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https://www.readbyqxmd.com/read/28407769/geographic-variation-within-the-military-health-system
#1
Linda Kimsey, Samuel Olaiya, Chad Smith, Andrew Hoburg, Stuart R Lipsitz, Tracey Koehlmoos, Louis L Nguyen, Joel S Weissman
BACKGROUND: This study seeks to quantify variation in healthcare utilization and per capita costs using system-defined geographic regions based on enrollee residence within the Military Health System (MHS). METHODS: Data for fiscal years 2007 - 2010 were obtained from the Military Health System under a data sharing agreement with the Defense Health Agency (DHA). DHA manages all aspects of the Department of Defense Military Health System, including TRICARE. Adjusted rates were calculated for per capita costs and for two procedures with high interest to the MHS- back surgery and Cesarean sections for TRICARE Prime and Plus enrollees...
April 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28367489/clear-cell-carcinoma-arising-from-abdominal-wall-endometriosis-brief-report-and-review-of-the-literature
#2
Cecília Marques, Teresa S Silva, Margarida F Dias
•Endometriosis-associated abdominal wall cancer is a rare entity with poor prognosis.•Personal history of C-section is extremely relevant.•The treatment consists in a wide local excision with adjuvant chemotherapy.•Proper treatment of abdominal endometriosis could prevent these situations.
May 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28358578/breastfeeding-initiation-in-mothers-with-repeat-cesarean-section-the-impact-of-marital-status
#3
Jordyn T Wallenborn, Whitney C Graves, Saba W Masho
BACKGROUND: Approximately 90% of mothers with a primary C-section have a subsequent C-section. To date, research has demonstrated that primary C-sections are associated with breastfeeding noninitiation. However, it is unknown if this association persists after the primary C-section. Furthermore, literature has shown a differing relationship between breastfeeding initiations by marital status. Due to the high proportion of women who give birth while unmarried, investigating differences by marital status will add a significant contribution to breastfeeding literature...
March 30, 2017: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/28353357/-the-scarlet-c-exploring-caesarean-section-stigma
#4
Emily T Cripe
In this article, I explore my own journey with delivering my first child via Caesarean section. I discuss the discourse in society surrounding childbirth and the stigma associated with giving birth via C-section, as well as the impacts that this discourse has for women whose births don't go according to plan and who end up requiring medical intervention.
March 29, 2017: Health Communication
https://www.readbyqxmd.com/read/28350150/-burn-out-commitment-personality-and-experiences-during-work-and-training-survey-among-psychiatry-residents
#5
R Krebs, A L Ewalds, P T van der Heijden, E J M Penterman, K P Grootens
BACKGROUND: In the last few years international studies have reported on increase in burn-out and depressive symptoms among psychiatry residents. In the field of research, however, commitment and dedication are now being mentioned more frequently as positive factors that counterbalance burn-out. AIM: To find out how a group of Dutch psychiatry residents feel about their work, to discover their degree of burn-out and commitment and to clarify the various factors involved...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28346935/dysbiosis-in-the-neonatal-period-role-of-cesarean-section
#6
Josef Neu
From epidemiological studies and studies done evaluating microbiomes in infants, there is a strong signal that the infants born by elective cesarean section (C-section) develop microbiota that differs from those babies born by vaginal delivery. Epidemiological studies show increased odds ratios for the development of immunological disorders such as type 1 diabetes, celiac disease, asthma, allergic diseases as well as metabolic diseases such as obesity in babies born by C-section. These are interesting associations, and if supported by additional studies that rigorously control for confounding factors, they will have major public health implications...
2017: Nestlé Nutrition Institute Workshop Series
https://www.readbyqxmd.com/read/28335004/barriers-and-facilitators-for-institutional-delivery-among-poor-mesoamerican-women-a-cross-sectional-study
#7
Bernardo Hernandez, Danny V Colombara, Marielle C Gagnier, Sima S Desai, Annie Haakenstad, Casey Johanns, Claire R McNellan, Jennifer Nelson, Erin B Palmisano, Diego Ríos-Zertuche, Alexandra Schaefer, Paola Zúñiga-Brenes, Emma Iriarte, Ali H Mokdad
Professional skilled care has shown to be one of the most promising strategies to reduce maternal mortality, and in-facility deliveries are a cost-effective way to ensure safe births. Countries in Mesoamerica have emphasized in-facility delivery care by professionally skilled attendants, but access to good-quality delivery care is still lacking for many women. We examined the characteristics of women who had a delivery in a health facility and determinants of the decision to bypass a closer facility and travel to a distant one...
