scholarly journals Paracetamol use during pregnancy — a call for precautionary action

2021 ◽  
Author(s):  
Ann Z. Bauer ◽  
Shanna H. Swan ◽  
David Kriebel ◽  
Zeyan Liew ◽  
Hugh S. Taylor ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Professionals ◽  
Consensus Statement ◽  
Research Effort ◽  
Moderate Pain ◽  
Governmental Agencies ◽  
Public Health Professionals ◽  
Precautionary Action ◽  
Term Basis

AbstractParacetamol (N-acetyl-p-aminophenol (APAP), otherwise known as acetaminophen) is the active ingredient in more than 600 medications used to relieve mild to moderate pain and reduce fever. APAP is widely used by pregnant women as governmental agencies, including the FDA and EMA, have long considered APAP appropriate for use during pregnancy when used as directed. However, increasing experimental and epidemiological research suggests that prenatal exposure to APAP might alter fetal development, which could increase the risks of some neurodevelopmental, reproductive and urogenital disorders. Here we summarize this evidence and call for precautionary action through a focused research effort and by increasing awareness among health professionals and pregnant women. APAP is an important medication and alternatives for treatment of high fever and severe pain are limited. We recommend that pregnant women should be cautioned at the beginning of pregnancy to: forego APAP unless its use is medically indicated; consult with a physician or pharmacist if they are uncertain whether use is indicated and before using on a long-term basis; and minimize exposure by using the lowest effective dose for the shortest possible time. We suggest specific actions to implement these recommendations. This Consensus Statement reflects our concerns and is currently supported by 91 scientists, clinicians and public health professionals from across the globe.

Psychosocial Aspects of Genetic Disorders: Implications for Practice

1993 ◽  
Vol 74 (4) ◽  
pp. 207-212 ◽  
Author(s):  
Kathleen Kirk Bishop
Keyword(s):  
Interpersonal Relationships ◽  
Family Life ◽  
Health Professionals ◽  
Genetic Disease ◽  
Genetic Disorders ◽  
Comprehensive Understanding ◽  
Technological Advances ◽  
Term Basis ◽  
Instrumental Role

Generic disorders can potentially interfere with interpersonal relationships and normal social develop' ment as well as disrupt family life. As scientific and technological advances in medical genetics provide health professionals with a more comprehensive understanding of the origin, implications, and management of genetic disorders, professionals acquire expanded responsibilities. Social workers, who are often involved with individuals and families on a long-term basis, play an instrumental role in helping individuals and families make the necessary emotional and social adjustments following diagnosis of a genetic disease, understand the ramifications of the diagnosis, cope with the accompanying concerns, and find me appropriate services.

Improving Long-Term Care through Abuse Prevention and Ethics Training

2020 ◽  
Vol 74 (2) ◽  
pp. 147-149
Author(s):  
Diane A. Menio
Keyword(s):  
Mental Health Professionals ◽  
Health Professionals ◽  
Long Term Care ◽  
Elder Abuse ◽  
Critical Issue ◽  
Ethics Training ◽  
Term Care ◽  
Term Basis ◽  
And Training

This article presents a solution for a critical issue, that is, elder abuse, and is focused on prevention through education and training for staff. Pastoral care and mental health professionals can benefit by using this film and curriculum for professional development when providing counseling, or when caring for elder clients on a long-term basis.

scholarly journals An Exploration of Pregnant Women Smokers Knowledge of Accessing ‘Stop Smoking’ Services in Wales

2020 ◽  
Vol 5 (9) ◽  
pp. 499-504
Author(s):  
Marian Olamide Owoniyi ◽  
Dr. Olutoyin Elizabeth Okeya
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Health Professionals ◽  
Service Improvement ◽  
Women Smokers ◽  
Smoking In Pregnancy ◽  
Public Health Professionals ◽  
Stop Smoking ◽  
Stop Smoking Services ◽  
In Pregnancy

The problem of smoking in pregnancy has remained a challenge to both public health professionals and Welsh Government with the low uptake of stop smoking services by pregnant women. Despite the evidence base for stop smoking, services have neither been implemented consistently nor robustly across Wales. Hence the need to develop a service improvement project like ‘Models for Access to Maternal Stop Smoking Support’ (MAMSS) to provide new ways of supporting pregnant women who smoke, alongside the current national Stop Smoking Services. The study explored the experiences and views of pregnant women smokers accessing stop smoking services in Wales. The need for suitable training was reported amongst public health professionals involved in providing stop smoking service for pregnant women. Most women wanted to reduce and not stop smoking; also available opportunities were important in determining the ability to access and deliver services, with the use of carbon monoxide (CO) monitors positively influencing the receptiveness of the pregnant women. Midwives were however reluctant to create an image of enforcing stop smoking and a holistic approach was advocated by some staff members to encourage health education and promotion. Overall, a specialist service such as that provided by the MAMSS project was viewed as appropriate. Public health professionals understood their roles and the advantages of the CO monitors in encouraging quitting/stop smoking in pregnancy. Specialist midwives made positive impacts on the pregnant smoker’s receptiveness to stop smoking support. Both staff and pregnant women acknowledged that accessibility and flexibility of service were key determinants of service delivery and service uptake, whilst incorporating an approach that is supportive rather than enforcing. This electronic document is a “live” template and already defines the components of your paper [title, text, heads, etc.] in its style sheet

