What's new in midwifery - 15th April 2024
Selected new (or newish) items of interest. I am trying with this one to use DOIs as the link, please consult your library service, if you have access to one, if you have trouble accessing full text.In the news, Guardian analysis of NHS figures shows black women in England are more likely to have serious birth complications, Some systematic reviews and researchEffectiveness of care bundles in preventing postpartum haemorrhage, a systematic review, Socio-economic disadvantage and utilisation of labour epidural analgesia, a study carried out in Scotland, A systematic review of maternal and neo...
Source: Browsing - April 15, 2024 Category: Databases & Libraries Tags: midwifery Source Type: blogs
Supported self-management – what are we managing, actually?
One of the words that has been in my vocabulary for decades is ‘management.’ No, I don’t mean the proliferative middle management layer infesting healthcare for about as long as I’ve been working in health. I mean ‘pain management’ or ‘supported self-management.’ As ever, what pops up for me is about what, exactly, is being managed?
Is it pain? Well – not exactly. After all, pain does what it does, and if we focus on pain reduction alone just look where that gets us (Ballantyne & Sullivan, 2015; Cutler & Glaeser, 2021). And quickly, lest anyone think I’...
Source: HealthSkills Weblog - April 14, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Uncategorized Source Type: blogs
Dump Punts
Apparently realizing that they were caught on the horns, as it were, the dumpsters handlers wrote a statement for him in which he tried to split the baby by saying that abortion policy should be left entirely up to the states. Presumably he agreed to this although his dementia is too far advanced for him to have written the statement.The whole issue has never been anything but opportunism for him. He proclaimed himself to be a strong supporter of abortion rights until he decided to run for president as a Republican, and then he had a very difficult time articulating exactly what he thought about the entire question until t...
Source: Stayin' Alive - April 8, 2024 Category: American Health Source Type: blogs
Costco Weight-Loss Program: Omission of Critical Data Puts Patients at (Financial) Risk
This week, the world learned that Costco Wholesale would start selling Novo Nordisk ' s newest, but vastly overpriced GLP-1 inhibitor medicine known generically as semaglutide (sold under the brand names Ozempic and Rybelsus for Type 2 diabetes, and under the brand name of Wegovy for weight-loss for those with obesity without Type 2 diabetes). We learned of the Costco GLP-1 initiative from a press release from Costco ' s strategic partner known as Sesamehttps://sesamecare.com/ which is the entity which will connect patients with its network of thousands of outpatient healthcare providers nationwide who are more than w...
Source: Scott's Web Log - April 3, 2024 Category: Endocrinology Tags: 2024 biosimilars Costco GLP-1 inhibitor liraglutide semaglutide Sesame Source Type: blogs
Wednesday Bible Study: A public health lesson
Psalm 90 is attributed to Moses. At least David might have existed, although he certainly did not write the psalms attributed to him. Moses is an entirely fictitious character. We know for a fact that the Egyptian captivity and the exodus never happened. But I ' ll give the writer this much credit -- the human lifespan of 70 years was probably pretty accurate at the time, in the sense that it was about the longest people could hope to live. You may recall that in Genesis 6:3 God says the human lifespan will be 120 years, and that many of the characters in Genesis lived for hundreds of years. However, life expectancy -...
Source: Stayin' Alive - April 3, 2024 Category: American Health Source Type: blogs
Arterial Switch Operation
Transcript of the video: Arterial switch operation is the ideal corrective surgery for D-Transposition or dextro transposition of great arteries, if it can be detected early in life. As the left ventricle is facing the pulmonary artery in dextro transposition of great arteries, if there is a delay beyond two to three weeks of life, there is possibility that the muscle mass of the left ventricle can regress, so that, later if arterial switch operation is done, it will not be able to face the systemic vascular resistance and it will fail. That is why, arterial switch operation has to be done very early in life. For the same ...
Source: Cardiophile MD - April 1, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Sunday Sermonette: A digression to current events
The next two psalms are just the usual pleading for God to be good to me and to screw over my enemies, so I won ' t say anything else about them. But I will take this opportunity to comment on the Alabama Supreme Court ruling that an embryo is legally a child, with Chief Justice Tom Parker writing that " human life cannot be wrongfully destroyed without incurring the wrath of a holy
God, who views the destruction of His image as an affront to Himself. " Presidential candidate Nikki Haley said she agrees, that she believes an embryo is a baby. It is something of a mystery why this very weird belief has become ce...
Source: Stayin' Alive - February 25, 2024 Category: American Health Source Type: blogs
So what can we do about health care costs?
By MATTHEW HOLT
Last week Jeff Goldsmith wrote a great article in part explaining why health care costs in the US went up so much between 1965 and 2010. He also pointed out that health care has been the same portion of GDP for more than a decade (although we haven’t had a major recession in that time other than the Covid 2020 blip when it went up to 19%). However, it’s worth remembering that we are spending 17.3% of GDP while the other main OECD countries are spending 11-12%. Now it’s true that the US has lots of social problems that show up in heath spending and also that those other countries probably spend ...
