scholarly journals RESULTADOS MATERNOS E NEONATAIS EM CENTRO DE PARTO NORMAL INTRA-HOSPITALAR

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Camila Soares Teixeira ◽  
Valdelize Elvas Pinheiro ◽  
Iracema Da Silva Nogueira
Keyword(s):  
Public Health ◽  
Medical Records ◽  
Descriptive Study ◽  
Neonatal Outcomes ◽  
World Health ◽  
Perineal Laceration ◽  
Birth Center ◽  
Hospital Birth ◽  
The World ◽  
Maternal And Neonatal Outcomes

Objetivo: descrever os resultados maternos e neonatais da assistência no Centro de Parto Normal Intra-hospitalar da Maternidade Balbina Mestrinho em Manaus. Método: pesquisa exploratório-descritiva, com abordagem quantitativa, onde realizou-se a análise de 378 (74,85%) prontuários de partos assistidos entre setembro de 2014 a 2016. Resultados: A maioria das parturientes (50,79%) era jovem, entre 18 e 25 anos e multíparas (74,86%), permaneceram em média 03 horas e 14 minutos em trabalho de parto e acompanhadas (97,35%). Obteve-se uma taxa de episiotomia de 8,46% e laceração perineal de 52,37% predominando as de primeiro grau (38,62%). A maioria dos recém-nascidos permaneceu em contato pele a pele (86,60%) e foi realizado o clampeamento tardio do cordão umbilical (77,78%). A média do Apgar no primeiro minuto fora de 8,72 e no quinto minuto 9,76. Conclusões: Os resultados condizem com o que preconiza o Ministério da Saúde e a Organização Mundial de Saúde.Descritores: enfermagem obstétrica; parto humanizado; políticas públicas de saúdeMATERNAL AND NEONATAL OUTCOMES AT THE IN-HOSPITAL BIRTH CENTERObjective: to describe the maternal and neonatal outcomes of the care provided at the In-hospital birth center. Method: an exploratory, descriptive study with quantitative approach where the analysis of 378 (74,85%) birth assisted medical records was performed from September 2014 to September 2016. Results: the majority of parturients (50,79%) was young, between 18 and 25 years old and multiparas (74,86%). The result obtained was an episiotomy rate of 8,46% and 52,37% of perineal laceration, predominating the first degree lacerations. The majority of newborns remains in skin-to-kin (86,60%) and was made the late clamping umbilical cord (77,78%). The average of Apgar’s rate was 8,72 in the first minute and 9,76 in the fifth. Conclusion: The results meet the guidelines adopted by the Ministry of Health and the World Health Organization.Descriptors: obstetric nursing; humanizing delivery; public health policiesRESULTADOS MATERNOS Y NEONATALES EN CENTRO DE PARTO NORMAL INTRAHOSPITALARIOObjetivo: describir los resultados maternos y neonatales de cuidados en el Centro de Parto Normal Intrahospitalario de la Maternidad Balbina Mestrinho en Manaus. Método: estudio exploratorio descriptivo con un enfoque cuantitativo, que llevó a cabo el análisis de 378 (74.85%) de los nacimientos asistidos, registros a partir de septiembre de 2014 y 2016. Resultados: La mayoría de las madres (50,79%) eran joven entre 18 y 25 años de edad y multíparas (74,86%) eran, en promedio, 03 horas y 14 minutos y seguido de trabajo de parto acompañadas (97,35%). Obtenido como una tasa de episiotomías de 8,46% y 52,37% laceración perineal el predominio de primer grado (38,62%). La mayoría de los recién nacidos se mantuvieron en contacto con la piel (86,60%) y se llevó a cabo a finales de sujeción del cordón umbilical (77,78%). El promedio de Apgar en el primer minuto fuera de 8,72 y 9,76 en el quinto minuto. Conclusiones: Los resultados son consistentes con la recomendada por el Ministerio de Salud y la Organización Mundial de la Salud.Descriptores: enfermeria obstetricia; parto humanizado; las políticas de salud pública

scholarly journals Obstetric practices performed by nurse-midwives of a hospital natural birth center

2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Juliana Manoela dos Santos Freitas ◽  
Nádia Zanon Narchi ◽  
Rosa Aurea Quintella Fernandes
Keyword(s):  
Neonatal Outcomes ◽  
World Health ◽  
Cross Sectional ◽  
Exact Test ◽  
Neonatal Complications ◽  
Birth Center ◽  
Natural Birth ◽  
Maternal And Neonatal Outcomes ◽  
Nurse Midwives ◽  
Health Organization

