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

The overlooked impact of childbirth: hidden pelvic floor damage
Most women, about 60 percent of us, have a biological child. And while the birth of a child is often eagerly anticipated at the end of pregnancy, there are common concerns about the impact and process of delivery. Women worry about all kinds of things. We worry about poor pain control, long labor, deviating from Read more… The overlooked impact of childbirth: hidden pelvic floor damage originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 9, 2024 Category: General Medicine Authors: Tags: Conditions OB/GYN Source Type: blogs

An Urgent Call to Raise Awareness of Heart Disease in Women
By KELLY CARROLL There is a dire need to raise awareness about heart disease in women. It is the number one killer of American women, and key data points reveal a lack of cognizance among doctors and women. An assessment of primary care physicians published in 2019 revealed that only 22% felt extremely well prepared to evaluate cardiovascular disease risks in female patients. A 2019 survey of American women showed that just 44% recognized heart disease as the number one cause of death in women. Ten years earlier, in 2009, the same survey found that 65% of American women recognized heart disease as the leading cause o...
Source: The Health Care Blog - April 5, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Medical Practice heart disease Kelly Carroll Life Essential 8 prevention Womens health Source Type: blogs

Aprocitentan the first endothelin receptor antagonist approved for treatment of hypertension
Just now, I read online that aprocitentan has become the first endothelin receptor antagonist to be approved by the USFDA for treatment of hypertension. Edema and anemia are the most common adverse events as per the manufacturer’s prescribing information and aprocitentan is contraindicated in pregnancy. Edema could be managed by adding or uptitrating diuretics. Macitentan used in the treatment of pulmonary arterial hypertension, metabolizes into the active compound, aprocitentan. Aprocitentan is an orally active, dual endothelin receptor antagonist which inhibits ET‐1 by binding to both ETA and ETB receptors. Aproc...
Source: Cardiophile MD - March 22, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

How can Warfarin be safe “ even in ” first trimester of pregnancy ? The story behind the 5 mg cut-off !
The well known pro-coagulant state of pregnancy is an evolutionary protective process to make blood clot quicker, to save fetal loss in early pregnancy and mitigate postpartum bleeding. Still, in many women, this natural adaptive process confers an enhanced thrombotic risk. The molecular mechanisms for this pro-coagulant state are, there is increased factor VII, fibrinogen, reduced protein S. It is interesting to note, while plasminogen levels are elevated, D-dimer is also increased, indicating an ongoing fight between pro & anticoagulant forces, converting the physiological maternal- placental bed a mini harmless DIC ...
Source: Dr.S.Venkatesan MD - March 20, 2024 Category: Cardiology Authors: dr s venkatesan Tags: cardiology -pregnancy Pregnancy and heart pregnancy and heart disease Uncategorized carpreg registry zahara esc acc guidelines on pregnancy and heart disease first trmestr use of oac warfarin heparin switch over lmwh bridge in pregnancy Source Type: blogs

Four Steps to Success in Implementing AI Within Healthcare Organizations
The following is a guest article by Ben Cushing, Chief Architect of Health and Life Sciences at Red Hat Artificial intelligence (AI) is showing up in more healthcare contexts, from drug discovery to diagnostic imaging to robot-assisted surgery. But one area where AI can have a tremendous impact is in the reduction of provider burden. For instance, the Veterans Health Administration (VHA) is exploring automated, AI-assisted documentation of patient visits with clinicians. The system records the conversation between clinician and patient, and then automatically produces a clinical note. The AI system can apply accurate medic...
Source: EMR and HIPAA - March 19, 2024 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Ambulatory C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops LTPAC AI Implementation Artificial Intelligence Ben Cushing Healthcare AI Process Automation 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

From trusted family doctors to silent white walls
The face of health care in today’s world is unfamiliar to me in many ways. When I was growing up, the family doctor was a well-known and respected member of the community. Patients trusted their doctor to help them navigate life’s challenges – the loss of a loved one, a cancer diagnosis, a complicated pregnancy, Read more… From trusted family doctors to silent white walls originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 20, 2024 Category: General Medicine Authors: Tags: Conditions Primary Care Source Type: blogs

What's new in midwifery - 19th February 2024
Not sure where the time went, but here are some things that might be useful to know.   Respectful maternity careRespectful maternity care, a systematic review .  This is a systematic review of definitions and valid measurements of " respectful maternity care " .  There is also an AHRQ (the US Agency for Healthcare Research and Quality) Comparative Effectiveness Review on the topic. Recommendations and researchWHO recommendations on the assessment of postpartum blood loss and use of a treatment bundle for postpartum haemorrhage.The effect of subsequent pregnancy and childbir...
Source: Browsing - February 19, 2024 Category: Databases & Libraries Tags: midwifery Source Type: blogs

