What's new in midwifery - 15th April 2020
Things you might want to know about...ResearchThe cost-effectiveness of progesterone in preventing miscarriages in women with early pregnancy bleeding: an economic evaluation based on the PRISM trial (BJOG)Antibiotic prophylaxis for operative vaginal delivery (Cochrane review)Umbilical cord milking in preterm infants: a systematic review and meta-analysis (Archives of Diseases in Childhood)Telehealth Interventions to Improve Obstetric and Gynecologic Health Outcomes: A Systematic Review (Obstetrics and Gynecology)Includes discussion related to smoking cessation, breastfeeding and pre-eclampsia.Ask your librarian if you hav...
Source: Browsing - April 15, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs
Great cardiac vein aspiration for refractory LAD No-reflow : A hypothesis waiting for proof.
Preamble The resting coronary blood flow (CBF) is about 5 % of cardiac output. It amounts to 250 ml /min (0.8 ml /mt/gram of myocardium ) It is estimated, blood flow across LAD is 50% . LCX and RCA share 25% each, depending upon the dominance. No need to say , the net return to coronary sinus should match the CBF at rest or exertion.(Minus a small fraction contributed by thebesain and vene cardia minimi flow, into the right heart chambers)Great cardiac vein (GCV) is the venous cousin of LAD. It must receive and empty 125ml of deoxygenated blood every minute into the coronary sinus, if LAD flow is normal. When LAD mic...
Source: Dr.S.Venkatesan MD - April 10, 2020 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized coronary sinus aspiration great cardiac vein aspiration for no reflow microvascular obstruction retrograde thrombus aspiration for no reflow Source Type: blogs
Electrospinning Drug Delivery Bandages Directly Onto Wounds
Electrospinning is a maturing manufacturing technology that is already being used in medicine to produce unusual materials with novel properties. It involves melting a polymer and extruding it through a narrow nozzle, while an electric field is used to pull and spin the polymer into a very fine mesh. When a biocompatible polymer is used, the printed materials may be applicable for medical applications, as the resulting mesh has an extremely large surface area. The fibers can also have drugs attached to them, resulting in active meshes with interesting therapeutic properties.
It would be great to deposit such fiber m...
Source: Medgadget - November 14, 2019 Category: Medical Devices Authors: Medgadget Editors Tags: Critical Care Dermatology Emergency Medicine Materials Plastic Surgery Source Type: blogs
10 Things I ’ve Learned as a Therapist and a Mom about Perinatal Mood and Anxiety Disorders
I’ve been a mental health therapist for over 10 years and in the social work profession for more than 20. I have been pregnant 8 times, with 4 living children. I consider myself to be pretty self-aware, intelligent, and inquisitive. And yet… I had some form of perinatal mood and anxiety disorders (PMADs) with each of my pregnancies. I just didn’t know it.
Oh, sure, I got sad and I got angry and with my older son, I couldn’t let myself fully bond to him until he was 9 months old, but I was fine, right? I even took medication, but that’s normal, right?
I was introduced to PMADs last year when a friend of a friend ...
Source: World of Psychology - June 5, 2019 Category: Psychiatry & Psychology Authors: Allyson Guilbert, LCSW Tags: Parenting Personal Pregnancy Women's Issues Birth trauma perinatal anxiety disorder perinatal mood disorder Postpartum Disorder Source Type: blogs
Intuitive Surgical Releases Ion Robotic Lung Biopsy System
Intuitive Surgical, the firm that makes the popular da Vinci surgical robotic systems, won FDA clearance and is releasing a robotic lung biopsy system called Ion in the United States. The catheter-based device allows precise penetration and sampling of tissues deep within the lungs.
The catheter is only 3.5 mm wide and it can rotate and flex 180 degress in any direction. The biopsy needle itself is flexible, so it can pass through the same curvy anatomy that the catheter can navigate through. The 2mm working channel of the catheter can also be used to introduce biopsy forceps and cytology brushes.
The Ion has the ability t...
Source: Medgadget - February 21, 2019 Category: Medical Devices Authors: Editors Tags: Surgery Thoracic Surgery Source Type: blogs
To Pull Back the Curtain on Shame in Medical Education, I Had to Start With Myself
The moment I made the error—an unfathomable vaginal laceration caused by my hands during the vacuum-assisted delivery—it felt as if a massive floodlight, centered right over my head, descended on me. All eyes in the room, aghast at my error and its outcome, bore straight through me. A rush of anxiety and fear flushed down my body, and I felt an overwhelming urge to disappear. So, I did. I slipped out quietly and eventually hid myself on other side of the labor and delivery unit, in a corner of a room, on the floor, behind a chair.
That’s when the really painful feelings hit me.
With an acute, dizzying sense of disori...
Source: Academic Medicine Blog - February 5, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective medical students residents shame Source Type: blogs
AI Predicts Which Patients Will Code, Allowing Early Intervention
I will occasionally report inLab Soft News about examples of artificial intelligence (AI) that are being introduced into healthcare because the use of such tools will radically change the way care is rendered. One such example is a recently developed algorithm that generates warnings about which patients are in imminent danger of"coding" in the hospital (see: Ochsner Health System: Preventing cardiac arrests with AI that predicts which patients will ‘code’). Such a warning enables physicians to intervene earlier for them. Below is an excerpt from the article:In modern hospitals, doctors and nurses are t...
