scholarly journals Evaluating Stress during Pregnancy: Do We Have the Right Conceptions and the Correct Tools to Assess It?

2018 ◽  
Vol 2018 ◽  
pp. 1-20 ◽  
Author(s):  
Raquel González-Ochoa ◽  
Elly N. Sánchez-Rodríguez ◽  
Anahi Chavarría ◽  
Gabriel Gutiérrez-Ospina ◽  
Tania Romo-González
Keyword(s):  
Morbidity And Mortality ◽  
Methodological Issues ◽  
Pregnancy Failure ◽  
The Right ◽  
Gestational Stress ◽  
Psychological Instruments ◽  
Adult Morbidity

Gestational stress is believed to increase the risk of pregnancy failure and perinatal and adult morbidity and mortality in both the mother and her child or children. However, some contradictions might arise from methodological issues or even from differences in the philosophical grounds that guide the studies on gestational stress. Biased perspectives could lead us to use and/or design inadequate/incomplete panels of biochemical determinations and/or psychological instruments to diagnose it accurately during pregnancy, a psychoneuroimmune-endocrine state in which allostatic loads may be significant. Here, we review these notions and propose a model to evaluate and diagnose stress during pregnancy.

Associations between childhood intelligence (IQ), adult morbidity and mortality

Maturitas ◽  
2010 ◽  
Vol 65 (2) ◽  
pp. 98-105 ◽  
Author(s):  
Alixe H.M. Kilgour ◽  
John M. Starr ◽  
Lawrence J. Whalley
Keyword(s):  
Morbidity And Mortality ◽  
Adult Morbidity

scholarly journals Using Health Surveillance Systems Data to Assess the Impact of AIDS and Antiretroviral Treatment on Adult Morbidity and Mortality in Botswana

PLoS ONE ◽  
2014 ◽  
Vol 9 (7) ◽  
pp. e100431 ◽  
Author(s):  
Rand Stoneburner ◽  
Eline Korenromp ◽  
Mark Lazenby ◽  
Jean-Michel Tassie ◽  
Judith Letebele ◽  
...  
Keyword(s):  
Antiretroviral Treatment ◽  
Health Surveillance ◽  
Morbidity And Mortality ◽  
Surveillance Systems ◽  
Adult Morbidity ◽  
The Impact

Malignant (invasive) otitis externa involving the temporomandibular joint

2005 ◽  
Vol 119 (1) ◽  
pp. 61-63 ◽  
Author(s):  
L Dobbyn ◽  
C O’Shea ◽  
P McLoughlin
Keyword(s):  
Temporomandibular Joint ◽  
Otitis Externa ◽  
External Auditory Meatus ◽  
Posterior Wall ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Glenoid Fossa ◽  
Cranial Neuropathies ◽  
The Right

Malignant (invasive) otitis externa (MOE) is an infection involving the external auditory meatus (EAM), most often found in elderly diabetics, which carries a high morbidity and mortality. In advanced cases it may give rise to osteomyelitis and cranial neuropathies. This is a case of MOE, which invaded the posterior wall of the right temporomandibular joint (TMJ), resulting in severe trismus and pain. Subsequently, this required treatment by replacement of the glenoid fossa with a Silastic® prosthesis.

scholarly journals Constitutional Cohesion and the Right to Public Health

2019 ◽  
pp. 173
Author(s):  
James Hodge ◽  
Daniel Aaron ◽  
Haley Augur ◽  
Ashley Cheff ◽  
Joseph Daval ◽  
...  
Keyword(s):  
Public Health ◽  
Health Outcomes ◽  
Health Needs ◽  
Morbidity And Mortality ◽  
Health Law ◽  
Public Health Law ◽  
Legal Reforms ◽  
General Obligation ◽  
Constitutional Right ◽  
The Right