Who Could (Possibly) Be the Ideal “ Chief Patient Officer ” ?   (And Other Ideas that Sound Better on Paper than in Practice)
By JONATHON S. FEIT If ideas presented in essays on The Health Care Blog and other healthcare forums are meant to be rhetorical, without intention of turning notions into reality on behalf of patients who need genuine, intimate, desperate help…then feel free to ignore this essay entirely.  Some among us—the State of Washington’s Co-Responder Outreach Alliance; Lisa Fitzpatrick’s Grapevine Health, which specializes in “street medicine” and advocacy in and around Washington, D.C.; Thorne Ambulance Service, an inspirational ambulance entrepreneur bringing both emergency and nonemergency medical transpor...
Source: The Health Care Blog - January 26, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Health Tech Chief Patient Officer CIVITAS EMS First Responders Interoperability Jonathan Feit Kat McDavitt Lisa Bari Medicaid Source Type: blogs

Wednesday Bible Study: Bad King
Psalms 51 and 52 refer to incidents in 2 Samuel and 1 Samuel, respectively, in which David does not exactly earn his crown. As with all the psalms of David, they were written long after he was dead -- they ' re actually fan fiction, or commentaries on Samuel. Just as a reminder, Psalm 51 refers to 2 Samuel 11-12 in which David rapes a woman named Bathsheba and gets her pregnant. To try to cover it up he summons her husband Uriah, a general, back from the front, but Uriah is loyal to his troops and won ' t come, so David has him murdered. He then marries Bathsheba. That is definitely not nice. God sent Nathan to let David k...
Source: Stayin' Alive - January 24, 2024 Category: American Health Source Type: blogs

Drug prices continued: Innovation?
Pharmaceutical manufacturers claim that they need patent protection and marketing exclusivity so they can charge high prices to recoup the costs of drug development and clinical trials. There are a few things wrong with this argument, but they add up to the general fact that the system does not serve the public interest. Drug companies care about one thing only, that is profit. And the pursuit of profit does not serve the interests of public health or social welfare.One obvious mismatch between the goal of public health and the goal of profit is that a relatively cheap drug that you can take once or for a week or so, that ...
Source: Stayin' Alive - January 23, 2024 Category: American Health Source Type: blogs

Drs. Hamori and DiEdwardo: Top Doctors 2024 in New Beauty
Dr. Christine Hamori and Dr. Christine DiEdwardo have been selected as Top Doctors for 2024 as seen in the current edition of NewBeauty magazine, on newsstands now.newbeauty.com/doctor/hamori/FromNew Beauty: Board-certified plastic surgeons Drs.Christine Hamori andChristine DiEdwardo are dedicated to helping women look and feel their best from the inside out. With a focus on women ’s health and wellness, they remain current with the latest research and newest technologies in aesthetics and feminine wellness. In addition to providing transformative surgeries like Mommy Makeovers, labiaplasty, perineoplasty, and vaginoplas...
Source: What's New In Plastic Surgery? - January 16, 2024 Category: Cosmetic Surgery Source Type: blogs

Fight Aging! Newsletter, January 15th 2024
In conclusion, FMD cycles have high potential to be effective in increasing the toxicity of a range of therapies against ALL and other blood cancers and should be tested in randomized clinical trials, especially in combination with immunotherapy and low toxicity cancer therapies. In summary, we present a new strategy for improving leukemia treatment by combining FMD with chemotherapy to promote the killing of ALL cells in part by an immune-dependent mechanism. Fasting/FMD has been shown to reduce chemotherapy-associated toxicity in pre-clinical and clinical studies and thus represents a safe and potentially effectiv...
Source: Fight Aging! - January 14, 2024 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Stress Temporarily Increases Epigenetic Age
This study used DNA methylation (DNAm)-based aging clocks to measure changes in biological age in response to diverse forms of stress. The researchers began with a laboratory experiment known to produce aged physiology in young mice or restore youthful physiology to old mice by surgically joining young, 3-month-old mice with older, 20-month-old mice, which allowed them to share their blood. At the molecular level, they found that the biological age of the young mice increased when measured with most aging clocks. Once the young mice were separated from the old mice and therefore were no longer experiencing the older mouse ...
Source: Fight Aging! - January 11, 2024 Category: Research Authors: Reason Tags: Daily News Source Type: blogs