March 15, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28301885/geburtshilfe-kombinierte-spinal-epidural-analgesie-cse
#8
Jan Wallenborn, Thorsten Artmann, Peter Kranke
Due to intrathecal application, CSE combines rapid response with adequate analgesia with the possibility of providing unlimited neuraxial obstetrical pain relief via the indwelling epidural catheter. The superiority of CSE over EDA lies above all in its rapid action, excellent analgesia, lack of motor blockade after a single intrathecal opioid administration, lower rate of unilateral blockages and less need for subsequent epidural injections. The most common side effect is pruritus, which is harmless and usually does not require any therapeutic intervention...
March 2017: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/28293312/platelet-count-in-first-trimester-of-pregnancy-as-a-predictor-of-perinatal-outcome
#9
Santiago Garcia-Tizon Larroca, Juan Arevalo-Serrano, Virginia Ortega Abad, Pilar Pintado Recarte, Alejandro Garcia Carreras, Gonzalo Nozaleda Pastor, Cesar Rodriguez Hernandez, Ricardo Perez Fernandez Pacheco, Juan De Leon Luis
AIM: To rule out maternal and pregnancy factors that may contribute to platelet count (PLT) changes in the first trimester of gestation and examine if there is any association between its levels and adverse perinatal outcome. METHODS: The study population included all patients from the first-trimester visit between 2013-2015 with pregnancy results. Linear multiple regression was constructed to rule out variables that may have a significant contribution to PLT. For each adverse outcome at birth, multiple logistic regression analysis was implemented to estimate the PLT effect...
March 15, 2017: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/28292470/sexual-dimorphism-in-the-effect-of-maternal-obesity-on-antioxidant-defense-mechanisms-in-the-human-placenta
#10
LaShauna Evans, Leslie Myatt
INTRODUCTION: Maternal obesity creates an adverse intrauterine environment, negatively impacts placental respiration, is associated with a higher incidence of pregnancy complications and programs the offspring for disease in adult life in a sexually dimorphic manner. We defined the effect of maternal obesity and fetal sex on pro- and anti-oxidant status in placenta and placental mitochondria. METHODS: Placental villous tissue was collected at term via c-section prior to labor from four groups of patients based on fetal sex and prepregnancy/1st trimester body mass index: lean - BMI 22...
March 2017: Placenta
https://www.readbyqxmd.com/read/28292278/caesarean-section-and-adiposity-at-6-18-and-30%C3%A2-years-of-age-results-from-three-pelotas-brazil-birth-cohorts
#11
Aluisio J D Barros, Leonardo Pozza Santos, Fernando Wehrmeister, Janaina Vieira Dos Santos Motta, Alicia Matijasevich, Ina S Santos, Ana M B Menezes, Helen Gonçalves, Maria Cecília Formoso Assunção, Bernardo L Horta, Fernando C Barros
BACKGROUND: Association between caesarian section (C-section) and obesity is controversial and mostly based on body mass index (BMI), which has inherent limitations. Using direct estimates of body fat mass, we aimed to assess the association between C-section and adiposity using fat mass index and BMI z-score in three birth cohort studies from Pelotas, Brazil. METHODS: We measured weight, height and fat mass (using dual X-ray absorptiometry (DXA)) at ages 6, 18 and 30 years among participants in the 2004, 1993 and 1982 population-based Pelotas Birth Cohort Studies, respectively...
March 14, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28231830/the-distribution-of-maternity-services-across-rural-and-remote-australia-does-it-reflect-population-need
#12
Margaret I Rolfe, Deborah Anne Donoghue, Jo M Longman, Jennifer Pilcher, Sue Kildea, Sue Kruske, Jude Kornelsen, Stefan Grzybowski, Lesley Barclay, Geoffrey Gerard Morgan
BACKGROUND: Australia has a universal health care system and a comprehensive safety net. Despite this, outcomes for Australians living in rural and remote areas are worse than those living in cities. This study will examine the current state of equity of access to birthing services for women living in small communities in rural and remote Australia from a population perspective and investigates whether services are distributed according to need. METHODS: Health facilities in Australia were identified and a service catchment was determined around each using a one-hour road travel time from that facility...
February 23, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28174640/treatment-and-repair-of-uterine-scar-dehiscence-during-cesarean-section
#13
Masaaki Sawada, Shinya Matsuzaki, Ruriko Nakae, Tadashi Iwamiya, Aiko Kakigano, Keiichi Kumasawa, Yutaka Ueda, Masayuki Endo, Tadashi Kimura
The incidence of cesarean section (c-section) has increased worldwide. Because the major risk factor for uterine scar dehiscence (USD) is a previous c-section, the rate of this complication has also increased. Its clinical significance and management strategies are unclear. Here, we discuss USD particularly pertaining to its surgical treatment.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28167179/effect-of-myofascial-induction-therapy-on-post-c-section-scars-more-than-one-and-a-half-years-old-pilot-study
#14
Antonio Chamorro Comesaña, Ma Del Pilar Suárez Vicente, Tirso Docampo Ferreira, Ma Del Mar Pérez-La Fuente Varela, Ma Magdalena Porto Quintáns, Andrzej Pilat
Myofascial Induction Therapy (MIT) is a manually-applied method used in physiotherapy and focused on restoring altered fascial tissue. In a healthy body, the fascial system maintains elasticity and coordination of movements. However, injuries and their after-effects, such as scars, may reduce this tissue role, causing a dysfunction. The aim of this study is to ascertain the effect of MIT on scars which have completed the repair process in healthy individuals without any associated pathology that might affect the healing process...