Abstract Objectives: To characterize the practices used by nurse-midwives in a Natural Birth Center (NBC) and to verify the maternal and neonatal outcomes. Method: This was a cross-sectional, documentary, retrospective study with a quantitative approach in which the medical records of 300 parturients who gave birth in a state hospital in the city of São Paulo were analyzed. The categories of the World Health Organization (WHO) composed the criteria adopted for the analysis of the obstetric practices. Fisher's exact test or the likelihood ratio and Student t-test were used. Results: The nurse-midwives mostly used category A practices of the WHO. There were no statistically significant associations between practices and perineal outcomes. There was a statistically significant association between the weight of the newborn and the number of neonatal complications, as well as between the delivery position of the primiparous women and clavicle fractures of the newborns. Conclusion and Implications for the practice: Evidence-based practices were followed by the nurse-midwives in the NBC analyzed. The maternal and neonatal outcomes were adequate. There is a need to improve care in the second stage of the delivery in order to avoid behaviors that reflect in neonatal complications. The study makes it possible to reflect on the importance of the continuous evaluation of the care provided.

scholarly journals Coronavírus: a necessidade de novas atitudes em saúde pública

2021 ◽  
Vol 11 (33) ◽  
pp. 291-296
Author(s):  
Eliane Da Conceição Lourenço ◽  
Fabiano Saldanha Gomes de Oliveira ◽  
Tatiana Lourenço Emmerich de Souza ◽  
Monique Silvino Abreu
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
High Capacity ◽  
Descriptive Study ◽  
World Health ◽  
Health Authorities ◽  
The World ◽  
History Of ◽  
Global Work ◽  
Health Organization

O mundo foi assolado por um vírus em 2019 que teve seu início na China, com grande poder letal, evidenciando fragilidades dos sistemas de saúde no fornecimento da assistência à população, o coronavírus. A Organização Mundial de Saúde (OMS), emitiu um alerta pela alta capacidade de transmissão do vírus por via respiratória e por não possuir medidas eficazes de tratamento e cura. O artigo possui o objetivo de realizar uma reflexão, baseada no histórico da pandemia da COVID-19, abordando as estratégias usadas pelas autoridades em saúde para proteger a população, mudanças de hábitos de higiene da população pelo medo do contágio. Trata-se de um estudo descritivo baseado na literatura e na percepção dos autores sobre a doença. Demonstra-se que, a pandemia confirmou a necessidade do trabalho global das entidades de pesquisa em saúde, para melhor condução de situações semelhantes no futuro.Descritores: Infecções por Coronavirus, Saúde Pública, Promoção da Saúde. Coronavirus: the need for new attitudes in public healthAbstract: The world was plagued by a virus in 2019 that started in China, with great lethal power and highlighted the weaknesses in health systems in providing assistance to the population - the coronavirus. The World Health Organization (WHO), issued an alert for the high capacity of transmission of the virus through the respiratory route and for not having effective measures of treatment and cure. The article aims to reflect, based on the history of the COVID-19 pandemic, addressing the strategies used by health authorities to protect the population and changes in the population's hygiene habits for fear of contagion. This is a descriptive study based on the literature and the authors' perception of the disease. The pandemic confirmed the need of the global work of health research entities to better manage similar situations in the future.Descriptors: Coronavirus Infections, Public Health, Health Promotion. Coronavirus: la necesidad de nuevas actitudes en salud públicaResumen: El mundo estuvo asolado por un virus en 2019, que arrancó en China, con gran poder letal, evidenciando debilidades en los sistemas de salud para atender a la población, el coronavirus. La Organización Mundial de la Salud (OMS), emitió una alerta por la alta capacidad de transmisión del virus por vía respiratoria y por no contar con medidas efectivas de tratamiento y cura. El artículo tiene como objetivo reflexionar, a partir de la historia de la pandemia COVID-19, abordando las estrategias utilizadas por las autoridades sanitarias para proteger a la población, los cambios en los hábitos de higiene de la población por temor al contagio. Se trata de un estudio descriptivo basado en la literatura y la percepción de los autores sobre la enfermedad. Se demuestra que la pandemia confirmó la necesidad del trabajo global de las entidades de investigación en salud para gestionar mejor situaciones similares en el futuro.Descriptores: Infecciones por Coronavirus, Salud Publica, Promoción de la Salud.