Socioeconomic Challenges faced by Basin’s People in India

Think India ◽  
2019 ◽  
Vol 22 (2) ◽  
pp. 296-304
Author(s):  
Biplab Tripathy ◽  
Tanmoy Mondal
Keyword(s):  
River Basin ◽  
High Tide ◽  
North East ◽  
The People ◽  
Term Basis ◽  
Major River ◽  
River Ganga ◽  
Basin Region ◽  
Basin Area

India is a subcontinent, there huge no of people lived in river basin area. In India there more or less 80% of people directly or indirectly depend on River. Ganga, Brahamputra in North and North East and Mahanadi, Govabori, Krishna, Kaveri, Narmoda, Tapti, Mahi in South are the major river basin in India. There each year due to flood and high tide lots of people are suffered in river basin region in India. These problems destroy the socio economic peace and hope of the people in river basin. There peoples are continuously suffered by lots of difficulties in sort or in long term basis. Few basin regions are always in high alert at the time of monsoon seasons. Sometime due to over migration from basin area, it becomes empty and creates an ultimate loss of resources in India and causes a dis-balance situation in this area.

Oral health diseases among the older people: a general health perspective

2020 ◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Oral Health ◽  
Older People ◽  
Health Professionals ◽  
General Health ◽  
Oral Health Care ◽  
Oral Diseases ◽  
Public Health Professionals ◽  
The Relationship

Background: The relationship between oral health and general health is gaining interest in geriatric research; however, a lack of studies dealing with this issue from a general perspective makes it somewhat inaccessible to non-clinical public health professionals. Purpose: The purpose of this review is to describe the relationship between oral health and general health of the elderly on the basis of literature review, and to give non-clinical medical professionals and public health professionals an overview of this discipline. Methods: This study was based on an in-depth review of the literature pertaining to the relationship between oral health and general health among the older people. The tools commonly used to evaluate dental health and the academic researches of male elderly people were also reviewed. And future research directions were summarized. Results: Dental caries, periodontal disease, edentulism, and xerostomia are common oral diseases among the older people. Dental caries and periodontal diseases are the leading causes of missing teeth and edentulism. Xerostomia, similar to dry mouth, is another common oral health disease in the older people. No clear correlation exists between the subjective feeling of dryness and an objective decrease of saliva. Rather, both conditions can be explained by changes in saliva. The General Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile (OHIP) are the main assessment tools used to examine oral health and quality of life in the older people. The GOHAI tends to be more sensitive to objective values pertaining to oral function. In addition, oral health studies in male elderly people are population-based cohort or cross-sectional studies, involving masticatory function, oral prevention, frailty problems, cardiovascular disease risk, and cognitive status. Conclusion: It is possible to reduce the incidence of certain oral diseases, even among individuals who take oral health care seriously. Oral health care should be based on the viewpoint of comprehensive treatment, including adequate nutrition, good life and psychology, and correct oral health care methods. In the future, researchers could combine the results of meta-analysis with the clinical experience of doctors to provide a more in-depth and broader discussion on oral health research topics concerning the older people.

A Review on Recent Trends in Nanomaterials and Nanocomposites for Environmental Applications

2020 ◽  
Vol 16 ◽  
Author(s):  
Kannappan Panchamoorthy Gopinath ◽  
Malolan Rajagopal ◽  
Abhishek Krishnan ◽  
Shweta Kolathur Sreerama
Keyword(s):  
Environmental Pollution ◽  
Environmental Remediation ◽  
Carbon Capture ◽  
Potential Applications ◽  
Important Challenge ◽  
Term Basis ◽  
Short And Long Term ◽  
Recent Trends ◽  
Water And Soil Pollution

