scholarly journals Outcomes for Women and Infants Following Assisted Conception: Implications for Perinatal Education, Care, and Support

2012 ◽  
Vol 21 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Margaret Barnes ◽  
Anne Roiko ◽  
Rachel Reed ◽  
Cath Williams ◽  
Kerry Willcocks
Keyword(s):  
Birth Weight ◽  
Congenital Abnormalities ◽  
Health Issues ◽  
Assisted Conception ◽  
Birth Complications ◽  
Premature Babies ◽  
Raising Awareness ◽  
Care And Support ◽  
Fertility Problems ◽  
Made In

Assisted conception is becoming an increasingly more common treatment option for women and couples who experience fertility problems. Links have been made in the literature between assisted conception and a greater incidence of pregnancy or birth complications, low birth weight or premature babies, and babies with congenital abnormalities. In addition, evidence suggests that the experience of assisted conception may influence the development of early mothering relationships and impact parenting adjustment. Although this commentary article does not strategically review all available literature, it provides an overview of the health issues that women and families undergoing assisted conception have experienced or may experience. Through raising awareness and promoting discussion of these issues, practitioners will be better equipped to provide informed education and support.

scholarly journals Pengembangan Pusat Pemantauan Central SpO2 untuk Ruang Neonate denga Sistem Wireless

2020 ◽  
Vol 13 (1) ◽  
pp. 52-59
Author(s):  
Mirza Fissabila ◽  
Priyambada Cahya Nugraha ◽  
Muhammad Ridha Mak'ruf
Keyword(s):  
Oxygen Saturation ◽  
Congenital Abnormalities ◽  
Medical Personnel ◽  
Great Distance ◽  
Test Results ◽  
Hospital Services ◽  
Monitoring Tool ◽  
Premature Babies ◽  
Pulse Oxymeter ◽  
Made In

Monitoring status kesehatan bayi merupakan hal yang sangat penting khususnya pada bayi yang lahir secara prematur. Pemantauan kadar saturasi oksigen pada bayi baru lahir dapat membantu mendeteksi dini kelainan-kelainan bawaan pada bayi tersebut. Tujuan dari penelitian ini adalah untuk membuat dan mendisain sebuah alat yang dapat  digunakan untuk melakukan pemantauan kondisi nilai Saturasi Oksigen (SpO2) beberapa pasien sekaligus secara kontinyu dengan jarak yg cukup jauh sehingga tenaga medis tidak perlu mendatangi satu persatu baby incubator secara berkala untuk melakukan pemantauan kadar nilai Saturasi Oksigen (SpO2)  pasien di dalam baby incubator. Dimana pada pembahasan penelitian kali ini akan membuat 2 modul  alat monitoring yang dapat digunakan untuk memantau 2 bayi prematur pada baby incubator secara bersamaan menggunakan 2 sensor berbeda, yaitu pada modul 1 akan menggunakan sensor Fingertip Neonatal dan pada modul 2 akan menggunakan sensor Max 30100. Alat ini akan menampilkan nilai dan sinyal saturasi oksigen (SpO2) pada sebuah PC secara bersamaan. Pemantauan pada alat ini dilakukan secara wireless menggunakan modul Bluetooth HC-05. Berdasarkan dari hasil pengujian dan pengukuran modul yang telah di buat, pada 5 pasien berbeda dengan menggunakan pembanding pulse oxymeter pada sensor Max 30100 didapatkan nilai selisih sebesar 1% pada masing-masing hasil pasien, pada sensor fingertip neonatal juga didapatkan nilai selisih 1% pada masing-masing pasien. Pada pengujian jarak, alat ini mampu memantau kondisi 2 pasien secara bersamaan dengan jarak maksimal 3,5 meter. Hasil penelitian ini dapat diimplementasikan pada sistem pemantauan pada ruang NICU untuk membantu mengurangi beban kerja tenaga medis dan untuk meningkatkan efektifitas pelayanan  Rumah Sakit. Monitoring the health status of babies is very important, especially for babies born prematurely. Monitoring oxygen saturation levels in newborns can help detect early congenital abnormalities in these babies. The purpose of this study is to create and design a tool that can be used to monitor the condition of Oxygen Saturation (SpO2) values ​​of several patients at once continuously with a great distance so that medical staff do not need to go one by one baby incubators periodically to monitor levels Oxygen Saturation (SpO2) value of the patient in the baby incubator. Where in the discussion of this study will make 2 monitoring tool modules that can be used to monitor 2 premature babies in a baby incubator simultaneously using 2 different sensors, namely in module 1 will use the Neonatal Fingertip sensor and in module 2 will use the Max 30100 sensor. it displays the value and oxygen saturation signal (SpO2) on a PC simultaneously. Monitoring on this device is carried out wirelessly using the Bluetooth module HC-05. Based on the test results and module measurements that have been made, in 5 different patients using a pulse oxymeter comparator on the Max 30100 sensor a difference of 1% was obtained in each patient's result, in the neonatal fingertip sensor also obtained a difference of 1% in each - each patient. In distance testing, this tool is able to monitor the condition of 2 patients simultaneously with a maximum distance of 3.5 meters. The results of this study can be implemented in a monitoring system in the NICU room to help reduce the workload of medical personnel and to improve the effectiveness of hospital services.

