scholarly journals Perinatal And Post-Partum Care From Early Pregnancy To Postpartum Period.

2021 ◽  
Vol 23 (11) ◽  
pp. 122-131
Author(s):  
Dr.Shiv Kumar Yadav ◽  
◽  
Dr.Jeet Bahadur Moktan ◽  
Dr.Yogendra Shrestha ◽  
Renukaradhya chitti ◽  
...  
Keyword(s):  
Post Partum ◽  
Perinatal Care ◽  
Social Needs ◽  
Social Risk ◽  
Social Changes ◽  
Social Risk Factors ◽  
Mesh Terms ◽  
Pubmed Database ◽  
Ongoing Support

Introduction: Despite the fact that just a few researchers have examined the prenatal and postpartum periods, the findings from those few studies suggest an increase in prevalence through out pregnancy and the first six months after delivery. Pregnancy is a pivotal period in a woman’s life, as she experiences significant emotional, physical, hormonal, and social changes. Pregnancy and the first six months after delivery (perinatal phase) can be taxing, leading in sleep deprivation, relationship difficulties, and feelings of isolation. Materials & Methods: Quality of care, perinatal care, India, hospital, intrapartum care, implementation, and still birth for period were searched in the PubMed database using MeSH terms. A narrative summary of the goals and outcomes was completed. Conclusions: This study compiles a list of all prenatal social needs interventions that have been described in the literature to date. The majority of therapies have been for IPV, according to the findings of this study, and interventions that combine counselling or ongoing support have the best likelihood of lowering social risk factors and improving clinical outcomes.

Hunger: A Missed Opportunity for Screening in the Pediatric Emergency Department

2018 ◽  
Vol 57 (11) ◽  
pp. 1318-1325 ◽  
Author(s):  
Tamar Robinson ◽  
Leah Bryan ◽  
Veda Johnson ◽  
Terri McFadden ◽  
Sarah Lazarus ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Emergency Department ◽  
Food Insecurity ◽  
Hospital Staff ◽  
Social Needs ◽  
Social Risk ◽  
Care Hospital ◽  
Social Risk Factors ◽  
Primary Care Hospital

Background. The American Academy of Pediatrics and pediatric community recognize the importance of addressing social determinants of health. There are limited data on the prevalence of food insecurity or literature establishing protocols assessing food insecurity in the emergency department (ED). Methods. Two anonymous surveys were administered, one to families during their ED visit and another to ED staff to assess perceptions on the ED’s role in providing social support. Results. Thirty-three of 214 respondents (15.4%) reported food insecurity and are associated with economic risk factors ( P < .0001) and a lack of primary care ( P = .008). Overall, 83.2% of the ED staff believed knowing information about families’ social risk factors would help patient care and 77.6% believed that the ED staff should address families’ social needs. Conclusions. Food insecurity affects a significant portion of ED families across income ranges. Screening for food insecurity in the ED is important given association with lack of primary care. Hospital staff supports screening and intervention.

scholarly journals An evidence-based strategy to achieve equivalency and interoperability for social-behavioral determinants of health assessment, storage, exchange, and use

2019 ◽  
Vol 26 (2) ◽  
pp. 1477-1488
Author(s):  
Ruth E Wetta ◽  
Roberta D Severin ◽  
Heidi Gruhler
Keyword(s):  
Point Of Care ◽  
Healthcare Delivery ◽  
Secondary Analysis ◽  
Health Data ◽  
Social Determinant ◽  
Social Needs ◽  
Determinants Of Health ◽  
Social Risk ◽  
Social Risk Factors ◽  
Behavioral Determinants

