Ismailwilliam1991

The relation of placental gross morphology and the outcome of pregnancies complicated with diabetes mellitus in comparison with healthy pregnancies is not known. Identifying significant differences in pregnancy outcomes in Gestational Diabetes Mellitus (GDM) and healthy pregnancies by the means of morphologic measurements can induce the use of antenatal ultrasonography of placental parameters to predict pregnancy outcomes.

This study aimed to evaluate the relationship between placental morphological parameters of the placenta and cord and the outcomes of pregnancies complicated with diabetes mellitus.

In this case-control study, which was conducted at two referral perinatology center in Tehran between March 2017 and November 2018, 60 pregnant women with GDM who were controlled with either diet or insulin as the case group and 60 pregnant women without GDM as the control group were enrolled. The study population were selected from patients who had their prenatal care and delivery in Mahdieh and Shohadaye Tajrish Hospital. The data was collected by taking sickness history, using data from patients files, and measuring of placental and newborn parameters after delivery. GDM was diagnosed either by 75 gr or 100 gr oral glucose tolerance tests. Placenta parameters, umbilical cord features, and newborn outcomes were compared between the two groups.

Placental weight, diameter, number of lobes, thickness, placental weight to-newborn weight ratio, place of umbilical cord insertion, length, coiling, and diameter of the umbilical cord are similar in two groups. Newborn weight, NICU admission, ABG, and Apgar score are also the same in well-controlled GDM pregnancy and pregnancy without GDM.

Good controlled GDM causes no difference in placental gross morphology and pregnancy outcome compared to a healthy pregnancy.

Good controlled GDM causes no difference in placental gross morphology and pregnancy outcome compared to a healthy pregnancy.

For a woman with bleeding and threatened abortion, ultrasound scan is done to confirm the viability of the fetus; however, 10-15% of the embryos are eventually aborted. Distinguishing between women with good and poor prognosis can be a helpful approach.

This study aimed to review the predictive value of Pregnancy-associated Plasma Protein A (PAPP-A) in relation to the diagnosis of fetal loss.

The articles published in multiple databases including Web of Science, PubMed, MEDLINE, Scopus, and Persian databases such as ISC, Magiran, and IranMedx were searched for articles published until May 2019. MeSH terms was used for searching the databases including fetal loss OR pregnancy loss OR abortion OR miscarriage with the following word using AND; Pregnancy-Associated Plasma Protein-A OR PAPP-A. Two reviewers extracted data and recorded them in a pre-defined form and assessed the quality of articles using the Newcastle-Ottawa tool. Meta-analysis was done using the Comprehensive Meta-Analysis/2.0 software and MetaDisc.

A total number of 16 studies were eligible for the qualitative data synthesis, out of which 8 studies were included in the meta-analysis. All studies had high and medium quality. The forest plot analysis showed a sensitivity of 57% (95% CI 53-63%), a specificity of 83% (95% CI 80-85%), a positive likelihood ratio of 3.52 (95% CI 2.44-5.07), a negative likelihood ratio of 0.54 (95% CI 0.37-0.79), and a diagnostic odds ratio of 6.95 (95% CI 3.58-13.50).

PAPP-A cannot be recommended on a routine basis for predicting fetal loss and still further research with a combination of other biomarkers is required.

PAPP-A cannot be recommended on a routine basis for predicting fetal loss and still further research with a combination of other biomarkers is required.

Low back pain is a considerable global public health problem. Use of back belts in occupational settings arises from the expectation of countless biomechanical benefits, which together would contribute to the prevention of this problem.

To orient students, physicians and health institutions on the use of back belts, lumbar support or braces for prevention of low back pain or injury among asymptomatic workers.

The present guideline was developed based on a systematic literature review; 809 studies were located in database MEDLINE and 571 in EMBASE and Cochrane CENTRAL. Evaluating back-belt use as preventive intervention against low back pain demands quantifying benefits, harms and difficulties to implementation, as well as the methodological quality of primary studies.

Despite the weak benefits reflected in the individual, partial and isolated results of a few studies, there is no consistent evidence for the use of back belts, lumbar supports or braces for primary prevention of low back pain or occupational low back injury among workers. According to the available evidence, back-belt use is not associated with reduction of absenteeism.

Despite the weak benefits reflected in the individual, partial and isolated results of a few studies, there is no consistent evidence for the use of back belts, lumbar supports or braces for primary prevention of low back pain or occupational low back injury among workers. According to the available evidence, back-belt use is not associated with reduction of absenteeism.

