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Declines in stillbirth and neonatal mortality rates in Europe between 2004 and 2010: results from the Euro-Peristat project
Conclusions Stillbirths and neonatal deaths declined at all gestational ages in countries with both high and low levels of mortality in 2004. These results raise questions about how low-mortality countries achieve continued declines and highlight the importance of improving care across the GA spectrum.
Source: Journal of Epidemiology and Community Health - May 10, 2016 Category: Epidemiology Authors: Zeitlin, J., Mortensen, L., Cuttini, M., Lack, N., Nijhuis, J., Haidinger, G., Blondel, B., Hindori-Mohangoo, A. D., and the Euro-Peristat Scientific Committee, and the Euro-Peristat Scientific Committee, Alexander, Pavlou, Velebil, Andersen, Sakkeus, Gis Tags: Epidemiologic studies, Mortality and morbidity, Open access Other topics Source Type: research

New Report Sheds Light on Opioid Industry's Role in Epidemic
WASHINGTON (AP) — Companies selling some of the most lucrative prescription painkillers funneled millions of dollars to advocacy groups that in turn promoted the medications' use, according to a report released Monday by a U.S. senator. The investigation by Missouri's Sen. Claire McCaskill sheds light on the opioid industry's ability to shape public opinion and raises questions about its role in an overdose epidemic that has claimed hundreds of thousands of American lives. Representatives of some of the drugmakers named in the report said they did not set conditions on how the money was to be spent or force the groups to...
Source: JEMS Administration and Leadership - February 12, 2018 Category: Emergency Medicine Authors: Matthew Perrone and Geoff Mulvihill, Associated Press Tags: News Administration and Leadership Source Type: news

Disorders of Consciousness and Disordered Care: Families, Caregivers, and Narratives of Necessity
This article shares the narrative experiences of these surrogate decision makers as they encounter the American health care system and accompany patients from injury through rehabilitation. Through their perspectives, the article considers challenges to ongoing care and rehabilitation that are a function of a prevailing medical infrastructure and reimbursement framework better suited to patients with acute care needs. Specific attention is paid to the ethical challenges posed by reimbursement strategies such as “medical necessity” as well as those proposed for the Affordable Care Act. The argument concludes that when i...
Source: Archives of Physical Medicine and Rehabilitation - June 17, 2013 Category: Rehabilitation Authors: Joseph J. Fins Tags: Topical Focus: Clinical Management of Patients With Disorders of Consciousness: Prognosis, Medical Needs, and Program Models Source Type: research

Adnexal torsion in adolescents: update and review of the literature
This article aims to systematically illustrate the most relevant approach to follow in cases of suspected adnexal torsion in adolescents. We based our evaluation of the role of clinical features, laboratory tests, and imaging on recent literature, till we consider the most appropriate surgical treatment. Recent findings: The literature describes the conservative treatment for adnexal torsion, consisting of detorsion, as the best surgical approach to guarantee the future reproductive capacity of patients. Recent experimental studies have focused on the consequences of detorsion, which may cause ischemia-reperfusion damage a...
Source: Current Opinion in Obstetrics and Gynecology - September 5, 2015 Category: OBGYN Tags: ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Paula J. Adams Hillard Source Type: research

Normal male sexual function: emphasis on orgasm and ejaculation
Orgasm and ejaculation are two separate physiological processes that are sometimes difficult to distinguish. Orgasm is an intense transient peak sensation of intense pleasure creating an altered state of consciousness associated with reported physical changes. Antegrade ejaculation is a complex physiological process that is composed of two phases (emission and expulsion), and is influenced by intricate neurological and hormonal pathways. Despite the many published research projects dealing with the physiology of orgasm and ejaculation, much about this topic is still unknown.
Source: Fertility and Sterility - September 15, 2015 Category: Reproduction Medicine Authors: Amjad Alwaal, Benjamin N. Breyer, Tom F. Lue Tags: Views and reviews Source Type: research

See How Oil Drilling Created an Earthquake Crisis in Oklahoma
In the last few years, Oklahoma has become one of the most seismic places on the planet. Last year, there were almost 6,000 earthquakes, 900 of which were magnitude 3 or higher, according to the U.S. Geological Survey (USGS). Scientists say the increase is due to hundreds of saltwater disposal wells around the state that pump brackish water that comes up naturally during drilling back underground. The state’s quakes have become so frequent that the USGS will release a new nationwide hazard map Monday which will, for the first time, include manmade earthquakes and show parts of Oklahoma to be as seismic as California....
Source: TIME.com: Top Science and Health Stories - March 27, 2016 Category: Consumer Health News Authors: Josh Sanburn, Lon Tweeten and David Johnson Tags: Uncategorized California earthquakes Environment fracking Oil oil and gas oil and gas drilling Oklahoma Seismicity Source Type: news

