Pregnancy and the kidneys

Wearne, Nicola

doi:10.7196/samj.8765

Cited by 5 publications

(4 citation statements)

References 34 publications

(36 reference statements)

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“…24 Other authors also have emphasized the importance of roleplay in medical education. 22 25 As discussed in the review by Modi et al, roleplays can provide an opportunity for rehearsal, improvisation, and even teaching of complex case scenarios. One of the drawbacks of roleplay methodology can be acting out, especially since students are not actors.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Roleplay Video Method in Teaching Communication Skills for Undergraduate Medical Students in Pharmacology in Indian Medical School

Volabailu

Acharya

Mohan

et al. 2021

Journal of Health and Allied Sciences NU

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Background Communication is an important skill to be honed and applied by Indian medical graduate, as per revised regulations on Graduate Medical Education 2019. The objective of the present study was to evaluate the effectiveness of roleplay video demonstration in teaching communication skills to students using standard pharmacology drug prescription scenarios. Materials and Methods In this study, 136 students were divided into three batches, and in each batch, they were paired as a group of one doctor and patient and were asked to perform a roleplay of doctor-patient communication to a standard drug prescription case scenario. Communication skills of the simulated doctor were assessed before and after the administration of standard roleplay video, using modified Kalamazoo consensus statement by both the patient (peer evaluation) and the doctor (self-assessment). The effectiveness of roleplay was evaluated by comparing the total score before and after the roleplay demonstration using the Wilcoxon signed rank test. The difference between the scores of self-evaluation and peer evaluation was tested using Mann–Whitney U test. Results The communication skills score of after intervention-before intervention (p = 0.001) showed 59 positive ranks and 36.64 mean rank among patient group and 61 positive ranks and 36.74 mean rank among doctors' group, indicating there was a significant improvement in communication. Conclusion Roleplay video demonstration improved the communication skills of students in the pharmacology practical class session. It helped in the active participation of the students and was appreciated by the majority of the students.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Roleplay Video Method in Teaching Communication Skills for Undergraduate Medical Students in Pharmacology in Indian Medical School

Volabailu

Acharya

Mohan

et al. 2021

Journal of Health and Allied Sciences NU

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“…Women often exhibit KD symptoms at advanced stages, especially when confronted with pregnancy-related complications, such as preeclampsia and other maternal disease. Many of these women already have kidney damage [13][14][15]. This is as a result of not having prior information of their medical histories and risk factors with explicit signs and chronic symptoms [6,2].…”

Section: Introductionmentioning

confidence: 99%

“…In Nigeria, community-based studies on knowledge and risk perception of KD among women in their childbearing age are scanty. Previous studies largely focused on clinical symptoms of KD among women, [10,11,13] neglecting their prior knowledge and risk perception of KD as important factors in early diagnosis and treatments. Consequently, this study focuses on design and promote KD awareness design and promotion towards prevention and screening services, while targeting women of childbearing age using multiple media facilities.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Risk Perception of Kidney Disease among Childbearing Women in Lagos State, Nigeria

Akokuwebe

Odimegwu

2020

Preprint

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BackgroundIn spite of kidney disease (KD) as one of the eight leading causes of death in women and a chronic public health concern, little is known about women’s knowledge and risk perception of KD. We assessed knowledge and perception of KD risk among childbearing women in Lagos State, Nigeria.MethodsAdministering a pre-tested, structured questionnaire among 825 women aged 15-49 years, we conducted a cross-sectional descriptive study to evaluate self-reported KD knowledge and risk perception among women of childbearing age in urban and semi-urban communities in Lagos State, Nigeria. We employed binary and multinomial logistic regression to assess KD knowledge and risk perception. We used descriptive statistics (mean, frequencies and percentages) to assess socio-demographic factors influencing knowledge and risk perception of KD risk factors.ResultsFour hundred and forty-four (53.8%) out of 825 individuals reported being knowledgeable of KD with significant proportion found in the younger adults’ age group (15-29 years), with mean age of 33.5±11.5 years. High prevalence of self-reported KD risk factors were pica craving, poor diets (junk foods and high in salt), hypertension and urinary tract infection. Multivariate analysis confirmed that the following factors increased the likelihood of knowledge and risk perception of KD: high education, high income and family history of KD. Perception of KD risk at age 40-49 years (OR = 1.22, CI= 1.02-1.63, p = 0.00) and diabetes (OR = 1.40, CI= 1.59-1.18, p = 0.00) were significantly perceived as predictors of an increased risk for KD development.ConclusionOur study reveals high knowledge of KD but low perception of KD risk factors and its ailments. In view of this, this calls for urgent measures to create sensitization and provide public KD behavioural health interventions as well as easy communication strategies for women to secure better access to pre- and post-natal healthcare services.

