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"DEFO"
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Effectiveness, Feasibility, and Acceptability of Dynamic Elastomeric Fabric Orthoses (DEFO) for Managing Pain, Functional Capacity, and Quality of Life during Prenatal and Postnatal Care: A Systematic Review
by
Pope, Rodney
,
Szkwara, Jaclyn M.
,
Milne, Nikki
in
Abdomen
,
Abdominal surgery
,
Activities of daily living
2019
Conservative interventions for addressing prenatal and postnatal ailments have been described in the research literature. Research results indicated that maternity support belts assist with reducing pain and other symptoms in these phases; however, compliance in wearing maternity support belts is poor. To combat poor compliance, commercial manufacturers designed dynamic elastomeric fabric orthoses (DEFO)/compression garments that target prenatal and postnatal ailments. This systematic review aimed to identify, critically appraise, and synthesize key findings on the effectiveness, the feasibility, and the acceptability of using DEFO to manage ailments during pre-natal and postnatal phases of care. Electronic databases were systematically searched to identify relevant studies, resulting in 17 studies that met the eligibility criteria. There were variations in DEFO descriptors, including hosiery, support belts, abdominal binders and more, making it difficult to compare findings from the research articles regarding value of DEFO during prenatal and/or postnatal phases. A meta-synthesis of empirical research findings suggests wearing DEFOs during pregnancy has a significant desirable effect for managing pain and improving functional capacity. Further research is required to investigate the use of DEFOs for managing pain in the postnatal period and improving quality life during prenatal and postnatal care.
Journal Article
Evaluating the Management of chronic Pelvic girdle Pain following pregnancy (EMaPP): a randomised controlled feasibility trial
by
Chynoweth, Jade
,
Carter, Kirsty
,
Freeman, Jennifer
in
Biomedicine
,
Care and treatment
,
Cost analysis
2025
Background
Postpartum pelvic girdle pain (PGP), experienced by approximately 10% of women, is typically refractory to conservative management. Customised dynamic elastomeric fabric orthoses (DEFOs) are one novel option to address this. We assessed the feasibility and acceptability of a randomised controlled trial comparing a DEFO plus standardised advice/exercises (intervention) versus standardised advice/exercise alone (control).
Methods
A multicentre randomised controlled feasibility trial with embedded qualitative study and economic evaluation. Participants were randomised to either intervention or control group. All received two remote physiotherapy sessions via videoconferencing separated by 14 days. Primary feasibility outcomes were related to the feasibility and acceptability of methods and interventions, recruitment, intervention fidelity, outcome measure performance and completion. The proposed primary outcome measure for the definitive trial was the Numerical Pain Rating Scale (NPRS) which assessed pain intensity fortnightly over 24 weeks. Secondary outcome measures assessed kinesiophobia, continence, function, health-related quality of life, depression and health/care resource use at baseline, 12 and 24 weeks. Adverse events were recorded. Pre-defined progression criteria were set to decide whether, and how, to proceed with a future definitive trial: (1) Target sample size (60 from 3 centres over a 7-month recruitment period), (2) outcome measure completion (> 60% at 24 weeks), (3) orthosis wear-time compliance (> 70% for 6 h/day) as measured by the Orthotimer, and (4) evidence suggesting efficacy.
Results
Of 180 participants sent information sheets, 40 were screened and 24 randomised. At 24 weeks, 95% completed NPRS and 89–95% the secondary outcome measures. Wear-time adherence appeared below the set target of 42 h per week. Outcomes were broadly comparable between groups. Recruitment was insufficient to estimate a signal of efficacy with confidence. Two intervention participants experienced Candida infections, considered possibly due to the DEFO.
Conclusions
Trial procedures and interventions were acceptable to participants. Technical Orthotimer issues are resolvable through modification of recording parameters. Recruitment of participants was a major challenge. Work to understand how best to engage women in this research is needed before moving to a definitive trial.
Trial registration
ISCRTN, ISRCTN67232113. Registered 08/05/2021,
https://www.isrctn.com/ISRCTN67232113
.
Key messages
• What uncertainties existed regarding the feasibility?
➣ There is uncertainty regarding the feasibility of recruiting participants at a rate conducive to a definitive trial.
• What are the key feasibility findings?
➣ Twenty-four participants were recruited over 7 months. Retention and complete NPRS data were available for analysis at final follow-up for 18 participants (75%).
➣ Overall, the trial procedures and interventions were perceived as acceptable by participants and clinicians.
➣ Overall recruitment was insufficient to estimate a signal of efficacy with confidence.
➣ Technical issues with the Orthotimer significantly impacted on adherence data collection.
➣ Progression criteria indicate that progression to a definitive trial in its current format is not recommended.
• What are the implications of the feasibility findings for the design of the main study?
➣ Further research is required to best understand how to recruit women to a future study.
➣ A hybrid approach to intervention delivery may be preferable.
➣ Orthotimer reading intervals for capturing orthosis wear-time adherence require careful consideration.
➣ An internal pilot within a future definitive multicentre randomised controlled trial would add value.