Despite years of significant legal improvements stemming from a renaissance in public health law, Americans still face major challenges and barriers in assuring their communal health. Reversals of legal reforms coupled with maligned policies and chronic underfunding contribute to diminished public health outcomes. Underlying preventable morbidity and mortality nationally are realities of our existing constitutional infrastructure. In essence, there is no general obligation of government to protect or promote the public’s health. Under principles of “constitutional cohesion,” structural facets and rights-based principles interwoven within the Constitution protect individuals and groups from governmental vices (i.e., oppression, overreaching, tyranny, and malfeasance). Structural impediments and rights infringements provide viable options to challenge governmental efforts inapposite to protecting the public’s health. Through corollary applications framed as auxiliary, creative, and ghost righting, courts are also empowered to recognize core duties or rights that the Constitution may not explicitly denote but assuredly contains, to remedy identifiable vices. Notably, ghost righting charts a course for recognizing a constitutional right to public health that Americans are owed, and government must respect, to assure basic public health needs.

Abstract 13374: Larger Atria and Increased Atrial Filling Pressures in Corrected Atrial Septal Defect Patients

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Zarmiga Karunanithi ◽  
Mads Andersen ◽  
Søren Mellemkjær ◽  
Mathias Alstrup ◽  
Farhad Waziri ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Holter Monitoring ◽  
Cardiopulmonary Exercise Test ◽  
Right Heart Catheterization ◽  
Morbidity And Mortality ◽  
Volume Index ◽  
Heart Catheterization ◽  
Pulmonary Arterial ◽  
The Right

Introduction: After atrial septal defect (ASD) correction, pulmonary arterial pressures drop and the right-sided chambers start to remodel. Full normalization may not occur, which can explain the increased morbidity and mortality observed later in life. We described cardiac physiology in adults with a corrected ASD in order to understand the long-term morbidity and mortality. Hypothesis: ASD patients have enlarged right atria and increased pulmonary arterial pressures despite correction. Methods: Participants (percutaneously (n=19) and surgically (n=19) corrected ASD patients and 11 controls of similar age) underwent echocardiography, International Physical Activity Questionnaire, right heart catheterization, cardiopulmonary exercise test, and Holter-monitoring 15-20 years after ASD correction as part of a larger study. Echocardiographic measurements and invasive pressures obtained at rest are reported. Results: Right and left atrial end-systolic volumes, volume index, and filling pressures are higher in corrected ASD patients (particularly the surgically corrected) when compared with controls. Conclusion: ASD patients (particularly surgically corrected) have higher atrial volumes compared with healthy matched controls 15-20 years after correction, while still within the normal range. During systole, the peak atrial pressures are increased in ASD corrected patients, which correlate well with the atrial volumes seen on echocardiography. These findings show that cardiac remodeling has occurred post-correction, but full normalization is not reached. The differences in atrial size and filling pressure in corrected ASD compared to that in controls may be a marker of ASDs leading to myocardial disease and explain why ASD patients experience increased morbidity and mortality later in life.

scholarly journals Compartment Syndrome following Bothrops Snakebite Leads to Decompressive Fasciotomies

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Murilo Sérgio Valente-Aguiar ◽  
Bruno Gonçalves da Costa e Silva ◽  
Teresa Magalhães ◽  
Ricardo Jorge Dinis-Oliveira
Keyword(s):  
Compartment Syndrome ◽  
Lower Limb ◽  
Severe Pain ◽  
Clinical Course ◽  
Tropical Disease ◽  
Morbidity And Mortality ◽  
Neglected Tropical Disease ◽  
The Right

Snakebite envenoming is a neglected tropical disease with relevant morbidity and mortality. In this report, we illustrate the clinical course of a suspected Bothrops snakebite envenoming of a patient that evidenced severe pain, edema, pallor, regional lymphadenopathy, ecchymosis, myonecrosis, and bullous erythema in the right lower limb, specially around the fang marks. The clinical course progressed to compartment syndrome followed with decompressive fasciotomies to reduce pressure within the affected compartment.

