Aug 31, 2009 (Cbc.ca)—Giving birth at home with a registered midwife can be as safe as a hospital birth for the infant and the mom, according to a Canadian study released Monday.
Midwives provide round-the-clock care for women during pregnancy, childbirth and postpartum in hospitals, birthing centres and at the homes of women.
The rate of deaths was about two per 1,000 for planned home births involving midwives as well as deliveries in hospitals involving either midwives or doctors, the researchers found.
“Women planning birth at home experienced reduced risk for all obstetric interventions measured, and similar or reduced risk for adverse maternal outcomes,” such as electronic fetal monitoring and postpartum hemorrhage, Dr. Patricia Janssen from the University of British Columbia and her co-authors wrote in the Canadian Medical Association Journal.
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Researchers say their findings in BJOG: International Journal of Obestetrics and Gynaecology challenges claims made about the safety of planned home birth published in a previous article of the journal.
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April 1, 2009 (Medical News) — Many chemical ingredients found in common hospital cleaning products can affect workers’ health through air and dermal exposures, according to results of a pilot study reported in the March issue of Environmental Health.
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NOTE FROM ACTIVE HEALTHCARE: What about that of patients??
Feb 24 09 (CIHI.Ca) What: The Association Between Socio-Economic Status and Inpatient Hospital Service Use for Depression In 2004–2005, people in Canada’s poorest neighbourhoods were 85% more likely to be hospitalized for depression than people living in better-off neighbourhoods, according to a new analysis from the Canadian Institute for Health Information (CIHI). The analysis examines the relationship between neighbourhood income and general hospital use for depression for persons aged 15 to 64 in 13 Canadian cities. The analysis examines hospitalization rates, lengths of stay and readmission rates. Depression is the most common cause of hospitalization for mental illness in Canada, with a rate of 100 per 100,000 population (2005–2006). CIHI’s analysis found that, whereas poorer Canadians were more likely to be hospitalized for depression, there were no differences between income groups in the duration of hospital stays (average of 16 days). This suggests patients had similar hospital experiences regardless of their income. Similarly, CIHI’s analysis found no differences between income groups in the likelihood of readmission. Just more than 7% of patients admitted to hospital because of depression were readmitted within 30 days of their initial discharge.
Nov 12 08 (TherapyTimes.com) —It is well known that patients with chronic obstructive pulmonary disease (COPD) frequently suffer from depression and anxiety, but according to new research, depression and anxiety may actually cause increased hospitalizations and exacerbations.
“This is an important and revealing finding, indicating that for COPD patients, depression and anxiety must be treated as potential clinically important risk factors, rather than simple comorbidities that are caused by COPD,” says principle investigator of the paper, Jean Bourbeau, MD, director of the respiratory epidemiology and clinical research unit of McGill University in Montreal.
The research, published in the first issue for November of the American Thoracic Society’s clinical research journal, the American Journal of Respiratory and Critical Care Medicine, is the first study to indicate a causal relationship between depression and exacerbations and hospitalizations for COPD. To determine whether depression and anxiety were independent risk factors for COPD exacerbations and hospitalizations, the researchers prospectively recruited nearly 500 patients with stable COPD from 10 hospitals in Beijing.
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October 17, 2008 (medscape) — Antibiotic-associated adverse events, particularly allergic reactions, lead to many emergency department visits, according to the results of a study reported in the September 15 issue of Clinical Infectious Diseases.
“Drug-related adverse events are an underappreciated consequence of antibiotic use, and the national magnitude and scope of these events have not been studied,” write Nadine Shehab, from the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, and colleagues. “Our objective was to estimate and compare the numbers and rates of emergency department (ED) visits for drug-related adverse events associated with systemic antibiotics in the United States by drug class, individual drug, and event type.”
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August 12, 2008 (medscape) — Elderly patients who are admitted to the hospital frequently have increased risks for hip fractures and other types of fractures, according to the results of a prospective cohort study reported in the August 11/25 issue of the Archives of Internal Medicine.
“Hospitalization may cause bone loss and decrease physical function; however, the risk of fracture following hospitalization is not known,” write Rebekah L. Gardner, MD, from the University of California-San Francisco, and colleagues.
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ROCHESTER, N.Y., Oct. 6 — Immunizations did not reduce emergency department visits or hospitalizations for children younger than five during two recent flu seasons, researchers here reported.
Looking at data from the 2003-2004 and the 2004-2005 flu seasons, there was no evidence that the immunization made any significant difference, although the vaccine was not a good match for circulating flu strains in those years, said Peter G. Szilagyi, M.D., M.P.H., of Strong Memorial Hospital, and colleagues.
The case-cohort study, reported in the October issue of Archives of Pediatrics and Adolescent Medicine, compared cases of acute respiratory illnesses in children six months to 59 months treated in hospitals — as inpatients or in the emergency department or outpatient clinic — with a control cluster sample of children treated at pediatric practices.
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