Journal Article
Defoe's Writings and Manliness
2009,2016
Defoe's Writings and Manliness is a timely intervention in Defoe studies and in the study of masculinity in eighteenth-century literature more generally. Arguing that Defoe's writings insistently returned to the issues of manliness and its contrary, effeminacy, this book reveals how he drew upon a complex and diverse range of discourses through which masculinity was discussed in the period. It is for this reason that this book crosses over and moves between modern paradigms for the analysis of eighteenth-century masculinity to assess Defoe's men. A combination of Defoe's clarity of vision, a spirit of contrariness and a streak of moral didacticism resulted in an idiosyncratic and restless testing of the forces surrounding his period's ideas of manliness. Defoe's men are men, but they are never unproblematically so: they display a contrariness which indicates that a failure of manliness is never very far away.
Daniel Defoe, Contrarian
by
Merrett, Robert James
in
Criticism and interpretation
,
Defoe, Daniel, 1661?-1731 -- Criticism and interpretation
,
Defoe, Daniel, 1661?-1731 -- Psychology
2013
A highly conscious wordsmith, Daniel Defoe used expository styles in his fiction and non-fiction that reflected his ability to perceive material and intellectual phenomena from opposing, but not contradictory perspectives. Moreover, the boundaries of genre within his wide-ranging oeuvre can prove highly fluid. In this study, Robert James Merrett approaches Defoe’s body of work using interdisciplinary methods that recognize dialectic in his verbal creativity and cognitive awareness.
Examining more than ninety of Defoe’s works, Merrett contends that this author’s literariness exploits a conscious dialogue that fosters the reciprocity of traditional and progressive authorial procedures. Along the way, he discusses Defoe’s lexical and semantic sensibility, his rhetorical and aesthetic theories, his contrarian theology, and more. Merrett proposes that Defoe’s contrarian outlook celebrates a view of consciousness that acknowledges the brain’s bipartite structure, and in so doing illustrates how cognitive science may be applied to further explorations of narrative art.
Compression shorts reduce prenatal pelvic and low back pain: a prospective quasi-experimental controlled study
by
Pope, Rodney
,
Rathbone, Evelyne
,
Szkwara, Jaclyn M.
in
Activities of daily living
,
Acupuncture
,
Alternative medicine
2019
Common prenatal ailments negatively impact performance of activities of daily living and it has been proposed that the use of dynamic elastomeric fabric orthoses, more commonly referred to as compression garments, during pregnancy might aid in the reduction of pain from these ailments, allowing for improved functional capacity. However, the effectiveness of such garments in this context has not been established. This study aims to determine whether compression shorts are effective and thermally safe in the prevention and management of prenatal pelvic and low back pain (LBP).
A prospective quasi-experimental controlled study using parallel groups without random allocation was conducted, involving 55 childbearing women (gestational weeks 16-31) recruited from hospital and community-based maternity care providers. The compression shorts group (SG) wore SRC Pregnancy Shorts in addition to receiving usual care. The comparison group (CG) received usual care alone. Primary outcome measures-Numeric Pain Rating Scale (NPRS) and Roland Morris Disability Questionnaire (RMDQ) and secondary measures Pelvic Floor Impact Questionnaire - 7 (PFIQ-7) and SF-36 Short Form Health Survey-were assessed fortnightly over 6-weeks for both groups. The compression SG self-assessed daily their body temperatures to monitor thermal impact. Data analysis involved descriptive analyses of the primary and secondary outcome measures scores by group and time-point, and multivariable linear regressions to assess between-group differences in change scores at 6-weeks from baseline while controlling for baseline factors.
After controlling for baseline scores, gestational weeks and parity, statistically significant differences in NPRS and RMDQ change scores between groups were in favour of the compression SG. At 6-weeks, mean (SD) NPRS change scores in the compression SG and CG were significantly different, at -0.38 (2.21) and 2.82 (2.68), respectively,
= 0.003. Mean (SD) RMDQ change scores in the compression SG and CG were also significantly different, at 0.46 (3.05) and 3.64 (3.32), respectively,
= 0.009. A total of 883 (99.7%) of the reported daily self-assessed body temperatures ranged between 35.4 and 38.0 °C when wearing the compression shorts. At 6-weeks, mean (SD) PFIQ-7 and SF-36 change scores in the compression SG and CG were not significantly different.
Compression shorts are effective and thermally safe for prenatal management of pelvic and LBP.
Trial registration was not required (Australian Government Department of Health Therapeutic Goods Administration (TGA), 2018).
Journal Article
Robinson Crusoe after 300 Years
2021
There is no shortage of explanations for the longevity of Defoe’s Robinson Crusoe, which has been interpreted as both religious allegory and frontier myth, with Crusoe seen as an example of the self-sufficient adventurer and the archetypal colonizer and capitalist. Defoe’s original has been reimagined multiple times in legions of Robinsonade or castaway stories, but the Crusoe myth is far from spent. This wideranging collection brings together eleven scholars who suggest new and unfamiliar ways of thinking about this most familiar of works, and who ask us to consider the enduring appeal of “Crusoe,” more recognizable today than ever before.
