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Women’s Health

How To Use Your Phone To Stay Happy And Healthy

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The NHS has promised a digital revolution to transform patient care. The wider use of technology is at the heart of a ten-year plan to reduce disease by developing digital tools that help the public better manage disease.

However, a study published yesterday by the Organization for the Review of Care and Health Apps evaluating digital health tools like smartphone apps for healthcare found that older people often miss out on the benefits of technology.

Good Health looks at just a few of the smartphone apps that could improve the health of the elderly

It found that GPs recommend NHS-approved apps to more than twice as many people under 35 as people over 55 – although the majority of older people said they’d love to try NHS-approved health apps.

Patient Safety Learning, a charity that works for improved standards in health care, said doctors fail to educate older people about the wide range of NHS-supported health apps that could benefit their wellbeing.

Good Health looks at just a few of the smartphone apps that could improve the health of the elderly, while Dr. Trisha Macnair, an elderly care specialist from Phyllis Tuckwell Hospice in Farnham, Surrey, delivers her verdict. . .

Reminders for Coping with Dementia

My House Of Memories, free on Google Play on Android devices or AppStore on Apple devices

Dementia, which affects around 800,000 mostly elderly people in the UK, not only robs people of their memories, but often causes restlessness. My House Of Memories would like to help by saving images or sounds from the past that those affected find comforting.

This could simply be a picture of old currency from her childhood – like a ten shilling note – or a Singer sewing machine that brings back fond memories of a relative who made clothes for her.

Personalized pictures – such as pictures of favorite objects, loved ones or old school friends – can also be uploaded to the app.

Expert judgment: “From caring for people with dementia, we know that remembering beautiful and distant memories can help them deal with their illness. It allows them to feel engaged, which improves their mood and quality of life. So I’m sure this could be beneficial – although it will take a caregiver’s help to use it. ‘

How to Use Your Phone to Stay Happy and Healthy

Medicine sent to your door

Hey pharmacist, it’s free on Google Play or the AppStore

According to charity Age UK, around four million people over 65 in the UK take five or more prescription drugs – many of them every day.

For elderly patients, ensuring uninterrupted supply of these drugs is essential, even when many are home-bound.

The NHS-approved Hey Pharmacist app is designed to relieve headaches by allowing patients to order repeat prescriptions through the app at any pharmacy in England and have them delivered to their door.

After downloading the app and sending a prescription request, it is checked by the patient’s family doctor and delivered within a few days. The app can remind the patient to order another prescription when supplies are running low.

Expert judgment: “This is really useful. I work in elderly care and I’m constantly trying to convince patients to use his type of technology to make sure they don’t run out of medication.

“Those who are familiar with smartphone apps seem pretty easy to understand – but it can be more difficult for those in their late 70s.”

How to Use Your Phone to Stay Happy and Healthy

Take a home stress test

EXi, free of charge on Google Play or AppStore

General practitioners who want to assess an older person’s fitness often refer them to a six-minute walk test – how far they can go in that time. It is a measure of aerobic fitness and a crucial guide to overall wellbeing.

The EXi app enables patients to take the test in their own garden or while taking a walk on site instead of having to go to a clinic.

It also creates a 12-week exercise plan based on each patient’s own health information – such as weight, underlying health issues, and whether or not they smoke. The app gradually increases the level of training until the patient complies with the NHS recommended five 30-minute sessions per week at the end of three months of treatment.

Expert judgment: “This could be useful, but we know that most people find it difficult to motivate themselves to exercise unless there is someone around to do it. This is especially true for older people, for whom social interaction is just as important as physical exercise. “

How to Use Your Phone to Stay Happy and Healthy

App to deal with leaks

Squeezy, £ 2.99, Google Play or AppStore

AN estimates that seven million people in the UK – mostly women – have urinary incontinence. It tends to affect the elderly because the muscles that control bladder function get weaker with age.