Source: The Health Care Blog - February 20, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Matthew Holt Buzz Cooper Datmouth health spending Jeff Goldsmith John Wennberg Medicare Price controls Source Type: blogs
A Few #HealthPolicyValentines
Happy Valentine’s Day to all of you! May your lives be filled with love this day. In the world of health IT and healthcare policy, this is the day we love to share our love (and some disdain) for healthcare in what we call #HealthPolicyValentines. Be sure to check out our coverage of previous #HealthPolicyValentines as well as some that we found interesting this year below. We hope you’ll enjoy a nice break this Valentine’s day.
Roses are red, violets are blue
CMS’s plan to abruptly migrate Medicare/Medicaid research to the expensive VRDC
Will be bad for researchers and bad for health polic...
Source: EMR and HIPAA - February 14, 2024 Category: Information Technology Authors: John Lynn Tags: Healthcare IT #healthpolicyvalentines Fun Friday Health Policy Personal Musings Valentine's Day Source Type: blogs
Fight Aging! Newsletter, February 12th 2024
In conclusion, frailty is a dynamic process, and improved frailty and remaining robust are significantly associated with lower risk of all-cause mortality and cardiovascular death in older people.
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Greater Individual Wealth Correlates with Longer Life Expectancy
https://www.fightaging.org/archives/2024/02/greater-individual-wealth-correlates-with-longer-life-expectancy/
Individual wealth correlates with life expectancy, with an effect size that is in the same ballpark as those related to lifestyle choices involving exercise, diet, and consequences thereof. It remains unclear...
Source: Fight Aging! - February 11, 2024 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Who to Blame for Health Costs: The Poisoned Chalice of “ Moral Hazard ”
By JEFF GOLDSMITH
How the Search for Perfect Markets has Damaged Health Policy
Sometimes ideas in healthcare are so powerful that they haunt us for generations even though their link to the real world we all live in is tenuous. The idea of “moral hazard” is one of these ideas. In 1963, future Nobel Laureate economist Kenneth Arrow wrote an influential essay about the applicability of market principles to medicine entitled “Uncertainty and the Welfare Economics of Medical Care”.
One problem Arrow mentioned in this essay was “moral hazard”- the enhancement of demand for something people us...
Source: The Health Care Blog - February 8, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Health Care Costs Jeff Goldsmith Kenneth Arrow Medicare Moral Hazard Source Type: blogs
NICU tragedy: How new nurses ’ nail choices led to a newborn ’ s heartbreaking fate
A small, cliquish bevy of nurses was working their way through orientation in the NICU straight out of nursing school. They were happy and thrilled to be accepted into this specialized nursing unit: the NICU. Practicing good hygiene, washing hands up to the elbows with soap each time one entered a baby’s cubicle, and gowning
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NICU tragedy: How new nurses’ nail choices led to a newborn’s heartbreaking fate originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 5, 2024 Category: General Medicine Authors: Debbie Moore-Black, RN Tags: Conditions Critical Care Source Type: blogs
Greater Individual Wealth Correlates with Longer Life Expectancy
Individual wealth correlates with life expectancy, with an effect size that is in the same ballpark as those related to lifestyle choices involving exercise, diet, and consequences thereof. It remains unclear as to why wealth correlates with life expectancy. It is a part of a tangled web of correlations including intelligence, education, social status, personality traits, access to and ability to use medical services, as well as the suspicion that genetic associations with at least some of those line items (largely intelligence) may also independently affect health. Theorizing is easy, but assessing the relative contributi...
Source: Fight Aging! - February 5, 2024 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Sunday Sermonette: Right to life?
The RSV labels Psalm 58 " A prayer for vengeance. " Since that is an addition by modern translators, I don ' t include it here, but at least they ' re frank about it. There ' s no indication of what, specifically, has provoked this fantasy of gory torture and murder, but the writer (not actually David) was really pissed about something. Note that according to the Bible, the literal, inerrant word of God, God wants the unborn babies of the unrighteous to be aborted (verse 8). I ' m not sure what the " pots " are in verse 9, and I can ' t find an explanation. Note in verse 1 that there are multiple Gods. Evidently the o...
Source: Stayin' Alive - February 4, 2024 Category: American Health Source Type: blogs
From OB/GYN to self-compassion: a physician ’ s tale of transformation
An excerpt from The Birth of Joy: A Female Physician’s Healing Journey through Childhood Trauma, Midlife Burnout, and the Rediscovery of Passion and Purpose. As an OB/GYN, I had found my calling. I loved delivering babies, performing surgery, and the long-term relationships I built with my patients. But I became irritable, angry, and resentful. My
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From OB/GYN to self-compassion: a physician’s tale of transformation originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 1, 2024 Category: General Medicine Authors: Beverly Joyce, MD Tags: Physician OB/GYN Source Type: blogs
