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Www.bmj
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Antibiotics to promote growth in children?

Overt infections are a leading cause of death worldwide in children under 5,1 and strategies to prevent and treat infections are a cornerstone of child survival programmes. Recent assessments suggest that despite a net increase in the size of birth cohorts, the number of children dying before their fifth birthday has fallen to 6.6 million (uncertainty range 6.3-7.0 million) per year, a 45% reduction from almost 12 million deaths in 1990.2 In contrast, the fall in undernutrition has been modest at best. An estimated 165 million children under 5 were stunted in 2011 and an estimated 52 million severely wasted; almost 45% of the current burden from child mortality in under 5s can be attributed to malnutrition.3 Although many risk factors for early child mortality are well recognised, the mechanisms underlying chronic enteropathy and growth failure among children in low and middle income countries remain uncertain.4  
bmj.com
about 6 years ago
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The pressures of pregnancy

In most developed countries except, notably, the United States, women are delaying parenthood for longer and longer. In England and Wales the latest data show that the mean age of a mother giving birth was at an all time high of 29.8 years in 2012 and that women aged 40 or over had the fastest rising fertility rate. Against this backdrop Kate Bramham and colleagues have explored a surprisingly under-researched area: the risks of pregnancy for women with chronic hypertension (doi:10.1136/bmj.g2301).  
bmj.com
about 6 years ago
Www.bmj
1
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The pressures of pregnancy

In most developed countries except, notably, the United States, women are delaying parenthood for longer and longer. In England and Wales the latest data show that the mean age of a mother giving birth was at an all time high of 29.8 years in 2012 and that women aged 40 or over had the fastest rising fertility rate. Against this backdrop Kate Bramham and colleagues have explored a surprisingly under-researched area: the risks of pregnancy for women with chronic hypertension (doi:10.1136/bmj.g2301).  
bmj.com
about 6 years ago
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WHO | United Nations agencies report steady progress in saving mothers’ lives

New United Nations data show a 45% reduction in maternal deaths since 1990. An estimated 289 000 women died in 2013 due to complications in pregnancy and childbirth, down from 523 000 in 1990.  
www.who.int
about 6 years ago
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28

Einstein On: Premature Babies, Dr. Judy Aschner

http://www.einstien.yu.edu - Neonatologist Judy Aschner, M.D., discusses how her personal experience of giving birth to a critically ill premature baby infor...  
YouTube
about 6 years ago
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23

The drive for 'natural motherhood' - BBC News

Are women coming under undue pressure to give birth 'naturally' and breast feed their babies because it is seen as the "ultimate feminine achievement"?  
BBC News
about 6 years ago
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Why do people eat placentas? - BBC News

It is a waste product from childbirth, so why would anyone choose to eat a human placenta?  
BBC News
about 6 years ago
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4

Labour wards not for straightforward births' says NICE - BBC News

Women having a straightforward pregnancy "should be encouraged to give birth in a midwife-led unit", official advice for England and Wales says.  
BBC News
about 6 years ago
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'Not enough midwives' for new NICE guidelines - BBC News

Louise Silverton and Maureen Treadwell discuss draft guidelines that suggest healthy women should be encouraged to give birth in a midwife-led unit or at home.  
BBC News
about 6 years ago
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Premature labour: blood test gives hope of screening - BBC News

Scientists have developed a blood test which can predict whether women having early contractions will go on to give birth too soon.  
BBC News
about 6 years ago
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birth-injuries

Personal injury attorneys at Downtown L.A. Law understand the care and sensitivity involved with your child. We will aggressively handle your birth injury case  
downtownlalaw.com
about 6 years ago
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Jean Golding: a tale of illness, adventure and statistics

As it’s Ada Lovelace Day, Suzi Gage shares an extract from a book chapter she wrote about Professor Jean Golding, who set up the Children of the 90’s birth cohort  
the Guardian
over 5 years ago
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Normality for Labour and Births | maximising normality through pregnancy, birth and the postnatal period

“Most women, in every country across the world, would prefer to give birth as physiologically as possible. For most women and babies, this is also the safest way to give birth, and to be born, wherever the birth setting. If routine interventions are eliminated for healthy women and babies, resources will be freed up for the extra staff, treatments and interventions that are needed when a laboring woman and her baby actually need help. This will ensure optimal outcomes for all women and babies, and sustainable maternity care provision overall.” (Professor Soo Downe, Professor in Midwifery Studies, 2014)  
rcmnormalbirth.org.uk
over 5 years ago
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The Big Push: Call the Midwife in Bangladesh - BBC News

Taking inspiration from UK drama Call the Midwife, a new TV series is trying to break the taboo of childbirth in Bangladesh.  
BBC News
over 5 years ago
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Managing perineal trauma after childbirth

Problems can extend into the long term, such as dyspareunia, urinary and faecal incontinence, pelvic organ prolapse, psychosocial problems, and postnatal depression  
bmj.com
over 5 years ago
Www.bmj
1
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Lifestyle changes or metformin reduce type 2 diabetes risk in women with gestational diabetes, US study shows

