Articles de revues : « Maternal wellness »

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Gates, Donna M., et Nancy J. O'Neill. « Promoting Maternal-Child Wellness in the Workplace ». AAOHN Journal 38, n^o 6 (juin 1990) : 258–63. http://dx.doi.org/10.1177/216507999003800602.

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Vise, Allison, Amy Balbierz, Howard Leventhal, Kezhen Fei et Elizabeth A. Howell. « 953 : Factors that influence postpartum maternal wellness ». American Journal of Obstetrics and Gynecology 218, n^o 1 (janvier 2018) : S564—S565. http://dx.doi.org/10.1016/j.ajog.2017.11.440.

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Bouchard, Kelly Lynn, Diana S. Grigsby-Toussaint, Katelyn Fox, Sarah Amin, Maya Vadiveloo, Mary L. Greaney et Alison Tovar. « Maternal Experiences with Discussing Complementary Feeding in Primary Care ». International Journal of Environmental Research and Public Health 19, n^o 19 (23 septembre 2022) : 12061. http://dx.doi.org/10.3390/ijerph191912061.

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Complementary feeding practices promote healthy eating habits and food preferences later in life. Little is known about how US pediatricians communicate infant feeding practices to caregivers or how caregivers respond to this information. The purpose of this study is to explore mothers’ experiences and perceptions of the complementary feeding recommendations they receive in primary care settings. English- and Spanish-speaking mothers of infants were recruited from Special Supplemental Nutrition for Women, Infants, and Children offices in Rhode Island, US, and snowball sampling. Semi-structured telephone interviews were conducted to investigate mothers’ discussions with pediatricians about complementary feeding and their overall impressions of wellness visits. Thematic analysis was informed by the Fundamentals of Care theoretical framework. The mean age of the sample (n = 13) was 30.5 years and 62% self-identified as Latina. Four themes emerged from the analysis: (1) wellness visits are mostly positive experiences, (2) not all infant feeding recommendations are easy to follow, (3) alternative sources of infant feeding recommendations can be just as helpful, and (4) there is room for improvement at wellness visits. Improving the content, delivery, and cultural relevance of infant feeding recommendations in primary care settings with more specific and tailored information may promote adherence to evidence-based practices.

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Dave, Rashmi, Jiju N. Vyas et Neha Tiwari. « Assessment of influencing determinants on maternal health and wellness : A descriptive research study ». INTERNATIONAL JOURNAL OF PLANT SCIENCES 17, n^o 1 (15 janvier 2022) : 43–46. http://dx.doi.org/10.15740/has/ijps/17.1/43-46.

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Maternal nutrition and health during pregnancy has been associated with healthy outcomes for both mother and child. This study investigated the factors influencing the nutritional and health practices of pregnant women attending regular diagnosis and treatment at Government Hospitals in Ahmedabad. A Study employed a descriptive, non-experimental research design. Personal Interview technique was used for data collection at Government Hospitals. Sample of 150 Pregnant women was selected from the hospitals. Non Probability Convenience Sampling Method was used. SPSS version 20.0 was used to analyze the collected data. Multiple regression technique was applied to understand holistic effect of all the determinants of maternal nutrition and health.

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Surkan, Pamela J., et Tonia Poteat. « Relevance of the Quality of Partner Relationships and Maternal Health to Early Child Wellness ». Journal of Developmental & ; Behavioral Pediatrics 32, n^o 4 (mai 2011) : 292–300. http://dx.doi.org/10.1097/dbp.0b013e318210fb61.

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Holden, Selma C., Brad Manor, Junhong Zhou, Chloe Zera, Roger B. Davis et Gloria Y. Yeh. « Prenatal Yoga for Back Pain, Balance, and Maternal Wellness : A Randomized, Controlled Pilot Study ». Global Advances in Health and Medicine 8 (janvier 2019) : 216495611987098. http://dx.doi.org/10.1177/2164956119870984.

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Background The objective was to assess the feasibility of a prenatal yoga randomized controlled trial (RCT) for gestational low back pain (LBP), mobility, and maternal well-being. Methods In this pilot, women aged 18 to 39 years with uncomplicated pregnancies at 12 to 26 weeks were randomized, stratified by presence of LBP, to attend a weekly yoga class or a time-matched educational support group for 12 weeks. Sample size was based on anticipated enrollment of 2 subjects per month. Primary outcomes were measures of feasibility and acceptability. Secondary outcomes included LBP disability, pregnancy symptom burden, childbirth self-efficacy, instrumented gait, balance, and falls at baseline, every 4 weeks, and 6 weeks postpartum. Results From April 2015 to December 2015, 168 women were contacted and 115 (68%) were eligible. Twenty women enrolled (N = 11 yoga; N = 9 control; mean gestational age 20.2 weeks). Retention at 12 weeks was 81% in yoga and 77% in control. There were no yoga-related adverse events. Exploratory analyses show no differences in back pain disability between groups. Significant groups effects were found on biomechanical assessments, including percentage change in gait speed ( F = 4.4, P = .04), double support time ( F = 23.6, P < .01), instrumented timed-up-and-go ( F = 8.6, P < .01), and turn time ( F = 5.7, P = .02) suggesting clinically relevant improvements with yoga. Pregnancy Symptom Inventory (PSI) scores improved (13.1 point difference, 95% confidence interval, 5.1–21.1) at 12 weeks in yoga compared to control, adjusted for baseline gestational age. Conclusion Conducting an RCT of prenatal yoga to improve gestational LBP and maternal well-being is feasible and safe. While no differences in back pain were observed, biomechanical measures were sensitive assessments for evaluating gestational LBP-related mobility impairment and showed group differences. Additionally, the PSI showed significant differences in symptom burden over 12 weeks, supporting the ongoing claims that yoga improves a pregnant woman’s overall well-being.

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Endjala, Tuwilika, Hans Justus Amukugo et Emma Maano Ngitanwa. « Post-Traumatic Stress Disorder among midwives after exposure to maternal death and stillbirth in Khomas Region of Namibia ». International Journal of Healthcare 7, n^o 2 (17 août 2021) : 7. http://dx.doi.org/10.5430/ijh.v7n2p7.

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Objective: Despite global efforts to decrease maternal death and stillbirths worldwide, maternal mortality rate and stillbirth remain high in the global south countries. These deaths often have immediate and long-lasting effects on midwives who care for these women.Methods: This paper explores the effects of maternal death and stillbirth on midwives in Namibia. A qualitative approach was adopted using a descriptive, exploratory and contextual design. The objective of this study was to explore the Post-Traumatic Stress Disorder (PTSD) related feelings among midwives after exposure to maternal death and stillbirth. Data was collected using Focus Group Discussions (FGD) and individual interviews. Four FGDs and four individual interviews were conducted with midwives from two state hospitals in Windhoek. Midwives were purposively selected, and a total of 29 midwives participated in the study. Individual interviews and FGDs were audiotaped and transcribed verbatim. Data were analysed using content analysis and coded using Tech’s steps of open-coding.Results: The researcher identified one central theme with six sub-themes. The study showed that the midwives experienced PTSD related feelings such as insomnia and nightmares, recollection of the event (flashbacks), sense of self-blame, guilt, anger, shame, and being haunted/tormented.Conclusions: It is concluded that maternal death and fresh stillbirth can lead to PTSD effects on midwives, hence addressing these challenges. Therefore, the researchers recommend that hospitals in the Khomas Region develop and implement the wellness programmes in the workplace, such as the Employee Assistance Programme, to support midwives who experienced these traumatic events to prevent and manage these effects in the future. Equally, further research is needed to evaluate the impact of the wellness programme on midwives who experienced MDs and FSBs in Namibia.

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Blount, Ashley J., Charmayne R. Adams, Ann L. Anderson-Berry, Corrine Hanson, Kara Schneider et Gurudutt Pendyala. « Biopsychosocial Factors during the Perinatal Period : Risks, Preventative Factors, and Implications for Healthcare Professionals ». International Journal of Environmental Research and Public Health 18, n^o 15 (3 août 2021) : 8206. http://dx.doi.org/10.3390/ijerph18158206.

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Women face risks to their wellbeing during the perinatal period of pregnancy. However, there is a dearth of information on perinatal risk factors within the biopsychosocial paradigm. Emphasis is often placed on biological components associated with pregnancy and women’s health. However, psychological and social determinants of health are integral during the perinatal period, and mental wellness is often a determinant for positive maternal and neonatal health outcomes. This article reviews risk factors of perinatal wellness (e.g., physical and nutritional concerns, trauma, discrimination, adverse childhood events) and highlights protective factors for women in their perinatal period. Healthcare professionals can support perinatal health by focusing on culturally and contextually appropriate research and prevention, providing equal access to sexual and reproductive healthcare information and services, providing quality education and training for helping professionals, and supporting policies for positive sexual and reproductive women’s healthcare.

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Applequist, Janelle, Ronee Wilson, Megan Perkins, Richard Powis, Charlette Williams, Ria Joglekar et Adetola Louis-Jacques. « Addressing equity in perinatal wellness : florida doulas’ perceptions of maternal health disparities and medicaid reimbursement ». American Journal of Obstetrics and Gynecology 228, n^o 1 (janvier 2023) : S659—S660. http://dx.doi.org/10.1016/j.ajog.2022.11.1109.

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Watson, Amanda. « Quelling Anxiety as Intimate Work : Maternal Responsibility to Alleviate Bad Feelings Emerging from Precarity ». Studies in Social Justice 10, n^o 2 (19 décembre 2016) : 261–83. http://dx.doi.org/10.26522/ssj.v10i2.1360.

