Paediatric and perinatal epidemiology
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Paediatr Perinat Epidemiol · Nov 2014
Biography Historical ArticleMervyn Susser and community psychiatry.
Mervyn Susser's contributions to community psychiatry from 1957-1968 comprised a creative and significant phase of his career, though less well known than his other work. This included work in Salford, a town next to Manchester, where he developed a programme to improve community health (including mental health care), as well as a programme of research on mental disorders. The publication of his book, Community Psychiatry: Epidemiologic and Social Themes (1968) attempted to set the stage for the practice of psychiatry in the community and to establish a future direction for development of the field.
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Paediatr Perinat Epidemiol · Nov 2014
Observational StudySeasonal influenza vaccination during pregnancy and the risks of preterm delivery and small for gestational age birth.
Influenza vaccination is routinely recommended for pregnant women, yet information on perinatal outcomes is sparse. ⋯ Though limited by study size, these findings add support to previous observations of little or no increased risk of PTD or SGA associated with seasonal influenza vaccination for three of the four influenza seasons in our study. The increased risk of PTD observed for the 2009-10 influenza season warrants further investigation.
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Paediatr Perinat Epidemiol · Nov 2014
Biography Historical ArticleMervyn Susser and the logic of scientific discovery.
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A Cochrane Systematic Review of randomised controlled trials of epidural analgesia compared with other or no analgesia in labour reported no overall increased risk of caesarean delivery. However, many trials were affected by substantial non-compliance, and there are concerns about the external validity of some trials for contemporary maternity populations. We aimed to explore the association between epidural analgesia in labour and caesarean delivery in clinical practice and compare with findings from randomised controlled trials. ⋯ Epidural analgesia in labour is associated with caesarean delivery in a large maternity population. Population-based studies contribute important data about obstetrical care, when research settings and participants may not represent the clinical settings or broader population in which obstetrical interventions in labour are applied.
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Paediatr Perinat Epidemiol · May 2014
Survival at the threshold of viability: a nationwide survey of the opinions and attitudes of physicians in a developing country.
To explore physicians' opinions and attitudes regarding resuscitation of extremely premature infants (EPIs) in a developing country with suboptimal resources. ⋯ The majority of surveyed physicians consider infants at gestational age less than or equal to 25 weeks gestation or 800 g at birth as non-viable, and therefore would not attempt their resuscitation. Factors influencing threshold of viability in developing countries need to be addressed and explored further.