​Southampton line-up Middlesbrough defender Gibson to replace van Dijk

first_imgSouthampton are lining up a move for Middlesbrough defender Ben Gibson, reports HITC.The report claims that the Saints have identified Gibson as a replacement for Virgil van Dijk, who is likely to leave the club this summer.The 24-year-old, who is valued at £20m, is also attracting interests from the likes of Liverpool, Leicester City and West Brom.Gibson made quite an impression in a sub-par Boro side last season and played every league game for his side. On the back of his imposing displays for the Boro, he earned his debut England-callup in March.last_img read more

Placenta Accreta Spectrum Disorders: A Critical Absence from the Cesarean Section Debate

first_imgPosted on May 8, 2018May 14, 2018By: Eric Jauniaux, Professor in Obstetrics and Fetal Medicine, EGA Institute for Women’s Health, Faculty of Population Health Sciences, University College London; Johan Vos, Chief Executive, International Federation of Gynecology and Obstetrics (FIGO)Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to email this to a friend (Opens in new window)Click to print (Opens in new window)In the last two decades, cesarean section (c-section) has become the most common major surgical operation worldwide and its rates are an important measure of obstetric practices in the 21st century. Cesarean deliveries are not new. Historically performed to save the infant, despite occasional references to operations on living mothers, cesarean delivery was frequently used to retrieve the infant from a deceased or moribund woman. Improvements in patient care have progressively established c-section as a safe operation, both as an emergency and an elective procedure. Blood transfusions and the introduction of antibiotics and uterotonics after World War II substantially reduced poor outcomes due to c-section. Continuous advances in anesthesia and improvements in postoperative care have further contributed to declining mortality rates from c-section, first in economically developed/high-income countries and more recently in low- and middle-income countries.C-section rates around the worldIn the 1980s, the international health care community, led by the World Health Organization, defined the ideal c-section rate to be between 10% and 15%. The United Nations Millennium Declaration and the funding strategies have improved maternal and child outcomes in many low- and middle-income countries; however, in most sub-Saharan African countries, c-section rates have remained below the 10% target. By contrast, rates have increased substantially in Asia, Central America and South America, creating new c-section access inequalities, with low access to emergency obstetric care in the poorest countries and high levels of c-section without medical indication in well-resourced settings, in particular in middle-income countries. Evidence of this situation is striking in a country such as Brazil, which has one of the highest national rates of c-section in the world (53% in 2012 and rising) with a c-section rate of 43% in state-funded hospitals versus 85% in the private sector. Changes in maternal age at first birth in high-income countries and the worldwide epidemic of maternal overweight and obesity have had a direct impact on c-section rates since the beginning of this century, but these factors alone cannot explain national rates over 25% and certainly not rates over 30%.Placenta accreta and other complicationsA critical absence from the recent “c-section debate” has been the long-term health impact of excessively high c-section rates, in particular in populations with high fertility rates, such as Egypt (c-section rate 53% and fertility rate 37/1000 women) and Mexico (45% and 33/1000 women, respectively). A 2018 systematic review confirmed that women with previous c-section are at increased risk of miscarriage, unexplained stillbirth, placenta previa, placenta accreta and abruption (in which the placenta detaches from the uterus before delivery) in subsequent pregnancies. Placenta accreta spectrum is a complex disorder in which the placenta implants and develops on or inside the scar of a previous uterine surgical procedure. When undiagnosed before birth, attempts to remove the placenta at delivery result in massive obstetric hemorrhage and very high maternal morbidity and significant mortality rates. The deeper the invasion of the previous uterine scar, the higher the risks of maternal complications during childbirth, in particular in low- and middle-income countries where trained multidisciplinary surgical teams are not available and access to blood transfusions is limited.The rising rates of c-section are directly linked to the rising prevalence and incidence of placenta accreta spectrum disorder. A surgical operation designed to save the lives of women and babies may negatively impact maternal and neonatal outcomes under certain circumstances. This is a particular concern when c-section rates are above 20-25% and general obstetricians are inexperienced in managing the major surgical procedures associated with managing accreta placental tissue, which often require complex surgical skills.In March 2018, the International Journal of Gynecology and Obstetrics (FIGO) published a special issue on placenta accreta spectrum disorders, including the new FIGO consensus guidelines on the epidemiology, prenatal diagnosis and surgical and conservative management of this condition, alongside a series of peer-reviewed original articles on placenta accreta spectrum that provide a comprehensive overview of this complex disorder. The XXII FIGO World Congress of Gynecology and Obstetrics will take place in Rio de Janeiro, Brazil, from 14 to 19 October 2018, and will provide a unique opportunity to expand the debate on the consequences of high c-section rates for the many health care professionals around the world involved in maternal health care.—Learn more about the global epidemic of unnecessary cesarean sectionsShare this: ShareEmailPrint To learn more, read:last_img read more

