastery through Control�, which indicated powerlessness, and Hermans� affects, which involved low self-enhancement. It may be useful for future studies to conceptualise McAdams� themes as bipolar by incorporating currently coded themes and their reverse; in particular, by expanding ideas of agency to incorporate powerlessness, as this theme was pervasive in women�s hospital experiences. The rating of affects added to the findings as this showed a latent dimension of communion manifested as isolation. The common agency and communion themes were apparent in the two distinct but related aspects of hospitalisation that affect patients� sense of control: the medical condition and the manner in which patients are treated by medical staff. The findings of the main study built on the pilot study by showing how ideas of control and powerlessness can inform better practice. For example, respectful, dignified and fair treatment by health professionals played a part in determining redemption sequences; women also indicated this was how they wanted to be treated. Due to the vulnerability of the �sick role�, disrespectful or offhand treatment by health professionals had particularly distressing effects evident in contamination sequences, such as negative changes to sense of self and attitudes toward the health care system. In some cases, such treatment led to participants� avoiding subsequent interactions with doctors and to sustained feelings of helplessness. The present thesis demonstrates that doctors, nurses and other health professionals need to allow time to attend to the affective as well as the medical aspects of the encounter. Health professionals need a good bedside manner, compassion, and communication skills, as these characteristics play a part in maintaining female patients� sense of self and their faith in and satisfaction with the health care system.
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Lennartsson, Martina, and Johany Nunez. "Treatment for Women with an Alcohol Abuse at Thanyarak Chiang Mai hospital, Thailand." Thesis, Linnéuniversitetet, Institutionen för pedagogik (PED), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-25373.

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Simmons, Charlotta, and Sofie Sintéus. "Nurses’ work with HIV prevention among women at Mpongwe Mission Hospital in Zambia." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24330.

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Bakgrund: Zambia är ett av de länder i världen som är värst drabbat av HIV/AIDS och sjuksköterskor i landet jobbar ständigt med att spridda preventiv information om infektionen. Kvinnor är mer sårbara då de ofta gifter sig med äldre män som redan har ett sexuellt förflutet men också p.g.a. att de har större permeabilitet i mucosa membranet än vad män har. Sjuksköterskorna spelar en viktig roll i preventionsarbetet och dess funktion. Syfte: Syftet med studien är att utforska sjuksköterskors arbete med HIV prevention bland kvinnor på Mpongwe missions sjukhus. Metod: En kvalitativ studie med semistrukturerade intervjuer med 8 sjuksköterskor genomförd på Mpongwe missions sjukhus i Zambia. Resultatet har analyserats med hjälp av Burnards innehållsmetods analys. Resultat: Resultatet av studien utmynnade i fem olika kategorier rörande riktlinjer vid HIV-prevention, metoder för att minska risken av HIV-spridning, hur de når ut till folket, svårigheter och utmaningar som sjuksköterskorna möter men även de framsteg som görs.Slutsats: Intervjuerna med sjuksköterskorna på Mpongwe Missions sjukhus visar att de jobbar hårt med att förebygga HIV bland kvinnor. De har kommit långt i sitt arbete men det finns fortfarande mycket kvar att göra. Den stora spridningen på kunskap hos sjuksköterskorna och bristen på personal är ett stort problem. På grund av att de har ont om finanser har sjukhuset inte råd att skicka sina sjuksköterskor på fler utbildningar eller att anställa mer personal för att kunna ge rätt vård och nå ut till människorna.
Background: Zambia has one of the world’s most devastating HIV/AIDS epidemics and nurses work hard to spread information about how to prevent the infection. Females are more vulnerable since they often marry early to older men who already have a sexual past and also because they have larger permeability of the mucous membrane compared to men. The nurses play an important role in the prevention work and how it’s done.Objective: The aim of the study is to explore the nurse’s prevention work against HIV among women at the Mpongwe Mission Hospital. Methods: A semistructured design in a qualitative study, carried out at Mpongwe Misson Hospital in Zambia. The result has been analyzed through Burnards method of description of content analysis.Result: The result of this study is divided in five different categories concerning guidelines in the HIV-prevention, measures to reduce the risk of HIV-infection, how they reach out to people, the obstacles and challenges that the nurses are facing and the progress that is made. Conclusion: The interviews shows that the Nurses in this study at Mpongwe Hospotal are working hard to prevent HIV among women. They have come a long way in their prevention work although there is much left to do. The wide spread of knowledge among the nurses and the lack of staff is big obstacle. Because of the shortage of finances the hospital can´t afford to send nurses for further education or hire enough staff to be able to give the right care and to reach out to the population.
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Books on the topic "Sloane Hospital for Women"

