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https://www.readbyqxmd.com/read/29045947/prediction-of-the-future-need-for-institutional-care-in-finnish-older-people-a-comparison-of-two-birth-cohorts
#1
Marika Salminen, Sini Eloranta, Jenni Vire, Paula Viikari, Laura Viikari, Tero Vahlberg, Aapo Lehtonen, Seija Arve, Maarit Wuorela, Matti Viitanen
BACKGROUND: More recent birth cohorts of older people have better physical and cognitive status than earlier cohorts. As such, this could be expected to diminish the need for institutional care. The prediction of the future need for institutional care provides essential information for the planning and delivery of future care and social services as well as the resources needed. OBJECTIVE: To predict the future need for institutional care among older Finnish people born in 1940...
October 19, 2017: Gerontology
https://www.readbyqxmd.com/read/29042819/distance-from-health-facility-and-mothers-perception-of-quality-related-to-skilled-delivery-service-utilization-in-northern-ethiopia
#2
Girmatsion Fisseha, Yemane Berhane, Alemayehu Worku, Wondwossen Terefe
BACKGROUND: Poor maternal health service utilization is one of the contributing factors to a high level of maternal and newborn mortality in Ethiopia. The factors associated with utilization of services are believed to differ from one context to another. We assessed the factors associated with skilled delivery service utilization in rural northern Ethiopia. SUBJECTS AND METHODS: A community-based survey was conducted among mothers who gave birth in the 12 months preceding the study period, from January to February 2015, in the Tigray region of Ethiopia...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/29041972/understanding-the-preference-for-homebirth-an-exploration-of-key-barriers-to-facility-delivery-in-rural-tanzania
#3
Fabiola Moshi, Tumaini Nyamhanga
BACKGROUND: There is limited information on the effect of expectant parents' socio-cultural perceptions and practices on the use of skilled birth attendants (SBAs) in rural Tanzania. The purpose of this study was to explore the socio-cultural barriers to health facility birth and SBA among parents choosing home birth in rural Tanzania, specifically in the Rukwa Region. METHODS: This study used a descriptive exploratory methodology. Purposive sampling was used to recruit study participants for both in-depth interviews (IDIs) and focused group discussions (FGDs)...
October 17, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29036215/reduction-of-in-utero-lead-exposures-in-south-african-populations-positive-impact-of-unleaded-petrol
#4
Halina B Röllin, Bukola Olutola, Kalavati Channa, Jon Ø Odland
BACKGROUND: Prenatal exposure to lead (Pb) has been shown to have negative and irreversible health impacts on foetal and early childhood development, affecting morbidity and mortality in adulthood. This study aimed to assess in utero Pb exposure, examine birth outcomes, and identify confounding factors in the large cohort of South African population, following the legislated removal of Pb from petrol. METHODS: Lead was measured in the maternal blood, urine and cord blood using Inductive Coupled Plasma Mass spectrometry (ICP-MS)...
2017: PloS One
https://www.readbyqxmd.com/read/29035709/heart-rate-variability-and-salivary-cortisol-in-very-preterm-children-during-school-age
#5
Natalie Urfer-Maurer, Sebastian Ludyga, Tobias Stalder, Serge Brand, Edith Holsboer-Trachsler, Markus Gerber, Alexander Grob, Peter Weber, Sakari Lemola
The autonomic nervous system (ANS) plays a major role in the human stress response and reflects physical and psychological adaptability to a changing environment. Long-term exposure to early life stressors may alter the function of the ANS. The present study examines differences in the ANS between children born very preterm and full-term as well as the association between the ANS and the hypothalamic-pituitary-adrenal (HPA) axis, the other main branch of the human stress system. Fifty-four healthy children born very preterm (<32nd gestational week) and 67 full-term children aged 7-12 years provided data for the present study...