The interoperable exchange of social-behavioral determinants of health data is challenging due to complex factors including multiple recommendations, multiple tools with varying domains, scoring, and cutpoints, and lack of terminology code sets for storing assessments and findings. This article describes a strategy that permits scoring by social-behavioral determinants of health domain to create interoperability and equivalency across tools, settings, and populations. The three-tier scoring strategy converts social-behavioral determinants of health data to (1) be used immediately at point of care by identifying social needs or social risk factors, (2) be consumed within analytics and algorithms and for secondary analysis, and (3) produce total scores that reflect social determinant burden and behavioral determinant burden across populations and settings within a healthcare system. The strategy supports the six uses recommended by the National Academy of Medicine, provides flexibility in choice of social-behavioral determinants of health tool, and leverages the power of social-behavioral determinants of health data in healthcare delivery.

scholarly journals Medical and social risk factors for arterial hypertension in coal miners

2015 ◽  
Vol 12 (1) ◽  
pp. 47-51
Author(s):  
E V Indukaeva ◽  
S A Makarov ◽  
M Yu Ogarkov
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Preventive Measures ◽  
Sedentary Lifestyle ◽  
Cardiovascular Complications ◽  
Overweight And Obesity ◽  
Social Risk ◽  
Social Risk Factors ◽  
Coal Miners

The risk of cardiovascular complications increases steadily with increases in arterial pressure and is significantly intensified in the presence of other risk factors for cardiovascular disease (smoking, sedentary lifestyle, alcohol abuse, stress, dyslipidemia, metabolic syndrome, diabetes mellitus). It reduces the quality of life, which is especially important for people, engaged in heavy physical labor. The most common medical and social risk factors for cardiovascular disease and hypertension in coal miners are the following: overweight and obesity, bad habits and lack of education. The further study of the prevalence pattern of risk factors for cardiovascular disease in coal miners is required to develop, implement and evaluate the efficiency of preventive measures towards reducing cardiovascular risk factors.

scholarly journals ROCK MUSIC, SUICIDE AND MEDIA INFLUENCE

2021 ◽  
Vol 3 (1) ◽  
pp. 23-33
Author(s):  
Miroslav Komlenić
Keyword(s):  
Risk Factors ◽  
Drug Abuse ◽  
Alcohol Consumption ◽  
Social Factors ◽  
Suicide Risk ◽  
Rock Music ◽  
Social Risk ◽  
Social Changes ◽  
Social Risk Factors ◽  
History Of

Suicide risk factors usually include: previous attempts, depression, comorbidity of alcohol consumption and drug abuse, gender (three to four times more suicides in men than in women), family history of psychiatric disorders, environmental and social factors such as periods of major social changes or movements: revolution, industrialization, secularization, migration, wars and the like. In this paper we should try to approach the problem by looking into the hypothesis of some researchers that rock music, or rock and hippie movements from the 60s to the end of the 80s of the 20th century, are included in these social risk factors, directly or indirectly. The arguments that the authors refer to are mainly: numerous suicides among both performers and listeners of rock music, many cases of emulated suicides of rock stars by fans, a large number of songs whose content speaks of suicide, evidence on the spot of suicide related to listening to such songs at the time of committing suicide, many lawsuits and trials against rock composers and performers by grieving relatives, etc. The aim of this paper is to analyze critically these facts as problematic for stating them as causes of suicide. Additionally, the paper aims to explain that for already predisposed, latent suicidal people, this type of music is only a mediator towards more intense socializing with similar listeners, indulging in latent suicide activities such as alcohol consumption and drug abuse and only subsequently to depression and suicide. Since suicide does not have to be associated with depression and the death drive, but on the contrary with the urge to live and the desire to be prominent, loved and remembered, the thesis that suicides of rock artists and supporters belong to this category should not be removed.

scholarly journals Implementing screening for social determinants of health using the Core 5 screening tool

2021 ◽  
Vol 10 (3) ◽  
pp. e001362
Author(s):  
Alison Bradywood ◽  
Treasa "Susie" Leming-Lee ◽  
Richard Watters ◽  
Craig Blackmore
Keyword(s):  
Risk Factors ◽  
Health Outcomes ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Screening Tool ◽  
Social Needs ◽  
Social Risk ◽  
Social Risk Factors ◽  
Risk Screening ◽  
The Core