Pelvic floor exercises are known to help fight the problem, but must be done regularly and properly to get any real benefit – something many patients struggle with. The Squeezy app is aimed at both men and women and offers patients a pelvic floor exercise plan developed by physiotherapists who specialize in women’s health.

Users are given clear instructions on how to perform pelvic floor exercises effectively – to improve bladder control – and a journal feature allows them to record improvements in their condition.

Expert judgment: “A really helpful app. Half the problem with pelvic floor exercises is that you’re never quite sure you’re tensing the right muscles, but with this app to guide you, the chances are much less. ‘

How to Use Your Phone to Stay Happy and Healthy

Manage your heart health

Activate the self-care app, free of charge on Google Play or in the AppStore

At least one million people in the UK have atrial fibrillation, which is when an abnormal heartbeat causes blood to build up in the heart’s pumping chambers – which increases the risk of a clot that could cause a stroke.

The average age of onset is around 75 years. Many of the diagnosed patients rely on the blood-thinning drug warfarin to reduce their risk of stroke. However, the drug must be carefully monitored as too much can lead to life-threatening internal bleeding.

This means having regular tests at a clinic – usually every four to six weeks – to measure the amount of the drug in the blood.

The NHS-approved Engage app allows patients to do this at home – without hospitalization – provided they have received a test kit from their GP.

The app saves readings and wirelessly shares them with the patient’s doctor so that he can remotely monitor drug levels.

Expert Verdict: “Most patients who take warfarin either need regular checkups or a county nurse calls every few weeks to get a blood sample, but the app could make life a lot easier.”

Keep track of daily pills

How to Use Your Phone to Stay Happy and Healthy

Pillboxie, £ 1.79, AppStore

Billed as an “easy way to remember your medication”, you can use this app to record every day which tablets you have to take and at what time. But what makes this so user-friendly is that there are visual – and not just text-based – reminders of taking medication.

For example, if a medication has to be taken at 7 a.m., a tablet appears in the picture of a pill box and remains there until the patient informs the app that they have taken the medication. Separately, the app can flash a list of ‘medication due today’ that the patient can tick off on the go.

Expert verdict: “Apps like this are a great idea and the visual element will likely make them more user-friendly. I know pharmacists sometimes have to call patients every day to remind them to take their medication. Using this app could prevent patients from accidentally missing doses. “

Sounds like nodding off

How to Use Your Phone to Stay Happy and Healthy

Pzizz, for free on Google Play or AppStore

Many older people have trouble sleeping. This may be due to a day nap, which reduces nighttime fatigue. The Pzizz app uses a complex mix of music, voice overs, and various background sound effects to create a “dream landscape” described by the creators as a “dream landscape” that promotes sleep.

Expert judgment: “Sleep problems are very common in older people and they can become afraid of them, which can make falling asleep even more difficult. This app could possibly help. ‘

Stay mobile to relieve pain

How to Use Your Phone to Stay Happy and Healthy

ESCAPE-Pain-App, free of charge on Google Play

In the case of chronic pain, it is important to stay mobile. The Escape Pain app is for people with pain who want to stay mobile at home instead of attending fitness classes. It includes videos with clear instructions on gentle exercise and allows users to track their progress and track pain.

Expert verdict: “We know that in diseases like osteoarthritis, which affects around eight million people in the UK, staying mobile is essential to control pain and maintain muscle strength.

“Apps like this can help patients find the right type and amount of exercise for them.”

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Women’s Health

Do official vital records of maternal death detect specific effects of new pandemic viruses?

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Using a statistical technique called interrupted time series (ITS), the researchers identified a sustained decline in the maternal mortality rate (MMR) from 1980 to 2009 (blue dots), the year of the H1N1 pandemic. During this event, the MMR rose exponentially (red point) and then resumed an even more accelerated downward trend from 2010 (sky points). Photo credit: MELISA Institute

New viruses can affect women’s health and lead to an increase in complications and deaths during pregnancy, childbirth and the puerperium. This is shown by a population-based nature experiment on the 2009 H1N1 flu pandemic conducted on the basis of Argentine national vital records of maternal mortality. The research was published in The Lancet Regional Health — Americas.