The World Health Organization (WHO) versus The International Association of Diabetes and Pregnancy Study Group (IADPSG) diagnostic criteria of gestational diabetes mellitus (GDM) and their associated maternal and neonatal outcomes

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Nurul Iftida Basri ◽  
Zaleha Abdullah Mahdy ◽  
Shuhaila Ahmad ◽  
Abdul Kadir Abdul Karim ◽  
Lim Pei Shan ◽  
...  
Keyword(s):  
Gestational Hypertension ◽  
International Association ◽  
Neonatal Outcomes ◽  
World Health ◽  
Study Group ◽  
Neonatal Hypoglycemia ◽  
Iadpsg Criteria ◽  
The World ◽  
Maternal And Neonatal Outcomes ◽  
Health Organization

Abstract Background Gestational diabetes mellitus (GDM) is a common medical complication in pregnancy. The aim of this study was to compare the prevalence of GDM using the World Health Organization (WHO) criteria and the International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria in our population. We further compared the incidence of adverse maternal and neonatal outcomes in women diagnosed with GDM using these criteria and determined whether the IADPSG criteria is suitable in our population. Methods This randomized controlled trial was conducted at our antenatal clinic involving 520 patients from 1st February 2015 until 30th September 2017. They were randomized into the WHO and the IADPSG groups. All eligible women underwent a standard oral glucose tolerance test with 75 g glucose, their fasting and 2 h post prandial glucose levels were taken. The primary outcome was the prevalence of GDM. The secondary outcomes were the incidence of primary cesarean section, gestational hypertension or preeclampsia, preterm delivery <37 weeks, fetal macrosomia, neonatal hypoglycemia and shoulder dystocia or birth injury. Results The prevalence of GDM in both groups were similar (37.9% vs. 38.6%). GDM women in the WHO group had a significantly higher incidence of gestational hypertension or preeclampsia (p = 0.004) and neonatal hypoglycemia (p = 0.042). In contrast, GDM women in the IADPSG group had a significantly higher incidence of fetal macrosomia (p = 0.027) and cesarean section (p = 0.012). Conclusion The IADPSG diagnostic criteria for GDM may not be suitable for use in our population as it resulted in women being diagnosed later and being undertreated, thus leading to adverse maternal and neonatal outcomes.

scholarly journals Evaluation of the first pharmacy-led weight management programme in Greece

2021 ◽  
Vol 29 (Supplement_1) ◽  
pp. i45-i46
Author(s):  
A Peletidi ◽  
R Kayyali
Keyword(s):  
Public Health ◽  
Health Services ◽  
Potential Role ◽  
Annual Report ◽  
World Health ◽  
Public Health Services ◽  
Cvd Risk ◽  
The World ◽  
Health Organization

Abstract Introduction Obesity is one of the main cardiovascular disease (CVD) risk factors.(1) In primary care, pharmacists are in a unique position to offer weight management (WM) interventions. Greece is the European country with the highest number of pharmacies (84.06 pharmacies per 100,000 citizens).(2) The UK was chosen as a reference country, because of the structured public health services offered, the local knowledge and because it was considered to be the closest country to Greece geographically, unlike Australia and Canada, where there is also evidence confirming the potential role of pharmacists in WM. Aim To design and evaluate a 10-week WM programme offered by trained pharmacists in Patras. Methods This WM programme was a step ahead of other interventions worldwide as apart from the usual measuring parameters (weight, body mass index, waist circumference, blood pressure (BP)) it also offered an AUDIT-C and Mediterranean diet score tests. Results In total,117 individuals participated. Of those, 97.4% (n=114), achieved the programme’s aim, losing at least 5% of their initial weight. The mean % of total weight loss (10th week) was 8.97% (SD2.65), and the t-test showed statistically significant results (P&lt;0.001; 95% CI [8.48, 9.45]). The programme also helped participants to reduce their waist-to-height ratio, an early indicator of the CVD risk in both male (P=0.004) and female (P&lt;0.001) participants. Additionally, it improved participants’ BP, AUDIT-C score and physical activity levels significantly (P&lt;0.001). Conclusion The research is the first systematic effort in Greece to initiate and explore the potential role of pharmacists in public health. The successful results of this WM programme constitute a first step towards the structured incorporation of pharmacists in public’s health promotion. It proposed a model for effectively delivering public health services in Greece. This study adds to the evidence in relation to pharmacists’ CVD role in public health with outcomes that superseded other pharmacy-led WM programmes. It also provides the first evidence that Greek pharmacists have the potential to play an important role within primary healthcare and that after training they are able to provide public health services for both the public’s benefit and their clinical role enhancement. This primary evidence should support the Panhellenic Pharmaceutical Association, to “fight” for their rights for an active role in primary care. In terms of limitations, it must be noted that the participants’ collected data were recorded by pharmacists, and the analysis therefore depended on the accuracy of the recorded data, in particular on the measurements or calculations obtained. Although the sample size was achieved, it can be argued that it is small for the generalisation of findings across Greece. Therefore, the WM programme should be offered in other Greek cities to identify if similar results can be replicated, so as to consolidate the contribution of pharmacists in promoting public health. Additionally, the study was limited as it did not include a control group. Despite the limitations, our findings provide a model for a pharmacy-led public health programme revolving around WM that can be used as a model for services in the future. References 1. Mendis S, Puska P, Norrving B, World Health Organization., World Heart Federation., World Stroke Organization. Global atlas on cardiovascular disease prevention and control [Internet]. Geneva: World Health Organization in collaboration with the World Heart Federation and the World Stroke Organization; 2011 [cited 2018 Jun 26]. 155 p. Available from: http://www.who.int/cardiovascular_diseases/publications/atlas_cvd/en/ 2. Pharmaceutical Group of the European Union. Pharmacy with you throughout life:PGEU Annual Report [Internet]. 2015. Available from: https://www.pgeu.eu/en/library/530:annual-report-2015.html

