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Obese Mothers Who Lose Weight through Bariatric Surgery Have Safer Baby Deliveries

Obese women who lose weight through bariatric surgery enjoy safer baby delivery. Photo Credit: Sanjasy/Pixabay

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Losing weight through bariatric surgery facilitates safe baby delivery. Photo Credit: Sanjasy/Pixabay

Swedish researchers have published a study suggesting that bariatric surgery is linked with safer baby delivery. The researchers found that obese and overweight women who lost weight via bariatric surgery had lower C-sections, fewer induced deliveries, reduced rate of post-term deliveries, less frequent epidurals and fewer cases of uterine inertia, infection, perineal tears and hemorrhaging.

The study is published in the journal PLOS Medicine and titled Delivery Outcomes in Term Births after Bariatric Surgery: Population-Based Matched Cohort Study.

Sweden Has the Highest Number of Obese and Overweight Women Undergoing Bariatric Surgery

Dr. Olof Stephansson, obstetrician and researcher at Karolinska Institutet’s Department of Medicine in Solna, Sweden, noted that being obese and overweight is bad for normal childbirth. But that bariatric surgery is the best option for effective weight loss in such situation. He said this is confirmed by numerous studies on how bariatric surgery affects pregnancy and childbirth.

According to the National Board of Health and Welfare, more than one in every three women admitted for prenatal care is either obese or overweight in Sweden.

bariatric surgery and baby delivery

Overweight women, bariatric surgery and baby delivery. Photo Credit: Cocoparisienne/Pixabay

For the study, the researchers compared the ease and success of delivery in 1,431 obese women who lost weight through bariatric surgery against 4,476 obese women who did not undergo surgery. Those in the control group were found to have the same BMI in early pregnancy as those in the experimental group had before surgery.

The Scandinavian Obesity Surgery Registry (SOReg) and the Medical Birth Registry were used to run the comparison. However, all the women who lost weight through bariatric surgery lost an average 38 kilos from the end of the surgery to the time they got pregnant, meaning this dramatic situation may have contributed to their safer deliveries.

Not Every Obese Woman Can Be Advised To Undergo Bariatric Surgery In View of Baby Delivery

Yet, earlier researches point to the fact that obese women who undergo bariatric operation run the risk of having their babies before their expected date of delivery (EDD) and having babies slightly smaller than their gestational age. That is why, according to Stephanson, it is not really simple for doctors to advise every obese and overweight woman to have bariatric surgery. He calls for more studies to enable physicians give a more general recommendation.

Sweden has the highest number of obese and overweight women undergoing bariatric surgery in the world.

“Today, one per cent of all babies born in Sweden have mothers who have had bariatric surgery. It might not sound many, but this number is rising. When the women start to lose weight their fertility quickly recovers, so this too is improved by the operation.”

The study was conducted by a combined team of obstetricians, nutritionists, surgeons and epidemiologists. And it was funded by the Swedish Research Council for Health, Working Life and Welfare (FORTE), the Swedish Research Council, Karolinska Institutet and the National Institute of Diabetes and Digestive and Kidney Diseases among others.

Veronica Owens graduated from MIT in 2013. She worked in Silicon Valley for three years before finding her feet in Journalism. She covers emerging tech trends as they relate to the health industry. She authored a book on the intersection between modern technology and health in 2016. She loves to sew and watch the Super Bowl.

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WHO Says $1 Trillion Is Lost Annually To Workplace Depression and Anxiety Disorders

Should discussing mental health issues at the workplace be a taboo?

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Mental health at work should not be a taboo topic. Photo Credit: Shivmirthyu/Pixabay

Yesterday, April 28, was the World Day for Safety and Health at Work. This is an annual celebration and promotion of occupational safety and health. According to the World Health Organization (WHO), low productivity in the workplace as a result of depression and anxiety disorders cost the global economy $1 trillion each year.

WHO estimates that over 300 million suffer from depression, leading to reduced work performance, around the world.