Source: Lab Soft News - May 13, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Delivery Healthcare Information Technology Healthcare Innovations Medical Ethics Medical Research Quality of Care Source Type: blogs
Small Hairs Make Big Cuts (and Consequences)
The hair or thread tourniquet syndrome is a relatively rare condition that has evaded me in the emergency department for several decades, until past year when three cases showed up over six months. This condition has been around for as long as there has been hair or thread and body appendages. In fact, this condition may have first been described in the 1600s. (J Pediatr Adolesc Gynecol 2005;18[3]:155.)The etiology of this condition seems almost unbelievable. How in the world does a hair get wrapped repeatedly and tightly around an appendage of the body? Some authors expressed the need to consider nonaccidental etio...
Source: M2E Too! Mellick's Multimedia EduBlog - April 30, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Nurses: Moving at the Speed of Trust
Seeking a career in nursing could be characterized as an exercise in trust. We nurses willingly endure a grueling educational experience; place ourselves in the hands of nursing professors and professional nurse preceptors; and otherwise trust that the blood, sweat, tears, and expense of pursuing our goal is worthwhile. In essence, we move at the speed of trust as we enter the universe of a nursing career.Photo by Alternate Skate on UnsplashTrusting OurselvesThe first act of trust intrinsic to our nursing journey is trust in the self. Even while our peers, colleagues, friends, or family may caution us agains...
Source: Digital Doorway - April 9, 2018 Category: Nursing Tags: career career development career management careers healthcare healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs
Another Kind of Circulatory System
In the depths of the hospital, through doors that often go unnoticed by most employees, is a transportation system that plays a huge role in modern health care. The passengers are not people, although some are samples of people – blood samples, that is, secured in a “carrier” and on their way to the hospital lab. The carriers – cylindrical cartridges with a secure latch on each end — race all over the hospital through pneumatic tubes hidden deep behind the walls. Unit nurses can send samples to the lab for testing, or receive blood products and medications to administer to their patients.
Pneumatic tube syste...
Source: Life in a Medical Center - January 10, 2018 Category: Universities & Medical Training Authors: UMMC Admin Tags: Miscellaneous Technology health care medical center pneumatics tube system UMMC University of Maryland Source Type: blogs
Super Macranomics
By KIP SULLIVAN
This is the second of a two-part series on MedPAC’s October 4 decision to recommend the repeal of the MIPS program. In Part One , I gave the MedPAC staff credit for urging the commission to support repeal of MIPS, and I criticized their irrational proposal to replace MIPS. I said MedPAC is stuck in a vicious cycle – they recommend “reforms” without evidence, and when the reforms don’t work, they recommend evidence-free tweaks that don’t work either. I referred to this vicious cycle as a “tar pit.”
In this essay I attempt to explain how MedPAC created this intellectual tar pit. I begin by des...
Source: The Health Care Blog - October 26, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized CMS MACRA Source Type: blogs
A Line in the Sand
By JONATHAN HALVORSON
Eventually, the share of the American economy absorbed by healthcare will stop rising. The question is when, and how much more collective damage will be inflicted in the process. As it turns out, there is a solution under our noses that is nearly ubiquitous in business, personal finance, and government programs worldwide.
And it can be used to bring manageable, relatively predictable transformation, rather than sudden wrenching change. It is a called a “budget.” It is well past time to embrace the discipline of budgets in healthcare financing.
The basic idea is clear: set a limit on how much money...
Source: The Health Care Blog - August 7, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
RealMom, a New Physical Simulator for Practicing Vaginal Birthing Techniques
Operative Experience, a company based in Maryland, is releasing a new highly realistic vaginal birth simulator. The model mannequin is a full size replica of a patient made of soft materials that even replicates the mother’s internal anatomy. The cervix undergoes dilation and effacement, and the baby is pushed out similarly to a natural birth.
Various parameters, such as dilation and delivery progression, heart rate and tones, contractions, pulses, blood pressure and SPO2, can be tuned to vary a simulated birth so as to train clinicians that will have to deal with unusual and challenging real births. Because the simu...
Source: Medgadget - June 20, 2017 Category: Medical Devices Authors: Editors Tags: Ob/Gyn Source Type: blogs
Pregnancy & Exercise
An increasing amount of research is coming to the forefront showing the relationship between exercise and the health of expecting mothers and their baby. The benefits of increasing physical activity before and during pregnancy begin instantly and can play a significant role in your health for the rest of the mother’s life.
Shorter labor and easier delivery: There have been some small studies that have shown that women who exercise regularly are 58% less likely to request pain medication. Regular exercisers are 75% less likely to need a forceps delivery and 4 times less likely to have a C-section. Also, women who tr...
Source: Cord Blood News - March 29, 2016 Category: Perinatology & Neonatology Authors: aims Tags: Cord Blood pregnancy Source Type: blogs
Pregnancy & Exercise
An increasing amount of research is coming to the forefront showing the relationship between exercise and the health of expecting mothers and their baby. The benefits of increasing physical activity before and during pregnancy begin instantly and can play a significant role in your health for the rest of the mother’s life.
Shorter labor and easier delivery: There have been some small studies that have shown that women who exercise regularly are 58% less likely to request pain medication. Regular exercisers are 75% less likely to need a forceps delivery and 4 times less likely to have a C-section. Also, women who tr...
Source: Cord Blood News - March 29, 2016 Category: Perinatology & Neonatology Authors: aims Tags: Cord Blood pregnancy Source Type: blogs