Prevalence and Characteristics of Physicians Prone to Malpractice Claims
Abstracted from N Engl J Med 2016;374:354–362 There have been longstanding concerns among health care organizations and liability insurers about claim-prone and complaint-prone physicians.
Source: Obstetrical and Gynecological Survey - May 1, 2016 Category: OBGYN Tags: Gynecology: Ethics, Medicolegal Issues, and Public Policy Source Type: research

Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands
This study aims to give insight into the opinions of maternity care professionals and other stakeholders on the integration of midwife-led care and obstetrician-led care and on the facilitating and inhibiting ...
Source: BMC Pregnancy and Childbirth - July 26, 2016 Category: OBGYN Authors: Hilde Perdok, Suze Jans, Corine Verhoeven, Lidewij Henneman, Therese Wiegers, Ben Willem Mol, Fran çois Schellevis and Ank de Jonge Source Type: research

Perception of risk and communication among conventional and complementary health care providers involving cancer patients ’ use of complementary therapies: a literature review
Communication between different health care providers (conventional and complementary) and cancer patients about their use of complementary therapies affects the health and safety of the patients. The aim of t...
Source: BMC Complementary and Alternative Medicine - September 8, 2016 Category: Complementary Medicine Authors: Trine Stub, Sara A. Quandt, Thomas A. Arcury, Joanne C. Sandberg, Agnete E. Kristoffersen, Frauke Musial and Anita Salamonsen Source Type: research

A realist review of the partograph: when and how does it work for labour monitoring?
The partograph (or partogram) is recommended by the World Health Organisation (WHO), for monitoring labour wellbeing and progress. Concerns about limitations in the way the partograph is used in the clinical c...
Source: BMC Pregnancy and Childbirth - January 13, 2017 Category: OBGYN Authors: Carol Bedwell, Karen Levin, Celia Pett and Dame Tina Lavender Source Type: research

Peripheral Nerve Schwannoma: A Review of Varying Clinical Presentations and Imaging Findings
A schwannoma or neurilemmoma is a benign, isolated, noninvasive, and encapsulated tumor originating from Schwann cells of the peripheral nerve sheath. The incidence of a schwannoma occurring in the foot and ankle is rare, with prevalence rate of 1% to 10%. Schwannomas have no sex predilection, and they commonly occur in patients in their fourth decade. Malignant transformation of benign schwannoma is unusual; however, it is important to note that malignant variants of schwannomas do exist and account for about 5% to 10% of all soft tissue sarcomas.
Source: Journal of Foot and Ankle Surgery - February 21, 2017 Category: Orthopaedics Authors: Pradeep Albert, Jalpen Patel, Karim Badawy, William Weissinger, Marc Brenner, Ian Bourhill, John Parnell Tags: Case Reports and Series Source Type: research

Q & A: Scaling up delivery of mental health treatments in low and middle income countries: interviews with Retha Arjadi and Vikram Patel
In this Q&A, we talk with Retha Arjadi and Vikram Patel about using new technologies and lay-counselor support for scalable delivery of mental health treatment in low and middle-income countries.
Source: BMC Medicine - November 19, 2018 Category: Internal Medicine Authors: Retha Arjadi and Vikram Patel Tags: Question and Answer Source Type: research

Notes from the Field: Lead and Cadmium Exposure in Electronic Recyclers --- Two States, 2015 and 2017
In 2012, the National Institute for Occupational Safety and Health (NIOSH) became aware of the potential for occupational and take-home exposures to lead and cadmium in the electronics recycling industry and contacted electronics industry stakeholders to discuss these exposures and provide information about NIOSH ' s ability to investigate workplace hazards.
Source: CDC Morbidity and Mortality Weekly Report - February 21, 2019 Category: American Health Tags: Birth Defects Campylobacteriosis Emergency Preparedness & Response Lead Poisoning MMWR Morbidity Mortality Weekly Report Outbreaks Public Health Water Treatment Public Health Preparedness and Response Source Type: news

Exploring womens ’ experiences and decision making about physical activity during pregnancy and following birth: a qualitative study
This study aimed to explore: (1) women ’s experie...
Source: BMC Pregnancy and Childbirth - January 31, 2020 Category: OBGYN Authors: Amy Findley, Debbie M. Smith, Kathryn Hesketh and Chris Keyworth Tags: Research article Source Type: research