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This article brings feminist literature on anxiety and wellness to bear on the responsibilities of mothers as they are represented in a series of popular editorial publications. It seeks to deepen the interdisciplinary dialogue between these theories of affect and theories of care work by examining how popular representations of maternal responsibility reflect a contemporary “affect of motherhood” and indicate specifically that mothers might be “coming undone” under the weight of a shared, political anxiety that they are encouraged to feel individually. It is argued that the newly complex and competing labours of mothers, and mothers’ complicity in and resistance to these labours, can only be understood in the context of public anxiety. It asks what is at stake for the most disenfranchised women when it comes to recognizing and resisting today’s intensified forms of maternal responsibility.

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Markwei, Metabel, et Oluwatosin Goje. « Optimizing mother–baby wellness during the 2019 coronavirus disease pandemic : A case for telemedicine ». Women's Health 17 (janvier 2021) : 174550652110132. http://dx.doi.org/10.1177/17455065211013262.

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Background: The 2019 coronavirus disease pandemic poses unique challenges to healthcare delivery. To limit the exposure of providers and patients to severe acute respiratory syndrome coronavirus 2, the Centers for Disease Control and Prevention encourages providers to use telehealth platforms whenever possible. Given the maternal mortality crisis in the United States and the compounding 2019 coronavirus disease public health emergency, continued access to quality preconception, prenatal, intrapartum, and postpartum care are essential to the health and well-being of mother and baby. Objective: This commentary explores unique opportunities to optimize virtual obstetric care for low-risk and high-risk mothers at each stage of pregnancy. Methods: In this review paper, we present evidence-based literature and tools from first-hand experience implementing telemedicine in obstetric care clinics during the pandemic. Results: Using the best evidence-based practices with telemedicine, health care providers can deliver care in the safest, most respectful, and appropriate way possible while providing the critical support necessary in pregnancy. In reviewing the literature, several studies endorse the implementation of specific tools outlined in this article, to facilitate the implementation of telemedicine. From a quality improvement standpoint, evidence-based telemedicine provides a solution for overburdened healthcare systems, greater confidentiality for obstetric services, and a personalized avenue for health care providers to meet maternal health needs in the pandemic. Conclusion: During the COVID-19 pandemic, continued access to quality prenatal, intrapartum, and postpartum care are essential to the health and well-being of mother and baby.

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Sulistyawati, Henny. « Massage Techniques at Postpartum Spas for Beauty and Wellness Treatments Body in Mombykids Sambong Dukuh Village Jombang District Jombang Regency ». Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) 8, n^o 1 (15 avril 2021) : 094–100. http://dx.doi.org/10.26699/jnk.v8i1.art.p094-100.

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Massage is one of the alternative spa beauty postpartum mothers who can maintain the balance of the body to always be healthy and fit. The purpose of this researcher, To describe the process of massage techniques in the body massage of the mother postpartum for the beauty and health of the body and Know how much the client responds to the application. This type of research is a pseudo-experiment to find out and describe the maternal SPA massage process, using the One-shot case study. The results of the Mean Massage Technique in postpartum SPA based on 4 aspects that have been observed are 1). The accuracy aspect of preparing 4.00 criteria is very good, 2). Aspects of massage movement technique 3.00 good criteria, 3). Aspects of Punctuality in massage procedure 3.50 criteria are very good, 4 aspects of cleanliness and neatness area 4.00 is very good. The results of The Massage Technique Process at postpartum SPA for Beauty and Body Health Treatment based on 5 aspects observed, namely: 1). The aspect of stating strongly the amount of pressure given according to posture in the client is 60% category is quite good, 2). Aspect Stipulates comfort level that is felt 100% good category, 3). Aspect stipulates the level of cleanliness on the skin 80% good category, 4). Aspect Stipulates the effect of the results of this massage technique can reduce pain and a soreness 100% good category, 5). Aspect stipulates relaxation effect 100% good category. The response of Massage Technique Respondents at Postpartum SPA for beauty and body health treatments based on 4 aspects observed, 1). The aspect that expresses satisfaction after performing maternal SPA treatment postpartum is 100% good category, 2). Aspects that state the benefits of maternal spa massage techniques for beauty and body health are 100% good category, 3). The aspect that expressed interest in doing advanced SPA treatment postnatal is 75% good category, 4). Recommending in others especially mothers postpartum about maternal SPA treatment postpartum is 100% good category.

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Dogru, Sukran, Fatih Akkus, Aslı Altinordu Atci, Gulnur Eren et Ali Acar. « The fetal and maternal outcomes related to previous number of cesarean sections and uterus sparing surgery in women with abnormal placentation ». Journal of Clinical and Investigative Surgery 7, n^o 1 (15 mai 2022) : 29–30. http://dx.doi.org/10.25083/2559.5555/7.1.5.

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Objectives. We aimed to study the number of previous cesarean sections in cases diagnosed with placenta previa (PP) and placenta accreta spectrum (PAS), and maternal and fetal results in cases where we performed uterus-sparing surgery. Materials and Methods. PAS patients diagnosed with PP (PPAS) were included in this retrospective study. Postoperative hemogram values, blood transfusion amounts, hospitalization days, intraoperative and postoperative complication rates of all patients, APGAR scores (5-minute), mortality rates and birth weights were registered for all newborns on admission to the intensive care unit. Results. A total of 122 pregnant women were included in the study. In the comparison of hospitalization rates, there was a significant difference between CS ≤1 and CS =2 (p=0.01). When postoperative hemoglobin values were compared, there was significant difference between CS ≤1 and CS ≥3 (p<0.01). Neonatal intensive care admission rates increase as the number of CS increases. Conclusions. Uterus-sparing surgery in experienced clinics seems to be applicable, even if maternal and fetal morbidity increases. We suggest to consider CS numbers in PPAS group for fetal and maternal wellness while doing surgical planning.

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Abbass-Dick, Jennifer, Winnie Sun, Wendy M. Stanyon, Efrosini Papaconstantinou, Valerie D’Paiva, Nilusha Jiwani-Ebrahim et Cindy-Lee Dennis. « Designing a Mindfulness Resource for Expectant and New Mothers to Promote Maternal Mental Wellness : Parents’ Knowledge, Attitudes and Learning Preferences ». Journal of Child and Family Studies 29, n^o 1 (21 novembre 2019) : 105–14. http://dx.doi.org/10.1007/s10826-019-01657-5.

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Chung, Seon-Yoon, Jacques Ravel et Mary Regan. « Clinical Relevance of Gastrointestinal Microbiota During Pregnancy : A Primer for Nurses ». Biological Research For Nursing 20, n^o 1 (27 septembre 2017) : 84–102. http://dx.doi.org/10.1177/1099800417732412.

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Emerging evidence about the human microbiome, a collective term for all the microorganisms living in and on the human body, consistently demonstrates the critical influence it has on host physiology and disease risk. The microbiota in the gastrointestinal (GI) tract has the most significant and far-reaching effect on human physiology. The maternal GI microbiota can decrease the risk of adverse pregnancy outcomes by modulating energy extraction, glucose metabolism, vitamin production, and host immunity essential for optimal maternal and neonatal health. Moreover, the maternal GI microbiota is thought to influence colonization of the fetus and neonate that may predispose them to different health trajectories. This article provides a basic understanding about the influence of the structure of the maternal GI microbiota, the fundamental role it plays during pregnancy, and the factors that influence the structure, and subsequently function, of the GI microbiota in the general and pregnant population. While only a small number of studies have examined this topic during pregnancy, the preponderance of the evidence supports the need to clarify baseline structure and function of GI microbiota and its associations with pregnancy outcomes. In addition, the results from the studies conducted in the general population can be extrapolated to pregnancy in many cases. This knowledge is essential for clinicians who need to understand the implications of the microbiota for disease and wellness in order to address the care factors that may adversely influence the GI microbiota during pregnancy.

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Barkin, Jennifer L., Laura Beals, Christy C. Bridges, Amara Ezeamama, Marta Serati, Massimiliano Buoli, Amber Erickson, Megan Chapman et Joan R. Bloch. « Maternal Functioning and Depression Scores Improve Significantly With Participation in Visiting Moms® Program ». Journal of the American Psychiatric Nurses Association 27, n^o 1 (27 septembre 2019) : 54–63. http://dx.doi.org/10.1177/1078390319877444.

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BACKGROUND: Postpartum depression is the most common complication of childbearing can affect the entire family unit. Health professionals must strive to identify and develop effective, feasible solutions for women during this critical period. AIMS: To determine whether postpartum maternal functioning (as measured by the Barkin Index of Maternal Functioning) and depression symptoms (as measured by the Patient Health Questionnaire-9) were improved after participation in the Visiting Moms program. METHOD: Paired data were collected from women at program intake and after completion of the Visiting Moms program. Visiting Moms provides services through eastern and central Massachusetts and was designed to support new mothers throughout the infant’s first year of life. The study population was composed of adult women living in the Jewish Family and Children’s Services geographic catchment area, who enrolled in Visiting Moms between January 1, 2013, and December 31, 2015. Descriptive statistics were calculated for all 402 women enrolled in this timeframe. Utilizing a pretest/posttest design, paired t tests were performed for the Barkin Index of Maternal Functioning ( n = 149) and for the Patient Health Questionnaire-9 ( n = 156), where women had complete scores at both intake and completion, to determine the program’s potential impact on depressive symptoms and functional status. RESULTS: Functioning and depression scores were significantly improved after participation in the program. CONCLUSIONS: Visiting moms, and similar programs, aimed at delivery of enhanced social support, may be effective in promoting mental and emotional wellness among new mothers who are require additional support in the postpartum period.

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Mulondo, Seani Adrinah. « Factors associated with underutilisation of antenatal care services in Limpopo, South Africa ». British Journal of Midwifery 28, n^o 11 (2 novembre 2020) : 788–95. http://dx.doi.org/10.12968/bjom.2020.28.11.788.