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N.Y.). Society of the Alumni Sloane Hospital for Women (New York. Sloane Hospital for Women Columbia-Presbyterian Medical Center Centennial 1898-1998 Alumni Directory. New York: [Sloane Hospital for Women, Society of the Alumni], 1998.

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The Sloane Hospital chronicle: A history of the department of obstetrics and gynecology of the Columbia-Presbyterian Medical Center. 2nd ed. [New York: Presbyterian Hospital], 1988.

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Columbia University. Department of Obstetrics and Gynecology. Second international conference on transvaginal sonography: Clinical applications, September 14 & 15, 1989 ... at the New York Academy of Medicine / Columbia University College of Physicians & Surgeons and Sloane Hospital for Women. New York: s.n., 1989.

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Columbia University. Department of Obstetrics and Gynecology. Endocrinology & infertility update: Current trends & new horizons; March 30 though April 1, 1989 .... at the Waldorf-Astoria, New York, New York / Columbia University College of Physicians & Surgeons and Sloane Hospital for Women. New York: s.n., 1989.

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Lucas, Jeff. Heaven help Helen Sloane: A novel. Grand Rapids, Mich: Zondervan, 2011.

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Selina, Samuels, British Australian Studies Association, and Sir Robert Menzies Centre for Australian Studies., eds. Janette Turner Hospital. London: Sir Robert Menzies Centre for Australian Studies, Institute of Commonwealth Studies, University of London, 1998.

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Masters, Elaine A. Those women in white. Oklahoma City, OK (621 N. Robinson, Oklahoma City 73102): Journal Record Pub. Co., 1988.

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Steckel, Janice A. The underwater hospital. Berkeley, Calif: Zeitgeist Press, 2006.

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Steckel, Jan. The underwater hospital. Berkeley, Calif: Zeitgeist Press, 2006.

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Catherine, Hemingway, ed. Special women?: The experience of women in the special hospital system. Aldershot: Avebury, 1996.

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Book chapters on the topic "Sloane Hospital for Women"

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Offurum, Ada Ibe, Kathryn Novello Silva, and Mangla S. Gulati. "Women in Medicine." In Hospital Medicine, 63–73. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-49092-2_7.

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Nurse, A. "At Anzac in a Hospital Ship." In Women and Empire, 1750–1939, 404–9. London: Routledge, 2021. http://dx.doi.org/10.4324/9781003101864-81.

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Bom, Myra Miranda. "The Hospital and its Female Members." In Women in the Military Orders of the Crusades, 109–31. New York: Palgrave Macmillan US, 2012. http://dx.doi.org/10.1057/9781137088307_8.

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Hempel, Gabrielle E. "Do No Harm: Medical Device and Connected Hospital Security." In Women Securing the Future with TIPPSS for Connected Healthcare, 49–61. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-93592-4_3.

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Rutherford, Vanessa. "Regulating Poor Mothers: St. Ultan’s Infant Hospital, Dublin, from 1918." In Women, Reform, and Resistance in Ireland, 1850–1950, 31–54. New York: Palgrave Macmillan US, 2015. http://dx.doi.org/10.1007/978-1-137-49494-8_3.

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Psaros, Christina, Jocelyn Remmert, Nicole Amoyal, and Rebecca Hicks. "Women’s Health: Behavioral Medicine Interventions for Women During Childbearing and Menopause." In The Massachusetts General Hospital Handbook of Behavioral Medicine, 251–76. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-29294-6_12.

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Diamond, Alexis, and Joanna Lyn Grama. "The Hospital of the Future and Security: An Arranged Marriage." In Women Securing the Future with TIPPSS for Connected Healthcare, 115–34. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-93592-4_6.

