OBJECTIVE To assess the main risk factors associated with stillbirth in a multiethnic English maternity population. DESIGN Cohort study. SETTING National Health Service region in England. POPULATION 92,218 normally formed singletons including 389 stillbirths from 24 weeks of gestation, delivered during 2009-11. MAIN OUTCOME MEASURE Risk of stillbirth. RESULTS Multivariable analysis id...

Despite a massive increase in private and public efforts over the last years, malaria remains one of most salient global health concerns. The study adopted cross sectional descriptive survey design to assess prevalence maternal its adverse fetal outcomes Federal Medical Centre (FMC),

Despite a massive increase in private and public efforts over the last years, malaria remains one of most salient global health concerns. The study adopted cross sectional descriptive survey design to assess prevalence maternal its adverse fetal outcomes Federal Medical Centre (FMC),

The $1.3 billion bankruptcy of the Allegheny Health, Education, and Research Foundation (AHERF) in July 1998 was the nation's largest nonprofit health care failure. Many actors and factors were responsible for AHERF's demise. The system embarked on an ambitious strategy of horizontal and vertical integration just as reimbursement from major payers dramatically contracted, leaving AHERF overly e...

The objective of this study was to understand the difficulties and perspectives on change that nurses have identified in developing educational interventions in the Family Health Strategy (FHS). This is a qualitative, descriptive-exploratory study. The data were collected with 20 nurses working in the FHS of the 10th Regional Health District of Paraná, by means of semi-structured interviews car...

SCOPE Early-life exposures are critical in fetal programming and may influence function and health in later life. Adequate maternal folate consumption during pregnancy is essential for healthy fetal development and long-term offspring health. The mechanisms underlying fetal programming are poorly understood, but are likely to involve gene regulation. Epigenetic marks, including DNA methylation,...

OBJECTIVE To understand the process of end-of-life care delivery to the families of elderly patients according to a Family Health Strategy (FHS) team, to identify the meanings the team attributes to the experience and to build a theoretical model. METHOD Symbolic Interactionism and Grounded Theory were applied. Fourteen professionals working in an FHS located in a country town in the state of...

Despite some remarkable achievements, there are several challenges facing Brazil's Family Health Strategy (FHS), including expanding access to primary care and improving its quality. These concerns motivated the development of the National Program for Improving Primary Care Access and Quality (PMAQ). Although voluntary, the program now includes nearly 39 000 FHS teams in the country and has led...

Background Pregnancy causes physiological changes to a woman's body that makes it a special circumstance for oral care. Proper oral care is extremely important for not only the pregnant woman, but also the developing fetus, and this also marks an important period where a woman is more susceptible to learning positive health behaviors for themselves and their future child. Therefore, it is impor...