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Background The aim of this study was to explore and describe factors associated with underutilisation of antenatal care services. In South Africa, maternal and child healthcare services are provided free of charge. Despite this, utilisation of antenatal care services remains a major public health challenge. Literature affirms that 96% of pregnant women present at antenatal care services only after 12 weeks of pregnancy, and this is influenced by several factors. Women's attitude plays an integral role. Methods This study used a qualitative, exploratory, descriptive design. Purposive and convenient sampling methods were used to select 10 hospitals and 83 pregnant women, respectively. Ten focus group discussions were conducted to collect data. Trustworthiness was ensured by means of Guba's model and data were analysed, qualitatively, using Tesch's eight steps. Results The majority of the pregnant women (83%) were from rural areas, had unplanned pregnancies, had five pregnancies/children or more, factors that are associated with underutilisation of antenatal care services. Cultural practices and beliefs regarding early presentation to antenatal care services and its effect on pregnancies were also found to be associated with underutilisation. Conclusions Some pregnant women do not consider antenatal care services as essential and choose to present late, despite the knowledge that monitoring of maternal health during pregnancy by midwives could prevent maternal and neonatal morbidity, while improving maternal and neonatal health and wellness. Recommendations include the provision of information and education materials to women, as well as health education, to sensitise and increase women's awareness of the urgency in utilising antenatal care services.

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Marucci, Massimo, Gilda Cinnella, Gaetano Perchiazzi, Nicola Brienza, Tommaso Fiore et David C. Warltier. « Patient-requested Neuraxial Analgesia for Labor ». Anesthesiology 106, n^o 5 (1 mai 2007) : 1035–45. http://dx.doi.org/10.1097/01.anes.0000265165.06760.c2.

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A systematic review, including a meta-analysis, on the timing effects of neuraxial analgesia (NA) on cesarean and instrumental vaginal deliveries in nulliparous women was conducted. Of 20 articles identified, 9 met the inclusion quality criteria (3,320 participants). Cesarean delivery (odds ratio, 1.00; 95% confidence interval, 0.82-1.23) and instrumental vaginal delivery (odds ratio, 1.00; 95% confidence interval, 0.83-1.21) rates were similar in the early NA and control groups. Neonates of women with early NA had a higher umbilical artery pH and received less naloxone. In the early NA group, fewer women were not compliant with assigned treatment and crossed over to the control group. Women receiving early NA for pain relief are not at increased risk of operative delivery, whereas those receiving early parenteral opioid and late epidural analgesia present a higher risk of instrumental vaginal delivery for nonreassuring fetal status, worse indices of neonatal wellness, and a lower quality of maternal analgesia.

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Choe, Ruth, Yu Fan Sim, Catherine H. L. Hong, Sameema Mohideen, Ranjani Nadarajan, Fabian Yap, Lynette P. C. Shek, Chin-Ying Stephen Hsu, Birit F. P. Broekman et Joao N. Ferreira. « Internalizing problems are associated with oral health-related quality of life in early childhood : Outcomes from an Asian multi-ethnic prospective birth cohort ». PLOS ONE 16, n^o 8 (12 août 2021) : e0256163. http://dx.doi.org/10.1371/journal.pone.0256163.

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Oral health status ideally warrants for a holistic biopsychosocial approach to health and wellness. Little is known about the impact of behavioral problems on oral health-related quality of life (OHRQoL) in children due to the paucity of studies in early childhood, particularly in Asian multi-ethnic populations. This study evaluated the relationship between early child’s socioemotional factors and OHRQoL, as well as its association with orofacial pain (OFP) and early childhood caries (ECC) in the Asian GUSTO birth cohort. Mother-child dyads were postnatally assessed at 3 time points. The Child Behavior Checklist (CBCL) was used to assess the child’s socioemotional and behavioral problems at age 4–4.5 years together with other validated questionnaires to evaluate maternal anxiety and depression. ECC detection was performed at age 5, and OHRQoL (primary) and OFP (secondary) outcomes were assessed at age 6 from a total of 555 mother-child dyads. After a univariate regression analysis was performed to identify potential predictors and confounders, a multivariate regression model was run with predisposing factors (CBCL internalization and externalization problems, OFP, ECC) and adjusted for confounders (maternal psychosocial states, maternal education) to determine associations with OHRQoL. Results showed an association between CBCL internalization scores and poorer OHRQoL (RR = 1.03, p = 0.033, 95% CI 1.01 to 1.05), although the limited risk ratio may not have a practical applicability in psychosocially healthy children, alike the majority of those evaluated in this cohort. The average OHRQoL overall score among children with OFP was 2.39 times more than those without OFP (OR = 2.39, p < 0.001, 95% CI 2.00 to 2.86). Thus, in early childhood, OFP, and to lesser extent internalizing behaviors, may negatively impact OHRQoL. This study therefore highlights the complex relationship between OHRQoL and its predisposing socioemotional and somatic pain factors, and demands further investigations in clinically relevant populations.

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Chan, Jerry Kok Yen, Chee Wai Ku, See Ling Loy, Keith M. Godfrey, Yiping Fan, Mei Chien Chua et Fabian Yap. « Effects of an integrated mobile health lifestyle intervention among overweight and obese women planning for pregnancy in Singapore : protocol for the single-arm healthy early life moments in Singapore (HELMS) study ». BMJ Open 12, n^o 12 (décembre 2022) : e061556. http://dx.doi.org/10.1136/bmjopen-2022-061556.

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IntroductionChanges in social and lifestyle factors have led to increasing rates of metabolic and mental health problems. We hypothesise that a transformation of the current maternal and child health system is required to deliver interventions that effectively promote a good start to life in populations at risk of metabolic and mental health problems. We describe a single-arm implementation study ‘Healthy Early Life Moments in Singapore’, which aims to examine whether an integrated lifestyle intervention initiated at preconception and continuing throughout pregnancy and postpartum periods can improve the metabolic and mental health of overweight and obese women, and improve early child growth.Methods and analysisThis single-centre implementation trial is conducted at KK Women’s and Children’s Hospital, Singapore. The trial aims to recruit 500 women, aged 21–40 years with a body mass index of 25–40 kg/m2who plan to get pregnant, with interventions delivered before conception, until 18 months postdelivery. Primary outcomes comprise pregnancy rate, maternal metabolic and mental health status. Secondary outcomes include maternal reproductive health, pregnancy outcomes and offspring growth. The intervention will be delivered using a mobile health application, to provide anticipatory guidance, raise awareness and guide goal-setting on lifestyle behaviours that include diet, physical activity, mental wellness and sleep hygiene from preconception to postpartum. Women who conceive within 1 year of recruitment will be followed through pregnancy and studied with their infants at six-time points during the first 18 months of life. Questionnaires, anthropometric measurements and multiple biosamples will be collected at each visit.Ethics and disseminationThe study has been approved by the Centralised Institutional Review Board of SingHealth (2021/2247). Written informed consent will be obtained from all participants. The findings will be published in peer-reviewed journals and disseminated to national and international policy makers.Trial registration numberNCT05207059.

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Buckingham-Schutt, Lyndi M., Laura D. Ellingson, Spyridoula Vazou et Christina G. Campbell. « The Behavioral Wellness in Pregnancy study : a randomized controlled trial of a multi-component intervention to promote appropriate weight gain ». American Journal of Clinical Nutrition 109, n^o 4 (1 avril 2019) : 1071–79. http://dx.doi.org/10.1093/ajcn/nqy359.

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ABSTRACT Background Adequate weight gain during pregnancy is important to both maternal and fetal outcomes. To date, randomized controlled trials have not been effective at increasing the proportion of women meeting gestational weight-gain guidelines. Objectives The aim of this study was to determine whether a multi-component behavioral intervention with a Registered Dietitian Nutritionist significantly improves the proportion of women who adhere to the 2009 Institute of Medicine weight-gain guidelines. Methods Participants were randomly assigned to usual care (UC; n = 24) or intervention (n = 23) between 8 and 14 weeks of gestation. The intervention included a minimum of 6 one-on-one counseling sessions over ∼30 wk focusing on healthy diet and physical activity (PA) goals. In addition to the face-to-face visits, weekly communication via email supported healthy eating, PA, and appropriate weight gain. Gestational weight gain, PA, and diet were assessed at 8–14, 26–28, and 34–36 weeks of gestation; weight retention was measured 2 mo postpartum. Results The proportion of women meeting the guidelines was significantly greater in those receiving the intervention than UC (60.8% compared with 25.0%, OR: 4.7; 95% CI: 1.3, 16.2; P = 0.019). Furthermore, 36.4% of the intervention women were at or below their prepregnancy weight at 2 mo postpartum compared with 12.5% in the UC group (P = 0.05). Conclusions A multi-component behavioral intervention improved adherence to the 2009 Institute of Medicine weight-gain guidelines. This trial was registered with clinicaltrials.gov as NCT02168647.

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Lyall, Vivian, Lindsay Wolfson, Natasha Reid, Nancy Poole, Karen M. Moritz, Sonya Egert, Annette J. Browne et Deborah A. Askew. « “The Problem Is that We Hear a Bit of Everything…” : A Qualitative Systematic Review of Factors Associated with Alcohol Use, Reduction, and Abstinence in Pregnancy ». International Journal of Environmental Research and Public Health 18, n^o 7 (26 mars 2021) : 3445. http://dx.doi.org/10.3390/ijerph18073445.