Social determinants of health (SDOH) have been documented to underpin 80% of overall health and are being increasingly recognised as key factors in addressing tertiary health outcomes. Yet, despite the widespread acceptance of the association of SDOH with health outcomes, more than two-thirds of hospitals do not screen for social risk factors that indicate individual-level adverse SDOH. Such screening for social risk factors represents the first step in connecting patients with resources and documents the prevalence of social needs. The aim of this project was to implement the Core 5 social risk screening tool and evaluate its efficacy and usability in identifying social risk factors in a presurgical spine population. Prior to this implementation, screening for social risk had not been performed. The Model for Improvement provided a framework for implementing and evaluating the Core 5 social risk screening tool. Methods included implementation of a patient self-report social risk screening tool, referral workflow to connect patients with needed resources and evaluation of staff feasibility in using the Core 5 tool. The results indicated that the screening tool identified patients with social risk factors and staff reported perceptions of efficacy and usability in clinical workflow. Overall, 52 of 88 (59%) of subjects in the presurgical spine population were effectively screened. Of these, five patients (10%) had identified social needs that needed to be addressed prior to surgery. The staff usability survey for the Core 5 tool demonstrated high acceptance and usability, with an average score of 4.4 (out of 5). Future work should evaluate the efficacy of the screening tool in other ambulatory and tertiary settings.

Cardiovascular Diseases Due to Stress Arisen from Social Risk Factors: A Synopsis and Prospectiveness

Nano LIFE ◽  
2018 ◽  
Vol 08 (02) ◽  
pp. 1840003
Author(s):  
Bin Jiang ◽  
Jielin Chen ◽  
Lan Wang
Keyword(s):  
Cardiovascular Diseases ◽  
Job Stress ◽  
Life Events ◽  
Social Factors ◽  
Mental Stress ◽  
Clinical Pathology ◽  
Daily Hassles ◽  
Social Risk ◽  
Social Risk Factors

This paper reviews the causes of cardiovascular diseases (CVD) from a perspective other than traditional clinical pathology. We look at social factors that could arouse stressful feelings, and could further lead to cardiovascular diseases. Major social factors including job stress, daily hassles, life events, social inequity and trauma are covered in our review. This paper also discusses potential interventions which could be taken by environmental professionals to create dynamism within the existing static structures so as to eventually eradicate the causes of mental stress and ameliorate the quality of life for urban dwellers.

scholarly journals Social Determinants and Frailty in High-Need, High-Risk Veterans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 179-179
Author(s):  
Kiranmayee Muralidhar ◽  
Willy Marcos Valencia ◽  
Fei Tang ◽  
Stuti Dang
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
High Risk ◽  
Frailty Index ◽  
Univariate Analysis ◽  
Ordinal Logistic Regression ◽  
Social Needs ◽  
Social Risk ◽  
Social Risk Factors ◽  
Ordinal Logistic Regression Analysis

Abstract The VA Geriatrics and Extended Care Data Analysis Center uses national predictive modelling to identify High-Need High-Risk (HNHR) Veterans, to provide targeted services and reduce hospitalization and institutionalization risk. To learn the needs of Miami VA HNHR Veterans, we mailed a needs-assessment survey to 2124 Veterans, of whom 634 responded (29.8% response rate). The average respondent age was 70.5±9.2. Among them, 127(20%) were &lt;65 years old, 326(51.4%) were 65-74, and 179(28.2%) were ≥75; 389(61.4%) White, 225(35.5%) Black/African Americans; 515(81.2%) were Non-Hispanic, 111(17.5%) Hispanic/Latino; 173(27.3%) were high school graduates, 350(55.2%) had at least some college credit, 39(6.2%) had a master’s degree or more and 536(84.5%) were health literate. As per Morley’s FRAIL scale, 266(42%) were frail, 242(38.2%) were pre-frail and 87(13.7%) were robust. Social risk factors possibly associated with frailty were analyzed using ordinal logistic regression. Univariate analysis showed significant association with poor health literacy, having a caregiver, social isolation, transportation trouble, delayed or missed doctors’ appointments due to transportation, a negative perception of aging, likelihood of depression, being homebound, inability to use the internet, lack of technology for video conferencing and lack of email use (p≤0.01). Through multivariate ordinal logistic regression analysis, adjusting for patients’ age and Jen Frailty Index, we found that the same social risk factors other than internet use showed significant association with frailty (p≤0.01). HNHR Veterans have complex social needs with a limited ability to manage their chronic conditions, necessitating interventions that address not only their medical issues but also their access barriers and social support.

