scholarly journals Strategies to increase the rate of vaginal deliveries after cesarean without negative impact on outcomes

Midwifery ◽  
2022 ◽  
pp. 103247
Author(s):  
Olga Vikhareva ◽  
Ekaterina Nedopekina ◽  
Karl Kristensen ◽  
Charlotte Dahlbäck ◽  
Mats Pihlsgård ◽  
...  
Keyword(s):  
Negative Impact ◽  
Vaginal Deliveries

scholarly journals The Impact of Maternal Congenital Heart Disease on Pregnancy Outcomes in Malta – a Retrospective Study

2017 ◽  
Vol 11 ◽  
Author(s):  
Maryanne Caruana ◽  
Miriam Gatt ◽  
Oscar Aquilina ◽  
Charles Savona Ventura ◽  
Victor Grech ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pregnancy Outcomes ◽  
Congenital Heart ◽  
Negative Impact ◽  
Clinical Status ◽  
Cardiovascular Complications ◽  
Complication Rates ◽  
Vaginal Deliveries ◽  
The Impact

<p class="AbstractBody"><strong>Background:</strong> Most female patients with congenital heart disease (CHD) are becoming pregnant.  Maternal CHD can have a negative impact on mother and foetus. This is the first study investigating pregnancy outcomes in Maltese grown-up congenital heart disease (GUCH) patients and one of few to compare these with outcomes in women without heart disease.</p><p class="AbstractBody"><strong>Methods</strong><strong>:</strong> Known GUCH pregnancies for the period of 2007-2014 were extracted from our database (GUCH cohort) and cardiovascular outcomes retrieved from hospital notes.  A control cohort of 540 pregnancies in women without cardiovascular disease was generated through twenty-fold random matching based on subject age from among all pregnancies in Maltese nationals for the same 8-year period.  Obstetric and offspring outcomes were compared between the two cohorts.</p><p class="AbstractBody"><strong>Results</strong><strong>:</strong>  The GUCH cohort consisted of 27 pregnancies in 24 women.  Only 1/27 patients (3.7%) had cardiovascular complications.  Elective Caesarean sections were commoner (29.6% vs. 15.4%) and unassisted vaginal deliveries less frequent (51.9% vs. 64.6%) in the GUCH cohort (p=0.02).  Obstetric complication rates were similar.  GUCH women had smaller babies (median 3030g vs. 3230g; p=0.045) and showed a trend towards more small-for-gestational age babies (18.5% vs. 8.4%; p=0.08) and congenital malformations (7.4% vs. 2.4%; p=0.06).</p><p class="AbstractBody"><strong>Conclusions:  </strong>Despite the potential adverse effects of maternal CHD on mother and foetus, most pregnancies are uncomplicated and outcomes comparable to those in women without heart disease, particularly if baseline clinical status is good.  Based on our findings, it is being proposed that prospective mothers be counselled about the possibility of having smaller infants.</p>

Mitochondrial hyperfusion: a friend or a foe

2020 ◽  
Vol 48 (2) ◽  
pp. 631-644 ◽  
Author(s):  
Rajdeep Das ◽  
Oishee Chakrabarti
Keyword(s):  
Negative Impact ◽  
Cellular Stress ◽  
Cellular Homeostasis ◽  
Mitochondrial Population

The cellular mitochondrial population undergoes repeated cycles of fission and fusion to maintain its integrity, as well as overall cellular homeostasis. While equilibrium usually exists between the fission–fusion dynamics, their rates are influenced by organellar and cellular metabolic and pathogenic conditions. Under conditions of cellular stress, there is a disruption of this fission and fusion balance and mitochondria undergo either increased fusion, forming a hyperfused meshwork or excessive fission to counteract stress and remove damaged mitochondria via mitophagy. While some previous reports suggest that hyperfusion is initiated to ameliorate cellular stress, recent studies show its negative impact on cellular health in disease conditions. The exact mechanism of mitochondrial hyperfusion and its role in maintaining cellular health and homeostasis, however, remain unclear. In this review, we aim to highlight the different aspects of mitochondrial hyperfusion in either promoting or mitigating stress and also its role in immunity and diseases.

Health Communication: Implications for Diverse Populations

2011 ◽  
Vol 18 (1) ◽  
pp. 12-19
Author(s):  
Amy Hasselkus
Keyword(s):  
Health Care ◽  
Health Communication ◽  
Negative Impact ◽  
Linguistically Diverse ◽  
Good Health ◽  
The United States ◽  
Poor Health ◽  
Health Care Decisions ◽  
Diverse Backgrounds ◽  
Health Related

The need for improved communication about health-related topics is evident in statistics about the health literacy of adults living in the United States. The negative impact of poor health communication is huge, resulting in poor health outcomes, health disparities, and high health care costs. The importance of good health communication is relevant to all patient populations, including those from culturally and linguistically diverse backgrounds. Efforts are underway at all levels, from individual professionals to the federal government, to improve the information patients receive so that they can make appropriate health care decisions. This article describes these efforts and discusses how speech-language pathologists and audiologists may be impacted.