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Understanding the factors that contribute to women’s alcohol use in pregnancy is critical to supporting women’s health and wellness and preventing Fetal Alcohol Spectrum Disorder. A systematic review of qualitative studies involving pregnant and recently postpartum women was undertaken to understand the barriers and facilitators that influence alcohol use in pregnancy (PROSPERO: CRD42018098831). Twenty-seven (n = 27) articles were identified through EMBASE, CINAHL, PsycINFO, PubMed and Web of Science. The included articles were thematically analyzed using NVivo12. The analysis was informed by Canada’s Action Framework for Building an Inclusive Health System to articulate the ways in which stigma and related barriers are enacted at the individual, interpersonal, institutional and population levels. Five themes impacting women’s alcohol use, abstention and reduction were identified: (1) social relationships and norms; (2) stigma; (3) trauma and other stressors; (4) alcohol information and messaging; and (5) access to trusted equitable care and essential resources. The impact of structural and systemic factors on prenatal alcohol use was largely absent in the included studies, instead focusing on individual choice. This silence risks perpetuating stigma and highlights the criticality of addressing intersecting structural and systemic factors in supporting maternal and fetal health.

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Prayoga, Brantas, Shinta Prawitasari et Mora Claramita. « Training Detection of Preeclampsia Risk Factors for Physicians in Primary Care with Experience-Based Learning Methods : A Quasi Experimental Study ». Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) 1, n^o 2 (31 mai 2018) : 82. http://dx.doi.org/10.22146/rpcpe.36266.

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Background: Training for primary care physicians in the management of pregnant women often combines detection of the risk of bleeding, risk of infection and the risk of preeclampsia. Meanwhile, preeclampsia contributes to the world's largest maternal mortality rate, including in Indonesia. Primary care physicians’ knowledge about the risk factors and the early detection of preeclampsia is still very limited. It is therefore necessary to detect preeclampsia risk factors as early as possible and perform proper, fast and effective therapeutic diagnosis to prevent the onset of preeclampsia and to make efforts to safeguard maternal health and the survival and wellness of her baby. Experiential learning was selected in this training as it allows for sustainable learning.Methods: Quasi experimental study was conducted with 30 physicians of Community and Primary Health Care Center (Puskesmas) who were randomly divided into 2 groups, i.e. treatment group and control group each with 15 people. The treatment group was given training by 2 cycles of experiential learning, then both groups rated knowledge with vignette questionnaires from international sources that have been validated by experts in obstetrics, with 1-week interval time between the post-test and pre-test.Results: There was an increase of knowledge in primary care physicians after receiving training for both the treatment group (p = 0.034) or the control group (p = 0.000). The increase of knowledge in the treatment group after training was higher than the control group with the mean difference of 5.733. This result shows that the use of experiential learning methods proved effective.Conclusion: The detection training of risk factors for preeclampsia increases the physician's knowledge in managing preeclampsia in primary care.

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Asgari-Jirhandeh, Nima, Tomas Zapata et Manoj Jhalani. « Strengthening Primary Health Care as a Means to Achieve Universal Health Coverage : Experience from India ». Journal of Health Management 23, n^o 1 (28 février 2021) : 20–30. http://dx.doi.org/10.1177/0972063421995004.

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Compared to its peers, India has always spent far less on health. This is slowly changing as are the drivers that are forcing some of these changes. Demographical and epidemiological changes have moved the disease burden away from communicable and maternal and childhood diseases to non-communicable diseases. More people are city dwellers and achieving UHC is one of Sustainable Development Goals. To tackle these commitments and shifting demands, in 2017, there was a committed move towards improving primary health care by introducing comprehensive PHC through health and wellness centres. These centres are close to the community and by improving the quality of care given and increasing the range of services that they provide, there should be an increase in access to health. However, much needs to be done to ensure that these centres will provide high quality care to the local populations. Training the healthcare workers needed to staff these HWCs will take time. Keeping the required funding to expand the programme will be challenging in the current fiscal space. There is a need to integrate care and flow of funds between primary and secondary care and empowering local populations to engage in governance of the HWCs will take time.

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Krishnaswami, Janani, et Maria del C. Colon-Gonzalez. « Reforming Women’s Health Care : A Call to Action for Lifestyle Medicine Practitioners to Save Lives of Mothers and Infants ». American Journal of Lifestyle Medicine 13, n^o 5 (8 avril 2019) : 495–504. http://dx.doi.org/10.1177/1559827619838461.

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Maternal and infant mortality are fundamental indicators of a society’s health and wellness. These measures depict a health crisis in the United States. Compared with other rich countries, women in the United States more frequently die from pregnancy or childbirth, and infants are less likely to survive to their first birthday. Most of these deaths are preventable; disproportionately affect diverse, low-income groups; and are perpetuated by social and health care inequities and subpar preventive care. Lifestyle medicine (LM) is uniquely positioned to ameliorate this growing crisis. The article presents key prescriptions for LM practitioners to build health and health equity for women. These prescriptions, summarized by the acronym PURER, include action in the areas of (1) practice, (2) understanding/empathy, (3) reform, (4) empowerment, and (5) relationship health. The PURER approach focuses on partnering with diverse female patients to promote resilience, promoting social connection and engagement, facilitating optimal family planning and advocating for culturally responsive, equitable health care systems. Through PURER, LM practitioners can help women and partners resiliently overcome the harmful challenges of discrimination and stress characterizing present-day American life. Over time, the equitable and collective practice of LM can help ameliorate the health care barriers undermining the health of women, families, and society.

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Chasan-Taber, Lisa, Marushka Silveira, Bess H. Marcus, Barry Braun, Edward Stanek et Glenn Markenson. « Feasibility and Efficacy of a Physical Activity Intervention Among Pregnant Women : The Behaviors Affecting Baby and You (B.A.B.Y.) Study ». Journal of Physical Activity and Health 8, s2 (septembre 2011) : S228—S238. http://dx.doi.org/10.1123/jpah.8.s2.s228.

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Background:Physical activity during pregnancy is associated with reduced risk of adverse maternal and fetal outcomes. However, the majority of pregnant women are inactive and interventions designed to increase exercise during pregnancy are sparse. We evaluated the feasibility and preliminary efficacy of an exercise intervention among a diverse sample of pregnant women.Methods:The B.A.B.Y. (Behaviors Affecting Baby and You) Study is conducted at a large tertiary care facility in Western Massachusetts. We randomized 110 prenatal care patients (60% Hispanic) to an individually tailored 12-week exercise intervention arm (n = 58) or to a health and wellness control arm (n = 52) at mean = 11.9 weeks gestation. Physical activity was assessed via the Pregnancy Physical Activity Questionnaire (PPAQ).Results:After the 12-week intervention, the exercise arm experienced a smaller decrease (−1.0 MET-hrs/wk) in total activity vs. the control arm (−10.0 MET-hrs/wk; P = .03), and a higher increase in sports/exercise (0.9 MET-hrs/wk) vs. the control arm (−0.01 MET-hrs/wk; P = .02). Intervention participants (95%) reported being satisfied with the amount of information received and 86% reported finding the study materials interesting and useful.Conclusions:Findings support the feasibility and preliminary efficacy of a tailored exercise intervention in increasing exercise in a diverse sample of pregnant women.

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Gewali, Anupa, Alana Lopez, Kristin Dachelet, Elise Healy, Marimirca Jean-Baptiste, Holly Harridan, Yolanda Evans et al. « A Social Media Group Cognitive Behavioral Therapy Intervention to Prevent Depression in Perinatal Youth : Stakeholder Interviews and Intervention Design ». JMIR Mental Health 8, n^o 9 (15 septembre 2021) : e26188. http://dx.doi.org/10.2196/26188.

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Background Adolescents and young adults aged <25 years (youth) are at a higher risk of perinatal depression than older adults, and they experience elevated barriers to in-person care. Digital platforms such as social media offer an accessible avenue to deliver group cognitive behavioral therapy (CBT) to perinatal youth. Objective We aim to develop the Interactive Maternal Group for Information and Emotional Support (IMAGINE) intervention, a facilitated social media group CBT intervention to prevent perinatal depression in youth in the United States, by adapting the Mothers and Babies (MB) course, an evidence-based in-person group CBT intervention. In this study, we report perspectives of youth and health care providers on perinatal youths’ mental health needs and document how they informed IMAGINE design. Methods We conducted 21 semistructured in-depth individual interviews with 10 pregnant or postpartum youths aged 14-24 years and 6 health care workers. All interviews were recorded, transcribed, and analyzed using deductive and inductive approaches to characterize perceptions of challenges and facilitators of youth perinatal mental health. Using a human-centered design approach, stakeholder perspectives were incorporated into the IMAGINE design. We classified MB adaptations to develop IMAGINE according to the Framework for Modification and Adaptation, reporting the nature, timing, reason, and goal of the adaptations. Results Youth and health care workers described stigma associated with young pregnancy and parenting, social isolation, and lack of material resources as significant challenges to youth mental wellness. They identified nonjudgmental support, peer companionship, and access to step-by-step guidance as facilitators of youth mental wellness. They endorsed the use of a social media group to prevent perinatal depression and recommended that IMAGINE facilitate peer support, deliver content asynchronously to accommodate varied schedules, use a confidential platform, and facilitate the discussion of topics beyond the MB curriculum, such as navigating support resources or asking medical questions. IMAGINE was adapted from MB to accommodate stakeholder recommendations and facilitate the transition to web-based delivery. Content was tailored to be multimodal (text, images, and video), and the language was shortened and simplified. All content was designed for asynchronous engagement, and redundancy was added to accommodate intermittent access. The structure was loosened to allow the intervention facilitator to respond in real time to topics of interest for youth. A social media platform was selected that allows multiple conversation channels and conceals group member identity. All adaptations sought to preserve the fidelity of the MB core components. Conclusions Our findings highlight the effect of stigmatization of young pregnancy and social determinants of health on youth perinatal mental health. Stakeholders supported the use of a social media group to create a supportive community and improve access to evidence-based depression prevention. This study demonstrates how a validated intervention can be tailored to this unique group.