Many of the people suffering from depression also experience anxiety, even though this is not always related to work. But WHO made it clear that a negative work environment is linked to mental and physical health prooblems, as well as lost productivity as a result of absenteeism and substance abuse.

Employers Should Address Mental Health Issues at Work by Reviewing Work Cultures

“Workplaces that promote mental health and support people with mental disorders are more likely to reduce absenteeism, increase productivity and benefit from associated economic gains,” WHO wrote.

With the 2019 World Day for Safety and Health at Work, mental health and workplace experts agree on one thing: mental health issues start with individuals and spread to the entire workplace, impacting work culture and overall productivity, Psychology Today wrote. They therefore advise employers and work supervisors to address mental health issues in the workplace.

mental health at work costs billions in loss of productivity

Mental health at work costs billions in loss of productivity. Photo Credit: Wokandapix/Pixabay

They can do this by acknowledging that mental health is real and counterproductive. They should therefore create a workplace culture that reduces stress and anxiety, as well as encourage employees to speak up about personal or work worries. This will ultimately boost employee engagement and productivity in the workplace.

Why Discussing Mental Health in the Workplace Shouldn’t Be a Taboo

The problem however is that it has become a taboo to talk about mental issues in the workplace. Some employers do not even agree that mental health is associated with work productivity. Such employers prefer to talk about work safety and health, but not mental health. This gives employees the impression that owning up to work stress is taboo, and that it may endanger their employment status.

Morra Aarons-Mele in a Harvard Business Review disclosed that employees rarely talk about mental health at work. She said people lock up themselves in the bathroom if they feel emotional at work or offer an excuse to be absent from work. They do not ask to have a flex time or work from home unless of course they have a new baby or receive news that their parents are ill.

“The burden of depression and anxiety is shared by all members of a workplace, and it’s a vicious cycle,” Aarons-Mele said.

Working from Home Reduces the Effects of Workplace Stress and Anxiety

With newer technologies, people are able to ask to work from home if they feel down, transforming the workplace experience and giving better flexibility to workers. Mental health issues in the workplace can be reduced if people can afford to work from home.

Without this option, people get easily experience a burnout and run dangerously low on personal bandwidth.

Debilitating mental health in the workplace impacts an individual in four major areas – mental, physical, emotional/interpersonal, and financial. “Each affects the other in a downward spiral of cognitive drain, physical debilitation, compromised relationships, and a real loss of productivity and profits,” wrote Camille Preston in her 2012 book, Rewired.

 

 

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Increasing Bone Fractures in Seniors Linked To Walking Leashed Dogs

Walking a dog comes with personal injury risks to elderly seniors

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An old woman walking her dogs. Photo Credit: Pxhere

Elderly American seniors walk their dogs as a way of exercising themselves. Where seniors are not able to engage in strenuous physical exercises, they see dog-walking as a viable alternative. Researchers have however associated increasing bone fractures suffered by seniors with dog-walking activity.

This was according to a study was published in the journal JAMA Surgery by authors from the University of Pennsylvania School of Medicine.

Hip Fracture and Injury to Upper Body Parts Is Commonest With Dog-Walking Incidents

The research was conducted from 2004 to 2017. The number of seniors who suffered bone injuries when walking a dog in 2004 was 1,671 and 4,396 in 2017 – a 163% increase. This largely occurred to seniors aged 65 and above. The bone fractures usually involved the wrist, hips, upper arm, and shoulder among other body parts in the upper extremities.

Hip fractures related to dog walking is the commonest injury among the seniors. Incidentally, 30% of mortality rates are related to hip injuries in seniors older than 65. When elders suffer hip fractures, they experience poor health, lack of mobility and reduced physical fitness.

The researchers attribute the rising incidents of dog-walking related injuries among seniors to two factors. These are increased pet ownership and greater emphasis on physical activity for seniors. Seniors see dog-walking as a way of getting active; and it also provides them with emotional, social and physical health benefits.