In this joint study – led by Dr. Elard Koch, Senior Epidemiologist at the MELISA Institute (Chile) and conducted by a team of researchers affiliated with academic centers in Argentina, Peru and Chile – a 38-year time series of Argentine vital records was used to assess the trend in maternal mortality (the Ratio between the number of maternal mortality and live births at the national level multiplied by 100,000 per year) for specific causes to be assessed before, during and after the global outbreak of the pandemic H1N1 influenza virus in 2009.

According to Dr. Koch, knowing the sensitivity of vital signs of live births and maternal mortality is of vital importance in order to investigate the potential harmful effects of a new pathogen on particular organs or systems, stages of pregnancy, comorbidities and ultimately on the offspring. “Vital records have improved over the past few decades, confirming a decrease in maternal mortality in most Latin American countries. However, it is not clear whether this improvement led to an increased sensitivity in the detection of specific effects of new virus-induced pandemics, ”the epidemiologist emphasizes.

Unlike randomized experiments or clinical trials, where researchers have full control over an intervention, natural population experiments use long discontinuous time series (ITS) to measure the effect of a causal factor by looking at the underlying mortality trends before and after the introduction of one exogenous event that affects an entire population. This type of design is therefore ideal for quantifying the impact of new public guidelines or natural disasters such as epidemics caused by new viruses.

In terms of the methodology used, the 2009 H1N1 influenza pandemic provides the latest epidemiological for Maria Elena Critto, PhD student at MELISA Institute and lead author of the article, ahead of the current public health crisis triggered by SARS-CoV-2 Experiences to assess whether the official Argentine Ministry of Health records are sensitive enough to identify specific maternal health consequences of a newly emerging pathogen. “The results obtained not only showed a significant and transient impact of a pandemic virus on maternal health, but also confirm that Argentine vital records can be used to assess specific effects of the current SARS-CoV-2 outbreak and other emerging pathogens in to investigate the region’s future, “added the researcher.

The study confirmed the so-called “obstetric transition”, which is mainly characterized by changes in the dominance of deaths from direct obstetric causes to indirect causes. In fact, there was a 58.6% decrease in all-cause maternal mortality over the 38 years studied. The main causes of maternal mortality that contributed to this decline were bleeding (10.2 to 2.3 per 100,000 live births, 77.7%) and miscarriages (from 24.5 to 4.3 per 100,000 live births, 82.6%). However, there was an increase in indirect causes (2.6 to 7.7 per 100,000 live births, 197%) due to comorbid conditions outside of pregnancy, including cardiovascular disease, diabetes, cancer, kidney failure, and other chronic conditions.

The Argentine data are in line with recent studies in Chile, Mexico and Brazil, making them an excellent example of the progress made in reducing maternal mortality in Latin America over the past few decades. The challenge now is to prevent deaths from chronic diseases, which can complicate pregnancy and which are increasingly common in the region due to the postponement and accelerated aging of motherhood.

For Adolfo Etchegaray, specialist researcher in maternal and fetal medicine at the University of Austral (Universidad Austral), the research clearly shows a change in the scenario with regard to the specific causes and challenges of maternal morbidity and mortality. “It is important that this information is taken into account by decision-makers as a starting point for the prioritization of strategies and policies in the area of ​​public health for the primary prevention of this population group for the next few years,” emphasized the Argentine specialist.

Specific but temporary fatal effects

One of the most relevant results of the study is to illustrate how a pandemic pathogen can have very specific, abrupt and temporarily fatal effects on the historical evolution of a country’s maternal mortality.

During the period under review (from 1980 to 2017), the 2009 H1N1 flu pandemic recorded a peak in the Argentine maternal mortality rate, which then quickly fell. “Overall maternal mortality declined at a constant rate of -0.94 per 100,000 live births, reversed abruptly in 2009 with an increase of 12.74 per 100,000 live births, and then resumed a downward trend,” said Yordanis Enriquez, Ph.D. and researcher at Sedes Sapientiae Catholic University (Peru) who carried out the statistical analyzes of the ITS.

