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What Sub-Saharan African Nations Can Teach the U.S. About Black Maternal Health
While poor maternal outcomes among Black women in the U.S. is not new, improving it is imperative. U.S. policymakers can look to sub-Saharan Africa for guidance on reversing this trend. Credit: Ernest Ankomah/IPSBy Ifeanyi NsoforABUJA, Jun 2 2023 (IPS) New research shows that Black mothers in the United States disproportionately live in counties with higher maternal vulnerability and face greater risk of preterm death for the fetus, greater risk of low birth weight for a baby, and a higher number of maternal deaths. While poor maternal outcomes among Black women in the U.S. is not new, improving it is imperative. U.S. poli...
Source: IPS Inter Press Service - Health - June 2, 2023 Category: International Medicine & Public Health Authors: Ifeanyi Nsofor Tags: Africa Gender Headlines Health Inequality North America Poverty & SDGs Maternal Health Source Type: news

Inappropriate Combined Antiplatelet and Anticoagulant Therapy in Older Patients with Atrial Fibrillation: Trend over Time (2009 –18)
ConclusionsWhile inappropriate combined antiplatelet and anticoagulant therapy has declined over the last decade, there is still room for improvement. Antiplatelet deprescribing should be considered in all patients with inappropriate combined antiplatelet and anticoagulant therapy, including those with vascular disease and no recent cardiovascular event.
Source: Drugs and Aging - February 23, 2023 Category: Geriatrics Source Type: research

Aortic root management in acute type A aortic dissection: A nationwide analysis
ConclusionIn selected patients, AVr is being performed safely in the setting of ATAAD with mortality and composite outcomes comparable to AVR.
Source: Journal of Cardiac Surgery - July 26, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Edward D. Percy, Morgan T. Harloff, Paige C. Newell, Muntasir Chowdhury, Supreet Singh, Sameer A. Hirji, Farhang Yazdchi, Thais F. Vinholo, Mariam Kerolos, Tsuyoshi Kaneko, Ashraf A. Sabe Tags: ORIGINAL ARTICLE Source Type: research

Anticoagulant choice in antiphospholipid syndrome – associated thrombosis
Background: DOACs have largely replaced VKAs as first-line therapy for venous thromboembolism in patients with adequate renal function. However, there is concern in APS that DOACs may have higher rates of recurrent thrombosis than VKAs when treating thromboembolism. Dr. David Portnoy Study design: Randomized noninferiority trial. Setting: Six teaching hospitals in Spain. Synopsis: Of adults with thrombotic APS, 190 were randomized to receive rivaroxaban or warfarin. Primary outcomes were thrombotic events and major bleeding. Follow-up after 3 years demonstrated new thromboses in 11 patients (11.6%) in the DOAC...
Source: The Hospitalist - December 10, 2021 Category: Hospital Management Authors: Daniel Hickman Tags: Hematology Thrombosis Source Type: research

Readmissions in patients with Cerebral Cavernous Malformations (CCMs): a National Readmission Database (NRD) study
CONCLUSIONS: All identified comorbidities associated with increased risks of readmission contribute to vascular stress, suggesting its role in lesion pathogenesis. This is the first and only study to analyze readmission metrics for CCMs in order to identify high risk patient factors to date.PMID:34763395 | DOI:10.23736/S0390-5616.21.05605-8
Source: Journal of Neurosurgical Sciences - November 12, 2021 Category: Neurosurgery Authors: Akhil Padarti Amod Amritphale Javed K Eliyas Daniele Rigamonti Jun Zhang Source Type: research

Temporal Trends and Outcomes of Elective Thoracic Aortic Repair and Acute Aortic Syndromes in Bicuspid Aortic Valves: Insights from a National Database
ConclusionData from a national database showed no change in the number of hospitalizations for BAV-related aortopathy, with relatively lower incidence of AAS. Compared with TAV, elective aortic repair for BAV is associated with lower mortality, while BAV-related AAS is associated with higher in-hospital complications.
Source: Cardiology and Therapy - August 24, 2021 Category: Cardiology Source Type: research

Developing a cardiac surgery unit in the Caribbean: A reflection
ConclusionFrequent outside visits complemented by training in an overseas center, and transfer of knowledge proved to be an effective strategy to develop a cardiac surgery unit in an emerging country with results comparable to accepted international standards.
Source: Journal of Cardiac Surgery - October 21, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Gianni D. Angelini, Richard A. E. Ramsingh, Natasha C. Rahaman, Risshi D. Rampersad, Anand Rampersad, Kamal A. Rampersad, Giovanni Teodori Tags: ORIGINAL ARTICLE Source Type: research

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