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Turner, Kofi-Charu Nat. "Founding MLK Hospital and Charles R. Drew University of Medicine and Science (1966–1969)." In Caffie Greene and Black Women Activists, 99–117. London: Routledge, 2021. http://dx.doi.org/10.4324/9781003204527-10.

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Randev, Shivani, and Ravi Gupta. "Impact of Covid-19 Pandemic on Hospital Outpatient Departments." In Frontline Workers and Women as Warriors in the Covid-19 Pandemic, 77–86. London: Routledge India, 2022. http://dx.doi.org/10.4324/9781003324515-10.

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Devnani, Mahesh, and Anil Kumar Gupta. "Preparedness and Response to Covid-19 Pandemic in Hospital Settings." In Frontline Workers and Women as Warriors in the Covid-19 Pandemic, 67–76. London: Routledge India, 2022. http://dx.doi.org/10.4324/9781003324515-9.

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Conference papers on the topic "Sloane Hospital for Women"

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Singh, Nilanchali, Shalini Rajaram, Bindiya Gupta, Anita Mendiratta, and Sanjay Kumar. "To evaluate the role of training session on ‘Cervical Cancer Screening’ in improving knowledge and attitude of Accredited Social Health Activists (ASHA) in East Delhi population." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685272.

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Background: India has the world’s largest load of cervical malignancy. A lot of it can be attributed to lack of cervical cancer screening awareness among the general population. The Accredited Social Health Activists (ASHA) are grass root workers who have good reach in the remote areas, where health care facilities are lacking. Training these ASHAs may increasethe general awareness about cervical cancer screening. Methods: We organized a training programme of 250 ASHA workers in a tertiary care hospital with aim of improving their knowledge and attitude about cervical cancer screening which will eventually improve their practise of training women in general population. It comprised of 5 lectures in language they understand, slogans, posters, question answer session etc. A test comprising of 17 questions was conducted before and after session to check their knowledge and attitude. Results: There was an overall improvement of 25% in knowledge of the ASHAs i.e. 38% answers were correct in pre-test and 63% were correct in post-test. Questions were pertaining to symptomatology, risk factors, screening methods, their utility and prerequisites of performing the screening tests, when and how often to repeat. Improvement was seen in all the areas. There was improvement in attitude too and most of them wanted themselves (98%), their relatives (100%) and the woman within their area (98%) to be screened for cancer cervix. Conclusion: It was a small initiative and successful result was obtained after the training session of ASHAs. The impact on general population needs further evaluation.
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Wulandari, N. W., and D. A. Astini. "Characteristics of pregnant women with section caesarean delivery at Bali Royal Hospital, Denpasar General Hospital, Indonesia." In Proceedings of the First International Conference on Economics, Business and Social Humanities, ICONEBS 2020, November 4-5, 2020, Madiun, Indonesia. EAI, 2021. http://dx.doi.org/10.4108/eai.4-11-2020.2304587.

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Wolstencroft, J., W. Mandy, and D. Skuse. "040 Autism spectrum disorders in girls and women with turner syndrome." In Great Ormond Street Hospital Conference 2018: Continuous Care. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/goshabs.40.

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Wulandari, N. W. S., and D. A. A. A. S. Astini. "The Characteristics of Pregnant Women with Section Caesarean Delivery at Bali Royal Hospital, Denpasar General Hospital, Indonesia." In The Proceedings of the 1st Seminar The Emerging of Novel Corona Virus, nCov 2020, 11-12 February 2020, Bali, Indonesia. EAI, 2020. http://dx.doi.org/10.4108/eai.11-2-2020.2301975.

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Ajani, Tinuade, Chinenye Anaedobe, and Samuel Fayemiwo. "P458 GenitalChlamydia trachomatisandMycoplasma genitaliumamong infertile women in university college hospital, ibadan." In Abstracts for the STI & HIV World Congress (Joint Meeting of the 23rd ISSTDR and 20th IUSTI), July 14–17, 2019, Vancouver, Canada. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/sextrans-2019-sti.540.

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Yang, Jong-Hyun, and An-Sook Park. "Impact on the Job Satisfaction of Non-regular Women in the Hospital." In Future Generation Information Technology 2017. Science & Engineering Research Support soCiety, 2017. http://dx.doi.org/10.14257/astl.2017.148.12.

