New National License Agreement Provides Brazil with Unlimited Access to the Cochrane Library
John Wiley and Sons Inc. today announced a new license agreement with the country of Brazil that provides unlimited access to the Cochrane Library. From academics to clinicians to patients, the two-year agreement provides one-click access to 7,000 published systematic reviews in healthcare interventions to more than 207 million Brazilians. The access was possible due to the contract signed by the Brazilian Federal Agency for Support and Evaluation of Graduate Education (CAPES in Portuguese) and Wiley. CAPES offers a tool for accessing and sharing scientific information called the Portal de Periódicos—a virtual library where the Cochrane Library is available. Geraldo Nunes Sobrinho, Director of Programs and Scholarships for CAPES welcomed the move: “The national license in Brazil will enhance the quality of evidence used in healthcare interventions country-wide. By investing in the Cochrane Library for our country, we are considering future health of our population and ensuring the best evidence is available to all.” Editor-in-Chief of the Cochrane Library, Dr. David Tovey said of the agreement, “We are delighted that citizens of Brazil now have unlimited access to the Cochrane Library to help inform their health decisions.” Cochrane is a global independent network of researchers, professionals, patients, careers, and people interested in health. The organization gathers and summarizes the best evidence from research to help make i...
[Guardian] A recent study has shown how substandard drug used to stop post partum haemorrhage (PPH) fuels maternal deaths in Nigeria. Earlier studies had identified PPH as the leading cause of maternal mortality across the country.
[New Era] Opuwo -The Kazetjindire Angelika Muharukua maternity waiting home at Opuwo is a dream come true for the women of Kunene, who were used to travelling long distances to give birth, or otherwise had to do so at home. But the maternity shelter will now allow expectant mothers to move closer to the Opuwo hospital, where they can live while receiving professional care as they wait for the delivery of the child.
ConclusionsSo far examples are given for almost every possible patient position in the third trimester except the right lateral one. All the previously presented positionings (prone, left lateral) were equally effective regarding the outcome with none being better than another. For left-sided lumbar pathologies performed in the third trimester the right lateral position might be an alternative option for easier access. Based on the literature an epidural and general anesthesia can be applied successfully in the third trimester. Spinal anesthesia might be another anesthesia consideration.
ConclusionsQuinolones are not associated with unfavourable pregnancy outcomes; however, larger studies are needed before safety is established. Until then, it is suggested that quinolones should not be used as a first‐line therapy during the first trimester. Tweetable abstractQuinolones were associated with favourable pregnancy outcomes; caution should be taken in the first trimester.
The Hibernating Bear—A Good Analogy to Explain Why Acute Fatty Liver of Pregnancy Manifests in Late Pregnancy American Journal of Gastroenterology 113, 307 (February 2018). doi:10.1038/ajg.2017.462 Authors: Uday Zachariah, Ashish Goel, K A Balasubramanian &C E Eapen
In conclusion, pregnant endometriosis patients should be offered special clinical attention.
ConclusionsThe findings obtained in the present study suggest that an increased intake of low‐fat but not regular‐fat cheese between pre‐pregnancy and early pregnancy is associated with a lower risk of GDM in high‐risk women.
Conclusions Although TND is simple, safe, and less invasive than LOD, its effect on ovarian reserve appears to be transient and diminishes at 6 months. Multicenter studies are warranted to confirm efficacy as second-line treatment in patients with CC-resistant PCOS. (Pan African Clinical Trials Registry http://www.pactr.org PACTR2017020020135137)
AbstractPurpose of ReviewIncreasing hepatitis C virus (HCV) cases over the past decade have raised concerns about subsequent increased cases in infants due to mother to child transmission (MTCT). Many are reminded of the early days of HIV and the rationale for using antiretroviral agents during pregnancy.Recent FindingsDirect-acting antivirals (DAAs) that are highly potent, all-oral, short-duration regimens that cure HCV have led many to consider what it would entail to use DAAs for pregnant women. Considering HIV and Hepatitis B virus (HBV) as two infections with MTCT to draw lessons from, DAA use to interrupt HCV MTCT co...
ConclusionThis analysis brings new elements and a new focus for discussion relating to changes in pelvic balance of parturient women that are not simply linked to the increase in uterine volume.