scholarly journals Testing the Mig-HealthCare Algorithm in Greece

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Riza ◽  
P Karnaki ◽  
D Zota ◽  
A Linos
Keyword(s):  
Health Care ◽  
Early Stage ◽  
Health Care Systems ◽  
Health Conditions ◽  
Health Issues ◽  
Host Countries ◽  
Local Hospital ◽  
Raising Awareness ◽  
Significant Burden ◽  
Care Systems

Abstract The Mig-HealthCare Algorithm is a tool, comprising a set of questions developed with the aim to (a) guide the user on how to access all the categories and tools that are available through the Roadmap & Toolbox (b) help the user identify the health issues of importance when providing care to a specific migrant/refugee. At the end of a series of questions, a brief report summarizing the main outcomes is generated. The algorithm was tested in Greece in two mainland reception centres and a local hospital in an area serving migrants/refugees. Results discuss the usefulness of the algorithm for improving the delivery of appropriate health services to migrants/refugees and its importance in raising awareness about the health conditions which are crucial for migrants/refugees and are expected to pose a significant burden on the health care systems of host countries unless dealt with adequately at an early stage.

scholarly journals Postage stamps as a health promotion tool in the Nepalese community

2004 ◽  
Vol 10 (3) ◽  
pp. 442-444 ◽  
Author(s):  
T. Pramanik ◽  
S. Pramanik ◽  
R. Chanda
Keyword(s):  
Smoking Prevention ◽  
Child Health Care ◽  
Health Issues ◽  
Disabled People ◽  
Remote Communities ◽  
Health Care Practices ◽  
Raising Awareness ◽  
Postage Stamps ◽  
Care Practices ◽  
The Government

Over the last 15 years the government of Nepal has issued postage stamps as a way of raising awareness of health issues in the general population and especially in remote communities. The topics covered by 8 different stamps are good child health care practices, combating drug abuse, hazards of smoking, prevention of AIDS, prevention of blindness due to cataract, fighting cancer and rehabilitation of disabled people

scholarly journals A Prospective Study on Retinopathy of Prematurity in a Teritiary Care Center

2020 ◽  
Vol 8 (1) ◽  
pp. 58-60
Author(s):  
Mahaboob Basha Kallur ◽  
K. Muralidhar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Retinopathy Of Prematurity ◽  
Neonatal Intensive Care ◽  
Care Center ◽  
Low Birth Weight Infants ◽  
Cross Sectional ◽  
Retinal Neovascularisation ◽  
Premature Babies ◽  
Low Birth Weight Babies

Background: Retinopathy of prematurity (ROP) is a vaso-proliferative retinopathy which occurs mostly in premature babies. The pathological change in ROP is peripheral retinal neovascularisation which may regress completely or leave sequelae from mild myopia to bilateral total blindness. International classification of ROP helped in uniform documentation and staging of ROP. In India, the incidence of ROP is between 38 and 51.9 p.c among low-birth-weight infants. Aim & Objectives: To estimate the incidence of ROP among premature and / or low birth weight babies who were born and admitted to neonatal intensive care unit and attending neonatal follow-up clinic.Subjects and Methods:A hospital based, prospective analytical cross-sectional study was conducted in Department of Pediatrics at Shadan Institute of Medical Sciences, Teaching hospital and research center, Hyderabad, Telangana for a period of 6 months from 1st October 2018 to 31st March 2019. Prior to the study initiation, ethical clearance was obtained and written consent was taken from the parents of the respective babies. The study subjects included premature babies (less than or equal to 35 weeks of gestation) or low birth weight babies (less than or equal to 1500 grams). A predesigned, pre-tested, semi-structured proforma was used to collected the data. The data was collected, entered in Microsoft excel-2013 and analyzed using SPSS version-22 (trial). Data was presented in percentages, proportions and figures.Result:The ROP incidence in the study group was reported among 17.1 p.c of the study subjects.Conclusion:Low birth weight and prematurity are important risk factors for ROP.

