1,793 research outputs found

    Care following stillbirth in high-resource settings:latest evidence, guidelines, and best practice points

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    Third-trimester stillbirth affects approximately 2.6 million women worldwide each year. Although most stillbirths (98%) occur in low- and middle-income countries, most of the research on the impact of stillbirth and bereavement care has come from high-income countries. The impact of stillbirth ranges from stigma to disenfranchised grief, broken relationships, clinical depression, chronic pain, substance use, increased use of health services, employment difficulties, and debt. Appropriate bereavement care following a stillbirth is essential to minimise the negative socio-economic impact on parents and their families. This article presents the best practice points in stillbirth bereavement care, including taking an individualised and flexible approach. The latest published research, guidelines, and best practice points from high-income countries will be used and will highlight the gaps in the research which urgently need to be addressed. Research and investment in appropriate, respectful aftercare is needed to minimise the negative impact for parents

    Mothers working to prevent early stillbirth study (MiNESS 20ā€“28):a caseā€“control study protocol

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    Introduction: In the UK, 1600 babies die every year before, during or immediately after birth at 20ā€“28 weeksā€™ gestation. This bereavement has a similar impact on parental physical and psychological well-being to late stillbirth (>28 weeksā€™ gestation). Improved understanding of potentially modifiable risk factors for late stillbirth (including supine going-to-sleep position) has influenced international clinical practice. Information is now urgently required to similarly inform clinical practice and aid decision-making by expectant mothers/parents, addressing inequalities in pregnancy loss between 20 and 28 weeks. Methods and analysis: This study focuses on what portion of risk of pregnancy loss 20ā€“28 weeksā€™ gestation is associated with exposures amenable to public health campaigns/antenatal care adaptation. A caseā€“control study of non-anomalous singleton baby loss (via miscarriage, stillbirth or early neonatal death) 20+0 to 27+6 (n=316) and randomly selected control pregnancies (2:1 ratio; n=632) at group-matched gestations will be conducted. Data is collected via participant recall (researcher-administered questionnaire) and extraction from contemporaneous medical records. Unadjusted/confounder-adjusted ORs will be calculated. Exposures associated with early stillbirth at ORā‰„1.5 will be detectable (p0.80) assuming exposure prevalence of 30%ā€“60%. Ethics and dissemination: NHS research ethical approval has been obtained from the Londonā€”Seasonal research ethics committee (23/LO/0622). The results will be presented at international conferences and published in peer-reviewed open-access journals. Information from this study will enable development of antenatal care and education for healthcare professionals and pregnant people to reduce risk of early stillbirth. Trial registration number: NCT06005272

    Parents', Families', Communities' and Healthcare Professionals' Experiences of Care Following Neonatal Death in Healthcare Facilities in LMICs: A Systematic Review and Meta-Ethnography.

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    BACKGROUND: Ninety-eight percent of neonatal deaths worldwide occur in low- and middle-income countries (LMICs), yet there is little bereavement care guidance available for these settings. OBJECTIVES: To explore parents', families' and healthcare professionals' experiences of care after neonatal death in healthcare facilities in LMICs. SEARCH STRATEGY AND SELECTION CRITERIA: Four databases were searched for peer-reviewed literature, meeting the inclusion criteria of qualitative studies exploring the experiences of people who provided or received bereavement care following neonatal death in a LMIC healthcare setting. DATA COLLECTION AND ANALYSIS: Data were collected by two independent reviewers, collated through line-by-line coding and then reciprocal and refutational translation, and analysed through Noblit and Hare's seven-step meta-ethnography approach to create first-, second- and third-order themes. MAIN RESULTS: Seven first-order themes extracted from the literature included emotional responses, social relationships, staff and systems, religion, connecting with the baby, coping strategies and economic concerns. From these data, three third-order themes arose: The individual, the healthcare setting and the community/context. CONCLUSIONS: Overarching themes in bereavement care shape grief responses and are often similar across geographical locations. Analysing these similarities allows a deeper understanding of the important elements of bereavement care and may be helpful to inform the creation of high-quality, bereavement care guidelines suitable for use in LMIC settings

    Temperature Dependence of the Electroclinic Effect in the Twist-Bend Nematic Phase

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    Funding Information: This research was funded by the Croatian Science Foundation (Grant No. IP-2019-04-7978); by the Agence Nationale pour la Recherche ANR (France) through Grant BESTNEMATICS, No. ANR-15-CE24-0012; by the French-Croatian bilateral program COGITO; by the UniversitĆ© de Picardie Jules Verne, Amiens, France. Publisher Copyright: Ā© 2023 by the authors.Peer reviewedPublisher PD

    Investigating Dunedin whistlers using volcanic lightning

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    Whistlers detected at Dunedin, New Zealand are an anomaly: there is little lightning around Dunedin's conjugate point yet whistlers appear in relatively large numbers. These surplus whistlers have consequently inspired investigations into their origins. Dunedin's lightning-sparse conjugate point lies in the Aleutian Islands, a region populated with active volcanoes. Their presence has allowed us to perform a novel analysis: the correlation of whistlers to volcanic lightning. We report on our investigation, which successfully yielded the first observations of "volcanic whistlers." It was found that the single July 2008 Mount Okmok eruption had an impressive effect on the number of whistlers at Dunedin. The eruptions at Mount Redoubt in 2009 also caused a sporadic flow of whistlers in Dunedin
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