October 5, 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/29034551/early-breastfeeding-practices-descriptive-analysis-of-recent-demographic-and-health-surveys
#6
Laura Oakley, Lenka Benova, David Macleod, Caroline A Lynch, Oona M R Campbell
The aim of this study was to describe early breastfeeding practices (initiation within 1 hr of birth, no prelacteal feeding, and a combination of both-"optimal" early breastfeeding) according to childbirth location in low- and middle-income countries. Using data from the most recent Demographic and Health Survey (2000-2013) for 57 countries, we extracted information on the most recent birth for women aged 15-49 with a live birth in the preceding 24 months. Childbirth setting was self-reported by location (home or facility) and subtype (home delivery with or without a skilled birth attendant; public or private facility)...
October 16, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29033614/fusion-of-lower-limbs-with-severe-urogenital-malformation-in-a-newborn-a-rare-congenital-clinical-syndrome-case-report
#7
Fatemah Al Hadhoud, Abeer H Kamal, Abdulmohsen Al Anjari, Michael Fe Diejomaoh
BACKGROUND: Fused lower limbs combined with severe urogenital malformation, also known as sirenomelia, is a rare congenital clinical syndrome. The etiology is unknown, and the outcome for the affected fetus is rather uncertain. CASE REPORT: Mrs RB, a Kuwaiti woman primigravida, married to a non-consanguineous husband, had uneventful antenatal care in a private health service, until she was admitted to the Maternity Hospital, Kuwait, at 31 weeks of gestation with a 3-hour history of ruptured membranes...
2017: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29030386/physiological-stability-in-an-indigenous-sleep-device-a-randomised-controlled-trial
#8
Sally A Baddock, David Tipene-Leach, Sheila M Williams, Angeline Tangiora, Raymond Jones, Aleksandra K Mącznik, Barry J Taylor
OBJECTIVE: To compare overnight oxygen saturation, heart rate and the thermal environment of infants sleeping in an indigenous sleep device (wahakura) or bassinet to identify potential risks and benefits. DESIGN: Randomised controlled trial. SETTING: Family homes in low socio-economic areas in New Zealand. PATIENTS: 200 mainly Māori mothers and their infants. INTERVENTIONS: Participants received a wahakura or bassinet from birth...
October 13, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29026372/delivery-practices-hygiene-birth-attendance-and-neonatal-infections-in-karamoja-uganda-a-community-based-study
#9
Leah J Hopp
BACKGROUND: Drawing attention to home birth conditions and subsequent neonatal infections is a key starting point to reducing neonatal morbidity which are a main cause of mortality in sub-Saharan Africa. OBJECTIVES: To determine the proportion of respiratory, ophthalmic, and diarrhoeal infections in neonates; the proportion of mothers of neonates, following clean delivery practices; and to explore existing community practices during delivery and the neonatal period...
March 2017: African Health Sciences
https://www.readbyqxmd.com/read/29026338/utilization-of-healthcare-services-in-postpartum-women-in-the-philippines-who-delivered-at-home-and-the-effects-on-their-health-a-cross-sectional-analytical-study
#10
Tadashi Yamashita, Maria Teresa Reyes Tuliao, Magdalena Concel Meana, Sherri Ann Suplido, Cecilia L Llave, Yuko Tanaka, Hiroya Matsuo
BACKGROUND: A low ratio of utilization of healthcare services in postpartum women may contribute to maternal deaths during the postpartum period. The maternal mortality ratio is high in the Philippines. The aim of this study was to examine the current utilization of healthcare services and the effects on the health of women in the Philippines who delivered at home. METHODS: This was a cross-sectional analytical study, based on a self-administrated questionnaire, conducted from March 2015 to February 2016 in Muntinlupa, Philippines...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/29024995/the-equity-impact-of-community-women-s-groups-to-reduce-neonatal-mortality-a-meta-analysis-of-four-cluster-randomized-trials
#11
Tanja A J Houweling, Caspar W N Looman, Kishwar Azad, Sushmita Das, Carina King, Abdul Kuddus, Sonia Lewycka, Dharma S Manandhar, Neena Sah More, Joanna Morrison, Tambosi Phiri, Shibanand Rath, Mikey Rosato, Aman Sen, Prasanta Tripathy, Audrey Prost, David Osrin, Anthony Costello
Background: Socioeconomic inequalities in neonatal mortality are substantial in many developing countries. Little is known about how to address this problem. Trials in Asia and Africa have shown strong impacts on neonatal mortality of a participatory learning and action intervention with women's groups. Whether this intervention also reduces mortality inequalities remains unknown. We describe the equity impact of this women's groups intervention on the neonatal mortality rate (NMR) across socioeconomic strata...