Background: Depletion and contamination of environmental resources such as water, air and soil caused by human activities is an increasingly important challenge faced around the world. The consequences of environmental pollution are felt acutely by all living beings, both on a short and long-term basis, thereby making methods of remediation of environmental pollution an urgent requirement. Objectives: The objective of this review is to dissect the complications caused by environmental degradation, highlight advancements in the field of nanotechnology and to scrutinize its applications in environmental remediation. Furthermore, the review aims to concisely explain the merits and drawbacks of nanotechnology compared to existing methods. Conclusion: The current and potential applications of nanomaterials and nanocomposites in the prevention, control and reduction of air, water and soil pollution and the mechanisms involved have been elucidated, as have their various merits and demerits. The applications of nanotechnology in the fields of carbon capture and agriculture have also received attention in this review.

scholarly journals Long-Term IoT-Based Maternal Monitoring: System Design and Evaluation

Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2281
Author(s):  
Fatemeh Sarhaddi ◽  
Iman Azimi ◽  
Sina Labbaf ◽  
Hannakaisa Niela-Vilén ◽  
Nikil Dutt ◽  
...  
Keyword(s):  
Energy Efficiency ◽  
Maternal Health ◽  
Pregnant Women ◽  
Health Monitoring ◽  
Quality Care ◽  
Well Being ◽  
Pregnancy And Postpartum ◽  
Comprehensive Framework ◽  
Specific Health

Pregnancy is a unique time when many mothers gain awareness of their lifestyle and its impacts on the fetus. High-quality care during pregnancy is needed to identify possible complications early and ensure the mother’s and her unborn baby’s health and well-being. Different studies have thus far proposed maternal health monitoring systems. However, they are designed for a specific health problem or are limited to questionnaires and short-term data collection methods. Moreover, the requirements and challenges have not been evaluated in long-term studies. Maternal health necessitates a comprehensive framework enabling continuous monitoring of pregnant women. In this paper, we present an Internet-of-Things (IoT)-based system to provide ubiquitous maternal health monitoring during pregnancy and postpartum. The system consists of various data collectors to track the mother’s condition, including stress, sleep, and physical activity. We carried out the full system implementation and conducted a real human subject study on pregnant women in Southwestern Finland. We then evaluated the system’s feasibility, energy efficiency, and data reliability. Our results show that the implemented system is feasible in terms of system usage during nine months. We also indicate the smartwatch, used in our study, has acceptable energy efficiency in long-term monitoring and is able to collect reliable photoplethysmography data. Finally, we discuss the integration of the presented system with the current healthcare system.

scholarly journals Exploring maternal nutrition counseling provided by health professionals during antenatal care follow-up: a qualitative study in Addis Ababa, Ethiopia-2019

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Matyas Atnafu Alehegn ◽  
Tsegaye Kebede Fanta ◽  
Agumas Fentahun Ayalew
Keyword(s):  
Pregnant Women ◽  
Study Design ◽  
Health Professionals ◽  
Maternal Nutrition ◽  
Addis Ababa ◽  
Nutrition Counseling ◽  
Institutional Barriers ◽  
Size Adjustment ◽  
Sample Size Adjustment ◽  
Pregnant Mothers

Abstract Background Nutritional awareness and practice of women during pregnancy could be determining their nutritional status, which significantly affects the outcome of pregnancy. Therefore this study aims to explore the maternal nutrition counseling provided by health professionals for pregnant women, Barriers to maternal nutrition, and major interventions. Methods A descriptive study design with a qualitative method by using ground theory tradition, based on constructivist research approach and Charmaz’s (2000) study design has been conducted from September-01/2019 _November-16/2019 among pregnant women who got ANC service in Addis Ababa, Ethiopia. A purposive sampling technique was used. Practical observations and in-depth interviews were conducted. The sample size adjustment has been carried out according to the information saturation obtained, and finally, 81 practical observations, In-depth interview with two center managers, nine health professionals and eleven term pregnant women has been conducted. An observational checklist and Semi-structured, open-ended questionnaires were used. Data, the environment, and methodological triangulation were carried out. A conceptual framework has been established based on the data collected about the whole process of maternal nutrition counseling during pregnancy. ATLAS TI software was utilized for information analysis. The results Most participants responded that maternal nutrition counseling provided to pregnant mothers is not adequate and neglected by most stakeholders. From 81 practical observations, health professionals counseled to mothers were 10 what to feed, 4 what to limit to consume, and 5 were counseled about what to eat during pregnancy. Close to all the respondents agreed on the importance of providing nutrition counseled by the nutritionists. Most of the study participants emphasized a shortage of time as primary barriers. Institutional Barriers, Professional Barriers, Maternal Barriers, and Community Barriers were major barriers to nutrition counseling. Conclusions Generally, maternal nutrition counseling provided to pregnant mothers was not adequate and neglected by most stakeholders. Shortage of time due to client flow, Institutional Barriers, Professional Barriers, Maternal Barriers, and Community Barriers were major categories of maternal nutritional counseling barriers. Information update and timely preparation were recommended to health professionals.

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