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Scher, Mark S. « A Bio-Social Model during the First 1000 Days Optimizes Healthcare for Children with Developmental Disabilities ». Biomedicines 10, n^o 12 (19 décembre 2022) : 3290. http://dx.doi.org/10.3390/biomedicines10123290.

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Most children with developmental disabilities (DD) live in resource-limited countries (LMIC) or high-income country medical deserts (HICMD). A social contract between healthcare providers and families advocates for accurate diagnoses and effective interventions to treat diseases and toxic stressors. This bio-social model emphasizes reproductive health of women with trimester-specific maternal and pediatric healthcare interactions. Lifelong neuronal connectivity is more likely established across 80% of brain circuitries during the first 1000 days. Maladaptive gene-environment (G x E) interactions begin before conception later presenting as maternal-placental-fetal (MPF) triad, neonatal, or childhood neurologic disorders. Synergy between obstetrical and pediatric healthcare providers can reduce neurologic morbidities. Partnerships between healthcare providers and families should begin during the first 1000 days to address diseases more effectively to moderate maternal and childhood adverse effects. This bio-social model lowers the incidence and lessens the severity of sequalae such as DD. Access to genetic-metabolomic, neurophysiologic and neuroimaging evaluations enhances clinical decision-making for more effective interventions before full expression of neurologic dysfunction. Diagnostic accuracy facilitates developmental interventions for effective preschool planning. A description of a mother-child pair in a HIC emphasizes the time-sensitive importance for early interventions that influenced brain health throughout childhood. Partnership by her parents with healthcare providers and educators provided effective healthcare and lessened adverse effects. Effective educational interventions were later offered through her high school graduation. Healthcare disparities in LMIC and HICMD require that this bio-social model of care begin before the first 1000 days to effectively treat the most vulnerable women and children. Prioritizing family planning followed by prenatal, neonatal and child healthcare improves wellness and brain health. Familiarity with educational neuroscience for teachers applies neurologic diagnoses for effective individual educational plans. Integrating diversity and inclusion into medical and educational services cross socioeconomic, ethnic, racial, and cultural barriers with life-course benefits. Families require knowledge to recognize risks for their children and motivation to sustain relationships with providers and educators for optimal outcomes. The WHO sustainable development goals promote brain health before conception through the first 1000 days. Improved education, employment, and social engagement for all persons will have intergenerational and transgenerational benefits for communities and nations.

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Gerlach, Alison Jayne, et Alysha McFadden. « Re-Envisioning an Early Years System of Care towards Equity in Canada : A Critical, Rapid Review ». International Journal of Environmental Research and Public Health 19, n^o 15 (4 août 2022) : 9594. http://dx.doi.org/10.3390/ijerph19159594.

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Background: Many children in high-income countries, including Canada, experience unjust and preventable health inequities as a result of social and structural forces that are beyond their families’ immediate environment and control. In this context, early years programs, as a key population health initiative, have the potential to play a critical role in fostering family and child wellbeing. Methods: Informed by intersectionality, this rapid literature review captured a broad range of international, transdisciplinary literature in order to identify promising approaches for orienting early years systems of care towards equity in Canada. Results: Findings point to the need for a comprehensive, integrated and socially responsive early years system that has top-down political vision, leadership and accountability and bottom-up community-driven tailoring with an explicit focus on health promotion and maternal, family and community wellness using relational approaches. Conclusions: Advancing child health equity in wealthy countries requires structural government-level changes that support cross-ministerial and intersectoral alliances. Employing intersectionality in this rapid review promotes contextualized and nuanced understandings of what is needed in order to advance a responsive, comprehensive and quality early years system of equity-oriented care. Further research is needed to prevent child health inequities that are disproportionally experienced by Indigenous and racialized children in wealthy countries such as Canada. olicy and research recommendations that have relevance for high-income countries in diverse global contexts are discussed.

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Buckley, Sarah J. « Executive Summary of Hormonal Physiology of Childbearing : Evidence and Implications for Women, Babies, and Maternity Care ». Journal of Perinatal Education 24, n^o 3 (2015) : 145–53. http://dx.doi.org/10.1891/1058-1243.24.3.145.

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ABSTRACTThis report synthesizes evidence about innate hormonally mediated physiologic processes in women and fetuses/newborns during childbearing, and possible impacts of common maternity care practices and interventions on these processes, focusing on four hormone systems that are consequential for childbearing. Core hormonal physiology principles reveal profound interconnections between mothers and babies, among hormone systems, and from pregnancy through to the postpartum and newborn periods. Overall, consistent and coherent evidence from physiologic understandings and human and animal studies finds that the innate hormonal physiology of childbearing has significant benefits for mothers and babies. Such hormonally-mediated benefits may extend into the future through optimization of breastfeeding and maternal-infant attachment. A growing body of research finds that common maternity care interventions may disturb hormonal processes, reduce their benefits, and create new challenges. Developmental and epigenetic effects are biologically plausible but poorly studied. The perspective of hormonal physiology adds new considerations for benefit-harm assessments in maternity care, and suggests new research priorities, including consistently measuring crucial hormonally mediated outcomes that are frequently overlooked. Current understanding suggests that safely avoiding unneeded maternity care interventions would be wise, as supported by the Precautionary Principle. Promoting, supporting, and protecting physiologic childbearing, as far as safely possible in each situation, is a low-technology health and wellness approach to the care of childbearing women and their fetuses/newborns that is applicable in almost all maternity care settings.

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Lisanti, Amy Jo, Nadya Golfenshtein, Bradley S. Marino, Liming Huang, Alexandra L. Hanlon, Alicia J. Lozano, Martha A. Q. Curley et Barbara Medoff-Cooper. « Quality of Life of Mothers of Infants Subjected to Neonatal Cardiac Surgery : The Importance of Psychosocial Factors ». World Journal for Pediatric and Congenital Heart Surgery 13, n^o 3 (21 avril 2022) : 324–31. http://dx.doi.org/10.1177/21501351221088832.

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Background: The World Health Organization acknowledges quality of life (QOL) as subjectively perceived overall well-being by the individual and recognizes it as an essential construct for overall health and wellness. The purpose of this study was to examine the association of infant, environmental, and parental factors with the QOL of mothers of infants at four months post-hospital discharge from cardiac surgery. Methods: Secondary analysis of prospectively collected data from the REACH randomized clinical trial of telehealth home monitoring. The sample included mothers (n = 148) of infants with congenital heart disease who provided data at four months post-discharge. Ten imputations were generated using fully conditional specification methods to address missing data and were combined. All analyses were performed on the imputed data. Mothers’ QOL was the main outcome of the analysis, as measured by the Ulm Quality of Life Inventory for Parents. Predictors on QOL were identified based on the World Health Organization QOL framework which recognizes the multidimensional domains influencing QOL that include personal factors, environmental factors, and physical factors related to disease and functioning. Results: The treatment and control groups did not differ on any study variable, thus data were collapsed and analyzed together. Final multivariable model found that the combination of dyadic adjustment, social support, parenting stress, and post-traumatic stress symptoms explained approximately three-quarters of the variance in QOL scores. Conclusions: QOL for mothers of infants with congenital heart disease is largely influenced by psychosocial factors. Future research targeted toward improving maternal QOL should include psychosocial interventions that address social networks and stress.

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Khalil, Karima, Priya Das, Rochana Kammowanee, Deepika Saluja, Priyanjali Mitra, Shamayita Das, Dipwanita Gharai, Dinesh Bhatt, Navneet Kumar et Samuel Franzen. « Ethical considerations of phone-based interviews from three studies of COVID-19 impact in Bihar, India ». BMJ Global Health 6, Suppl 5 (août 2021) : e005981. http://dx.doi.org/10.1136/bmjgh-2021-005981.

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Phone-based interviews present a range of ethical challenges, including how to ensure informed consent and privacy and maintain confidentiality. Our paper presents conceptual and practical ethical considerations taken into account across three telephone studies on the impact of COVID-19 conducted following India’s nationwide lockdown imposed in March 2020. Two studies captured COVID-19 response impact on primary-level Reproductive Maternal Neonatal and Child Health (RMNCH) services and on provider wellness, respectively. The third study focused on how the gendered experience of COVID-19 and the state’s response to control transmission impacted women’s lives, focusing on health services, livelihood, entitlements and social change, by interviewing individual women. The ethical challenges as well as the advantages of digital data collection are presented with recommendations for low-resource settings. Ethical considerations included the above challenges as well as avoiding posing unreasonable time burden on the respondents, framing questions with a gendered lens, considering emotional states given contagion concerns and economic uncertainties, and redressing pandemic-induced distress. Using scripted Hindi was challenging in consent-taking, as was protecting household respondents’ privacy and confidentiality during lockdown. Unanticipated positive ethical implications of using a telephone approach included providing respondents privacy and catharsis, respondents choosing convenient interview times and affording health providers more privacy than institutional inperson interviews. Internalising empathy, respect and appreciative enquiry are key to establishing rapport in the absence of prior relationships. Institutional Review Board (IRB) time limits on call duration need to be flexible to allow for ‘active listening’ and empathetic enquiry in surveys on the impact of COVID-19.

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Widjaja, Herry Prabowo Krestiyanto. « Assessment of Patient Satisfaction Among Pregnant Patients in The Out-Patient Department of Obstetrics and Gynecology Section at Metropolitan Medical Center Manila ». Jurnal Manajemen Kesehatan Indonesia 8, n^o 3 (27 décembre 2020) : 148–52. http://dx.doi.org/10.14710/jmki.8.3.2020.148-152.