August 25, 2017: International Journal of Epidemiology
https://www.readbyqxmd.com/read/29023517/developmental-delay-in-the-amazon-the-social-determinants-and-prevalence-among-rural-communities-in-peru
#12
Christopher Westgard, Yossef Alnasser
The consequences of poor child development are becoming increasingly recognized. Programs are being put in place around the world to improve child development by providing healthy and stimulating environments for children. However, these programs often have limited reach and little is known about the prevalence of developmental delay in under-developed communities. The current study set-out to better understand the prevalence of developmental delay in rural communities in the Amazon region of Peru. Also, it explores social determinants that are associated with any delay...
2017: PloS One
https://www.readbyqxmd.com/read/29021370/integrating-nutrition-interventions-into-an-existing-maternal-neonatal-and-child-health-program-increased-maternal-dietary-diversity-micronutrient-intake-and-exclusive-breastfeeding-practices-in-bangladesh-results-of-a-cluster-randomized-program-evaluation
#13
Phuong Hong Nguyen, Sunny S Kim, Tina Sanghvi, Zeba Mahmud, Lan Mai Tran, Sadia Shabnam, Bachera Aktar, Raisul Haque, Kaosar Afsana, Edward A Frongillo, Marie T Ruel, Purnima Menon
Background: Maternal undernutrition is a major concern globally, contributing to poor birth outcomes. Limited evidence exists on delivering multiple interventions for maternal nutrition simultaneously. Alive & Thrive addressed this gap by integrating nutrition-focused interpersonal counseling, community mobilization, distribution of free micronutrient supplements, and weight-gain monitoring through an existing Maternal, Neonatal, and Child Health (MNCH) program in Bangladesh.Objectives: We evaluated the effect of providing nutrition-focused MNCH compared with standard MNCH (antenatal care with standard nutrition counseling) on coverage of nutrition interventions, maternal dietary diversity, micronutrient supplement intake, and early breastfeeding practices...
October 11, 2017: Journal of Nutrition
https://www.readbyqxmd.com/read/28992751/the-care-needs-of-postpartum-women-taking-their-first-time-of-doing-the-month-a-qualitative-study
#14
Yueh-Chen Yeh, Winsome St John, Yeu-Hui Chuang, Yu-Ping Huang
BACKGROUND: In contemporary Taiwan, after giving birth, many women undertake a traditional postpartum practice called "doing the month", which occurs in the medical context of postpartum nursing centres instead of at home. Thus, healthcare workers must identify and address the care needs of new mothers in this setting to improve the care of new mothers and their baby and family. AIM: To explore new mothers' care needs from their own perspectives during the period of doing the month...
October 10, 2017: Contemporary Nurse
https://www.readbyqxmd.com/read/28983961/developing-a-predictive-model-for-fine-particulate-matter-concentrations-in-low-socio-economic-households-in-durban-south-africa
#15
Busisiwe Shezi, Nkosana Jafta, Benn Sartorius, Rajen N Naidoo
BACKGROUND: In low resource settings there is a need to develop models that can address contributions of household and outdoor sources to population exposures. The aim of the study was to model indoor PM2.5 using household characteristics, activities and outdoor sources. METHODS: Households belonging to participants in the Mother and Child in the Environment (MACE) birth cohort, in Durban, South Africa, were randomly selected. A structured walkthrough identified variables likely to generate PM2...