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Ivana Kabuhung, Elvine, Eka Sapitri, and Fadhiyah Noor Anisa. "Related Factors With Breast Cancer Cases In Women At Ulin Hospital Banjarmasin." In 2nd Sari Mulia International Conference on Health and Sciences 2017 (SMICHS 2017) � One Health to Address the Problem of Tropical Infectious Diseases in Indonesia. Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/smichs-17.2017.61.

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Khan, Tayyaba Naseer, Nazir Ahmad Zafar, and Eman H. Alkhammash. "Blockchain-based Formal Modeling of E-Hospital Emergency Management System." In 2021 International Conference of Women in Data Science at Taif University (WiDSTaif ). IEEE, 2021. http://dx.doi.org/10.1109/widstaif52235.2021.9430252.

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Cupp, MA, M. Adams, M. Heys, M. Lakhanpaul, E. Alexander, M. Peachey, and L. Manikam. "007 Exploring perceptions of consanguinity in women from an east london community: analysis of discussion groups." In Great Ormond Street Hospital Conference 2018: Continuous Care. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/goshabs.7.

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Agyarko-Poku, T., F. Ankobea, R. Bandoh, and E. Sorvor. "P325 HIV Status Disclosure Among Pregnant Women at a District Hospital in Ghana." In Abstracts for the STI & HIV World Congress, July 14–17 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/sextrans-2021-sti.379.

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Reports on the topic "Sloane Hospital for Women"

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Kim, Kyungsook. National Hospital Discharge Survey Data Analysis of Breast Cancer Between African American and White Women. Fort Belvoir, VA: Defense Technical Information Center, August 2001. http://dx.doi.org/10.21236/ada398286.

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Kim, Kyung S. National Hospital Discharge Survey Data Analysis of Breast Cancer Between African American and White Women. Fort Belvoir, VA: Defense Technical Information Center, August 2000. http://dx.doi.org/10.21236/ada393458.

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Kim, KyungSook. National Hospital Discharge Survey Data Analysis of Breast Cancer Between African American and White Women. Fort Belvoir, VA: Defense Technical Information Center, August 1999. http://dx.doi.org/10.21236/ada383032.

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W, Nedra, Laura B. Strange, Sara M. Kennedy, Katrina D. Burson, and Gina L. Kilpatrick. Completeness of Prenatal Records in Community Hospital Charts. RTI Press, February 2018. http://dx.doi.org/10.3768/rtipress.2018.rr.0032.1802.

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We describe the completeness of prenatal data in maternal delivery records and the prevalence of selected medical conditions and complications among patients delivering at community hospitals around Atlanta, Georgia. Medical charts for 199 maternal-infant dyads (99 infants in normal newborn nurseries and 104 infants in newborn intensive care nurseries) were identified by medical records staff at 9 hospitals and abstracted on site. Ninety-eight percent of hospital charts included prenatal records, but over 20 percent were missing results for common laboratory tests and prenatal procedures. Forty-nine percent of women had a pre-existing medical condition, 64 percent had a prenatal complication, and 63 percent had a labor or delivery complication. Missing prenatal information limits the usefulness of these records for research and may result in unnecessary tests or procedures or inappropriate medical care.
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Bordner, Barbara. A descriptive study of the pragmatic issues in obtaining an abortion among sixty-five women at Lovejoy Specialty Hospital, Portland, Oregon. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.2579.

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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, Shazia M. Siddique, S. Ryan Greysen, Meghan B. Lane-Fall, and Amy Y. Tsou. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), September 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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Winikoff, Beverly. Acceptability of first trimester medical abortion. Population Council, 1994. http://dx.doi.org/10.31899/rh1994.1010.

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Unwanted pregnancy is a serious and stressful problem for women. As stated in this paper, technologies that afford safe and effective abortion are well accepted and provide relief from a great difficulty. Many women fear surgery and will go far to avoid it. There is substantial apprehension about general anesthesia during surgery and also fear that local anesthesia may not prevent pain. This leads to a high demand for a medical abortion alternative. Some women consider that the quick and definitive surgical alternative is easier; some find that swallowing a pill is easier. Privacy is greatly valued. Medical abortion technology seems to meet this need more than surgical abortion, especially if the surgical alternative mandates hospital admission and absence from home. The high values placed on privacy, autonomy, and the wish to be able to be at home combine, in at least some settings, to create a demand for a self-administered home treatment for early abortion. Given a choice between surgery and any of several medical abortion methods, most eligible women appear to prefer the medical method.
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Muia, Esther G., and Joyce Olenja. Enhancing the use of emergency contraception in a refugee setting: Findings from a baseline survey in Kakuma refugee camps, Kenya. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1038.