Effects of yoga on physical and mental health have been investigated in several fields.

To investigate and analyze results of yoga interventions in the workplace reported along 10 years after the formulation of the National Policy of Integrative and Complementary Practices.

We located 10 studies published from 2006 to 2015 which met the inclusion criteria, included in databases Cumulative Index of Nursing and Allied Health Literature (CINAHL), Medical Literature Analyses and Retrieval System Online (MEDLINE), Web of Science, Scopus, Cochrane and Scientific Electronic Library Online (SciELO). Analyzed variables were publication year, authorship, title, aims, results, and conclusions. Interventions were characterized based on yoga style, practices implemented, frequency and duration of sessions, duration of intervention, measurement instruments, and additional interventions.

Our findings suggest that yoga has physical and psychological effects on workers from different professional categories. However, we did not find benefits for some conditions, and yoga practice does not have the same positive effects on all practitioners. Workers' adherence to programs influences the results of research. Many studies did not clearly describe the implemented programs.

The characteristics of interventions show substantial differences among programs, which enable a synthesis, but not comparisons.

The characteristics of interventions show substantial differences among programs, which enable a synthesis, but not comparisons.

Rural Brazil is known for its history of poor working and living conditions; in some regions the population becomes vulnerable to health and work problems.

To investigate the association between health vulnerability and environmental factors among rural workers.

Descriptive study which consisted in a narrative review of literature published from 2012 to 2017. The literature search was conducted in databases Scientific Electronic Library Online (SciELO) and Latin American and Caribbean Health Sciences Literature (LILACS) using Health Sciences Descriptors (DeCS) "health," "vulnerability," "rural population" and "rural worker health."

Six studies were retrieved which mainly associated health vulnerability to inadequate or no use of specifically required personal protective equipment, in addition to pointing out actions essential for health promotion, such as adequate diet and leisure time, physical activity, dignified working conditions, and social contacts.

Rural work environmental factors are directly related with health vulnerability. Prevention of exposure to risk of disease and health promotion actions are essential to minimize health problems, especially the ones associated with exposure to agrochemicals.

Rural work environmental factors are directly related with health vulnerability. Prevention of exposure to risk of disease and health promotion actions are essential to minimize health problems, especially the ones associated with exposure to agrochemicals.

The nursing work process might contribute to the development of occupational stress, as it demands considerable attention and responsibility. Workers have resource to strategies to cope with stressors in the workplace. MG-101 Coping strategies are ways to manage stress and minimize the effects of stressors to preserve the physical and emotional well-being.

To identify through a literature review the strategies to cope with occupational stress adopted by hospital nursing professionals.

A literature search was conducted in databases Latin American and Caribbean Health Sciences Literature (LILACS) and Nursing Database (BDENF) via Virtual Health Library (VHL) and Scientific Electronic Library Online (SciELO).

Twenty-five studies were selected, 14 with quantitative, 9 with qualitative, and 2 with quantitative-qualitative approach. The located coping strategies were categorized according to the Coping with Job Stress (CJS) scale which classifies ways to cope with problems in the workplace under three categories control, escape and symptom management. On these grounds, our literature review identified 4 control, 8 escape and 7 symptom management strategies.

Control strategies were considered efficacious to manage stress.

Control strategies were considered efficacious to manage stress.

Although shift work is a part of the physicians' routine, there is controversy on the length of shifts and adequate rest for safe professional practice. link2 If on the one hand long working hours might have negative impact on patient safety by interfering with the psychological and physical functioning of physicians, on the other shorter working hours might impair the safety of patients due to interference with the continuity of care.

To analyze the impact of restrictions to physicians' working hours on patient safety.

Integrative literature review in which we surveyed studies on restriction to physicians' working time and patient safety included in databases National Library of Medicine (PubMed) and Scientific Electronic Library Online (SciELO) until May 2018. Thirty-five studies which met the inclusion criteria were included.

Patient safety outcomes analyzed in the included studies were mortality, adverse events, continuity of care, in-hospital complications, readmission rate and length of stay at hospital. Restriction to working time was associated with variable impact on patient safety indicators, but often did not modify their performance.

Restrictions to physicians' working time did not always improved patient safety indicators. link3 Focusing on interventions which only seek to limit the workload of physicians might be insufficient to bring consistent improvement to patient care.

Restrictions to physicians' working time did not always improved patient safety indicators. Focusing on interventions which only seek to limit the workload of physicians might be insufficient to bring consistent improvement to patient care.