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ABSTRACT Patient satisfaction reflects the quality of an institution’s delivery of health care services. Patient satisfaction is a critical factor in improvement or complete recuperation to wellness because satisfied patients will mean better compliance to treatment or follow up. As reported in the 2017 Annual OPD census of the Department of Obstetrics and Gynecology, there were 2617 total patient consultations. Majority of these (2138 or 81.7 %) were obstetrical cases. The average number of consultations per day (for Obstetrics and Gynecology patients combined) is 91. Therefore, the Out-Patient Clinic plays an important role in prenatal care specifically the prevention of adverse maternal and neonatal morbidity and mortality. This study aimed to assess the level of patient satisfaction among obstetrical patients in the Out Patient Department of the Obstetrics and Gynecology Section at Metropolitan Medical Center from July 1, 2018 to July 31, 2018 and to see the relationship between socio-demographic characteristic and the level of patient satisfaction. This is a descriptive, cross sectional study. The level of patient satisfaction assessed as to physical facilities, interaction between doctor and patient, interaction between nurses and patient, and registration service. There were sixty three subjects in this study. Sixty three were satisfied with inclusion criteria. The validated questionnaire was the pretested questionnaire which was 96 % valid and reliable by Cronbach’s analysis. Statistical analysis was done which showed respondents were generally satisfied. There were significant relationship association between socio-demographic characteristics and level of patient satisfaction with P value < 0.05.Key Word : Patient Satisfaction, Socio Demographic Characteristic

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Ruebel, Meghan, Deaunabah Yazza, Purevsuren Jambal et Kartik Shankar. « A Novel Mouse Model to Examine the Double-Burden of Ambient Heat and Micronutrient Insufficiency on Fetal Growth ». Current Developments in Nutrition 6, Supplement_1 (juin 2022) : 79. http://dx.doi.org/10.1093/cdn/nzac050.009.

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Abstract Objectives Undernutrition and malnutrition in women of childbearing age are associated with increased risk of fetal growth restriction and poor infant development. Climate change, specifically the rise in ambient temperature, is thought to exacerbate the effects of malnutrition. However, few mechanistic models exist to examine the interactions between maternal nutritional status and ambient temperature on fetal growth. Methods Female C57BL6/J mice (8 wk old, n = 6–8/group) were given ad libitum access to either AIN-93G (CON) or a modified AIN-93 diets containing 70% mineral, micronutrient, and vitamin mix (70MMV) for 4 weeks. The 70MMV diet is not designed to cause nutritional deficiency, but rather a lower nutritional plane. Plug positive females were housed at either 22⁰C or 33⁰C in an environmental chamber for the duration of pregnancy, while remaining on their respective diets. Body weights and food intake were assessed weekly. Placenta tissue as well as fetal, placental, and liver weights were collected at dpc 17.5. ER stress related gene targets in the placenta were assessed by RT-qPCR. Results Body weight gains over pregnancy were significantly reduced in animals fed 70MMV compared to CON diet. There was no change in liver to body weight ratios across groups, however there was a slight reduction in liver to body ratio in the 33⁰C compared to 22⁰C group on CON diet. Placental weights were significantly reduced in 33⁰C group, with a more severe reduction in the 70MMV + 33⁰C group. Notably, fetal weights of dams exposed to both 33⁰C and 70 MMV diet showed significant reductions in fetal weights. Two-way ANOVA for fetal weights showed a significant diet and temperature interaction. Pairwise comparisons showed no difference between temperatures on CON diet, but significantly lower fetal weights in the 70MMV + 33⁰C relative to 70MMV + 22⁰C. Conclusions Our results point to an interaction between modest heat and micronutrient insufficiency in the pathogenesis of fetal growth restriction, highlighting the emerging nexus of maternal nutrition and heat stress typically seen in resource-restrained settings. Funding Sources CU-Department of Pediatrics and Anschutz Health and Wellness Center.

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Katzen-Luchenta, Jan. « The Declaration of Nutrition, Health, and Intelligence for the Child-To-Be : Adapted from the Declaration of Olympia on Nutrition and Fitness, 28-29 May 1996 in Ancient Olympia, Greece, an Article by Artemis P. Simopoulos, MD, The Center for Genetics, Nutrition and Health, Washington, DC, USA ». Nutrition and Health 19, n^o 1-2 (juillet 2007) : 85–102. http://dx.doi.org/10.1177/026010600701900212.

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The Declaration of Nutrition, Health, and Intelligence for the Child-to-be is an urgent cry from the unborn child for a life-span of nutrients for physical and mental wellness. It is a proclamation of paramount importance for everyone involved in child development: parents, health professionals, teachers, government agencies, all producers of food – and children, so they may learn how to feed themselves well. The Declaration of Olympia on Nutrition and Fitness, 1996, came from a group of nutritional scientists and medical doctors to commemorate the Olympic Games' 100th anniversary. They based it on the health principles of Hippocrates: genetics, the age of the individual, the powers of various foods, and exercise. Following today's vast wealth of nutritional research and expressing it with my teaching experience, I have revitalized the Declaration of Olympia by writing from the heart of the little learner and the hope of the child-to-be. The nutrients implicated in healthy reproduction and lifelong health include B vitamins, particularly B1, B6, folate, B12; antioxidants, particularly vitamins C and E; minerals such as iron, zinc, magnesium, selenium, iodine, and copper; and essential fatty acids, particularly DHA. These nutrients also lower the risk of neural tube defects; autism, dyslexia, Down's syndrome; childhood cancers, obesity, and defective fetal cell membranes associated with maternal diabetes. Our metabolism is hugely influenced also by activity and by affection. Today's foods are often processed beyond the cells' recognition and can result in neurological and physical morbidity and mortality. A diet of unprocessed free-range animals and seafood; legumes, deep-colored vegetables and fruits; nuts, seeds, and whole grains, germ and bran, reinstates nutritional potency.

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Kinser, Patricia, Nancy Jallo, Leroy Thacker, Christine Aubry et Saba Masho. « Enhancing Accessibility of Physical Activity During Pregnancy : A Pilot Study on Women’s Experiences With Integrating Yoga Into Group Prenatal Care ». Health Services Research and Managerial Epidemiology 6 (1 janvier 2019) : 233339281983488. http://dx.doi.org/10.1177/2333392819834886.

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Introduction: Health guidelines suggest that pregnant women should participate in daily physical activity, yet rarely do they meet these guidelines. Means to enhance accessibility of physical activity for pregnant women are required, and yoga has been suggested as a possible method to enhance women’s sense of confidence and competence with physical activity. In this pilot study, our primary aim is to evaluate pregnant women’s perceptions about their lived experience of an intervention which integrates a low-intensity form of physical activity, yoga, into prenatal care; our secondary aim is to evaluate changes in participants’ self-efficacy for physical activity and time spent in physical activity over time. Methods: Held in an outpatient obstetrics department of an urban hospital system in the United States, this pilot study enrolled 16 pregnant women to participate in the intervention throughout their pregnancy. We explored participants’ lived experience of the intervention using qualitative methods (phenomenology). Means, variances, and covariances were calculated for the 2 measures (self-efficacy and time spent in physical activity) over the intervention period. Results: Qualitative findings from focus groups suggest that it is acceptable for prenatal yoga to be integrated into group prenatal care classes and women reported increased confidence with physical activity during pregnancy. Participants did not consider the intervention to fit within the traditional definition of exercise. Women reported increased amounts of time spent in physical activity from baseline to the end of pregnancy, but there were no statistically significant changes in self-efficacy over time. Discussion: The integration of gentle physical activity into the group prenatal care model warrants further attention for potential benefits with regard to maternal physical and mental wellness.

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Cranston, Jerome, et Rina Whitford. « Still Thriving : A Case Illustrating How COVID-19 Affected Indigenous Health and Wellness ». Special Issue - Pivotal Leadership During a Pandemic : Impacts on Educational Administration Policy in Canada, n^o 200 (4 octobre 2022) : 96–103. http://dx.doi.org/10.7202/1092710ar.

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The myriad of social, financial, material health, and educational inequities that continue to plague Indigenous communities was exacerbated by COVID-19. In order to place on spotlight on them, this case follows Star, an Indigenous Student Success Coordinator, as she navigated the policies and practices couched in the rhetoric of supporting the success, health and wellness of students and families during a global pandemic. The case and teaching notes that follow illustrate the limitations that Westernized models of health and wellness create for Indigenous and non-Indigenous educators when it comes to maintaining their students’ and own well-being. As an alternative to the dominant Westernized models, the teaching notes offer a more holistic and integrated model of Indigenous health and wellness. The elements of the model situate health and wellness as encompassing all aspects of an individual’s life by connecting them relationally to their families and communities, nations, and the land.

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Kuruganti, Usha. « The Impact of a Required Undergraduate Health and Wellness Course on Students’ Awareness and Knowledge of Physical Activity and Chronic Disease ». Collected Essays on Learning and Teaching 7, n^o 2 (26 mai 2014) : 117. http://dx.doi.org/10.22329/celt.v7i2.3974.

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As part of the undergraduate curriculum, the Faculty of Kinesiology at the University of New Brunswick (UNB) requires all students to take an undergraduate course in physical activity, health and wellness in their third year of study. This capstone course allows students to integrate concepts from their program regarding physical activity, fitness, and wellness. While students have anecdotally indicated that this course has improved their knowledge of health and wellness, this data had not been quantitatively assessed previously. The purpose of this study was to examine the effect of the course on students’ views of the impact of physical activity on disease and overall health and wellness. A survey was administered to the students enrolled in the course at the beginning and again at the end of the semester. The survey requested data in four categories; 1) the demographics of the student, 2) students’ knowledge of health agencies and guidelines, 3) students’ physical activity, health and wellness awareness and 4) students’ self-assessment of their knowledge of physical activity and chronic disease. The data showed that, at the end of the course, students felt that they improved in three areas; 1) their knowledge of health agencies and guidelines, 2) their awareness of physical activity and its impact on health and wellness and 3) their knowledge of physical activity and chronic disease. The results of this work provided information on the impact of a required health and wellness course on students’ knowledge of health and suggested that the material in the course helped their overall understanding of health.

