First-Mile Family Planning Can Help More Women Avoid Unintended Pregnancies
November 10, 2017In the global health community, we often talk about reaching the “last mile”—generally those who live in the hardest-to-reach places of the world, farthest from the health services they need. But from the point of view of those families, the last mile is in fact the first mile.The global information and communications technology community seems to understand this more than we do in health. Studies such as this look directly at first-mile issues—that is, “how connectivity looks, feels, and behaves from the subscriber's perspective. ” And researchers have done some work to shed light on how a true first-mile approach during an infectious disease outbreak like Ebola must take into account not only local resources, but also the importance of local know-how and cultural understanding.So why, in family planning and many other essential services, do we usually refer to the last mile rather than the first?A Mile of PotholesFor people in need of health care, that first mile is often full of potholes. That goes not only for remote rural communities, but for city-dwellers who face misinformation, cost barriers, or fears of lack of confidentiality when it comes to family planning services.Closer-to-community care can help potential contraception users overcome a number of challenges, including time, distance, and money. But community-based family planning services —unless they are specifically designed to do ...
Authors: Shamim T PMID: 30341884 [PubMed - in process]
Authors: Padhiyar R, Chavan S, Dhampalwar S, Trivedi T, Moulick N Abstract Background: In India, it is estimated that up to 20,000 people die annually from snake bites. The present study was carried to out to estimate the snake bite related epidemiology, predictors of severity, relationship between type of snake, clinical severity, complications, outcome and usage pattern of polyvalent anti snake venom (ASV) in a tertiary care center. Methods: All indoor patients admitted in our institute with definitive history of bite by a snake, with or without presence of fang marks, Evidence of cellulitis, acute onset of...
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In conclusion, VPA transport is mediated by a proton-dependent transporter in JEG-3 cells, but not by MCT1 and MCT4. PMID: 30341000 [PubMed - as supplied by publisher]
This budget friendly pharmacy oil has just been named best product for pregnancy in Australia as part of the Best in Beauty Awards 2018.
The tracheoinnominate artery fistula (TIAF) is a critical complication of tracheostomy with a reported incidence of 0.1% to 1%. It is highly lethal even in the presence of initially successful management. The intimate relationship of the innominate artery and the trachea explains the fistula formation. A high index of clinical suspicion is needed to make the diagnosis in a patient with peristomal bleeding or hemoptysis. The traditional treatment has been open surgery, but the new results of endovascular surgery and the patient ’s critical condition support endovascular treatment.
Readmission rates after endovascular aneurysm repair (EVAR) are an average of 15% ± 6% at 30 days. The principal reasons for readmission include wound complications, pneumonia, renal complications, sepsis, bowel obstruction, and bleeding. With increased emphasis on pay for performance and lowering of overall readmission rates by the Centers for Medicare and Medicaid Services, th ere is significant financial pressure to improve the quality of health care delivery and to reduce costs.
Publication date: Available online 21 October 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Mai Nishimura, Sachiko Matsumoto, Yasuhiro Ohara, Kaoru Minowa, Risa Tsunematsu, Kanako Takimoto, Kazuaki Imai, Yoko Tsuzuki, Hajime Ota, Ayako Nakajima, Yoshiyuki Fukushi, Shinichiro Wada, Takafumi Fujino, Yoichi M. ItoABSTRACTThis systematic review aimed to investigate complications related to initial trocar insertion between three different laparoscopic techniques: Veress needle (VN) entry, direct trocar entry (DTE), and open entry (OE). A literature search was completed, and complications were assessed. Major ve...
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