2,864 research outputs found

    Local cooling for relieving pain from perineal trauma sustained during childbirth

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    Background: Perineal trauma is common during childbirth and may be painful. Contemporary maternity practice includes offering women numerous forms of pain relief, including the local application of cooling treatments. Objectives: To evaluate the effectiveness and side effects of localised cooling treatments compared with no treatment, other forms of cooling treatments and non-cooling treatments. Search strategy: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (January 2007), CINAHL (1982 to January 2007) and contacted experts in the field. Selection criteria: Published and unpublished randomised and quasi-randomised trials (RCTs) that compared localised cooling treatment applied to the perineum with no treatment or other treatments applied to relieve pain related to perineal trauma sustained during childbirth. Data collection and analysis: At least two independent authors performed data extraction for each study. Analyses were performed on an intention-to-treat basis where data allowed. We sought additional information from the authors of three trials. Main results: Seven published RCTs were included, comparing local cooling treatments (ice packs, cold gel pads or cold/iced baths) with no treatment, hamamelis water (witch hazel), pulsed electromagnetic energy (PET), hydrocortisone/pramoxine foam [Epifoam] or warm baths. The RCTs reported on a total of 859 women. Ice packs provided improved pain relief 24 to 72 hours after birth compared with no treatment (risk ratio (RR) 0.61, 95% confidence interval (CI) 0.41 to 0.91). Women preferred the utility of the gel pads compared with ice packs or no treatment, although no differences in pain relief were detected between the treatments. None of our comparisons of treatments resulted in differences detected in perineal oedema or bruising. Women reported more pain (RR 5.60, 95% CI 2.35 to 13.33) and used more additional analgesia (RR 4.00, 95% CI 1.44 to 11.13) following the application of ice packs compared with PET. Authors' conclusions: There is only limited evidence to support the effectiveness of local cooling treatments (ice packs, cold gel pads, cold/iced baths) applied to the perineum following childbirth to relieve pain

    A geospatial appraisal of ecological and geomorphic change on Diego Garcia Atoll, Chagos Islands (British Indian OceanTerritory)

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    This is an open access article distributed under the Creative Commons Attribution License (CC BY) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.This study compiled a wide range of modern and historic geospatial datasets to examine ecological and geomorphic change at Diego Garcia Atoll across a 38-year period (1967–2005). This remarkable collection of spatially referenced information offered an opportunity to advance our understanding of the nature and extent of environmental change that has taken place with the construction of the military airbase at Diego Garcia. Changes assessed included movements of the lagoon rim shorelines, changes in the terrestrial vegetation on the lagoon rim and amendments to the bathymetry of the lagoon basin through dredging activities. Data compiled included detailed shoreline and vegetation maps produced as part of the H.M.S. Vidal Indian Ocean Expedition (1967), three Ikonos satellite images acquired in 2005 that collectively covered the complete Atoll area, a ground truthing field dataset collected in the northern section of the lagoon for the purpose of seafloor mapping (2005), observational evidence of shoreline erosion including photographs and descriptions of seawater inundations and bathymetric soundings from five independent surveys of the lagoon floor (1967, 1985, 1987, 1988 and 1997). Results indicated that much of the change along the lagoon rim is associated with the expansion of the inner lagoon shoreline as a result of the construction of the military airbase, with an estimated increase in land area of 3.01 km2 in this portion of the atoll rim. Comparisons of 69 rim width transects measured from 1967 and 2005 indicated that shorelines are both eroding (26 transects) and accreting (43 transects). Within a total vegetated area of 24 km2, there was a notable transition from Cocos Woodland to Broadleaf Woodland for a land area of 5.6 km2. From the hydrographic surveys, it was estimated that approximately 0.55 km3 of carbonate sediment material has been removed from the northwest quadrant of the lagoon, particularly in the vicinity of the Main Passage. As no previous record of benthic character exists, a complete benthic habitat map of the atoll was derived through classification of the three IKONOS satellite images. Management implications arising from this overall appraisal of geomorphic and ecological change at Diego Garcia included the need for ongoing monitoring of shoreline change at a representative set of sites around the atoll rim, monitoring of the water flow regime through the northern channels between the open ocean and the lagoon basin and an ongoing mapping campaign to record periodic changes in the character of the benthic surface ecology.BLUE Marine Foundatio

    Characterization of spotted hyena, Crocuta crocuta microsatellite loci

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    We have isolated 10 polymorphic microsatellite loci in the spotted hyena,Crocuta crocuta.The loci displayed between eight and 14 alleles in a minimum of 12 individuals tested. These loci will be used to investigate relatedness within social groups, the genetic structure of populations, sexual selection, and mate choice in spotted hyenas

    Health Impact and Risk Factors Affecting South and Southeast Asian Women Following Natural Disasters: A Systematic Review.

