Perinatal mental health conditions affect up to 20 % of pregnant or postpartum individuals, and nearly 15 % of pregnant individuals meet criteria for substance use disorder (SUD). All providers taking care of pregnant or postpartum individuals will encounter patients in these scenarios. Maternal Mortality Review Committees (MMRCs) have determined maternal mental health conditions, including SUD, to be the leading cause of preventable maternal death during pregnancy or in the first year postpartum.
View Article and Find Full Text PDFBackground: Treatment options for severe, refractory iron deficiency anemia are limited in pregnancy.
Objective: To review the available literature on the use of recombinant erythropoietin in the treatment of iron deficiency anemia in pregnancy.
Search Strategy: An electronic search of seven databases from inception to March 2022 was performed using a combination of keywords.
Objective: To measure the prevalence of maternal anxiety, depression and posttraumatic stress disorder (PTSD) in those exposed to natural disasters.
Methods: A literature search of the PubMed database and www.clinicaltrials.
Yariv reagents are glycosylated triphenylazo dyes that bind to arabinogalactan proteins (AGPs), proteoglycans found in plant cell walls that are integral for plant growth and development. Yariv reagents are widely utilized as imaging, purification, and quantification tools for AGPs and represent the only small molecule probe for interrogating AGP function. The ability of Yariv reagents to bind to AGPs is dependent on the structure of the terminal glycoside on the dye.
View Article and Find Full Text PDFAm J Obstet Gynecol MFM
September 2021
Objective: This study aimed to evaluate the effect of music on anxiety in patients undergoing cesarean delivery.
Data Sources: An electronic search of PubMed, CINAHL, ClinicalTrials.gov, and the Cochrane Central Register of Controlled Trials was performed from inception to November 2020.
Background: Mothers with postpartum depression (PPD) show impaired affects and behaviour patterns in the mother-child interaction, which affects an infant's emotional and cognitive development and the maternal course of disease. However, impairment of the mother-child relationship does not occur in every case of PPD.
Aim: The aim of this exploratory-descriptive video-based study was to investigate the possible associations between mother-child interactions and aspects of maternal biography and clinical history, with a focus on pre-existing mental disorder.
Objective: Persistent occiput posterior and occiput transverse positions are associated with adverse maternal and neonatal outcomes. The objective of this study was to assess if the use of hands-and-knees posturing increased the rate of occiput anterior position immediately after posturing during the second stage of labor or at the time of birth.
Data Sources: An electronic search of PubMed, EMBASE, Clinicaltrials.
Case Rep Womens Health
January 2021
Background: Immune thrombocytopenic purpura (ITP) is a rare autoimmune disorder that involves platelet destruction in the spleen. Eltrombopag (Promacta®), a thrombopoietin agonist, has been used in non-pregnant patients to manage ITP, but few cases of its use in pregnancy have been reported.
Case Presentation: We present a case of a pregnant patient at 26 weeks of gestation with severe refractory ITP.
This case presents the work-up and management of a patient with a fibroid uterus and urinary incontinence. Five international experts also provide their evaluation and approach to this case. According to the literature, there is uncertainty surrounding the relationship between fibroids and urinary incontinence.
View Article and Find Full Text PDFHousehold expenditure surveys, routinely conducted in low-and middle-income countries (LMICs), usually include questions pertaining to recent household expenditures on key food groups. When child anthropometrics are also available, such expenditure data can provide insights into household food purchasing patterns that are associated with subsequent child growth measures. We used data from 6993 children, born around 2001, from Ethiopia, India, Peru, and Vietnam, from the Young Lives younger cohort.
View Article and Find Full Text PDFOver the last decade, studies have compared the use of sterile gloves (SGs) versus nonsterile gloves (NSGs) on surgical site infection (SSI) rates in Mohs micrographic surgery (MMS). In this study, we sought to determine SSI rates before and after employment of NSGs for dermatologic procedures. Infection data were collected from January 2009 to December 2015 on 7365 tumors treated with MMS and 1620 tumors treated by surgical excision.
