Antenatal couples' counselling in Uganda (ACCU): study protocol for a randomised controlled feasibility trial.

Background: Common avoidable factors leading to maternal, perinatal and neonatal deaths include lack of birth planning (and delivery in an inappropriate place) and unmet need for contraception. Progress has been slow because routine antenatal care has focused only on women. Yet, in Uganda, many women first want the approval of their husbands.

Assessing changes in knowledge, attitudes, and intentions to use family planning after watching documentary and drama health education films: a qualitative study.

Background: There is a paucity of literature on the effectiveness of drama or documentary films in changing knowledge, beliefs, attitudes, and behavior of people towards family planning. This study aimed to compare and assess the acceptability of health promotion films based on documentary or drama, and their effect on knowledge, attitudes, and intention to use family planning.

Methods: We developed short documentary and drama films about contraceptive implants, using the person-based approach.

Couples' decision-making on post-partum family planning and antenatal counselling in Uganda: A qualitative study.

Background: Although health workers have been trained to provide post-partum family planning (PPFP), uptake remains low in Uganda. An important reason is that women want the agreement of their partner, who is often absent at the time of delivery. In order to address this, we aimed to understand the views of couples and explore barriers and facilitators to implementation of antenatal couples' counselling on PPFP in Uganda.

Barriers to Uptake of Postpartum Long-Acting Reversible Contraception: Qualitative Study of the Perspectives of Ugandan Health Workers and Potential Clients.

Health workers have received training on delivering postpartum long-acting reversible contraceptives (LARCs) through several projects in Uganda, yet uptake still remains poor. To understand the reasons, and to gather suggestions for improving uptake, we conducted individual semi-structured interviews with a total of 80 postpartum parents, antenatal parents, health workers, and village health teams in rural south-west Uganda. Interviews were recorded, transcribed, translated, and analyzed using qualitative thematic analysis.

Family planning in a rural setting in Uganda, the USHAPE initiative.

Background: The total fertility rate in Uganda is 5.9 children per woman, and women admit to having nearly two more children than they actually want. The maternal mortality rate remains stubbornly high.

Creating a whole institution approach to in-service training in sexual and reproductive health in Uganda.

Background: Uganda has one of the world's highest fertility rates, and high unmet need for family planning, even when clients have contact with health facilities. Misconceptions about contraceptive side effects and inadequate training for healthcare workers contribute to this.

Aim: To develop and evaluate in-service training for family planning, across a whole institution.

Young people's perspectives on the adoption of preventive measures for HIV/AIDS, malaria and family planning in South-West Uganda: focus group study.

Background: Despite the possibility of preventing many cases of HIV, malaria and unplanned pregnancy, protective measures are often not taken by those at risk in Uganda. The study aim was to explore young people's perspectives on the reasons why this is so.

Methods: Focus groups were conducted with 100 secondary school and college students in Kanungu, Uganda in 2011.

Record-based, stepwise screening for type 2 diabetes integrated into an annual cardiovascular care review system: Findings from a UK general practice.

Aims: Screening high-risk individuals for type 2 diabetes (T2DM) is recommended by many organisations. We report results from a pragmatic stepwise T2DM screening programme integrated into an annual review system in a UK general practice.

Methods: Patients with hypertension, cardiovascular disease or chronic kidney disease attending an annual review were screened for dysglycaemia by random blood glucose (RBG) measurement.

Acceptability of screening young children for anaemia.

Although anaemia is common among young children and may be detrimental to health and development, few blood tests are done in this age group. We found that thumb-prick blood tests were not stressful to most young children and, despite the high mobility of the population, achieved an 81% uptake of screening for anaemia (273 out of 335 eligible children).

Family support in general practice.

At a time when social services are overburdened in Britain, family support in general practice offers one way to fill the gap. In the Well Family Project, a 'family support coordinator' worked within a general practice in Hackney, London. In the first eighteen months she saw 113 clients.

An analysis of autograft fixation after anterior cruciate ligament reconstruction in a rabbit model.

Fixation and incorporation of a tendon implanted within the bone pose theoretical as well as practical concerns for the surgeon who treats instability problems of the knee. Understanding the physiology involved in graft-bone incorporation is necessary for the appropriate rehabilitation of patients who undergo anterior cruciate ligament surgery. The purpose of the study was to examine the histologic and biomechanical changes of a semitendinosus autograft reconstruction of the anterior cruciate ligament in a rabbit model at the graft-bone tunnel interface in the femur.

Ischemic claudication mimicking lumbar disk herniation in the athlete.

The rising trend in athletic activity by the older individual will cause an increase of the development of vascular ischemia as a cause of low back and leg pain. Physicians dealing with the athletic population must be familiar with the various signs and symptoms of back and leg pain and must be able to differentiate between a vascular and neurogenic etiology. The rapid distinction between the two may lead to the avoidance of a catastrophic event.

Irreducible dislocation of the great toe following a sports injury. A case report.

The increasing number of competitive and recreational athletes has resulted in more sports-related foot injuries. An understanding of the sesamoid anatomy of the foot will facilitate management of these injuries. We recommend use of the dorsal approach in the surgical treatment of irreducible interphalangeal dislocations.