Characteristics of the Frequency-Following Response to Speech in Neonates and Potential Applicability in Clinical Practice: A Systematic Review

2020 ◽  
Vol 63 (5) ◽  
pp. 1618-1635
Author(s):  
Céline Richard ◽  
Mary Lauren Neel ◽  
Arnaud Jeanvoine ◽  
Sharon Mc Connell ◽  
Alison Gehred ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cochrane Library ◽  
Neurodevelopmental Outcomes ◽  
Frequency Following Response ◽  
Ovid Medline ◽  
Published Evidence ◽  
Mesh Terms ◽  
Potential Applicability ◽  
Clinical Potential

Purpose We sought to critically analyze and evaluate published evidence regarding feasibility and clinical potential for predicting neurodevelopmental outcomes of the frequency-following responses (FFRs) to speech recordings in neonates (birth to 28 days). Method A systematic search of MeSH terms in the Cumulative Index to Nursing and Allied HealthLiterature, Embase, Google Scholar, Ovid Medline (R) and E-Pub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily, Web of Science, SCOPUS, COCHRANE Library, and ClinicalTrials.gov was performed. Manual review of all items identified in the search was performed by two independent reviewers. Articles were evaluated based on the level of methodological quality and evidence according to the RTI item bank. Results Seven articles met inclusion criteria. None of the included studies reported neurodevelopmental outcomes past 3 months of age. Quality of the evidence ranged from moderate to high. Protocol variations were frequent. Conclusions Based on this systematic review, the FFR to speech can capture both temporal and spectral acoustic features in neonates. It can accurately be recorded in a fast and easy manner at the infant's bedside. However, at this time, further studies are needed to identify and validate which FFR features could be incorporated as an addition to standard evaluation of infant sound processing evaluation in subcortico-cortical networks. This review identifies the need for further research focused on identifying specific features of the neonatal FFRs, those with predictive value for early childhood outcomes to help guide targeted early speech and hearing interventions.

Methods for the Determination of the Purity of Exosomes

2020 ◽  
Vol 25 (42) ◽  
pp. 4464-4485 ◽  
Author(s):  
Katarzyna Kluszczyńska ◽  
Liliana Czernek ◽  
Wojciech Cypryk ◽  
Łukasz Pęczek ◽  
Markus Düchler
Keyword(s):  
Drug Transport ◽  
Biological Fluids ◽  
Drug Carriers ◽  
Biological Functions ◽  
Isolation And Purification ◽  
Pubmed Database ◽  
High Concentrations ◽  
Targeted Release

Background: Exosomes open exciting new opportunities for advanced drug transport and targeted release. Furthermore, exosomes may be used for vaccination, immunosuppression or wound healing. To fully utilize their potential as drug carriers or immune-modulatory agents, the optimal purity of exosome preparations is of crucial importance. Methods: Articles describing the isolation and purification of exosomes were retrieved from the PubMed database. Results: Exosomes are often separated from biological fluids containing high concentrations of proteins, lipids and other molecules that keep vesicle purification challenging. A great number of purification protocols have been published, however, their outcome is difficult to compare because the assessment of purity has not been standardized. In this review, we first give an overview of the generation and composition of exosomes, as well as their multifaceted biological functions that stimulated various medical applications. Finally, we describe various methods that have been used to purify small vesicles and to assess the purity of exosome preparations and critically compare the quality of these evaluation protocols. Conclusion: Combinations of various techniques have to be applied to reach the required purity and quality control of exosome preparations.

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