A Framework Convention on Alcohol Control: Getting Concrete about Its Contents

2020 ◽  
pp. 1-11
Author(s):  
Robin ROOM ◽  
Jenny CISNEROS ÖRNBERG
Keyword(s):  
Public Health ◽  
World Health ◽  
Alcohol Industry ◽  
Alcohol Control ◽  
The World ◽  
Draft Convention ◽  
History Of ◽  
Supplementary Material ◽  
Health Organization ◽  
Narcotic Drugs

This article proposes and discusses the text of a Framework Convention on Alcohol Control, which would serve public health and welfare interests. The history of alcohol’s omission from current drug treaties is briefly discussed. The paper spells out what should be covered in the treaty, using text adapted primarily from the Framework Convention on Tobacco Control, but for the control of trade from the 1961 narcotic drugs treaty. While the draft provides for the treaty to be negotiated under the auspices of the World Health Organization, other auspices are possible. Excluding alcohol industry interests from the negotiation of the treaty is noted as an important precondition. The articles in the draft treaty and their purposes are briefly described, and the divergences from the tobacco treaty are described and justified. The text of the draft treaty is provided as Supplementary Material. Specification of concrete provisions in a draft convention points the way towards more effective global actions and agreements on alcohol control, whatever form they take.

(Mis)Information on Digital Platforms: Lessons from Twitter and Sina Weibo in the COVID-19 Pandemic (Preprint)

2021 ◽  
Author(s):  
Sarah Kreps
Keyword(s):  
Public Health ◽  
World Health Organization ◽  
Public Discourse ◽  
The United States ◽  
World Health ◽  
Sina Weibo ◽  
Digital Platforms ◽  
The World ◽  
Health Organization ◽  
Relative Prevalence

BACKGROUND Misinformation about COVID-19 has presented challenges to public health authorities during pandemics. Understanding the prevalence and type of misinformation across contexts offers a way to understand the discourse around COVID-19 while informing potential countermeasures. OBJECTIVE The aim of the study was to study COVID-19 content on two prominent microblogging platform, Twitter, based in the United States, and Sina Weibo, based in China, and compare the content and relative prevalence of misinformation to better understand public discourse of public health issues across social media and cultural contexts. METHODS A total of 3,579,575 posts were scraped from both Weibo and Twitter, focusing on content from January 30th, 2020, when the World Health Organization (WHO) declared COVID-19 a “Public Health Emergency of International Concern” and February 6th, 2020. A 1% random sample of tweets that contained both the English keywords “coronavirus” and “covid-19” and the equivalent Chinese characters was extracted and analyzed based on changes in the frequencies of keywords and hashtags. Misinformation on each platform was compared by manually coding and comparing posts using the World Health Organization fact-check page to adjudicate accuracy of content. RESULTS Both platforms posted about the outbreak and transmission but posts on Sina Weibo were less likely to reference controversial topics such as the World Health Organization and death and more likely to cite themes of resisting, fighting, and cheering against the coronavirus. Misinformation constituted 1.1% of Twitter content and 0.3% of Weibo content. CONCLUSIONS Quantitative and qualitative analysis of content on both platforms points to cross-platform differences in public discourse surrounding the pandemic and informs potential countermeasures for online misinformation.

