Guidelines for the Identification and Management of Substance Use and Substance Use Disorders in Pregnancy By World Health Organization Geneva, Switzerland: WHO Press, 2014ISBN: 9789241548731, 224 pp. Available free online http://www.who.int/substance_abu

2015 ◽  
Vol 34 (3) ◽  
pp. 340-341
Author(s):  
Anne Whittaker
2020 ◽  

[Prólogo de la segunda edición]. La primera edición de en español del manual Manejo de las complicaciones del embarazo y de la infancia (MCPC, por sus siglas del inglés) fue publicado en 2003. Desde ese entonces ha servido de herramienta de apoyo a obstetras y médicos de hospitales de distrito en la atención de aquellas mujeres que presentan complicaciones durante su embarazo, parto o postparto. Esta es la traducción de la segunda edición en inglés, publicada en 2017, e incluye la actualización de las recomendaciones de la Organización Mundial de la Salud (OMS), las sugerencias y cambios planteados por parte de usuarios y expertos externos al grupo de editores y el capítulo Craneotomía y craneocentesis ausente en la primera edición en español. Es texto fue traducido en el Departamento de Traducciones y revisado por los consultores de salud materna del Centro Latinoamericano de Perinatología, Salud de la Mujer y Reproductiva (CLAP) del Departamento de Familia, Promoción de la Salud y Curso de Vida (FPL) de la Organización Panamericana de la Salud (OPS). Esta edición en español se le incorporaron índices específicos para las figuras, cuadros y recuadros con sus números correlativos en cada sección, título y página con el fin de facilitar su utilización. Versión oficial en español de la obra original en inglés:Managing complications in pregnancy and childbirth: a guide for midwives and doctors – 2nd ed. © World Health Organization 2017. ISBN: 978-92-4-156549-3.


Acta Medica ◽  
2018 ◽  
Vol 49 (4) ◽  
pp. 18-24
Author(s):  
Muhammet Dural ◽  
Hikmet Yorgun

Increased prevalence of cardiovascular risk factors (diabetes mellitus, hypertension, obesity) and age at first gestation are the important factors that increase cardiovascular diseases incidence in pregnancy. Assessment of maternal and fetal risk is very important. In World Health Organization class 1, the risk is very low and it is recommended that the cardiologic evaluation be performed once or twice in pregnancy. World Health Organization class 2 patients have low to moderate risk and cardiology consultation is recommended at every trimester. World Health Organization class 3 patients have a high risk, so cardiology consultation is recommended monthly or bi-monthly. Pregnancy is not recommended for World Health Organization class 4 patients. In cases where surgery is necessary the general approach is the same as those who are not pregnant. However, a multidisciplinary approach is needed in pregnant patients. Surgery should be performed independently of the trimester in emergent cases. If an elective intervention is needed and there is no effect on fetus, the surgical procedure should be delayed after birth. If surgery is needed and semi-elective, the optimal time period is indicated as second trimester. The type of anesthesia to be applied is determined according to the type and timing of surgery,  maternal physiological changes and teratogenic effects. Keywords: Heart disease, pregnancy, preoperative evaluation.


2020 ◽  
Vol 40 (3) ◽  
pp. 379-383
Author(s):  
Md Rakibul-Hasan ◽  
Nusrat Sultana ◽  
Sharmin Jahan ◽  
Mashfiqul Hasan ◽  
Mohammad Fakhrul-Alam ◽  
...  

2000 ◽  
Vol 50 ◽  
pp. 213
Author(s):  
Ahmed A Al-Arfaj ◽  
Abdulsalam A Al-Aithan ◽  
Moharrah M Hassounah ◽  
Saleh J Al-Jaser ◽  
Safiah S Al-Sultan

2016 ◽  
Vol 22 (1) ◽  
pp. 7 ◽  
Author(s):  
Glen P. Davis ◽  
Andrew Tomita ◽  
Joy Noel Baumgartner ◽  
Sisanda Mtshemla ◽  
Siphumelele Nene ◽  
...  

<p><strong>Background:</strong> Substance use and psychiatric disorders cause significant burden of disease in low- and middle-income countries. Co-morbid psychopathology and longer duration of untreated psychosis (DUP) can negatively affect treatment outcomes.</p><p><strong>Objectives:</strong> The study assessed substance use amongst adults with severe mental illness receiving services at a regional psychiatric hospital in KwaZulu-Natal (South Africa). We describe the prevalence and correlates of lifetime substance use and examine the association between substance use and DUP.</p><p><strong>Methods:</strong> A cross-sectional survey recruited adults diagnosed with severe mental illness and assessed lifetime and past 3-month substance use using the World Health Organization Alcohol, Smoking and Substance Involvement Screening Test. Regression analyses were conducted to determine associations between lifetime substance use (other than alcohol and tobacco) and DUP as measured by the World Health Organization Encounter Form.</p><p><strong>Results:</strong> Amongst 87 participants, alcohol (81.6%), tobacco (75.6%) and cannabis (49.4%) were the most common substances reported for lifetime use. Risk of health-related problems (health, social, financial, legal and relationship) of cannabis use was associated with younger age, single marital status and lower education. Adjusted regression analyses indicated that use of amphetamines and methaqualone is associated with longer DUP.</p><p><strong>Conclusions:</strong> Substance use is prevalent amongst psychiatric patients in KwaZulu-Natal and may contribute to longer DUP. Mental health services in this region should address co-morbid substance use and psychiatric disorders.</p><p><strong>Keywords: </strong>Substance Use; Psychosis; KwaZulu-Natal</p>


BJPsych Open ◽  
2019 ◽  
Vol 5 (3) ◽  
Author(s):  
Crick Lund ◽  
Sumaiyah Docrat ◽  
Jibril Abdulmalik ◽  
Atalay Alem ◽  
Abebaw Fekadu ◽  
...  

BackgroundLittle is known about the household economic costs associated with mental, neurological and substance use (MNS) disorders in low- and middle-income countries.AimsTo assess the association between MNS disorders and household education, consumption, production, assets and financial coping strategies in Ethiopia, India, Nepal, Nigeria, South Africa and Uganda.MethodWe conducted an exploratory cross-sectional household survey in one district in each country, comparing the economic circumstances of households with an MNS disorder (alcohol-use disorder, depression, epilepsy or psychosis) (n = 2339) and control households (n = 1982).ResultsDespite some heterogeneity between MNS disorder groups and countries, households with a member with an MNS disorder had generally lower levels of adult education; lower housing standards, total household income, effective income and non-health consumption; less asset-based wealth; higher healthcare expenditure; and greater use of deleterious financial coping strategies.ConclusionsHouseholds living with a member who has an MNS disorder constitute an economically vulnerable group who are susceptible to chronic poverty and intergenerational poverty transmission.Declaration of interestD.C. is a staff member of the World Health Organization. The authors alone are responsible for the views expressed in this publication and they do not necessarily represent the decisions, policy or views of the World Health Organization.


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