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In August 1992, the International Rescue Committee (IRC) at the request of the United Nations, the United Nations High Commission for Refugees, and the Kenyan Government, initiated a primary health care program in the Kakuma Refugee Camp. Since then, the population of the camp has continued to grow, and activities have moved from a crisis to a maintenance phase. In January 1997, IRC assumed the additional responsibility of the camp hospital, bringing the entire health sector under their management. IRC's programs focus on maintaining and improving public health and promoting self-reliance, particularly of the most vulnerable communities. This project focuses on emergency contraception as an aspect of the reproductive health (RH) needs of refugee women and men of reproductive age. The project will especially target the large adolescent community currently resident in the camp. The objective is to contribute to the improved quality of RH services for refugees and the local Turkana population in Kakuma through operations research on the introduction of emergency contraception. This report presents findings from the baseline survey.
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Hajarizadeh, Behzad, Jennifer MacLachlan, Benjamin Cowie, and Gregory J. Dore. Population-level interventions to improve the health outcomes of people living with hepatitis B: an Evidence Check brokered by the Sax Institute for the NSW Ministry of Health, 2022. The Sax Institute, August 2022. http://dx.doi.org/10.57022/pxwj3682.

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Background An estimated 292 million people are living with chronic hepatitis B virus (HBV) infection globally, including 223,000 people in Australia. HBV diagnosis and linkage of people living with HBV to clinical care is suboptimal in Australia, with 27% of people living with HBV undiagnosed and 77% not receiving regular HBV clinical care. This systematic review aimed to characterize population-level interventions implemented to enhance all components of HBV care cascade and analyse the effectiveness of interventions. Review questions Question 1: What population-level interventions, programs or policy approaches have been shown to be effective in reducing the incidence of hepatitis B; and that may not yet be fully rolled out or evaluated in Australia demonstrate early effectiveness, or promise, in reducing the incidence of hepatitis B? Question 2: What population-level interventions and/or programs are effective at reducing disease burden for people in the community with hepatitis B? Methods Four bibliographic databases and 21 grey literature sources were searched. Studies were eligible for inclusion if the study population included people with or at risk of chronic HBV, and the study conducted a population-level interventions to decrease HBV incidence or disease burden or to enhance any components of HBV care cascade (i.e., diagnosis, linkage to care, treatment initiation, adherence to clinical care), or HBV vaccination coverage. Studies published in the past 10 years (since January 2012), with or without comparison groups were eligible for inclusion. Studies conducting an HBV screening intervention were eligible if they reported proportion of people participating in screening, proportion of newly diagnosed HBV (participant was unaware of their HBV status), proportion of people received HBV vaccination following screening, or proportion of participants diagnosed with chronic HBV infection who were linked to HBV clinical care. Studies were excluded if study population was less than 20 participants, intervention included a pharmaceutical intervention or a hospital-based intervention, or study was implemented in limited clinical services. The records were initially screened by title and abstract. The full texts of potentially eligible records were reviewed, and eligible studies were selected for inclusion. For each study included in analysis, the study outcome and corresponding 95% confidence intervals (95%CIs) were calculated. For studies including a comparison group, odds ratio (OR) and corresponding 95%CIs were calculated. Random effect meta-analysis models were used to calculate the pooled study outcome estimates. Stratified analyses were conducted by study setting, study population, and intervention-specific characteristics. Key findings A total of 61 studies were included in the analysis. A large majority of studies (study n=48, 79%) included single-arm studies with no concurrent control, with seven (12%) randomised controlled trials, and six (10%) non-randomised controlled studies. A total of 109 interventions were evaluated in 61 included studies. On-site or outreach HBV screening and linkage to HBV clinical care coordination were the most frequent interventions, conducted in 27 and 26 studies, respectively. Question 1 We found no studies reporting HBV incidence as the study outcome. One study conducted in remote area demonstrated that an intervention including education of pregnant women and training village health volunteers enhanced coverage