View Article and Find Full Text PDFEnzyme-catalyzed ring-opening polymerization of lactones is a method of increasing interest for the synthesis of polyesters. In the present work, we investigated which changes in the structure of lipase B (CaLB) shift the catalytic equilibrium between esterification and hydrolysis towards polymerization. Therefore, we present two concepts: (i) removing the glycosylation of CaLB to increase the surface hydrophobicity; and (ii) introducing a hydrophobic lid adapted from lipase (PsCL) to enhance the interaction of a growing polymer chain to the elongated lid helix.
View Article and Find Full Text PDFPorous ceramics can be realized by different methods and are used for various applications such as cross-flow membranes or wall-flow filters, porous burners, solar receivers, structural design elements, or catalytic supports. Within this paper, three different alternative process routes are presented, which can be used to manufacture porous ceramic components with different properties or even graded porosity. The first process route is based on additive manufacturing (AM) of macro porous ceramic components.
View Article and Find Full Text PDFTo combine the benefits of Additive Manufacturing (AM) with the benefits of Functionally Graded Materials (FGM) to ceramic-based 4D components (three dimensions for the geometry and one degree of freedom concerning the material properties at each position) the Thermoplastic 3D-Printing (CerAM - T3DP) was developed. It is a direct AM technology which allows the AM of multi-material components. To demonstrate the advantages of this technology black-and-white zirconia components were additively manufactured and co-sintered defect-free.
View Article and Find Full Text PDFIntroduction: Several studies have documented the efficacy of and patient satisfaction with video visits in place of face-to-face encounters. We evaluated patient satisfaction by diagnosis and determined whether specific urological diagnoses are more amenable to being managed via remote encounters. A secondary objective was to evaluate patient satisfaction according to patient age and distance from the clinic.
View Article and Find Full Text PDFObjectives: To determine whether utilization of clinical decision support (CDS) is correlated with improved patient clinical and financial outcomes.
Study Design: Observational study of 26,424 patient encounters. In the treatment group, the provider adhered to all CDS recommendations.
Increasingly, insurers control costs by selectively contracting with high-performing, low-cost providers through "narrow networks." Health care systems are faced with selecting specialists for inclusion in these shared-risk contracts. One approach is to use peer ratings, but it remains uncertain whether physicians can identify which of their peers are quantitatively high-quality, highly efficient care providers.
View Article and Find Full Text PDFIn our study, we investigated the additive manufacturing (AM) of ceramic-based functionally graded materials (FGM) by the direct AM technology thermoplastic 3D printing (T3DP). Zirconia components with varying microstructures were additively manufactured by using thermoplastic suspensions with different contents of pore-forming agents (PFA), which were co-sintered defect-free. Different materials were investigated concerning their suitability as PFA for the T3DP process.
View Article and Find Full Text PDFIntroduction: Parent educational materials describing infant positioning for a home program are vital in supplementing NICU discharge instructions and promoting parent confidence.
Purpose: To document the process of developing a brochure and DVD of a positioning program, using evidence-based practice and NICU expert feedback.
Methods: A trifold brochure and companion DVD were developed to demonstrate infant positioning to parents of premature infants for a home developmental program following NICU discharge.
Background: The Centers for Medicare & Medicaid Services (CMS)/Premier Hospital Quality Incentive Demonstration (HQID) project aims to improve clinical performance through a pay-for-performance program. We conducted this study to identify the key organizational factors associated with higher performance.
Methods: An investigator-blinded, structured telephone survey of eligible hospitals' (N = 92) quality improvement (QI) leaders was conducted among HQID hospitals in the top 2 or bottom 2 deciles submitting performance measure data from October 2004 to September 2005.
Background: Proprioception provides feedback which is essential for adequate motor control. Despite having detrimental functional implications, the assessment of proprioception deficits in current clinical practice is mostly qualitative and inadequate for diagnosis and longitudinal monitoring of subtle impairments and their effect on motor function.
Purpose: To evaluate a novel quantitative approach to the assessment of proprioception deficits in stroke patients.