The Arizona Cardinals in search of pass rushing h

The Arizona Cardinals in search of pass rushing h

first_img The Arizona Cardinals, in search of pass rushing help, made a push to sign linebacker Jason Pierre-Paul away from the New York Giants.Unfortunately for them, Pierre-Paul on Tuesday decided not to leave the Big Apple, as he agreed to a one-year contract that can be worth up to $10.5 million, according to ESPN’s Adam Schefter.It’s certainly a blow to the Cardinals’ free agency plans, as they were hoping to land the 27-year-old who tallied just one sack in eight games last season but has 43 in six years, 12.5 of which came in 2014. The 5: Takeaways from the Coyotes’ introduction of Alex Meruelo Former Cardinals kicker Phil Dawson retires Derrick Hall satisfied with D-backs’ buying and selling FILE – In this Dec. 6, 2015, file photo, New York Giants defensive end Jason Pierre-Paul reacts during the Giants’ NFL football game against the New York Jets in East Rutherford, N.J. Pierre-Paul has filed a lawsuit seeking in more than $15,000 in damages against ESPN and reporter Adam Schefter for posting his medical records. The lawsuit, filed Wednesday, Feb. 24, 2016, in Miami Dade County in Florida, alleges that Pierre-Paul’s privacy was violated–as was Florida’s medical records statute–by the report last summer after the player severely injured his right hand in a fireworks accident on July 4. (AP Photo/Bill Kostroun) While not what they were hoping for, if it’s any consolation, Pierre-Paul was appreciative of the Cardinals’ interest.center_img Comments   Share   We’ll never know if Pierre-Paul was Arizona’s top target, and no doubt they will press on with their plans to land a pass rusher. Word came out Tuesday that Tamba Hali was staying with the Chiefs, though, so the options seem to be dwindling.But if nothing else, their pursuit of Pierre-Paul shows the Cardinals are very interested in upgrading their pass rush. The trick is, of course, actually being able to do it. Top Stories Grace expects Greinke trade to have emotional impactlast_img read more

Canadas economy shrinks on declines in trade manufacturing

first_imgCanada’s economy shrinks on declines in trade, manufacturing OTTAWA — Statistics Canada says real gross domestic product decreased by 0.1 per cent in November.The decrease partly offset an increase of 0.3 per cent in October.The report was in line with estimates that the contraction would be 0.1 per cent for the month, according to Thomson Reuters Eikon.The overall move lower came despite gains in 13 of the 20 industrial sectors tracked.The wholesale trade sector fell 1.1 per cent in November as machinery, equipment and supplies wholesaling pulled back 2.1 per cent.The manufacturing sector also contracted 0.5 per cent for the month, the third decline in four months. Recommended For YouCompany Profile for Organigram Holdings Inc.TSX flat as healthcare offsets materials’ gainsMarkets updateJapan, South Korea fail to mend dispute with frosty meetingICE Futures Canada quotes and cash prices Reddit ← Previous Next → Featured Stories What you need to know about passing the family cottage to the next generation More Join the conversation → Share this storyCanada’s economy shrinks on declines in trade, manufacturing Tumblr Pinterest Google+ LinkedIn Twittercenter_img advertisement Email Comment 4 Comments January 31, 20198:47 AM ESTLast UpdatedJanuary 31, 20198:56 AM EST Filed under News Economy The Canadian Press Sponsored By: Facebook Container ships at the DP World marine terminal at Port Metro Vancouver. Statistics Canada says real gross domestic product decreased by 0.1 per cent in November.Canadian Press/Darryl Dick / THE CANADIAN PRESS last_img read more