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- Agrasada, Grace V, et al.
(author)
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Training peer counselors in supporting mothers of term, low birth weight infants to exclusively breastfeed
- 2005
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In: Asia Pacific Family Medicine. - 1444-1683 .- 1447-056X. ; 4:1
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Journal article (peer-reviewed)abstract
- Aim: This article describes a locally developed, two-tiered program of counseling training, aimed at supporting mothers of term, low birth weight infants to exclusively breastfeed from birth to 6 months. Methods: An invitation to attend a mother–child health seminar was sent to 13 health centers in Metropolitan Manila. Level One training consisted of a three-day seminar on postpartum mother–child care conducted by the health staff of the Philippine General Hospital. Level Two of the training, conducted by a certified breastfeeding counselor, consisted of a 40-hour instructional program which used interactive didactics and practical skill workshops which taught the counselors how to prevent and manage breastfeeding problems. Result: Thirty of 37 (81%) women passed Level One training. Fourteen of these 30 women (46.7%) decided to proceed to Level Two training. Eight of the 14 women who had the longest breastfeeding experience were chosen to undergo the Level Two training. All eight women completed the training. Six of the eight (75%) had satisfactory post-training assessment; the remaining two were re-trained and were subsequently assessed to be fit for counseling work. An assessment of post-training competencies showed that counseling knowledge and skills were improved by the training. Further, the intervention demonstrated a 56.6% exclusive breastfeeding rate at six months compared to the national prevalence rate of 1.4%. Conclusion: This training program has increased breastfeeding counseling knowledge as established by increased correct breastfeeding information and appropriate counseling skills observed after the women completed the training.
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- Bringman, S, et al.
(author)
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Is a dissection balloon beneficial in bilateral, totally extraperitoneal, endoscopic hernioplasty? A randomized, prospective, multicenter study
- 2001
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In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques. - 1051-7200 .- 2331-2254. ; 11:5, s. 322-326
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Journal article (peer-reviewed)abstract
- Laparoscopic hernioplasty has been criticized because of its technical complexity and increased costs. Disposable dissection balloons can be used to gain the initial working space in totally extraperitoneal endoscopic (TEP) hernioplasty, but this increases its cost. Forty-four men with bilateral, primary or recurrent inguinal hernias were randomized to undergo TEP with or without dissection balloon, There were two conversions to transabdominal preperitoneal hernioplasty, or open herniorrhaphy, in the group with balloon and four in the group without balloon. There was no difference in the postoperative morbidity or operation time between the two groups, and there were no major complications in either group. The recurrence rate was 4.3% in the group with the balloon and 7.1% in the group without the balloon. There were no statistically significant differences between the groups, Although our study population is too small to detect small differences between the groups, it seems that the use of a dissection balloon is not beneficial in a bilateral TEP.
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- Bringman, S., et al.
(author)
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Is a dissection balloon beneficial in totally extraperitoneal endoscopic hernioplasty (TEP)? A randomized prospective multicenter study
- 2001
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In: Surgical Endoscopy. - : Springer Science and Business Media LLC. - 0930-2794 .- 1432-2218. ; 15:3, s. 266-270
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Journal article (peer-reviewed)abstract
- Background: Laparoscopic hernioplasty has been criticized because of its technical complexity and increased costs. Disposable dissection balloons can be used to facilitate the creation of the initial working space in totally extraperitoneal endoscopic hernioplasty (TEP), but their use adds to the cost of the operation. Methods: A total of 322 men with unilateral, primary, or recurrent inguinal hernias were randomized to undergo TEP with or without a dissection balloon. Results: In the group with the balloon, three of 161 patients (2.5%) required conversion to transabdominal preperitoneal hernioplasty (TAPP), or open herniorraphy, whereas 17 of 161 patients (10.6%) were converted to TAPP or open herniorraphy in the group without the balloon (p = 0.002). The mean operation time was 55 min in the group with the balloon and 63 min in the group without the balloon (p = 0.004). There was no difference between them in postoperative morbidity, and there were no major complications in either group. The recurrence rate was 3.1% in the group with the balloon and 3.7 % in the group without the balloon (p = 0.8). Conclusion: The use of a dissection balloon in TEP reduces the conversion rate and may be especially beneficial early in the learning curve.
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