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    (1) Background: Following natural disasters, women have a higher prevalence of adverse physical and mental health outcomes. Given that the South and Southeast Asia regions are highly disaster prone, a review was undertaken to identify the potential health impact and key risk factors affecting women after disasters in the countries located in South and Southeast Asia regions. (2) Methods: A systematic literature search of four databases yielded 16 studies meeting the inclusion criteria. The review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidance, between July 2008 and March 2021. (3) Results: The majority of studies reported women's negative/poor mental health, identifying a significant association of socio-demographics, during disaster exposure, post-disaster, and pre-existing risk factors. The six most-cited influences on women's mental health found in the reviewed literature were being female, adult age group, having no formal education, poverty or low economic status, poor physical health/physical injuries, and death of family members. Women's health during the post-disaster period was generally reported as poor among all the countries of the South and Southeast Asia regions. (4) Conclusions: Appropriate social support and the availability of free healthcare access for women are warranted in disaster-affected areas. This review offers a valuable contribution to the knowledge of women's health complications/challenges and associated risk factors related to disasters, essential for the development of strategies to help reduce this burden in the future. Further research is required on natural disasters to identify ways to reduce women's health impacts after natural disasters, especially in the context of low-income and lower-middle-income countries

    Women's Experiences of Preeclampsia: Australian Action on Preeclampsia Survey of Women and Their Confidants

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    Introduction. The experience of normal pregnancy is often disrupted for women with preeclampsia (PE). Materials and Methods. Postal survey of the 112 members of the consumer group, Australian Action on Pre-Eclampsia (AAPEC). Results. Surveys were returned by 68 women (61% response rate) and from 64 (57%) partners, close relatives or friends. Respondents reported experiencing pre-eclampsia (n = 53), eclampsia (n = 5), and/or Hemolysis, Elevated Liver enzymes, and Low Platelets (HELLP syndrome) (n = 26). Many women had no knowledge of PE prior to diagnosis (77%) and, once diagnosed, did not appreciate how serious or life threatening it was (50%). Women wanted access to information about PE. Their experience contributed substantial anxiety towards future pregnancies. Partners/friends/relatives expressed fear for the woman and/or her baby and had no prior understanding of PE. Conclusions. The PE experience had a substantial effect on women, their confidants, and their babies and affected their approach to future pregnancies. Access to information about PE was viewed as very important

    Physical inactivity and its predictors among adolescents in Saudi Arabia: A cross-sectional comparison between cities with and without a Healthy Cities Program.

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    OBJECTIVES: To estimate the prevalence of insufficient physical activity and excessive screen time among adolescents living in cities participating in the Healthy Cities Program (HCP) and cities not running the program in the Qassim region of Saudi Arabia. METHODS: We surveyed 1133 adolescents from the Qassim region using systematic random sampling between April and September 2017. Multivariable logistic regression analyses were conducted to investigate the predictors of insufficient levels of PA and excessive screen time. RESULTS: The prevalence of <60 minutes of moderate- to vigorous-intensity physical activity/day was 82.4% and <3 days of vigorous intensity physical activity/week among adolescents was 59%. There was no significant association between living in healthy cities (HCPs) and insufficient levels of physical activity. The odds of excessive screen time were higher in HCPs than in cities not running the program (NHCPs) (OR: 1.49). The odds of insufficient daily PA (OR: 2.19) are higher among girls than boys. Increasing age is positively associated with insufficient weekly PA (OR: 1.19). The prevalence of excessive recreational screen time is 84.6% with higher odds in HCPs than in NHCPs (OR: 1.51). CONCLUSION: Our findings report a lack of evidence of any impact of the HCP on adolescents' physical activity behaviors. This outcome warrants a further in-depth evaluation of the process and outcomes of the HCP in Saudi Arabia
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