October 6, 2017: Indoor Air
https://www.readbyqxmd.com/read/28981766/overview-methods-and-results-of-multi-country-community-based-maternal-and-newborn-care-economic-analysis
#16
Emmanuelle Daviaud, Helen Owen, Catherine Pitt, Kate Kerber, Fiorella Bianchi Jassir, Diana Barger, Fatuma Manzi, Elizabeth Ekipara-Kiracho, Giulia Greco, Peter Waiswa, Joy E Lawn
Home visits for pregnancy and postnatal care were endorsed by the WHO and partners as a complementary strategy to facility-based care to reduce newborn and maternal mortality. This article aims to synthesise findings and implications from the economic analyses of community-based maternal and newborn care (CBMNC) evaluations in seven countries. The evaluations included five cluster randomized trials (Ethiopia, Ghana, South Africa, Tanzania, Uganda) and programmatic before/after assessments (Bolivia, Malawi)...
October 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28981760/community-based-interventions-for-newborns-in-ethiopia-combine-cost-effectiveness-analysis
#17
Bereket Mathewos, Helen Owen, Deborah Sitrin, Simon Cousens, Tedbabe Degefie, Stephen Wall, Abeba Bekele, Joy E Lawn, Emmanuelle Daviaud
About 87 000 neonates die annually in Ethiopia, with slower progress than for child deaths and 85% of births are at home. As part of a multi-country, standardized economic evaluation, we examine the incremental benefit and costs of providing management of possible serious bacterial infection (PSBI) for newborns at health posts in Ethiopia by Health Extension Workers (HEWs), linked to improved implementation of existing policy for community-based newborn care (Health Extension Programme). The government, with Save the Children/Saving Newborn Lives and John Snow, Inc...
October 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28977304/children-with-multiple-congenital-defects-what-are-the-limits-between-therapeutic-obstinacy-and-the-treatment-of-uncertain-benefit
#18
Patricia Souza Valle Cardoso Pastura, Marcelo Gerardin Poirot Land
OBJECTIVE: Therapeutic approach of children with multiple malformations poses many dilemmas, making it difficult to build a line between the treatment of uncertain benefit and therapeutic obstinacy. The aim of this paper was to highlight possible sources of uncertainty in the decision-making process, for this group of children. CASE DESCRIPTION: An 11-month-old boy, born with multiple birth defects and abandoned by his parents, has never been discharged home. He has complex congenital heart disease, main left bronchus stenosis and imperforate anus...
January 2017: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/28973344/effect-of-inhaled-nitric-oxide-on-survival-without-bronchopulmonary-dysplasia-in-preterm-infants-a-randomized-clinical-trial
#19
Shabih U Hasan, Jim Potenziano, Girija G Konduri, Jose A Perez, Krisa P Van Meurs, M Whit Walker, Bradley A Yoder
Importance: Bronchopulmonary dysplasia (BPD) occurs in approximately 40% of infants born at younger than 30 weeks' gestation and is associated with adverse pulmonary and neurodevelopmental outcomes. Objective: To test whether administration of inhaled nitric oxide to preterm infants requiring positive pressure respiratory support on postnatal days 5 to 14 improves the rate of survival without BPD. Design, Setting, and Participants: This intent-to-treat study was a randomized clinical trial performed at 33 US and Canadian neonatal intensive care units...
September 25, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/28965791/maternity-services-for-rural-and-remote-australia-barriers-to-operationalising-national-policy
#20
Jo Longman, Jude Kornelsen, Jen Pilcher, Sue Kildea, Sue Kruske, Stefan Grzybowski, Sarah Robin, Margaret Rolfe, Deborah Donoghue, Geoffrey G Morgan, Lesley Barclay
INTRODUCTION: In Australia, many small birthing units have closed in recent years, correlating with adverse outcomes including a rise in the number of babies born before arrival to hospital. Concurrently, a raft of national policy and planning documents promote continued provision of rural and remote maternity services, articulating a strategic intent for services to provide responsive, woman-centred care as close as possible to a woman's home. The aims of this paper are to contribute to an explanation of why this strategic intent is not realised, and to investigate the utility of an evidence based planning tool (the Toolkit) to assist with planning services to realise this intent...
September 22, 2017: Health Policy
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