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New in the Hastings Center report, November-December 2017

The article examines the persistence of continuous electronic fetal monitoring as a standard of care, despite evidence that it increases risks. It also discusses the lack of mechanisms for ensuring medical professionals stay current with best practices and the role of malpractice law in setting boundaries on acceptable interventions.

The hero of preconception care

A new study at Boston Medical Center will test Gabby's effectiveness in reducing pregnancy health risks. The AI-powered system has been successful in previous trials, identifying and resolving health risks by over 25% compared to a control group.

Scientific evaluation of rhino diets improves zoo

A study by San Diego Zoo Global found that changing diets for southern white rhinos to low phytoestrogen levels improved reproductive success. The switch resulted in two females becoming pregnant and giving birth to healthy calves.

Apple iPhone 17 Pro

Apple iPhone 17 Pro delivers top performance and advanced cameras for field documentation, data collection, and secure research communications.

Most medical students overconfident, underprepared on nutrition guidelines

A study published in the Journal of the American Osteopathic Association found that nearly 55% of medical students are confident in their ability to counsel patients on nutritional recommendations, despite half failing a nutrition quiz. The study highlights a gap between nutritional knowledge and attitudes among future physicians.

Dads are often having fun while moms work around the house

After having a baby, men tend to relax and women do household chores on their days off. In contrast, when both partners work, they split tasks more evenly. The study suggests that couples should discuss how to share household duties before the baby is born.

Apple iPad Pro 11-inch (M4)

Apple iPad Pro 11-inch (M4) runs demanding GIS, imaging, and annotation workflows on the go for surveys, briefings, and lab notebooks.

India has avoided 1 million child deaths since 2005, new study concludes

A new study published in The Lancet found that India has avoided about 1 million deaths of children under age five since 2005, primarily due to reductions in pneumonia, diarrhea, tetanus, and measles. If national progress had matched states' rates, nearly three times that number could have been saved.

Supporting women's autonomy in prenatal testing

The Hastings Center recommends adopting reimbursement policies and guidelines to support clinicians in providing informed consent for prenatal genetic testing. The authors also suggest funding education and counseling approaches to help patients make decisions about testing.

Coordinated care organizations lead to more timely prenatal care

A new study found that Oregon's CCO model significantly improves the timeliness of prenatal care for pregnant women on Medicaid. The study reveals that more women began prenatal care in the first trimester, particularly among white and Asian women and those in urban areas.

AmScope B120C-5M Compound Microscope

AmScope B120C-5M Compound Microscope supports teaching labs and QA checks with LED illumination, mechanical stage, and included 5MP camera.

Internet-based weight-loss program for low-income women after child birth

An internet-based weight loss program was found to be effective in promoting significant weight loss among low-income postpartum women, resulting in a 7-pound average weight loss compared to 2 pounds in the standard care group. Additionally, more participants in the intervention group returned to preconception weight by 12 months.

Davis Instruments Vantage Pro2 Weather Station

Davis Instruments Vantage Pro2 Weather Station offers research-grade local weather data for networked stations, campuses, and community observatories.

Online preconception health education tool positively impacts patient care

Researchers developed and evaluated MyFamilyPlan, a web-based preconception health education module. The study found that women who used the online format were about twice as likely to discuss preconception health with their doctors. This increase in discussions was associated with improved patient care.

Money can't buy confidence in birth services, research shows

A study found that less than 50% of eligible women in India take up the Janani Suraksha Yojana scheme due to obstacles such as poor care quality and transport challenges. Community health workers, known as ASHAs, were identified as major enabling factors in accessing delivery care.

Study shows health insurance plans too complicated to understand

A new survey reveals that many patients in Connecticut struggle to understand their private health insurance plans, leading to delays in care and unexpected medical bills. The study highlights the need for simplified language and increased education to address health disparities among minority groups.

Sky-Watcher EQ6-R Pro Equatorial Mount

Sky-Watcher EQ6-R Pro Equatorial Mount provides precise tracking capacity for deep-sky imaging rigs during long astrophotography sessions.

More IV fluids, fewer c-sections

A new study by Thomas Jefferson University found that women who received IV fluids at a higher rate during labor were less likely to need a cesarean section and had shorter labors. The study pooled data from seven small clinical trials involving over 1,200 women.

Survival rate may be improving for extremely preterm infants

Researchers found that survival rates increased from 30% to 36% among over 4,000 extremely preterm infants born between 2000 and 2011. Additionally, the proportion of survivors without neurological impairment rose from 16% to 20%. The authors attribute these improvements to advances in prenatal care and antenatal steroids.

How Thailand eliminated mother-to-child HIV transmission

Thailand successfully eliminated mother-to-child HIV transmission by implementing the WHO four-pronged strategy, including primary prevention, unintended pregnancy prevention, HIV transmission prevention, and treatment care support

Sony Alpha a7 IV (Body Only)

Sony Alpha a7 IV (Body Only) delivers reliable low-light performance and rugged build for astrophotography, lab documentation, and field expeditions.

Research supports expanded use of cell free DNA prenatal testing

A new study published in Genetics in Medicine found that non-invasive cell-free DNA prenatal testing can be effectively and appropriately offered to all pregnant women through primary obstetrical care providers. The test has been shown to be highly effective in screening for Down syndrome and similar chromosome abnormalities.