RADIO PERSONALITY GETS HOUSE ARREST
2002
He admitted to a scheme in which he kicked back as much as $70,000 to two successive marketing directors for tribal gambling operations, in exchange for lucrative television contracts. The tribe paid [Jeffrey \"DeFo\" DeForrest]'s companies to produce Miccosukee Sports Rap and Miccosukee Magazine on the Sunshine Network.
Newspaper Article
BUSINESSMAN PLEADS GUILTY TO MAIL FRAUD
2002
[Jeffrey \"DeFo\" DeForrest] lost his job at WQAM and was sentenced to six months house arrest after admitting that he and [Marvin Cigel] paid at least $30,000 to marketing directors for Miccosukee Indian Gaming -- the tribe's gambling arm -- to secure television contracts.
Newspaper Article
MAN PLEADS GUILTY IN KICKBACK SCHEME
2002
[Jeffrey Purcell] and his successor as director of marketing for Miccosukee Indian Gaming also received up to $70,000 in kickbacks from [Jeff \"DeFo\" DeForrest] and his business partner, Marvin Cigel, prosecutors said.
Newspaper Article
TradersWorks.com: Tuesday market news. gainer high volume profile! PGPM: strategic alliance, MSRM, PALAF, LITL, AGHG, NDOL October 31, 2006
2006
Dallas, Texas - TraderWorks.com reports news and movements on: Pilgrim Petroleum Corporation (OTC:PGPM); Mobilestream Oil and Global Resource (OTC:MSRM); Paladin Resources Ltd (OTC:PALAF); L International Computers Inc. \"L\" (OTC:LITL); Asgard Holdings Inc. (OTC: AGHG); North West Oil Group (formerly Nord Oil International Inc.) (OTC: NDOL). Check and visit us at TraderWorks.com for more. Mobilestream Oil and Global Resource (OTC:MSRM) jointly announce a meeting between the companies to be held on October 11, 2006, to discuss the acquisition by Global of all technologies owned by Mobilestream Oil. Mobilestream Oil, Inc., (OTC:MSRM) owns a family of microwave technologies which not only allow for the complete recycling of an automobile tire (recovering all of the component parts for resale), but also permit the economic recovery of oil from sources such as shale, tar sands, oil resid and existing oil wells. As a result of Global's acquisition of all of the assets of Carbon Recovery Corporation on 9-22-2006, Global Resource Corporation (OTC Bulletin Board: GBRC) is the exclusive licensee of Mobilestream Oil's family of technologies. Both companies' management feel that under one corporate structure their shareholders could gain a much added value. Mobilestream Oil's President Frank Pringle also announced that he will be converting a large block of common stock, leaving Mobilestream Oil with approximately 88,500,000 shares of common stock outstanding. \"I feel that our shareholders will benefit directly by my conversion of stock and any type of acquisition or merger plan by our two companies. This, of course, doesn't even take in to account that Mobilestream Oil is the single largest shareholder of Global Resource Corporation owning 37,500,000 shares of Global Recourse Corporation and the substantial license valuation given to us by an independent expert for our tire technology.\" The shares of Global Resource Corporation have a present bid price of $1.20 and have a value of $45,000,000. Asgard Holdings Inc. (OTC: AGHG) is pleased to announce it has launched an aggressive national media campaign. This campaign includes their most recent radio interview which will be aired TONIGHT on \"Your Money is Worth\" and Fortune Market Financial Network (www.fmfn.net). This financial show is part of the popular Money Talk Radio, hosted by Mixter. He is a longtime broadcaster with over 25 years in the broadcasting and media industry. During this airing AGHG CEO, Virgil Williams will discuss in detail the overall long range plans for the company as well as their part in creating cutting edge technology for NASA. Virgil will also discuss the newest member of their advisory, South Florida's premier sportscaster, Jeff \"Defo\" Deforrest. Mr. Defforest brings 25 plus years of broadcasting, television production and radio show experience to the company. Mr. Deforrest will assist AGHG with media relations. Mr. Deforrest is a top flight radio and television sportscaster who has worked with HBO-PPV boxing, was a former play by play man of the Miami Hurricanes and Dolphins, and has covered over 100 title fights and worked with the biggest names in sports casting in America. He also covered the Los Angeles Dodgers, Marlins, and many other events including 18 super bowls. His radio show was recently (10-24-06) ranked number one in its market and time slot in South Florida and is joined on his present station, www.790theticket.com, with former Dolphins great Dan Marino, Former \"IMUS\" Show co-host Sid Rosenberg and so many other top names in the field of sports casting on THE TICKET. Mr. Deforrest also has a Saturday Trivia show that is in its tenth year and typically tops the charts on Saturday MORNINGS. \"I like to work with companies who produce products which have a definite effect on the environment or saving lives,\" Mr. Deforrest said. \"High rise fires and all these uncertain times and the problems firefighters have getting to the public trapped in high rises lead me to accept this company's offer to participate and assist them in some small way to bring their product to the forefront,\" Mr. Deforrest added. For more information please contact Investor Relations at (973) 351-3868 for Stephen Taylor or visit the company website at: http://www.asgard- holdings.com.
Newspaper Article