When analyzing the specific causes of death, researchers found that the increase in maternal mortality was almost entirely limited to respiratory complications and sepsis, with no other causes of death affected. Dr. Koch explained that maternal death from sepsis during pregnancy is becoming rarer thanks to the advancement and development of antibiotics, but the pandemic H1N1 virus had a distinct and significant regressive effect on these types of complications. “During pregnancy, physiological and immunological changes predispose the pregnant woman to systemic infections, which can be exacerbated by influenza, which is more common and at higher risk during pregnancy,” noted the epidemiologist.

Regarding the importance of the study for the epidemiological surveillance of the current SARS-CoV-2 pandemic virus, the researchers agree that it is important to investigate the specific harms this coronavirus has on maternal health. “It is important to determine whether the new pandemic coronavirus may also increase maternal mortality from sepsis and other chronic non-respiratory comorbidities, and to know whether these complications are susceptible to endemic variants over time,” said researcher Ruth Weinberg, OB / GYN medical doctor from the University of Buenos Aires.

There are already reports of spikes in maternal mortality in Mexico and Brazil, apparently related to the ongoing COVID-19 pandemic. “In contrast to the H1N1 pandemic virus, the new SARS-CoV-2 pandemic coronavirus does not appear to be restricted to the respiratory tract only; new studies may let us know more about its specific consequences during pregnancy, childbirth and the puerperium, ”says Dr. Koch emphasizes.

Finally, María Elena Critto noted that early organized health care needs a major effort to prevent maternal deaths and to monitor the effects of emerging pandemic viruses on women during pregnancy. “In the case of Argentina, the maternal mortality record was of acceptable quality to reflect very specific changes in MMR caused by an emerging outbreak of infection, and therefore this record may be useful in assessing specific effects of the ongoing SARS-CoV-2 pandemic and evaluate any other emerging outbreak of infection in the future, “concluded the researcher.

The COVID-19 pandemic has dramatically increased maternal mortality in Mexico

More information:
María Elena Critto et al., Impact of emerging viral pandemics on causal time series of maternal mortality: a population-based natural experiment with national vital statistics, Argentina 1980-2017, The Lancet Regional Health – Americas (2021). DOI: 10.1016 / j.lana.2021.100116

Provided by the MELISA Institute

Quote: Do Official Maternal Death Data Detect Specific Effects of New Pandemic Viruses? (2021, November 29) Retrieved November 29, 2021 from https://medicalxpress.com/news/2021-11-vital-maternal-death-specific-effects.html

This document is subject to copyright. Except for fair trade for private study or research purposes, no part may be reproduced without written permission. The content is provided for informational purposes only.

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Women’s Health

The Royal strives for ‘hospital without walls’ to address mental health issues, substance use — and stigma

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Canadians from all walks of life experience mental health problems and substance use. And in Ottawa, The Royal is at the forefront of building what its CEO calls the “hospital without walls” to address those challenges – and the stigma – wherever people are.

It is a mission that makes fundraising critical to The Royal’s ambitious approach to service delivery.

“The silos of mental illness and drug use end at The Royal because we believe there should be no limits to treatment,” said Joanne Bezzubetz, president and CEO of The Royal, the Carling Avenue facility that Ottawa’s primary treatment for mental health and capital research is region.

Bezzubetz stated that every year thousands of people in and around Ottawa receive services from The Royal without ever entering the complex on Carling. The Royal works with other mental health professionals, health care providers and social services to care for people in shelters, long-term care facilities and at home.

“The Royal is there to provide this type of care,” said Tracey Welsh, community building director for the Royal Ottawa Foundation for Mental Health. “The Royal’s mental health community component is a really integral part. Sometimes people think it’s just that great building on Carling Avenue. But it’s so much more. “

One in five Canadians experiences mental health problems each year, according to the Canadian Mental Health Commission. Susan Farrell, vice president of patient care and community psychiatry for the Royal Ottawa Health Care Group, said the number is rising.