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Rouzaud, A., M. Cartier, J.-C. Souriau, G. Simon, J. Brun et G. Pares. « Packaging for medical and wellness applications ». International Symposium on Microelectronics 2016, n^o 1 (1 octobre 2016) : 000139–43. http://dx.doi.org/10.4071/isom-2016-wa11.

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Abstract Wellness and medical area are today identified among the next big markets, and the associated roadmaps show a global trend from the benchtop to portable devices then to longer term wearable and implantable devices. For these last devices new packaging technologies need to be developed in order to satisfy both size reduction, important reliability constraints, and moderate/low costs. Two divergent identified markets have been identified:-Consumerist healthcare market associated to high volume and low cost manufacturing,-Professional healthcare market associated to low volume and high cost manufacturing. Based on these findings, we will present in this paper the main new packaging technologies developed at Léti to fit with the constraints of these markets:-In the field of wearable devices: an innovative package designed to be integrated in textiles offering low interaction with material structure and compatible with standard textile tooling and package-winding machines. A specific example of RFID tags will be presented.-In the field of implantable devices: an advanced implantable low profile silicon box for SiP including a MEMS chip and its ASIC. The emphasis will be put on the tests needed to satisfy the different constraints linked to implantability (biostability, biocompatibility).-Lastly, some generic building blocks for soft packaging will be presented, as well as the main trends in their use.

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Qureshi, Sidra, Furqan Ahmed Siddiqi et Waqar Ahmed Awan. « WOMEN’S HEALTH ISSUES : THE CONTINUING APPEAL FOR WOMEN HEALTH PHYSICAL THERAPY PRACTICE IN PAKISTAN ». Rehabilitation Journal 5, n^o 2 (30 décembre 2021) : 218–19. http://dx.doi.org/10.52567/trj.v5i02.120.

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Women’s health in its widest definition includes study of whole body particularly examining biological characteristics unique to women, with a focus on reproductive organs, body structure, hormones, childhood development and genetics.1 In 2017, maternal mortality ratio was determined to be 211 deaths per 100,000 live birth globally and in Pakistan, the ratio was 186 deaths per 100,000 live births in 2021.2,3 Besides obstetrical health issues, Pakistani female are also facing gynecological maladies on a large scale as compared to other countries such as grade I and II pelvic organ prolapse that is likely to be managed through pelvic physical therapy as per National Institute for Health and Care Excellence (NICE) guidelines.4 Regrettably, the burden of disease is increased manifolds due to unavailability of expert women’s health physical therapist.5 Like many countries, Pakistan is signatory to several international commitments till now to empower the women. To overcome the lacking, women’s health issues should be fostered by a woman’s health physical therapist. A women health physical therapist evaluates, treats, and educates a woman throughout the stages of life starting form active child-bearing years, pregnancy, postpartum, perimenopause and post menopause.6 The area of practice has now spread to encompass all health concerns of a woman namely infertility, osteoporosis, fibromyalgia, rehabilitation following gynecological surgery, breast cancer rehabilitation, incontinence, dyspareunia, vulvodynia, pregnancy related musculoskeletal pain, lymphedema, wellness and exercise. A woman throughout the life span whether a childbearing woman, a menopausal and a young athlete or an elderly woman can obtain benefit from women’s health physical therapy (WHPT). The American College of Obstetricians and Gynecologists (ACOG) claims that conjoint care provided by physician and physical therapist can enormously improve treatment prognosis.7 An optimal quality of life for a woman can be ensured through clinical evaluation and assessment to plan physical therapy interventions incorporated with various modalities that are cautiously prescribed according to an individual’s scenario.8 It is about time to emphasize WHPT practice throughout the country. There is a prolonged schedule to fulfil all fundamental components of women’s health issues which demands the joint collaboration of health-care providers, governments, policy makers, and the overall population. This article shout-out to novice physical therapy professionals to get themselves enrolled in WHPT specialty degree for the betterment of women. It is the need of hour to incorporate the services of qualified and expert WHPT professional in large tertiary care hospitals whether public or private, so that the premium quality of medical services pertaining to women health is available to the masses of all walks of life.

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Ma'arif, Cholid. « MAQĀṠID AL-QUR’AN AL-GHAZALI DALAM KITAB SIRĀJ AL-ṬĀLIBĪN KARYA SYEKH IḤSĀN AL-JAMPESI ». QOF 4, n^o 1 (15 juin 2020) : 57–73. http://dx.doi.org/10.30762/qof.v4i1.1525.

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This article talk about maqāṣid al-Qur’ān on exegesis worked by Syaikh Ihsan Jampes, aspecially toward some verses at book of Sirāj aṭ-Ṭālibῑn vol. II. For that, there are three question should be answer; about the type of Quranic-exegesis, the operational process of Maqasid Alquran, and finally the main theme of Maqasid Alquran on the book of Sirāj aṭ-Ṭālibῑn vol. II. So, by using study of library-research and descriptive-analysis writing, otomatically the researcher make those verses as object of material and the book as primary-object soon the other books as secondary, such as book of Jawāhir al-Qur’ān worked by al-Ghazali. The results of this research are; firstly, the book of Sirāj al-Ṭālibῑn use type of tafsir isyari just to explain the majority exegesis of those verses within. Secondly, by modelling of maqāṣid al-Qur’ān arranged by al-Ghazali, the researcher find at least 80 main-verses on the book of Sirāj al-Ṭālibῑn, which is talking about knowing of Allah and the prophectic-wisdom are more dominate themes than about life of mankind. Thirdly, the implication of those, there are two big groups of maqāṣid following maqāṣid al-Qur’ān of al-Ghazali; monotheism-escatology, and wellnes during other themes such as morality, wisdom, islamology, and properiousity of mankind. Four of these big themes bring to some understanding that the main maqāṣid al-Qur’ān on the book of Sirāj aṭ-Ṭālibῑn is the wellness (kemaslahatan) on the world and hereafter for all mankind.

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Rothmann, S., L. J. Steyn et K. Mostert. « Job stress, sense of coherence and work wellness in an electricity supply organisation ». South African Journal of Business Management 36, n^o 1 (30 mars 2005) : 55–63. http://dx.doi.org/10.4102/sajbm.v36i1.620.

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The objective of this study was to test a causal model of work wellness for engineers, technicians and electricians in an electricity supply organisation. An ex post facto correlational design was used. The participants included 38 engineers, 86 technicians and 91 electricians in an electricity supply organisation. The Maslach Burnout Inventory – General Survey, the Utrecht Work Engagement Scale, the Job Stress Inventory and the Orientation to Life Questionnaire were administered. The results showed that job stress, because of job demands and a lack of support, leads to burnout. A strong sense of coherence mediated the relationship between job stress and work wellness (consisting of low burnout and high work engagement).The material described in this article is based upon work supported by the National Research Foundation under Grant number 2053344.

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Zotova, Firuza, et Guzel Khamidullina. « Content and organization of judo classes during sport and wellness training period (according to the opinion poll among wrestling coaches) ». SCIENCE AND SPORT : current trends 7, n^o 3 (septembre 2019) : 33–40. http://dx.doi.org/10.36028/2308-8826-2019-7-3-33-40.

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Purpose of the research is to study the coaches’ opinion about content and organization of the training process for young athletes in sport and wellness groups. Research methods and organization. We carried out the opinion poll among 42 coaches practicing judo, sambo, belt wrestling, “Kuresh” national wrestling, freestyle wrestling, wushu, taekwondo, boxing, karate, aikido, whose average pedagogical experience is about 13,3 years. The questionnaire included 13 questions and 39 sub-questions of closed, semi-closed and open type. Research results and discussion. The opinion poll revealed that special endurance is the most significant quality for children practicing wrestling (52,3%), other important qualities are agility (30,9%) and rapidity (28,5%), and the third one is strength (16,6%). According to the answers, the most suitable age for enrollment to sport and wellness groups is the age of 6. Major sport training techniques applicable for sport and recreational groups are general exercises (general physical training), outdoor games and primary wrestling types. The respondents consider dropout of newcomers during first months to be the consequence of a number of factors, such as other sport offers, the lack of methodical support (programs, methodical recommendations) for sport and wellness groups, and the gap between emotional background of classes and the age of participants. Conclusion. According to the opinion of coaches at youth sport schools, it is necessary to add new programs and methodical recommendations for sport and wellness groups to the educational and training process in order to conserve the contingent of participants. The program material should correspond to children aged 5-7.

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MIKHAYLOVA, ANNA, et ANDREY MIKHAYLOV. « Innovative technologies in using Baltic amber for wellness ». Baltic Journal of Health and Physical Activity 12, Special Issue 1 (30 novembre 2020) : 167–75. http://dx.doi.org/10.29359/bjhpa.12.spec.iss1.18.

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Background: The aim is to identify novel methods and demand in using amber and its products in the field of medicine, health preservation and medical tourism. Material and methods: Quantitative and qualitative analysis is done on patents and patent applications indicating the use of natural amber and its derivatives as reflected in the title and/or abstract sections. Data is analyzed by 4 dimensions: temporal, sectoral, territorial, institutional. The study period covers 1975-2020. Data source is the Dimensions patents database. Results: The development of technologies for using or processing amber and its derivatives is characterized by low and unstable patent activity. The majority of patents are generated at the regions with amber deposits. Wellness specialization is found to be an important technology driver, although outperformed by jewelry production and processing technologies. The WIPO plays a significant role in protecting the amber related innovations in wellness. Conclusions: The patenting activity for amber processing technologies is low, including in the field of medicine, health preservation and medical tourism. Cross-border networking between Russia (primarily the Kaliningrad region), Poland, Lithuania, and Germany can positively affect the development of Baltic amber cluster, boosting the demand for high-tech processing of amber and expanding its application in wellness.

