5.Clinical Support of Laboratory As a Culture room in In-Vitro Fertilization Program
Toshio SHIMIZU ; Jun KANEMOTO ; Kyoichi MIYAGAWA ; Akira TAKEDA ; Sayaka CHIGA ; Hiroko SAKON ; Kiyoshi KATO ; Takaaki HONDO ; Kaoru KIMURA
Journal of the Japanese Association of Rural Medicine 2009;58(1):39-45
Taking charge of in-vitro fertilization and embryo transfer in the laboratory per se amounts to a form of clinical support. To infertile patients, it would be of great benefit if laboratory technicians make direct contact with them and give a full account of the procedure.The apprehensions entertained by them regarding infertility treatment would be removed by hearing what they want to know.In hopes of dispelling the patients' fears and doubts, we have recently started to dialogue with the patients. The face-to-face interview has made us feel confident in what we are doing aside from the lab work and feel a sense of responsibility. Moreover, we have become aware of the need to further devote ourselves to reproductive medicine in order to improve the treatment outcome.One third of the questions frequently asked by patients concerns the quality of embryos and the risk of birth defects, which are issues that challenge us involved in reproductive medicine. To give answers to these and other questions most aptly, it is necessary to share all the up-to-date information, data and knowledge among members of the staff concerned.As the tasks to be grappled with fromnow on, there are problems with unsuccessful cases after repeated IVF trials and an increasing number of patients rangingin age from 45 to 49 years. Where the infertility treatment stops is yet to bedecided in the case of elder women.For providing information and psychological support sought by patients, we keenly felt that there is a necessity to establish a closer collaborative inter-departmental relationship.
Clinical
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Fertilization
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Laboratory culture
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Support
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therapeutic aspects
6.A focused ethnography about treatment-seeking behaviour and traditional medicine in the Nasioi area of Bougainville.
Papua and New Guinea medical journal 2008;51(1-2):29-42
A focused ethnographic study examining knowledge, behaviour and attitudes related to treatment-seeking behaviour and traditional medicine was conducted in the Nasioi area of Bougainville. The study was conducted in two separate locations within the Nasioi area. Some similarities as well as some differences in knowledge and behaviour were exhibited in the two study locations which could be further investigated. People from both areas had a similar perception of common and serious illnesses. People from both areas also attributed illness to both biological factors and supernatural forces. Home management was the most common initial response to illness and the local village clinic or urban health centre were most frequently used as the first treatment resort. The most important factors in determining treatment-seeking responses to illness in both locations were cost and proximity to home or convenience. The study found that there may be considerable potential for an integrated health system in the Nasioi area and provided suggestions as to how this could be progressed. The study also provided information that could be useful in a wider context in informing the implementation of the national policy on traditional medicine in Papua New Guinea.
therapeutic aspects
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Medicine
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Illness, NOS
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Ethnography
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Persons
10.A modified Blatt dorsal capsulodesis in the treatment of dynamic scapholunate instability.
Lynn Azura ; T Sara Ahmad ; T Kamarul
The Medical journal of Malaysia 2006;61 Suppl B():51-4
We report a case of scapholunate dissociation which was initially missed and presented late. A modification of Blatt dorsal capsulodesis performed using dorsal intercarpal ligament (DICL) and extra tunnel appears not only to add to dorsal stability but also address the volar problem as well. This modification may be a better alternative to the current technique of using a single flap.
therapeutic aspects
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Assault by stabbing
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Unmarried
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Ligaments