The pandemic is really difficult for everyone. With this, we see both the deterioration in people’s mental health and the development of new mental health problems, including substance use.

– Susan Farrell, vice president of patient care and community mental health at The Royal

“The pandemic is really difficult for everyone,” she said. “With this we see both the deterioration in people’s mental health and the development of new mental problems, including substance use.”

A report from Public Health Ontario found that “Ontarians have a high burden of disease associated with mental illness and addiction.” The report concluded that while effective treatment options are available, only a small proportion of those affected receive them.

The Welshwoman said she saw a sharp surge in demand for mental health services in her 15 years at The Royal. She said the center lacks the capacity to provide assistance to everyone in need.

She said this underscores the importance of awareness raising, as well as funding for mental health care and research. And the Welshwoman added that she hoped the situation will continue to improve.

“People are really taking solace in supporting the Royal’s events and mental health in general,” she said. “Watching events grow – our fundraising increases – are real signals that people are becoming much more aware, much more open to donations and much more open to support.”

The Royal is expanding its services to be more accessible, and this is where things like a recent fundraising breakfast come in very handy, Welsh said.

“Sometimes people think it’s just that great building on Carling Avenue, but it’s so much more.”

– Tracey Welsh, The Royal

The Royal’s most recent 14th annual Leaders for Mental Health Breakfast raised $ 733,411, and rising in the weeks following the virtual event.

The proceeds from breakfast will be distributed among several mental health services at The Royal, including the Rapid Access Addiction Medicine Clinic and the Prompt Care Clinic.

The Royal Ottawa Hospital is expanding its services to meet the increased demand for mental health care in the community. [Photo © Krystin Ptaszkiewicz]

Virtual services

Alternative ways of accessing psychosocial support have become increasingly important in recent years when physical going to a clinic was not an option. Virtual care via video conferences or by telephone has also been extended to existing and new patients.

The high demand for services related to substance use has prompted the federal government to open RAAM clinics across the country.

The clinics provide immediate help for people who consume substances or who suffer from substance use disorders. They have adapted to be more accessible by offering the ability to check in through “virtual front doors”.

The Royal recognized the limits of technology and specifically for people who may not have a mobile phone or have no access to the internet. The institution is now making telephones and data tariffs – donated by TELUS – available to the people who need them.

The Prompt Care Clinic was originally implemented in response to the increased demand for immediate mental health services during the first wave of the pandemic. It offered short-term virtual care, including assessment, medication, and psychotherapy.

“We’re trying to improve access to our services by making the service delivery model as flexible as possible,” said Farrell. “Another barrier is making sure the services are appropriate for the person and what they need … so that we can meet people where they are in their communities and in recovery or access to medical care Care.”

The Prompt Care Clinic received 1,000 referrals within the first six months of opening.

The Royal recently announced the launch of a version of the Prompt Care Clinic that will include additional personal services in addition to its virtual platform.

Part of the funding for this project comes from this year’s Women’s Mental Health Run. Farrell said more than two-thirds of people who presented themselves at the Prompt Care Clinic were women – a high percentage of whom had never used mental health services before.

Run for women

“In Ottawa, we have a very proud tradition of running for the mental health of women. The run is both an opportunity for conversation and a sense of community, ”said Farrell.

The annual run is the organization’s “largest fundraiser” to support the services for women at The Royal. This includes the Women’s Mental Health Program – a community-based outreach service for hospitals and women’s shelters.

In 10 years the number has grown from 600 to 6,000 in 18 cities across Canada. She stressed the importance of having programs tailored to women’s specific needs and the psychological care they receive.

To date, the Run for Women has raised more than $ 1.7 million for women’s mental health. The official date for the Women’s Mental Health Run 2022 has not yet been set, but The Royal is already encouraging the community to get involved.

