Obesity in obstetric and gynaecological practice

Author(s):  
Sukhwinder Sahota ◽  
Tahir Mahmood

Obesity is a complex multifactorial disorder, which has reached epidemic proportions worldwide. It affects all aspects of an individual’s life: physical, social, emotional, and psychological. Although it is largely preventable, obesity is now a major public health issue and has a significant impact on the health and well-being of an individual throughout their lifespan. Obesity is associated with multiple adverse outcomes not only during the reproductive phase of a woman’s life but during the post-reproductive era as well. Obesity also increases risks for non-obstetrical and gynaecological illnesses such as diabetes mellitus, hypertension, metabolic syndrome, cardiovascular disease, and non-gynaecological cancers. Obesity thus is a cause of major societal economic burden.

2021 ◽  
Vol 6 (1) ◽  
pp. 18
Author(s):  
Made Mahaguna Putra ◽  
Kadek Siki Mariani ◽  
Ni Nyoman Ari Ratnadi

Introduction: Diabetes mellitus is a major public health issue particularly in the elderly. Religion may affect the Quality of Life in such patients, mediated by factors such as religious coping and medication adherence. This study aimed to investigate the impact of religious coping and medication adherence on quality of life.Method: Diabetes mellitus is a major public health issue particularly in the elderly. Religion may affect the Quality of Life in such patients, mediated by factors such as religious coping and medication adherence. This study aimed to investigate the impact of religious coping and medication adherence on quality of life.Result: there is a significant relationship between Religious Coping and adherence to treatment in Diabetes Mellitus patients with a value of r = 0.266 (p = 0.00) and quality of life (r = 0.216; p = 0.00).Conclusion: Religious coping has an important influence and relationship on treatment adherence to diabetes mellitus sufferers and can provide motivation for sufferers in carrying out medication.


Author(s):  
Stephen J. Phillips

ABSTRACT:That non-rheumatic atrial fibrillation is an independent risk factor for cerebral infarction has not been established with certainty. The rationale underlying contemporary clinical trials of warfarin therapy for the prevention of stroke in patients who have non-rheumatic atrial fibrillation is that the majority of strokes in such patients are due to cardiogenic cerebral embolism. However, there is evidence to suggest that the increased probability of stroke attributed to this arrhythmia is due to its association with other risk factors such as hypertension, diabetes mellitus, and atherosclerosis. The question of who should be anticoagulated is a major public health issue since atrial fibrillation is present in approximately ten per cent of the general population aged 65 or more years.


2021 ◽  
Vol 11 (11) ◽  
pp. 134-137
Author(s):  
Khushboo Singh Sisodiya ◽  
Bharti Prakash

Gestational diabetes mellitus is a disorder of glucose intolerance which occurs for the first time during pregnancy. Gestational diabetes mellitus is major public health issue which is increasing day by day all over the world. It leads to the risk of obesity, type 2 diabetes and possibly adult cardiovascular disease in infant and increases rate of caesarean delivery and prenatal injury. This preliminary study is done to analyse the knowledge and awareness about GDM in antenatal women. Data were collected from government and private hospitals like Amrit Kaur Hospital, Shree maternity Child Hospital, Jain fertility Child ICU Hospital etc. Questionnaires were given to pregnant women who Visited hospitals for antenatal check up. A total no of 250 respondents were included in this study. Of total number of women only 52% were known to GDM. So the knowledge about GDM is average in women and most of the women gain this knowledge from their own experience. The study reveals that health program and camps should be organized to increase the knowledge about GDM. Key words: Gestational Diabetes Mellitus, Awareness, cardiovascular disease.


2020 ◽  
Vol 11 (2) ◽  
pp. 234-237
Author(s):  
Tulika Borah ◽  
Binapani Deka

Mental health has become a major public health issue worldwide. Physical, mental and social parameters are vital for all human beings and these are closely interwoven. Good diet has always been associated with physical health, but recent research shows that mental well-being is related to dietary behaviours. The way an individual eats is a complex mixture of thoughts, beliefs and moods.


Author(s):  
Melissa R. Marselle ◽  
Sarah J. Lindley ◽  
Penny A. Cook ◽  
Aletta Bonn

Abstract Purpose of review Biodiversity underpins urban ecosystem functions that are essential for human health and well-being. Understanding how biodiversity relates to human health is a developing frontier for science, policy and practice. This article describes the beneficial, as well as harmful, aspects of biodiversity to human health in urban environments. Recent findings Recent research shows that contact with biodiversity of natural environments within towns and cities can be both positive and negative to human physical, mental and social health and well-being. For example, while viruses or pollen can be seriously harmful to human health, biodiverse ecosystems can promote positive health and well-being. On balance, these influences are positive. As biodiversity is declining at an unprecedented rate, research suggests that its loss could threaten the quality of life of all humans. Summary A key research gap is to understand—and evidence—the specific causal pathways through which biodiversity affects human health. A mechanistic understanding of pathways linking biodiversity to human health can facilitate the application of nature-based solutions in public health and influence policy. Research integration as well as cross-sector urban policy and planning development should harness opportunities to better identify linkages between biodiversity, climate and human health. Given its importance for human health, urban biodiversity conservation should be considered as public health investment.


Land ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 341
Author(s):  
Ralf-Uwe Syrbe ◽  
Ina Neumann ◽  
Karsten Grunewald ◽  
Patrycia Brzoska ◽  
Jiři Louda ◽  
...  

The quality of life in our cities critically depends on the intelligent planning and shaping of urban living space, in particular urban nature. By providing a wide range of ecosystem services (ES), urban nature essentially contributes to the well-being of city dwellers and plays a major role in avoiding common diseases through its positive impact on physical and mental health. Health is one of the most important factors underlying human welfare and is, thus, vital to sustainable development. The ES of urban green space provide other social-cultural functions alongside public health, for example by fostering environmental justice and citizenship participation. Thus, they should always be considered when searching for solutions to urban problems. The aim of this research was to determine the impact of green areas in three selected cities on the health and well-being of people by self-reporting of green areas’ visitors. To this end, we posed the research question: which types and characteristics of urban green space are most appreciated by city dwellers? Based on our findings, we have drawn up recommendations for practices to promote better living conditions. We have also pinpointed obstacles to and opportunities for leisure time activities as well as ways of supporting the public health of citizens.


2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Rodolfo Castro ◽  
Hugo Perazzo ◽  
Beatriz Grinsztejn ◽  
Valdilea G. Veloso ◽  
Chris Hyde

Chronic hepatitis C remains one of the main causes of chronic liver disease worldwide and presents a variable natural history ranging from minimal changes to advanced fibrosis and cirrhosis and its complications, such as development of hepatocellular carcinoma. Approximately, 1.45 million people are estimated to be infected by HCV in Brazil representing a major public health issue. The aim of this paper was to review the epidemiology and management of chronic hepatitis C from a Brazilian perspective. The management of chronic hepatitis C has been challenged by the use of noninvasive methods to stage liver fibrosis as an alternative to liver biopsy and the high cost of new interferon-free antiviral treatments. Moreover, the need of cost-effectiveness analysis in hepatitis C and the recent changes in treatment protocols were discussed.


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