tailieunhanh - Women’s Experience of Working through the Menopause

After a limited physical examination, palpable FNAB may be performed as clinically indicated. The operator should wear examination gloves as described in standard precautions. 18 The skin should be cleansed with an alcohol swab prior to puncture for superficial FNAB. For percutaneous biopsy of deep lesions, sterile or aseptic technique is used. Local anesthesia may be used for palpable lesions at the preference of the operator and the patient, but is usually used for percutaneous radiologically guided needle biopsies. Sedation is rarely needed for adult superficial FNAB, but may be used for pediatric patients, or deep-seated. | Institute of Work Health Organisations http iwho The University of Nottingham Women s Experience of Working through the Menopause Amanda Griffiths Sara MacLennan Yin Yee Vida Wong A Report for The British Occupational Health Research Foundation 2010 BOHRF CONTENTS TERMS OF REFERENCE. ACKNOWLEDGEMENTS. AUTHORS. INSTITUTE OF WORK HEALTH ORGANISATIONS . 1. EXECUTIVE summary. 2. INTRODUCTION BACKGROUND. 3. OVERVIEW OF RESEARCH DESIGN. 4. REVIEW OF PUBLISHED LITERATURE. The menopause and its reported effects on health and well-being. Work and the menopause . Disclosure . Treatments for the menopause. Summary. 5. INTERVIEW STUDY. Interview design. Data collection. Measurement of menopausal status. Participants. Transcription. Data analysis. Inter-rater reliability. Interview study Results - Themes. Cognitive and emotional response attributed to others . Behavioural responses women . Specific strategies related to work and working life. Disclosure of menopausal status. Generic coping strategies. Behavioural responses by others . Informational support. Instrumental social support. 6. QUESTIONNAIRE STUDY. Sampling. Data collection Web-based survey. Questionnaire items. Menopausal status 6 items . Attitudes towards the menopause 10 items . Use of HRT and alternative treatments 11 items . Symptom experience and its impact on work and life 20 items . Experience of hot flushes at work 6 items . Types of support 6 items . Coping strategies specific to the menopause 19 items . General coping styles 16 items . Physical activity 7 items . Disclosure to line managers and reasons for this decision 4 items . Physical organisational and psychosocial adjustments 10 items . Piloting the questionnaire. Results I - Characteristics of participants. Description of .