of HBV birth dose vaccination (93% post-intervention, vs. 81% pre-intervention), but no data of HBV incidence among infants were reported. Question 2 Study outcomes most relevant to the HBV burden for people in the community with HBV included, HBV diagnosis, linkage to HBV care, and HBV vaccination coverage. Among randomised controlled trials aimed at enhancing HBV screening, a meta-analysis was conducted including three studies which implemented an intervention including community face-to-face education focused on HBV and/or liver cancer among migrants from high HBV prevalence areas. This analysis demonstrated a significantly higher HBV testing uptake in intervention groups with the likelihood of HBV testing 3.6 times higher among those participating in education programs compared to the control groups (OR: 3.62, 95% CI 2.72, 4.88). In another analysis, including 25 studies evaluating an intervention to enhance HBV screening, a pooled estimate of 66% of participants received HBV testing following the study intervention (95%CI: 58-75%), with high heterogeneity across studies (range: 17-98%; I-square: 99.9%). A stratified analysis by HBV screening strategy demonstrated that in the studies providing participants with on-site HBV testing, the proportion receiving HBV testing (80%, 95%CI: 72-87%) was significantly higher compared to the studies referring participants to an external site for HBV testing (54%, 95%CI: 37-71%). In the studies implementing an intervention to enhance linkage of people diagnosed with HBV infection to clinical care, the interventions included different components and varied across studies. The most common component was post-test counselling followed by assistance with scheduling clinical appointments, conducted in 52% and 38% of the studies, respectively. In meta-analysis, a pooled estimate of 73% of people with HBV infection were linked to HBV clinical care (95%CI: 64-81%), with high heterogeneity across studies (range: 28-100%; I-square: 99.2%). A stratified analysis by study population demonstrated that in the studies among general population in high prevalence countries, 94% of people (95%CI: 88-100%) who received the study intervention were linked to care, significantly higher than 72% (95%CI: 61-83%) in studies among migrants from high prevalence area living in a country with low prevalence. In 19 studies, HBV vaccination uptake was assessed after an intervention, among which one study assessed birth dose vaccination among infants, one study assessed vaccination in elementary school children and 17 studies assessed vaccination in adults. Among studies assessing adult vaccination, a pooled estimate of 38% (95%CI: 21-56%) of people initiated vaccination, with high heterogeneity across studies (range: 0.5-93%; I square: 99.9%). A stratified analysis by HBV vaccination strategy demonstrated that in the studies providing on-site vaccination, the uptake was 78% (95%CI: 62-94%), significantly higher compared to 27% (95%CI: 13-42%) in studies referring participants to an external site for vaccination. Conclusion This systematic review identified a wide variety of interventions, mostly multi-component interventions, to enhance HBV screening, linkage to HBV clinical care, and HBV vaccination coverage. High heterogeneity was observed in effectiveness of interventions in all three domains of screening, linkage to care, and vaccination. Strategies identified to boost the effectiveness of interventions included providing on-site HBV testing and vaccination (versus referral for testing and vaccination) and including community education focussed on HBV or liver cancer in an HBV screening program. Further studies are needed to evaluate the effectiveness of more novel interventions (e.g., point of care testing) and interventions specifically including Indigenous populations, people who inject drugs, men who have sex with men, and people incarcerated.
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Kenya: Offer family planning on hospital wards. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1007.

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In Kenya, more than one in three women hospitalized for gynecological problems has complications from miscarriage or unsafe abortion. These women generally receive no information or services for family planning (FP) or other reproductive health needs. During 1996–97, the Kenya Ministry of Health, the Population Council, and Ipas tested three models for providing postabortion care (PAC) and FP information and services in two areas of the hospital. Researchers compared model effectiveness by using surveys before and after the intervention. As concluded in this brief, the most effective way to ensure that women being treated for incomplete abortion obtain FP is to offer services in hospital gynecological wards. Having ward staff provide contraceptives on the ward is more convenient than having regular FP providers visit the ward or having patients go to a separate clinic. Findings have been key in informing expansion plans for PAC in Kenya.
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