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“…Alternations in hepatic functions for pregnant women are normal, however, the level of liver enzymes which include aspartate aminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase (ALP) must determine in each period of pregnancy [4,5]. On the other hand, renal functiontests must assessed routinely tostand on any problem may occurred to mother and fetus during gestation [6,7]. One of the more important tests are serum creatinine and urea, which are metabolic product of urinary system and their elevated values means that kidneys are not work normally [4].…”

Section: Introductionmentioning

confidence: 99%

Determination of the Liver Enzymes Level and Kidney Functions in Pregnant Women in the Second Trimester of Pregnancy at Different Age Groups

A. Al-Jowary

2021

Iraqi Journal of Science

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The level of liver enzymes and kidney functions in pregnant women in the second trimester of pregnancy at different age groups was determined. This study is composed of fifty pregnant women in the second trimester of pregnancy and were classified into two subgroups; first group included twenty-five pregnant with an age between 22-30 years, a second group included twenty-five pregnant with an age 35-42 years. A control group included twenty-five non-pregnant, healthy women was also included. Blood samples were obtained from each group, centrifuged, serum was collected from each group to measure liver enzymes (AST, ALT and ALP) and kidney function tests (urea and creatinine) were measured using enzymatic kits. The results of present study illustrated significant elevation (P≤ 0.05) in AST and ALT means in the age group 35-42 years, while there were no-significant differences in an age group 22-30 compared with control healthy group. In addition, the ALP mean values are significantly increase(P≤0.05) in 22-30 and 35-42 years compared with non-pregnant women. The findings also demonstratedthat the means of blood urea is significantly declined (P≤0.05) in the age groups 22-30 and 35-42 years compared with healthy non-pregnant. This studyfoundsignificant decline(P≤0.05) in serum creatinine at an age group 22-30 and significant increase(P≤0.05) in the other group (35-42 years) compared with the control. The conclusion of the present study that hepatic and renal functions are more damaged in an age group 33-42 years than an age group 22-30 years through the values of parameters above. Therefore, pregnancy in the age 22-30 years is more healthyfor both mother and fetus than an age 33-42 years.Keywords: Aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, Urea, Creatinine, Pregnancy. ‫ووظائف‬ ‫الكبد‬ ‫انزيمات‬ ‫مستوى‬ ‫تعيين‬ ‫بمجاميع‬ ‫الحمل‬ ‫من‬ ‫الثاني‬ ‫الثمث‬ ‫في‬ ‫امل‬ ‫الحو‬ ‫النساء‬ ‫في‬ ‫الكمى‬ ‫مختمفة‬ ‫عمرية‬ ‫اري‬ ‫الجو‬ ‫الخالق‬ ‫عبد‬ ‫سهى‬ ISSN: 0067-2904Al-Jowary Journal of Science, 2017, Vol. 58, No.4A, pp: 1802-1807 IntroductionPregnancy or gestation in a normal condition occurred in women characterized by many physiological and anatomical alternations in order to prepare appropriate environment for developing the embryo until birth [1,2]. One of the most physiological changes is the elevation in the level of sex steroid hormones which influence on the hepatic functions [1][2][3][4].In addition, kidneys are one of the maternal changes that happened during gestation and haveimpact on fetus [2,3]. Gestation period is divided into three phases; first second and third trimesters. In the second trimester, the development and movement of embryo should monitor in this period [3]. Alternations in hepatic functions for pregnant women are normal, however, the level of liver enzymes which include aspartate aminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase (ALP) must determine in each period of pregnancy [4,5]. On the other hand, renal functiontests mus...

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Pregnancy and the kidneys

Cited by 5 publications

References 34 publications

Effectiveness of Roleplay Video Method in Teaching Communication Skills for Undergraduate Medical Students in Pharmacology in Indian Medical School

Effectiveness of Roleplay Video Method in Teaching Communication Skills for Undergraduate Medical Students in Pharmacology in Indian Medical School

Knowledge and Risk Perception of Kidney Disease among Childbearing Women in Lagos State, Nigeria

Determination of the Liver Enzymes Level and Kidney Functions in Pregnant Women in the Second Trimester of Pregnancy at Different Age Groups

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