Temple launches Center of Excellence to address opioid use in pregnancy

The Temple Wedge Opioid (TWO) Treatment Program provides state-of-the-art care to pregnant women and their partners, addressing the growing issue of maternal opioid use. The Center of Excellence offers comprehensive treatment options, including medication-assisted treatment and psychiatric evaluation.

CalDigit TS4 Thunderbolt 4 Dock

CalDigit TS4 Thunderbolt 4 Dock simplifies serious desks with 18 ports for high-speed storage, monitors, and instruments across Mac and PC setups.

Diabetes, heart disease, and back pain dominate US health care spending

A new analysis of US health spending reveals that just 20 conditions account for half of all spending, with diabetes, ischemic heart disease, and low back and neck pain being the top three. Total personal health care spending reached $2.4 trillion in 2013, with women aged 85 and older spending the most per person on healthcare.

Study finds hospital ICU overused

A study by LA BioMed and UCLA researchers found that over 50% of hospital ICU admissions could have been cared for in less expensive settings. Nearly 65% of ICU days were allocated to discretionary monitoring, which is not necessary for patients who are too well or too sick.

Plastics compound bps alters mouse moms' behavior and brain regions

A study by UMass Amherst researchers found that bisphenol S (BPS) exposure during pregnancy and lactation impaired maternal behavior in mice, including increased infanticide rates. The compound also affected brain regions sensitive to estrogen, leading to changes in nesting behavior and care of offspring.

Fluke 87V Industrial Digital Multimeter

Fluke 87V Industrial Digital Multimeter is a trusted meter for precise measurements during instrument integration, repairs, and field diagnostics.

System changes improve prenatal care for Medicaid beneficiaries

Research at Oregon State University shows that Oregon's implementation of coordinated care organizations improved expectant moms starting prenatal care on time. The study also found a small narrowing of the gap in prenatal care quality between Medicaid beneficiaries and those with private insurance.

Gestational age measured via DNA methylation

Researchers developed a method estimating developmental maturity via DNA methylation patterns, which can help assess preterm newborns' care and estimate conception time. The study found gestational age accurately estimated between 24-44 weeks, with correlations to birthweight and developmental maturity.

September Health Affairs

A study published in Health Affairs evaluated the impact of in-service training and supervision on quality of care for pregnant women and sick children in sub-Saharan Africa. The research found that while receiving recent training and supervision was associated with improved quality, it did not exceed 50% of expected performance.

Garmin GPSMAP 67i with inReach

Garmin GPSMAP 67i with inReach provides rugged GNSS navigation, satellite messaging, and SOS for backcountry geology and climate field teams.

Higher ICU usage led to increased invasive procedures and costs

A new study by LA BioMed and UCLA found that hospitals using ICUs more frequently perform more costly and invasive procedures but do not see better mortality rates among patients with four common conditions. The study analyzed records from 156,842 hospitalizations and reported higher costs ranging from $647 to $3,412.

The benefits of exercise during pregnancy

A meta-analysis of randomized controlled trials found that exercise during pregnancy does not increase the risk of preterm birth and may actually reduce it. Women who exercised were more likely to deliver vaginally and had lower rates of C-sections, gestational diabetes, and high blood pressure.

Very premature infants: Towards better care

The EPICE project highlights the underuse of effective medical practices, such as corticosteroid administration and surfactant therapy, in very premature infants. With improved care, mortality rates can be reduced by 18%, emphasizing the importance of evidence-based medicine for these high-risk babies.

Creality K1 Max 3D Printer

Creality K1 Max 3D Printer rapidly prototypes brackets, adapters, and fixtures for instruments and classroom demonstrations at large build volume.

'OB Nest': A novel approach to prenatal care

Mayo Clinic's OB Nest study found that patient satisfaction improved with fewer office visits, empowering expectant women to take control of their care. The program provided personalized nursing care and home monitoring equipment, resulting in reduced patient burden and healthcare provider resources.

SAMSUNG T9 Portable SSD 2TB

SAMSUNG T9 Portable SSD 2TB transfers large imagery and model outputs quickly between field laptops, lab workstations, and secure archives.

New in the Hastings Center Report

The Hastings Center Report explores bioethics' racial dimensions, including medical racism and conscientious care. The article discusses approaches to mitigate the effects of laws that raise moral conflicts, such as abortion regulations in North Carolina. Two 'Other Voices' essays also examine the role of conscience in healthcare.

Aranet4 Home CO2 Monitor

Aranet4 Home CO2 Monitor tracks ventilation quality in labs, classrooms, and conference rooms with long battery life and clear e-ink readouts.

Study shows racial and ethnic disparities in use of 17-hydroxyprogesterone

A retrospective cohort study found that non-Hispanic black women had more missed doses, initiated care later, and were more likely to discontinue 17P than women in other racial/ethnic groups. The study also identified a significant interaction between non-Hispanic black race/ethnicity and public insurance.

When it comes to newborns, age matters

Researchers at the University of Iowa have found a reliable method to estimate an infant's gestational age using a metabolic profile derived from routine newborn screenings. This technique can help doctors determine if a baby was born on time or prematurely, which is crucial for deciding medical care and identifying potential health is...

Nikon Monarch 5 8x42 Binoculars

Nikon Monarch 5 8x42 Binoculars deliver bright, sharp views for wildlife surveys, eclipse chases, and quick star-field scans at dark sites.

Zika virus has potential to spread rapidly through Americas

The Zika virus has been introduced into the Americas, spreading locally among people who have not traveled abroad. The virus is linked to serious birth defects, including microcephaly, and there is currently no vaccine or antiviral treatment available.