A study published in BMCPublicHealth investigates the association between breastfeeding and infant health in Ireland and finds that exclusive breastfeeding for at least 90 days is associated with protection against childhood morbidity.
]. Without accounting for baseline maternal differences in the research design or fully including all confounding variables, statistical models may tend to overstate the positive relationship between breastfeeding and infant health.
The GUI survey, asked parents whether the infant had been taken to a General practitioners , Health Centre or Health visitor, or to Accident and Emergency for a range of conditions including whether the infant suffered from: cold, chest infections, ear infections, respiratory illness, digestive allergies, eczema, kidney disease, asthma, vomiting, diarrhoea/ constipation, meningitis, colic skin problems, nappy rash, failure to grow, developmental delay, feeding problems, sleeping problems, or...
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Clinical impact of suboptimal RAASi therapy following an episode of hyperkalemia - BMC NephrologyBackground Hyperkalemia (HK) is a barrier to optimization of renin-angiotensin-aldosterone system inhibitor (RAASi) therapy in heart failure (HF) and chronic kidney disease (CKD). We investigated cardiorenal risk associated with changes in RAASi regimen after an episode of HK in patients with HF and/or CKD. Methods This observational study utilized data from hospital records, claims, and health registers from the US (Optum’s de-identified Market Clarity Data) and Japan (Medical Data Vision). Included patients had an index episode of HK between July 2019 and September 2021 (US), or May 2020 and September 2021 (Japan), with prior diagnosis of HF or CKD (stage 3 or 4), and RAASi use. Risk of a cardiorenal composite outcome (HF emergency visit, HF hospitalization, or progression to end-stage kidney disease) was determined in patients who discontinued RAASi, down-titrated their dose by | 25%, or maintained or up-titrated their dose following the HK episode. Results A total of 15,488 and 6020 patients were included from the US and Japan, respectively. Prior to the episode of HK, 59% (US) and 27% (Japan) of patients had achieved | 50% target RAASi dose. Following the episode of HK, 33% (US) and 32% (Japan) of patients did not fill a new RAASi prescription. Risk of the cardiorenal outcome at 6 months was higher in patients who discontinued or down-titrated versus maintained or up-titrated RAASi treatment both in the US (17.5, 18.3, and 10.6%; p | 0.001) and in Japan (19.7, 20.0, and 15.1%; p | 0.001). Conclusion HK-related RAASi discontinuation or down-titration was associated with higher risk of cardiorenal events versus maintained or up-titrated RAASi.
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Suicidal ideation in men during COVID-19: an examination of protective factors - BMC PsychiatryBackground Men account for three-quarters of all suicide deaths in many Western nations including Australia. Whilst extensive research has examined risk factors for suicidal ideation and behaviour in men, protective factors remain underexplored, particularly social support, resilience and coping behaviours. Such factors are important to examine particularly in the context of COVID-19, where enforced isolation (among other negative lifestyle effects) has created widespread risk for the development of suicidal ideation. This mixed-methods study aimed to examine associations of various protective factors with suicidal ideation in men, using data from an online survey conducted during the COVID-19 pandemic. In addition, we aimed to qualitatively investigate men’s self-reported protective strategies when experiencing suicidal thoughts and behaviour. Methods A convenience sample of 700 men (age M = 50.3 years; SD = 15.2 years) responded to an online survey including quantitative measures of suicidal ideation, planning and attempt, alongside employment and relationship status, coping, social support, resilience, and a qualitative free-text item gauging men’s self-reported protective strategies. Multinomial logistic regression was applied to compare odds of sub-categories of suicide risk (ideation; planning) according to protective factors. Qualitative responses were analysed via thematic analysis. Results Men in a relationship, and those lower in emotion-focused and avoidant coping reported lower odds of suicidal ideation. Maintaining employment throughout the pandemic was protective against suicidal ideation and planning; as was greater perceived social support from friends. Greater self-reported resilience was protective against suicidal ideation and planning. Qualitative analyses led to the development of two themes: coping and connecting, reflecting men’s intra- and interpersonal management strategies; and sustaining selflessness, where men’s imaginings of the collater
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Spirituality in palliative care - BMC Palliative CareAlthough being recognized by the World Health Organization as an essential domain of palliative care, spiritual care is still one of the most neglected component of the healthcare system. In this editorial, we set the context and invite contributions for a BMC Palliative Care Collection of articles titled ‘Spirituality in Palliative Care’.
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Company 'exploring options' to redevelop former Clements buildingA company is “exploring options” for a redevelopment including housing at the former Clements department store building.
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Northern Ireland's parents 'rely more on family' than those in the RepublicA study also found Ireland and the UK are among the countries with the highest costs for full-time childcare
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94% of Northern Ireland firefighters vote to strike in ballotStrike contingency plans could include bringing the Army back to Northern Ireland to cover callouts.
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