Women with gestational diabetes have an increased risk of type 2 diabetes for years after giving birth, but intensive lifestyle changes or metformin therapy reduce this risk by more than a third, a US study has found.  
bmj.com
over 5 years ago
Www.bmj
1
23

Bias in observational study designs: case-control studies

Researchers investigated the association between sun exposure and risk of multiple sclerosis. A population based case-control study was performed. The participants were recruited from residents of Tasmania, Australia, who were aged under 60 years and had at least one grandparent born in Tasmania. Cases were people with multiple sclerosis who volunteered after information evenings at local multiple sclerosis societies, or after having been invited by a healthcare professional. In total, 136 people with a diagnosis of multiple sclerosis, as defined by clinical and magnetic resonance imaging criteria, were included as cases. For each case, two controls matched for sex and year of birth were randomly selected from the community. In total, 359 eligible controls were approached and the response rate was 76%.1  
bmj.com
over 5 years ago
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Authors’ reply to Selvapatt and colleagues, Matthews and colleagues, Badrinath, and Ward and Lee

Selvapatt and colleagues made several points: large numbers of people are infected; birth cohort screening is cost effective; previously treated patients without severe fibrosis are unlikely to progress; sustained virological response improves quality of life; treatment reduces mortality; and newer agents have fewer side effects (last two also alluded to by Matthews and colleagues).1 2 3 The number of patients is not the issue, which is whether …  
bmj.com
over 5 years ago
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312

Why doesn’t the NHS make money?

The NHS provides care free at the point of us to British citizens and anyone who needs emergency care while in the UK. It tries to provide every kind of service and treatment that it can but obviously there are limits. The NHS gets its money mainly from governments taxes, charities, research grants, some payment for services and from renting out retail space etc. Healthcare is a financial blackhole, any money put in the budget will get spent, efficiently and effectively or not. The NHS is constantly being expected to provide a better, more efficient service and new treatments, without a comparable increase in government funding. So, why doesn’t the NHS set up services that could make it money? Some money making suggestions Gift shops and NHS clothing brand – The American hospital I went to for elective had quite a large shop near the entrance that sold hospital branded goods. People love the NHS and it could make itself a brand, “I love the NHS” t-shirts, “I was born here” ties, “I gave birth at Blah hospital” car stickers, hats, jackets, tracksuits, teddy bears in white coats and so many more things could be sold in this shops to raise money for the NHS. Patients in a hospital are a captive market and their visitors are semi-captive. The captives get very bored! Why not provide opportunities for these people to spend their money and relieve the boredom while they are in hospital with some retail therapy? For instance, new hospitals should be built with a shopping mall in them and a cinema. A couple of clothes shops would give people something to do and raise money from rent. While we are on the subject of new hospitals, they should be designed with the input of the clinical staff who know how to maximise the flow of patients through the "patient pathway". Hospitals should be built like industrial conveyor belts: patients enter through ED, get stabilised, get fixed in theatre, stabilised again in ITU, recover on the wards and out the exit to social services and the outpatient clinics. New hospitals should be designed to sit on top of HUGE underground multi-story car parks. If shopping centres can do this then so can hospitals. Almost all hospitals are short of parking spaces and most car parks are eye sores. So, try to plan from the beginning to get as many car parking spaces as possible. Estimate how many are needed for staff and visitors - then double it! Also, design a park and ride system so additional parking is available off site. If costa can make money from a coffee shop in an NHS hospital, why isn’t the NHS setting up its own brand of high quality coffee shops in the hospitals and cutting out Costa the middle man? “NHS healthy eating” – NHS branded diet plans or ready meals could be produced in partnership with a supermarket brand. Mixing public heath, profit and the NHS brand. “Good for you and good for the NHS” The NHS could set up hospitals abroad that are for profit institutions that use the NHS structures, or market our services to foreigners that they then pay for. Health tourism is a thing, why not make the most of it? “NHS plus” – the NHS should be a two tier system. Hours of 8am til 6pm should be for elective procedures free at the point of use and free emergency care. Between 6pm and 11pm the hospitals currently only do emergency care, so there is loads of rooms and kit lying about unused. Why not allow hospitals to set up systems where patients can pay for an evening slot in the MRI scanner and cut the queue? Allow surgeons to pay to use the facilities for private procedures in the evenings. Allow physicians to pay to use the outpatients clinics for private work after hours. An “NHS Journal” could publish research and audits conducted within and relevant to the NHS. “NHS pharma” – the NHS buys a huge amount of off patent drugs, why not produce them itself? Set up a drug company that produces off patent medication, these can be given to the NHS at cost price and sold to other healthcare providers for profit. NHS pharma could also work with British universities and researchers to produce new drugs for the British market that would be cheaper than new Drug company drugs because they wouldn’t need huge advertising budgets. There are so many ways the NHS could make more money for itself that could then be used to deliver newer and better treatments. Yes, it is a shift in ideology and culture, but I am sure it would have positive outcomes for the NHS and patients. If you have any ideas on how the NHS could produce more money then please do leave a comment.  
jacob matthews
almost 6 years ago
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Where hospital is not an option

Giving birth in remote rural Indonesia  
medium.com
about 5 years ago