Stereotype Internalization, Math Perceptions, and Occupational Choices of Women With Counter-Stereotypical University Majors

2007 ◽  
Vol 66 (3) ◽  
pp. 169-178 ◽  
Author(s):  
Virginie Bonnot ◽  
Jean-Claude Croizet
Keyword(s):  
Academic Achievement ◽  
Negative Impact ◽  
Self Concept ◽  
Occupational Choices ◽  
Men And Women ◽  
Performance Expectancies ◽  
Subjective Value ◽  
Stereotype Endorsement

Based on Eccles’ (1987) model of academic achievement-related decisions, we tested whether women, who are engaged in mathematical fields at university, have internalized, to some extent, the stereotype about women’s inferiority in math. The results indicate that men and women do not assess their ability self-concept, subjective value of math, or performance expectancies differently. However, women’s degree of stereotype endorsement has a negative impact on their ability self-concept and their performance expectancies, but does not affect their value of the math domain. Moreover, members of both genders envisage stereotypical careers after university graduation.

Posttraumatic Stress Disorder Exacerbates Emotional Complaints but not Cognitive Impairments in Individuals Suffering from Postconcussional Disorder after Mild Traumatic Brain Injury

2015 ◽  
Vol 26 (1) ◽  
pp. 35-50 ◽  
Author(s):  
Sara C. Schroeder ◽  
Ronald M. Ruff ◽  
Lutz Jäncke
Keyword(s):  
Traumatic Brain Injury ◽  
Posttraumatic Stress Disorder ◽  
Brain Injury ◽  
Posttraumatic Stress ◽  
Mild Traumatic Brain Injury ◽  
Test Performance ◽  
Stress Disorder ◽  
Negative Impact ◽  
Neuropsychological Test ◽  
Composite Scale

The aim of this study was to examine the effect of posttraumatic stress disorder (PTSD) on (a) neuropsychological test performance and (b) self-reported emotional complaints within individuals suffering from postconcussional disorder (PCD) after a mild traumatic brain injury (MTBI). A two-group comparative research design was employed. Two MTBI samples with and without PTSD were assessed with a neuropsychological test battery and the Ruff Neurobehavioral Inventory (RNBI). On the neurocognitive test performances no significant between group differences were found, but the MTBI group with PTSD endorsed a significantly greater number of emotional complaints, especially in the RNBI subscales of anxiety and depression. The patients with PTSD also endorsed a significantly greater number of premorbid sequelae in the RNBI emotional composite scale as well as the RNBI premorbid subscales of pain, anxiety and abuse. In sum, PTSD has a negative impact on emotional but not cognitive functioning within individuals suffering from PCD after a mild TBI.

Task and Relationship Conflict at Work

2011 ◽  
Vol 27 (3) ◽  
pp. 171-178 ◽  
Author(s):  
Nale Lehmann-Willenbrock ◽  
Anna Grohmann ◽  
Simone Kauffeld
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Negative Impact ◽  
Longitudinal Design ◽  
Industrial Sector ◽  
Task Conflict ◽  
Relationship Conflict ◽  
Factor Solution ◽  
Convenience Sample ◽  
Confirmatory Factor

The distinction between task and relationship conflict is well established. Based on Jehn’s (1995) intragroup conflict scale, we developed an economic six-item questionnaire for assessing relationship and task conflict in work groups. Confirmatory factor analysis was performed on data from a convenience sample (N = 247), and confirmed the original two-factor solution. The stability of the obtained two-factor solution was supported by confirmatory factor analysis in a longitudinal design with a second sample (N = 431) from the industrial sector. In line with previous research, the two types of conflict were intercorrelated. Moreover, the two subscales showed differential longitudinal effects on team outcomes. Task conflict was beneficial for performance in nonroutine tasks (but not in routine tasks). Relationship conflict had a negative impact on team viability and coworker trust.

Workload Perception of Air Traffic Control Officers and Pilots During Continuous Descent Operations Approach Procedures

2019 ◽  
Vol 9 (1) ◽  
pp. 2-11
Author(s):  
Marina Efthymiou ◽  
Frank Fichert ◽  
Olaf Lantzsch
Keyword(s):  
Fuel Consumption ◽  
Traffic Control ◽  
Air Traffic Control ◽  
Negative Impact ◽  
Air Traffic ◽  
Reduce Fuel Consumption ◽  
Total Load ◽  
Open Path

Abstract. The paper examines the workload perceived by air traffic control officers (ATCOs) and pilots during continuous descent operations (CDOs), applying closed- and open-path procedures. CDOs reduce fuel consumption and noise emissions. Therefore, they are supported by airports as well as airlines. However, their use often depends on pilots asking for CDOs and controllers giving approval and directions. An adapted NASA Total Load Index (TLX) was used to measure the workload perception of ATCOs and pilots when applying CDOs at selected European airports. The main finding is that ATCOs’ workload increased when giving both closed- and open-path CDOs, which may have a negative impact on their willingness to apply CDOs. The main problem reported by pilots was insufficient distance-to-go information provided by ATCOs. The workload change is important when considering the use of CDOs.

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