scholarly journals DISTRIBUSI FREKUENSI FAKTOR PENYEBAB KEJADIAN ASFIKSIA PADA BAYI BARU LAHIR DI RS. FADHILLAH KOTA PRABUMULIH TAHUN 2017

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Maria Septiana Maria Septiana
Keyword(s):  
Birth Weight ◽  
Umbilical Cord ◽  
Gestational Age ◽  
Maternal Age ◽  
Placenta Previa ◽  
Secondary Data ◽  
Maternal Factors ◽  
Premature Babies ◽  
Severe Infections ◽  
Abnormal Bleeding

Komplikasi yang menjadi penyebab kematian bayi baru lahir yang terbanyak yaitu asfiksia. penyebab terjadinya asfiksia ada 3 yaitu, faktor ibu (preeklamsi dan eklamsia, perdarahan abnormal yang disebabkan karena plasenta previa atau solusio plasenta, partus lama, demam selama persalinan, infeksi berat, kehamilan post matur, usia ibu kurang dari 20 tahun atau lebih dari 35 tahun), faktor bayi (bayi prematur, persalinan sulit, kelainan konginetal, air ketuban bercampur mekonium), faktor tali pusat (lilitan tali pusat, tali pusat pendek, simpul tali pusat dan prolapsus tali pusat) Metode penelitian : Pengambilan data dalam penelitian ini menggunakan data sekunder dengan pendekatan retrospektif. Hasil Penelitian : Faktor penyebab kejadian asfiksia pada bayi baru lahir berdasarkan faktor ibu yaitu mayoritas terjadi pada usia ibu 20-35 tahun sebanyak 16 (51,6%), , paritas10 (32,3%), umur kehamilan 18 (58,1%) dan berdasarkan faktor dari bayi yaitu mayoritas terjadi pada berat lahir bayi >2500 gram sebanyak 12 (38,7%), dan jenis persalinan yang mengalami asfiksia pada persalinan normal sebanyak 10 (32,3%). Kesimpulan : Faktor penyebab kejadian asfiksia pada bayi baru lahir di RS Fadhilah Kota Prabumulih yaitu dari faktor ibu yaitu mayoritas terjadi pada usia ibu 20-35 tahun, paritas multipara, umur kehamilan 37-42 minggu dan dari faktor bayi yaitu bayi dengan berat lahir >2500 gram dan jenis persalinan normal.     ABSTRACT Asphyxia is one of the complications that become the largest cause of death. Therevare three cause of asphyxia, namely, maternal factors (preeclampsia and eclampsia, abnormal bleeding caused by placenta previa or placental abruption, prolonged labor, fever during labor, severe infections, pregnancy post mature, maternal age less than 20 years old or over 35 years ), factor infants (premature babies, difficult delivery, konginetal disorders, meconium-stained amniotic fluid mixes), factor umbilical cord (umbilical cord loops, short umbilical cord, knot the cord and umbilical cord prolapse). Athere are 31 cose of asphyxia in Fadhilah Hospital. Objective : Knowing the factors that cause asphyxia in newborns at RS Fadhilah Prabumulih City. Methods : Collecting data in this study using secondary data with retrospective approach Result: Factors that cause asphyxia in newborns by maternal factors that occur in the majority of maternal age 20-35 years as many as 16 (51.6%), parity 10 (32.3%), gestational age 18 (58.1%) and by factors of which the majority occur in infants birth weight> 2500 g were 12 (38.7%), and the type of delivery that asphyxiated the normal labor as much as 10 (32.3%). Conclusion : Factors that cause asphyxia in newborns at PKU Muhammadiyah Hospital in Bantul 2016 ie from the maternal factors that occur in the majority of maternal age 20-35 years, multiparas parity, gestational age of 37-42 weeks and infant factors that infants with birth weight> 2500 gram and type of normal deliveries.

