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The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
A HARROWING MEDICAL CRISIS. A DOCTOR IN THE EYE OF THE STORM. HIS ACCOUNT OF WHAT REALLY HAPPENED. On the evening of 10 August 2017, liquid oxygen ran out at the state-run Baba Raghav Das Medical College’s Nehru Hospital in Gorakhpur, Uttar Pradesh. Reportedly, over the next two days, more than eighty patients – sixty-three children and eighteen adults – lost their lives. In the intervening hours, Dr Kafeel Khan, the junior-most lecturer at the college’s paediatrics department, went to extraordinary lengths to secure oxygen cylinders, perform emergency treatment and rally the staff in order to prevent as many deaths as possible. As the news of the tragedy grabbed national attention, Khan was called a hero for working ceaselessly to control the crisis and drawing attention to a healthcare system in dire need of repair. But a few days later, he found himself suspended and that an FIR had been filed against nine individuals, including him, for corruption and medical negligence, among other grave charges. Soon after he was summarily carted off to jail. The Gorakhpur Hospital Tragedy is Kafeel Khan’s first-hand chronicle of the events of that fateful night in August 2017 and the gut-wrenching turmoil that followed – a suspension without end, an eight-month-long incarceration and a relentless fight for justice in the face of extreme apathy and persecution.
Prenatal care programs have proven effective in improving birth outcomes and preventing low birthweight. Yet over one-fourth of all pregnant women in the United States do not begin prenatal care in the first 3 months of pregnancy, and for some groupsâ€"such as black teenagersâ€"participation in prenatal care is declining. To find out why, the authors studied 30 prenatal care programs and analyzed surveys of mothers who did not seek prenatal care. This new book reports their findings and offers specific recommendations for improving the nation's maternity system and increasing the use of prenatal care programs.
Raising hopes for disease treatment and prevention, but also the specter of discrimination and "designer genes," genetic testing is potentially one of the most socially explosive developments of our time. This book presents a current assessment of this rapidly evolving field, offering principles for actions and research and recommendations on key issues in genetic testing and screening. Advantages of early genetic knowledge are balanced with issues associated with such knowledge: availability of treatment, privacy and discrimination, personal decision-making, public health objectives, cost, and more. Among the important issues covered: Quality control in genetic testing. Appropriate roles for public agencies, private health practitioners, and laboratories. Value-neutral education and counseling for persons considering testing. Use of test results in insurance, employment, and other settings.
Sonography has emerged as a substantial diagnostic tool today. This handbook aims to cover ultrasound physics, abdominal and obstetric sonography, color Doppler, high resolution sonography and USG guided interventions with multiple choice questions and case reports for practical orientation.
This is an open access book. The book provides an overview of the state of research in developing countries – Africa, Latin America, and Asia (especially India) and why research and publications are important in these regions. It addresses budding but struggling academics in low and middle-income countries. It is written mainly by senior colleagues who have experienced and recognized the challenges with design, documentation, and publication of health research in the developing world. The book includes short chapters providing insight into planning research at the undergraduate or postgraduate level, issues related to research ethics, and conduct of clinical trials. It also serves as a guide towards establishing a research question and research methodology. It covers important concepts such as writing a paper, the submission process, dealing with rejection and revisions, and covers additional topics such as planning lectures and presentations. The book will be useful for graduates, postgraduates, teachers as well as physicians and practitioners all over the developing world who are interested in academic medicine and wish to do medical research.