Words are important

A major focus of The Royal’s fundraising campaign, including the recent breakfast event, has been on the power of words used when talking about mental health.

“We still have too much stigma surrounding access to care in our community. I am confident that a silver lining in the increased rates of mental health problems during COVID is that the conversation is much more frequent and people understand the need to have access to medical care, ”Farrell said. “I hope it will reduce stigma.”

Farrell highlighted the stigmatizing effect that the words we choose can have on people with mental health problems or illnesses, including people who use substances or have a substance disorder. The most recent breakfast focused on using the person’s first language more consciously.

The person’s first language focuses on the individual, not the condition.

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Women’s Health

Serena Williams Flaunts Her Legs In A Swimsuit In New IG Photos

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  • Serena Williams is vacationing in a tropical place and shares snippets of her fans on Instagram.
  • Tennis GOAT, 40, posted a series of underwater images in a new post, and they are everything.
  • Serena recently told Women’s Health that she is following a plant-based diet and is trying to view food as fuel.

    Serena Williams is vacationing in a tropical place and shares snippets of her fans on Instagram. The latest: Serena totally whips the model poses while snorkeling.

    Tennis GOAT, 40, posted a series of underwater images in a new post, and they are everything. There’s Serena showing off her toned legs as she stretches out in a snakeskin print one-piece, Serena swimming in the ocean with her hand under her head, Serena flashing peace signs over a pile of fish, and one final shot of just Serena’s well-toned legs and bum.

    “If you ask how I got that ball … it’s underwater training :)” she joked in the caption.

    People were in the comments about it. “Stop intimidating the sharks!” Wrote one person. “Legs,” said another.

    This content is imported from Instagram. You may find the same content in a different format or more information on their website.

    Obviously, Serena gets a lot of that jaw-dropping tone from logging hours on the tennis court. But that’s not all she does.

    Last year Serena posted a modified yoga-inspired workout routine (which she calls a “warm up”) on Instagram. In it, Serena and her sister, her fellow tennis legend Venus Williams, worked a series of stretches and strengthening exercises for 30 minutes.

    “I like to call [this] a warm up, but it’s a bit intense, ”said Serena at the beginning. Afterward, Serena said to her sister, “I’m going to do cardio,” because of course she did.

    This content is imported from Instagram. You may find the same content in a different format or more information on their website.

    As for that cardio, Serena also shared a video on TikTok last July doing a weighted HIIT workout. She tossed a bit of everything into the mix, including interval ladder training, some ab exercises with a resistance band, weighted jump squats, box jumps, a number of plank variations, and more.

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    But Serena doesn’t just train hard: she also eats well. She recently told Women’s Health that she followed a plant-based diet and tried to use food as fuel. “Eat to live. Don’t live to eat,” she said. “I want to have a healthy lifestyle and you know [I’m eating] a lot of green and lately mostly vegetable, just super healthy stuff. “

    Serena said she doesn’t like to eat first – “When I roll out of bed, I’m just not hungry” – so lunch, which usually contains vegetables and protein, is often her first meal of the day.

    When a tournament comes up, however, she will switch to pasta.

    “I only eat pasta when I’m playing or training. Usually you never see me eating pasta. Because I feel like I’ve had to eat it so often in my career. It’s just like that, I never want to see pasta again, ”she said.

    Shortly before a competition, she sticks to a certain menu. “I usually like to eat a lot of greens before my game and then actually fruit, a little carbohydrates and some kind of protein,” she said.

    But Serena also describes her eating habits as “moody”.

    “I can have a smoothie for six months and then I think I don’t want to see a smoothie for the next six months,” she said. “And then I say, okay, I’m back to the smoothie. My food is very moody. “

    .


    Korin Miller is a freelance writer specializing in general wellbeing, sexual health and relationships, and lifestyle trends, with work on men’s health, women’s health, self, glamor, and more.

    This content is created and maintained by a third party and imported onto this page to help users provide their email addresses. You may find more information on this and similar content at piano.io

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