scholarly journals Study of ectopic pregnancy in a tertiary care centre

2019 ◽  
Vol 9 (1) ◽  
pp. 212
Author(s):  
Nitesh Meena ◽  
Radheshyam Bairwa ◽  
Savitri Sharma
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Tertiary Care ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Tertiary Care Centre ◽  
Presenting Symptoms ◽  
Mortality Incidence ◽  
Ectopic Pregnancies ◽  
The Right

Background: Ectopic pregnancy is an obstetric emergency with high morbidity and mortality. Incidence of ectopic pregnancies has been increasing in last two to three decades with reduction in mortality. The presenting symptoms include irregular vaginal bleeding. The present study was undertaken to study the clinical features of ectopic pregnancies in a tertiary care hospital.Methods: The present study on ectopic pregnancies was carried out in department of obstetrics and gynaecology, jhalawar medical college, Jhalawar, Rajasthan, India from January 2019 to October 2019. All patients admitted with diagnosis of ectopic pregnancy, either ruptured or unruptured where included in the study.Results: Total 52 patient of ectopic pregnancy were studies. Majority (63.46%) of patients belong to the age group 21-30 years. Ectopic pregnancy was most commonly noted in nulliparous woman (44.23%) Majority of the case (31%) had no risk factors among remaining (34.61%), previous MTP (17%), (17-30%) previous ectopic (9%) and PID (15-38%) were identified risk factors. Ampulla (75%) was the most common site for ectopic pregnancy. 57% of the cases were on the right side. The common presenting complaints were pain in abdomen (81%) bleeding/ spotting per vaginal (42%). There was no mortality.Conclusions: Surgical treatment was done more often because of patients reporting late to the hospital screening of high-risk case, early diagnosis and early intervention reduce the morbidity and mortality in ectopic pregnancies.

scholarly journals Association of Age, Systolic Blood Pressure, and Heart Rate with Adult Morbidity and Mortality after Urgent Care Visits

2016 ◽  
Vol 17 (5) ◽  
pp. 591-599 ◽  
Author(s):  
James Hart ◽  
Michael Woodruff ◽  
Elizabeth Joy ◽  
Joseph Dalto ◽  
Gregory Snow ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Morbidity And Mortality ◽  
Urgent Care ◽  
Adult Morbidity

Ethical and methodological issues in qualitative health research involving children

2014 ◽  
Vol 23 (3) ◽  
pp. 339-356 ◽  
Author(s):  
Xiaoyan Huang ◽  
Margaret O’Connor ◽  
Li-Shan Ke ◽  
Susan Lee
Keyword(s):  
Systematic Review ◽  
Research Design ◽  
Synthesis Process ◽  
Methodological Issues ◽  
Qualitative Health Research ◽  
Analysis And Synthesis ◽  
Ethical Approval ◽  
Individual Capacity ◽  
Rich Data ◽  
The Right

Background: The right of children to have their voice heard has been accepted by researchers, and there are increasing numbers of qualitative health studies involving children. The ethical and methodological issues of including children in research have caused worldwide concerns, and many researchers have published articles sharing their own experiences. Objectives: To systematically review and synthesise experts’ opinions and experiences about ethical and methodological issues of including children in research, as well as related solution strategies. Research design: The research design was a systematic review of opinion-based evidence, based on the guidelines by Joanna Briggs Institute. Methods: A search of five computerised databases has been conducted in April 2014 and 2271 articles were found. After screening the titles, abstracts, full texts and appraising the quality, 30 articles were finally included in the review. A meta-aggregative approach was applied in the data analysis and synthesis process. Ethical considerations: Ethical approval is not needed as it is a systematic review of published literature. Results: Six themes were identified, including evaluating potential risks and benefits, gaining access, obtaining informed consent/assent, protecting confidentiality and privacy, building rapport and collecting rich data. The similarities and differences between research involving children and that involving adults were indicated. Conclusion: All potential incentives should be justified when designing the study. Further studies need to research how to evaluate individual capacity of children and how to balance protecting children’s right to participate and their interests in the research. Cultural differences related to researching children in different regions should also be studied.

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