January 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28161509/25-years-of-research-on-global-asphyxia-in-the-immature-rat-brain
#15
REVIEW
M Barkhuizen, D L A van den Hove, J S H Vles, H W M Steinbusch, B W Kramer, A W D Gavilanes
Hypoxic-ischemic encephalopathy remains a common cause of brain damage in neonates. Preterm infants have additional complications, as prematurity by itself increases the risk of encephalopathy. Currently, therapy for this subset of asphyxiated infants is limited to supportive care. There is an urgent need for therapies in preterm infants - and for representative animal models for preclinical drug development. In 1991, a novel rodent model of global asphyxia in the preterm infant was developed in Sweden. This method was based on the induction of asphyxia during the birth processes itself by submerging pups, still in the uterine horns, in a water bath followed by C-section...
February 1, 2017: Neuroscience and Biobehavioral Reviews
https://www.readbyqxmd.com/read/28158987/pregnancy-in-fanconi-anaemia-with-bone-marrow-failure-a-case-report-and-review-of-the-literature
#16
Flavia Sorbi, Federico Mecacci, Alessandro Di Filippo, Massimiliano Fambrini
BACKGROUND: Fanconi anaemia is a rare inherited disease characterized by congenital abnormalities, progressive bone marrow failure and predisposition to malignancy. Successful pregnancies in transplanted patients have been reported. In this paper we will describe the pregnancy of a patient with Fanconi anaemia without transplantation. CASE PRESENTATION: A 34-year-old nulliparous woman with Fanconi anaemia was referred to our institution. Pregnancy was complicated by progressive pancytopenia and two severe infections...
February 3, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28156021/loss-of-cutaneous-microbial-diversity-during-first-three-weeks-of-life-in-very-low-birth-weight-infants
#17
A Salava, V Aho, E Lybeck, P Pereira, L Paulin, I Nupponen, A Ranki, P Auvinen, S Andersson, A Lauerma
Neonatal sepsis (NS) is a frequent problem in neonatal intensive care, especially in preterm and very low birth weight (VLBW) infants. The objective of the study was to characterize the cutaneous bacterial microbiome in VLBW infants treated in the neonatal intensive care unit (NICU). Non-invasive skin microbiome specimens were taken repeatedly from 12 VLBW infants during treatment in NICU starting on the first day of life. All infants received benzylpenicillin and netilmicin during the first 1-5 postnatal days...
February 3, 2017: Experimental Dermatology
https://www.readbyqxmd.com/read/28153658/first-trimester-alcohol-exposure-alters-placental-perfusion-and-fetal-oxygen-availability-affecting-fetal-growth-and-development-in-a-non-human-primate-model
#18
Jamie O Lo, Matthias C Schabel, Victoria H J Roberts, Xiaojie Wang, Katherine S Lewandowski, Kathleen A Grant, Antonio E Frias, Christopher D Kroenke
BACKGROUND: Prenatal alcohol exposure leads to impaired fetal growth, brain development, and stillbirth. Placental impairment likely contributes to these adverse outcomes, but the mechanisms and specific vasoactive effects of alcohol that links altered placental function to impaired fetal development remain areas of active research. OBJECTIVE: Recently, we developed magnetic resonance imaging techniques in nonhuman primates to characterize placental blood oxygenation through measurements of T2* and perfusion using dynamic contrast-enhanced magnetic resonance imaging...
March 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28144773/lumbar-disk-herniation-during-pregnancy-a-review-on-general-management-and-timing-of-surgery
#19
REVIEW
Hugo Ardaillon, Yosef Laviv, Jeffrey E Arle, Ekkehard M Kasper
STUDY DESIGN: Narrative review with case illustration. OBJECTIVE: Provide an overview of existing management strategies to suggest a guideline for surgical management of lumbar disk herniation in pregnant women based on time of presentation. METHODS: We performed a narrative review on the topic using the PubMed database. A total of 63 relevant articles published after 1992 were identified, of which 17 fulfilled selection criteria. RESULTS: A total of 22 published cases of spine surgery for disk herniation during pregnancy were found in 17 studies on the topic...
January 31, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28131124/anesthesiologists-in-obstetric-care-beyond-labor-epidurals-and-c-section-care
#20
EDITORIAL
Lee A Fleisher
No abstract text is available yet for this article.
March 2017: Anesthesiology Clinics
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