Study lead author Kevin Pirrucio of Penn Medicine said the study highlights the benefits to walking a dog. But it also reveals there are injury risks to dog-walking and American seniors would do well to be aware of them. The study team included Jaimo Ahn, an associate professor of Orthopaedic Surgery, and Yeo Myoung Yoon, a research assistant at Penn.

Research Focus on Dog-Walking Is As Important As On Cancer and Heart Attacks

Only fractured patients who presented themselves for treatment at the hospital within the study period participated in the research. This made the authors of the study to believe they may have undercounted the actual numbers of seniors who suffered fractures while walking dogs within the study period.

Other seniors with dog-walking related injuries were not considered for the study because they were not available for inclusion.

The researchers said they do not intend to discourage seniors from owning or walking dogs. But want them to be aware of the injury risks associated with the outdoor activity.

According to Ahn, “everyday actions mean everyday consequences.” To this extent, researching and reporting on little things such as walking a dog is as important as medical focus on “rarer but devastating conditions such as cancer and heart attacks.”

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Scientists Create Tool To Document Injuries in Older Patients & Prevent Elder Abuse

Old patients injuries and assaults to be documented and prevented

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elder abuse Geri-IDT
Elder abuse can be managed with better Geri-IDT documentation. Photo Credit: truthseeker08/Pixabay

Researchers say about 10% of older adults are subjected to various forms of physical abuse every year. And since very old folks are prone to physical injuries such as fractures and bruising, it becomes difficult for clinicians to determine if an injury is caused by an accident or elder abuse.

This situation led to the creation of the Geriatric Injury Documentation Tool (Geri-IDT).

Geri-IDT enables clinicians and prosecutors to document elder injuries with a view to determining if they are caused by accidents or physical abuses. Experts believe that when aged folks sustain injuries, this is caused by accidents occasioned by neglect, or ill-treatment and physical assaults. But with the standardized framework for documenting injuries found on aged folks, professionals will be able to prevent elder abuses.

Geri-IDT Important For Documenting and Preventing Geriatric Injuries and Elder Abuse

A study led by Laura Mosqueda lead to the creation of the new tool. She is the dean of the Keck School of Medicine at the University of South Carolina. Mosqueda is professor of family medicine and the director of the National Center on Elder Abuse. The study and the application of Geri-IDT were published in the Journal of General Internal Medicine.

elder abuse preventable with Geri-IDT

Elder abuse and injuries preventable with Geri-IDT tool. Photo Credit: Truthseeker08/Pixabay

According to the study leader, Geri-IDT as a tool includes diagrams and questionaire which clinicians can use to examine an injury and ask relevant questions necessary to documenting injuries. This will not only provide detailed injury documentation but also aid in improved medical treatments.

It becomes necessary to document geriatric injuries and abuse because of the following needs –

  • Need for medical professionals to understand patient history
  • Physical appearance of patients before treatment is administered for injuries
  • Physical head-to-toe examination for wounds
  • Evidences that negate patient abuse and neglect

Geri-IDT Saves Lives, Apply Justice to Caregivers, and Makes Doctors Work Easier

Clinicians may initially find it hard to use the injury tool, but they will soon find that its value goes beyond documentation to saving of lives and legal exonerations.

“The need to protect our older loved ones from elder abuse is great,” said Alexis Coulourides Kogan, PhD, assistant professor of family medicine at the Keck School and co-author of the study. “If documentation of physical findings is poor, then we may be missing the big picture.”

Kogan said clinicians and doctors cannot fully understand patients’ injuries from their medical chart or their reasons for hospital visit. But the new geriatric tool for injury documentation will go a long way to help.

“If there is suspected elder abuse, these records can potentially help prosecutors achieve justice and protection for older adults or exonerate innocent caregivers,” Kogan said.

While commending the researchers for including photographs and body diagrams with written documentation, experts said it would be great to integrate Geri-IDT into electronic medical records already in use for elderly patients.

The researchers are now looking into obtaining funding to test the Geri-IDT tool in clinical settings.

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