The Cost of Convenience

2014 ◽  
pp. 308-332
Author(s):  
Jessica Miles
Keyword(s):  
Distance Education ◽  
Academic Success ◽  
Adult Learners ◽  
Sleep Quality ◽  
Adult Students ◽  
Adult Health ◽  
Health Issues ◽  
Raising Awareness ◽  
The Cost ◽  
Education Courses

Adult education tools have transformed over the years to become very Internet-based. Distance education courses represent one of the fastest-growing sectors within higher education and as an elected form of education for adult learners. Nontraditional students play an important role in the continued growth of this educational modality and are using distance education courses to further their knowledge, skills, and careers. Additionally, this tool is enabling adults who might otherwise be unable to participate in learning opportunities because they are place-bound to have access to a wealth of information and courses available through distance education courses. In regards to adult health, research has identified potential impacts on academic success including sleep quality and external responsibilities, such as work and caretaking. Nontraditional, adult students are increasingly pressured with greater external responsibilities that in turn may affect their sleep quality, creating a sort of chain reaction of potential academic obstacles. Raising awareness of these health issues and impacts is important in setting up adult learners, especially those taking distance education courses, with the greatest opportunities for academic success. This chapter explores distance education.

scholarly journals Adapting Digital Social Prescribing for Suicide Bereavement Support: The Findings of a Consultation Exercise to Explore the Acceptability of Implementing Digital Social Prescribing within an Existing Postvention Service

2019 ◽  
Vol 16 (22) ◽  
pp. 4561 ◽  
Author(s):  
Karen Galway ◽  
Trisha Forbes ◽  
Sharon Mallon ◽  
Olinda Santin ◽  
Paul Best ◽  
...  
Keyword(s):  
Service Providers ◽  
Evidence Base ◽  
Health Issues ◽  
Bereavement Support ◽  
Social Prescribing ◽  
Mental Health Issues ◽  
Care And Support ◽  
Suicide Bereavement ◽  
Engagement Process ◽  
Improve Access

This paper describes a consultation exercise to explore the acceptability of adapting digital social prescribing (DSP) for suicide bereavement support. Bereavement by suicide increases the risk of suicide and mental health issues. Social prescribing improves connectedness and empowerment and can provide digital outcomes-based reporting to improve the capacity for measuring the effectiveness of interventions. Our aim was to consult on the acceptability and potential value of DSP for addressing the complexities of suicide bereavement support. Our approach was underpinned by implementation science and a co-design ethos. We reviewed the literature and delivered DSP demonstrations as part of our engagement process with commissioners and service providers (marrying evidence and context) and identified key roles for stakeholders (facilitation). Stakeholders contributed to a co-designed workshop to establish consensus on the challenges of providing postvention support. We present findings on eight priority challenges, as well as roles and outcomes for testing the feasibility of DSP for support after suicide. There was a consensus that DSP could potentially improve access, reach, and monitoring of care and support. Stakeholders also recognised the potential for DSP to contribute substantially to the evidence base for postvention support. In conclusion, the consultation exercise identified challenges to facilitating DSP for support after suicide and parameters for feasibility testing to progress to the evaluation of this innovative approach to postvention.

scholarly journals Integrated Care Systems as an Arena for the Emergence of New Forms of Epistemic Injustice

2020 ◽  
Vol 23 (5) ◽  
pp. 723-737
Author(s):  
Andrew Fletcher ◽  
Jeremy Clarke
Keyword(s):  
Integrated Care ◽  
Epistemic Injustice ◽  
Clinical Knowledge ◽  
Health Issues ◽  
Careful Evaluation ◽  
Policy Context ◽  
Mental Health Issues ◽  
Raising Awareness ◽  
Care Systems ◽  
Forms Of Knowledge