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Prakash, Vish. « NEED OF THE HOUR FOR INDIA - EVIDENCE-BASED ALL-INCLUSIVE PREVENTIVE NUTRA - NUTRI HOLISTIC APPROACH PRODUCTS BY BOTH PHARMA GIANTS AND CLUSTER STARTUPS ». INDIAN DRUGS 57, n^o 11 (26 février 2021) : 5–6. http://dx.doi.org/10.53879/id.57.11.p0005.

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Dear Reader, This Guest Editorial could not have been better timed than now even though it should have given the call nearly ten years back! However, this editorial has become longer than what I envisaged, and seek your patience to read through it in your leisure time. The positioning of the Indian subcontinent as a leader in the world for Health and Wellness is an important agenda. The paradigm shift of Health to Health and Wellness is the need of the hour. India in its tradition and Wisdom has always related to Food and Wellness as one entity, especially in Ayurveda and the basic concepts governing it. That’s not all. If India does not wake up and push the agenda of Wellness strong enough internally and be a Global Champion with its heritage of 5000 years of traditional wisdom in this area, then we are sure to lose out on many Economic fronts too in this sector, especially in the discovery battle of New Drugs. It can emerge as a leader and the Pharmaceutical Industry must aggressively ensure that the huge raw material advantage India has in its resilience of Agriculture and the favorable climate it provides, from North to South and East to West 12 months in a year, is capitalized. We are sitting on a Platinum mine but almost not using it at all?! The need for infrastructure and capacity building for the Wellness Industry to grow is unlimited in India and also in the global market and its huge reach out. It needs a new movement altogether to have a budget allocation from the Pharma Giants to invest in India and the Government’s mindset to partner and promote the same, not just by parks but an investment to make it win-win financial enterprises which will thrive with Trillions of Indian Rupees businesses with India as a hub. There are many who have done it boldly and hats off to them. But much much more is needed in the logarithmic phase and scale.

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Tshering, Kalsang. « Emotional Wellbeing and The Healthcare Workforce : A Review ». Journal of Mental Health & ; Clinical Psychology 6, n^o 2 (19 mai 2022) : 1–5. http://dx.doi.org/10.29245/2578-2959/2022/2.1150.

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Healthcare systems have long recognized the impact of adverse health events on patients and families, and in recent years have gone further to identify the resulting emotional strains on the healthcare workforce. This attention to emotional health, which has been described as the overall state of one's emotions and the ability to manage and adapt to stressors, is also referred to as "emotional wellness" or "wellbeing." As this concept of wellness expands and evolves in the midst of the COVID-19 pandemic into a priority on the wellbeing of those in the helping professions, the current review explores the existing literature on the impact of compassion fatigue, compassion satisfaction, and their relationship to occupational burnout, with the conclusion that the emotional wellness of healthcare stakeholders and the health of an organization itself are not mutually exclusive. A review of these identified areas of occupational wellness is conducted, as well as a summary of findings emphasizing its significant implications for the healthcare workforce moving forward, both in relation to tangible costs to the healthcare industry and its reach to the bedside in the form of reported patient experience.

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Jotov, Nebojša, Vladimir Miletić, Željko Rajković, Miloš Vidaković et Darko Mitrović. « WELLNESS PROGRAMI KAO SASTAVNI DEO TURISTIČKE PONUDE NA KRUZERIMA ». SportLogia 18, n^o 1 (21 décembre 2022) : 11–20. http://dx.doi.org/10.5550/sgia.221801.se.jmr.

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Krstarenje kruzerima predstavlja posebnu vrstu turističke ponude koja obuhvata veliko tržište. Interesi gostiju – struktura korisnika usluga i njihove finansijske mogućnosti određuju sadržaje koji se nude – zabava, avantura, wellness ili rekreacija itd. Jedna od primarnih aktivnosti tokom dugih plovidbi su Wellness procedure koje se obavljaju u cilju očuvanja i poboljšanja zdravlja putnika. Navedene procedure zahvataju miltidisciplinarni pristup iz nekoliko pravaca od kojih se ističu turizmologija, medicina i fizička kultura. Za pružanje usluga neophodne su specifična znanja i veštine, koje tek od skora imaju svoje mesto u nomenklaturi zvanja, kao i poseban pravac školovanja. Za uspešne efekte neophodna je pravilna hijerarhija postupaka tokom procedura, ali i sistem periodične evaluacije. U radu je predstavljen upitnik sa rezultatima koji je sproveden na 102 gosta na krstarenju od Strazbura do Kelna, gde putnici potvrđuju visok kvalitet i prilagođenost programa korisnicima. Rezultati posebno ističu značaj Wellness programa za kvalitet i sadržajnost samog putovanja. Obučavanje kadrova za navedene programe moguće je i poželjno i u kontinentalnim zemljama, čiji diplomirani učenici mogu naći svoje zaposlenje na nekom od mnogobrojnih kruzera na moru ali i na većim putničkim brodovima na kontinentalnoj plovidbi u sistemima reka i kanala Evrope.

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LIUȘNEA, Cristian Ștefan. « Considerations regarding the relationship between Fitness, Wellness and Healthy Lifestyle ». Balneo and PRM Research Journal, Vol.12, no.4 (14 décembre 2021) : 412–17. http://dx.doi.org/10.12680/balneo.2021.472.

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Introduction. Currently, the crises triggered by the pandemic, in the fields of health, freedom of movement, economic, with impact in the social and cultural spheres, bring back today the practical applicability of the concepts of fitness and wellness. Material and method. In our study we will refer to the effects of the pandemic on health (everyone's well-being), to see how they accentuated the negative effects of the risks that specialists linked to sedentary lifestyle; increased stress; static anti-physiological positions for prolonged periods of time, which result in cardiovascular disease, metabolic syndrome and even cancer, to which is added an irrational diet. We will also refer to the relationship between the quality of life of people and the need to find the most effective ways to combat the negative effects of risk factors, by overcoming the obstacles posed by the financial situation and cultural patterns both in terms of lifestyle, as well as the eating behavior of people from different backgrounds. Results and discussions. We are of the opinion that specialists must go in their approaches, from the cultural understanding of man, to find ways to individualize the means of intervention so as to achieve the proposed objectives. The framework could be, for children and adolescents - the reorganization of school physical education, and for young people and adults - leisure activities, in which the emphasis could be falls on the concepts of Fitness and Wellness, with a beneficial effect on quality of life and personal satisfaction. Conclusion In this context, we believe that it is necessary to reconsider the need to make the population aware of the formation of a healthy lifestyle. The means could be physical fitness, wellness, rational nutrition and recovery according to the effort made, their benefits can have a major impact on health and prolong life expectancy. Keywords: Fitness, Wellness, Health, Physical education, cultural perspectives,

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Jotov, Nebojša, Vladimir Miletić, Željko Rajković, Miloš Vidaković et Darko Mitrović. « WELLNESS PROGRAMS AS AN INTEGRAL PART OF THE TOURIST OFFER ON CRUISE SHIPS ». SportLogia 18, n^o 1 (21 décembre 2022) : 14–24. http://dx.doi.org/10.5550/sgia.221801.en.jmr.

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Cruise is a special type of tourist offer that includes a large market. Interests of guests - the structure of service users and their financial capabilities determine the content offered - entertainment, adventure, wellness or recreation, etc. One of the primary activities during long voyages are wellness procedures that are performed in order to preserve and improve the health of passengers. These procedures involve a multidisciplinary approach from several areas, of which tourism, medicine and physical culture stand out. The provision of services requires specific knowledge and skills, which have only recently taken their place in the nomenclature of јob titles, as well as a special direction of education. Successful effects require a proper hierarchy of treatment during procedures, but also a system of periodic evaluation. The paper presents a questionnaire with the results that was conducted on 102 guests on a cruise from Strasbourg to Köln, where passengers confirm the high quality and suitability of the program for users. The results especially emphasize the importance of the Wellness program for the quality and content of the trip itself. Training of personnel for these programs is possible and desirable in continental countries, whose graduates can find employment on one of the many cruises at sea, but also on larger passenger ships on continental navigation in the systems of rivers and canals of Europe.

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Cai, Bin, et Dongsheng Wang. « Teaching Quality of College Students’ Mental Health Based on Mathematical Programming Algorithm ». Mathematical Problems in Engineering 2022 (15 juillet 2022) : 1–11. http://dx.doi.org/10.1155/2022/6384369.

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During the evolution of the twenty-first century, the increase in people’s material life level has also brought an increase in mental stress. For college students, not only need to bear heavy academic pressure, but also face the market competition after entering the society. Therefore, the psychological fitness instruction for undergraduate students has become an inseparable part of college education. However, in the current stage of mental health education, the quality of teaching is often difficult to guarantee. For the purpose of promoting the in-depth implementation of mental health education in colleges and universities and improving teaching effectiveness, one needs to analyze the quality of teaching in great details and understand the factors affecting the quality of teaching. In this paper, the mathematical programming algorithm is used to analyze the quality of college students’ Psychological Wellness Instruction. It deeply studies the development status of psychological wellness training and the basic composition and algorithm principle of mathematical programming algorithm. It integrates it into the practice of teaching quality analysis on the basis of linear regression algorithm theory. The experimental results show that the highest confidence interval of teachers’ teaching organization, cognitive level, and students’ participation level in the mental health course has reached more than 80.00%. This shows the importance of these three factors to the improvement of teaching quality. In order to enhance the quality of college students’ psychological wellness training, it is necessary to innovate the form of classroom organization and the degree of interaction between students and the classroom.

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