Agile stockpiles an insurance for drug supply

2020 ◽  
pp. 4-17
Author(s):  
Eddy Gilissen ◽  
◽  
Chris Mulligan ◽  
Simon Tottman ◽  
Per Troein ◽  
...  
Keyword(s):  
Public Health ◽  
Public Service ◽  
Healthcare Systems ◽  
Essential Medicines ◽  
World Health ◽  
Catastrophic Event ◽  
Health Organizations ◽  
Safety Stock ◽  
The World ◽  
Additional Burden

Healthcare systems across the world are looking at ways of maintaining the continuity of supply of medicines to patients in times of crisis.Whilst this is not a new phenomenon, the additional burden placed on the supply chain during COVID-19 has meant it has come more into the spotlight. The need to use a stockpile can be caused by an interruption to supply, a rapid and unexpected peak in demand, or when both an interruption to supply and a peak in demand occur simultaneously. The objectives of a stockpile will guide the portfolio breadth and depth to be held. Stockpile objectives are broadly driven either by government requirements to protect public health or by organisations seeking toachieve commercial gain. These drivers are not mutually exclusive as in the case of holding safety stock and Public Service Obligation stock. An Emergency Stockpile is Public Health driven and held in order to supply essential medicines during a signifcant or catastrophic event. Emergency stockpiles can be split into three categories — preparation for imminent event, disease specifc response and general contingency stockpiles. Governments and authorities determine which products and volumes should be held in an emergency stockpile which may be guided by the World Health Organizations (WHO) l ist of essential medicines.

OBESITY IN SARS-COV-2 INFECTION: LITERATURE REVIEW

2021 ◽  
pp. 19-23
Author(s):  
Donizete Tavares Da Silva ◽  
Priscila De Sousa Barros Lima ◽  
Renato Sampaio Mello Neto ◽  
Gustavo Magalhães Valente ◽  
Débora Dias Cabral ◽  
...  
Keyword(s):  
Public Health ◽  
Acute Respiratory Distress Syndrome ◽  
Gastrointestinal Tract ◽  
Severe Acute Respiratory Syndrome ◽  
Distress Syndrome ◽  
Circulatory System ◽  
World Health ◽  
Global Public Health ◽  
The World ◽  
Health Organization

In March 2020, the World Health Organization (1) declared COVID-19 as a pandemic and a threat to global public health (2). The virus mainly affects the lungs and can cause acute respiratory distress syndrome (ARDS). In addition, coronavirus 2 severe acute respiratory syndrome (SARSCOV2) also has devastating effects on other important organs, including the circulatory system, brain, gastrointestinal tract, kidneys and liver

scholarly journals Gravity of injury and analgesia in patients who suffered traffic accidents

2008 ◽  
Vol 21 (3) ◽  
pp. 398-403 ◽  
Author(s):  
Ana Maria Calil ◽  
Cibele Andrucioli de Mattos Pimenta
Keyword(s):  
Retrospective Study ◽  
Outer Surface ◽  
Medical Records ◽  
Traffic Accidents ◽  
Emergency Services ◽  
World Health ◽  
Analgesic Drugs ◽  
Body Regions ◽  
The World ◽  
Reference Hospital

OBJECTIVE: Identifying the frequency and gravity of injuries in patients who suffered accidents in traffic and the analgesic drugs utilized. METHODS: Retrospective study, with a sample of 200 medical records of patients admitted to the emergency services of a reference hospital for trauma care. The gravity of the injuries was characterized by anatomic gravity rates and the analgesic therapy was based on the World Health Organization's Analgesic Ladder. RESULTS: The main findings pointed to injuries in limbs, head, face and outer surface as the most frequent, and, in 85% of the cases, gravity was equal or lower than 3; As for analgesia, it was verified that 46;6% of the patients received dipyrone and paracetamol. Among the opioids, meperidine was used in 10.4% of the cases. CONCLUSION: The gravity of most injuries was equal or lower to 3, indicating injuries of light, moderate and serious gravity, located especially in four body regions; regarding analgesia, dipyrone was shown to be the most commonly-used drug and a low use of opioids was verified.

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