AbstractEpistemic injustice has rapidly become a powerful tool for analysis of otherwise hidden social harms. Yet empirical research into how resistance to knowing and understanding can be generated and replicated in social programmes is limited. We have identified a range of subtle and not-so-subtle inflections of epistemic injustice as they play out in an intervention for people with chronic depression in receipt of disability benefits. This article describes the different ‘species’ of epistemic injustice observed and reveals how these are unintentionally produced at frontline, management, commissioning and policy levels. Most notably, there remains a privileging of clinical knowledge over other forms of knowledge, producing a ‘pathocentric epistemic complex’. This, combined with the failure of different agencies with competing ideologies to adequately understand each other, and a vicious policy context, added to the injustices already faced by people with mental health issues, generating multiple harms. This has important implications for a range of integrated care and welfare interventions – not least by drawing attention to their unintended potential for replicating epistemic injustice as an institutionalised complex. Careful evaluation and design of such programmes, applying the philosophical and epistemic resources illustrated here, can help mitigate this outcome. Further, by raising awareness of epistemic injustice among programme participants, we can generate epistemic structures that secure programme integrity locally, and promote better policy.

scholarly journals Reproductive risks in 35-year-old adults born very preterm and/or with very low birth weight: an observational study

2020 ◽  
Author(s):  
Sylvia M. van der Pal ◽  
Sanne A. van der Meulen ◽  
Sophie M. Welters ◽  
Leonhard A. Bakker ◽  
Christianne J. M. de Groot ◽  
...  
Keyword(s):  
Birth Weight ◽  
Pregnancy Complications ◽  
Very Low Birth Weight ◽  
Reproductive Rate ◽  
Elevated Risk ◽  
Dutch Population ◽  
Very Preterm ◽  
Increased Risk ◽  
General Dutch Population ◽  
Fertility Problems

Abstract Evidence suggests that increased survival over the last decades of very preterm (VPT; gestational age < 32 weeks)– and very low birth weight (VLBW; birth weight < 1500 g)–born infants is not matched by improved outcomes. The objective of our study was to evaluate the reproductive rate, fertility, and pregnancy complications in 35-year-old VPT/VLBW subjects. All Dutch VPT/VLBW infants born alive in 1983 and surviving until age 35 (n = 955) were eligible for a POPS-35 study. A total of 370 (39%) subjects completed a survey on reproductive rate, fertility problems, pregnancy complications, and perinatal outcomes of their offspring. We tested differences in these parameters between the VPT/VLBW subjects and their peers from Dutch national registries. POPS-35 participants had less children than their peers in the CBS registry. They reported more problems in conception and pregnancy complications, including a three times increased risk of hypertension during pregnancy. Conclusion: Reproduction is more problematic in 35-year olds born VPT/VLBW than in the general population, possibly mediated by an increased risk for hypertension, but their offspring have no elevated risk for preterm birth. What is known:At age 28, the Dutch national POPS cohort, born very preterm or with a very low birth in 1983, had lower reproductive rates than the general Dutch population (female 23% versus 32% and male 7% versus 22%).What is new:At age 35, the Dutch POPS cohort still had fewer children than the general Dutch population (female 56% versus 74% and male 40% versus 56%). Females in the POPS cohort had a higher risk of fertility problems and pregnancy complications than their peers in the Dutch national registries, but their offspring had no elevated risk for preterm birth.

Inbreeding depression in grazing Blackface sheep

1966 ◽  
Vol 8 (2) ◽  
pp. 261-266 ◽  
Author(s):  
J. M. Doney
Keyword(s):  
Birth Weight ◽  
Mortality Rate ◽  
Inbreeding Depression ◽  
Survival Rates ◽  
Late Pregnancy ◽  
Female Progeny ◽  
Mean Values ◽  
Natal Mortality ◽  
Made In ◽  
Birth Type

Four Scottish Blackface rams were mated with a group of their own daughters and a similar number of non-related ewes. The matings were made in three successive years. All ewes were maintained under normal hill conditions. Female progeny from the matings entered the ewe flock unculled. Records of birth type, birth weight, fleece and live-weights throughout life were obtained.Inbred lambs had lower mean values for all measured characters than did their non-inbred half-sibs and there was a greater number of apparently barren ewes amongst the flock ewes which were expected to produce inbred lambs. The inbred progeny, also maintained in the normal hill flock, showed a higher incidence of barrenness and lower lamb survival rates at all ages than did their non-inbred contemporaries in the same environment. In the final year of the observations, when the standard of nutrition during late pregnancy was raised, the neo-natal mortality rate in both groups was reduced.

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