Journal of Hazardous Materials, Год журнала: 2024, Номер 481, С. 136539 - 136539
Опубликована: Ноя. 17, 2024
Язык: Английский
Опубликована: Июнь 19, 2024
Understanding and preventing the “great obstetrical syndromes” has been focus of pregnancy research for decades. The combined global impact from these syndromes on maternal perinatal morbidity mortality is compounded by increased long-term risk adverse health effects following pregnancy. Accumulating evidence indicates that conditions such as pre-eclampsia, fetal growth restriction, spontaneous preterm labour, stillbirth, are with etiologic heterogeneity share common pathophysiologic pathways involving placental dysfunction. Recently, importance interaction between genomes extended to include epigenetic pre-existing pathophysiology development highlights nutritional environmental factors in altered placentation. Validated first-trimester screening algorithms preeclampsia can identify high-risk women prophylactic treatment low-dose aspirin be initiated. High-risk monitored during second trimester using clinical assessment, ultrasound, biochemical markers, able predict complications prior signs symptoms. integration lifestyle interventions, screening, medical management represents a conceptual advance care. This approach potential significantly reduce complications, mortality, outcomes later life, health-care costs.
Язык: Английский
Процитировано
2
Journal of Clinical Medicine, Год журнала: 2024, Номер 13(15), С. 4344 - 4344
Опубликована: Июль 25, 2024
Prevention of pregnancy complications related to the “great obstetrical syndromes” (preeclampsia, fetal growth restriction, spontaneous preterm labor, and stillbirth) is a global research clinical management priority. These syndromes share many common pathophysiological mechanisms that may contribute altered placental development function. The resulting adverse outcomes are associated with increased maternal perinatal morbidity mortality post-partum risk cardiometabolic disease. Maternal nutritional environmental factors known play significant role in altering bidirectional communication between fetal-derived trophoblast cells decidual abnormal placentation. As result, lifestyle-based interventions have increasingly been recommended before, during, after pregnancy, order reduce decrease long-term risk. Antenatal screening strategies developed following extensive studies diverse populations. Multivariate preeclampsia using combination maternal, biophysical, serum biochemical markers at 11–14 weeks’ gestation can be performed same time as first-trimester ultrasound blood tests. Women identified high-risk offered prophylactic low dose aspirin monitored angiogenic factor assessment from 22 gestation, assessment, biochemistry, ultrasound. Lifestyle reassessed during counseling antenatal interventions. integration lifestyle interventions, screening, medical represents conceptual advance care has potential significantly later life outcomes.
Язык: Английский
Процитировано
2
Nutrients, Год журнала: 2024, Номер 16(17), С. 3032 - 3032
Опубликована: Сен. 8, 2024
Heat stress due to climate warming can significantly affect the synthesis of sex hormones in male adolescents, which impair ability hypothalamus secrete gonadotropin-releasing hormone on hypothalamic-pituitary-gonadal axis, leads a decrease luteinizing and follicle-stimulating hormone, ultimately negatively affects spermatogenesis testosterone synthesis. For optimal spermatogenesis, testicular temperature should be 2-6 °C lower than body temperature. directly testes, damaging them reducing Additionally, chronic heat abnormally increases level aromatase Leydig cells, estradiol while decreasing testosterone, leading an imbalance failure. Low levels adolescents lead delayed puberty incomplete sexual maturation, height growth bone mineral density, lean mass increase fat mass. In order for acquire healthy reproductive capacity, it is recommended provide sufficient nutrition energy, avoid exposure stress, foods supplements prevent or repair reduction, germ cell damage, sperm count reduction caused by so that they enter adulthood.
Язык: Английский
Процитировано
2
Current Opinion in Nephrology & Hypertension, Год журнала: 2023, Номер 33(1), С. 102 - 109
Опубликована: Окт. 6, 2023
Purpose of review The consequences climate change, including heat and extreme weather events impact kidney function in adults children. impacts change on development during gestation thereby later life have been poorly described. Clinical evidence is summarized to highlight possible associations between nephron mass. Recent findings Pregnant women are vulnerable the effects being less able thermoregulate, more sensitive dehydration, susceptible infections. Exposure heat, wildfire smoke, drought, floods climate-related infections associated with low birth weight, preterm preeclampsia. These factors reduced numbers, dysfunction higher blood pressures offspring life. air pollution children has variable estimated glomerular filtration rate. Summary Climate important pregnant their unborn Being born too small or soon life-time risk disease. may therefore a dual effect impacting fetal contributing cumulative postnatal injury. population health future generations be significant.
Язык: Английский
Процитировано
6
Опубликована: Авг. 9, 2024
Heat stress due to climate warming can significantly affect the synthesis of sex hormones in male adolescents, which impair ability hypothalamus secrete gonadotropin-releasing hormone on hypothalamic-pituitary-gonadal axis, leads a decrease luteinizing and follicle-stimulating hormone, ultimately negatively affects spermatogenesis testosterone synthesis. For optimal spermatogenesis, testicular temperature should be 2–6°C lower than body temperature. directly testes, damaging them re-ducing Additionally, chronic heat abnormally increases level aromatase Leydig cells, estradiol while decreasing testosterone, lead-ing an imbalance failure. Low levels adolescents lead delayed puberty incomplete sexual maturation, height growth bone mineral density, lean mass in-crease fat mass. In order for acquire healthy reproductive capacity, it is recommended provide sufficient nutrition energy, avoid exposure stress, pro-vide foods supplements prevent or repair reduction, germ cell damage, sperm count reduction caused by so that they enter adulthood.
Язык: Английский
Процитировано
1
Frontiers in Sustainable Food Systems, Год журнала: 2024, Номер 8
Опубликована: Сен. 17, 2024
Background Climate change adversely affects Africa’s agriculture which would worsen the widespread food insecurity and nutritional deficiencies. Vulnerable populations, especially female farmers, women, children are disproportionately affected. Methods The paper synthesizes available peer-reviewed grey literature on intersections of climate change, insecurity, agriculture, gender disparities, health, child nutrition, micronutrient deficiencies in Africa. It explores economic ramifications these factors, particularly their impact public health stability. work aggregates insights into current future challenges agricultural sustainability expected human capital development costs variations. Results prevalence hunger undernourishment Africa is notably higher compared to other regions. directly threatens with anticipated reductions crop livestock yields, compounded by negative greenhouse emissions quality staple foods. Female farmers contribute but labor share less dominant than previously assumed. Exposure high temperatures, for outdoor workers pregnant presents significant risks, further impacting output. These interdependencies presented a framework along suggested interventions that could be contextualized address drivers interconnectivity across livelihoods. Conclusion interdependence between food, productivity, all exacerbated impacts Africa, form complex challenge profound implications. A multifaceted strategy needed, encompassing climate-resilient farming practices, gender-sensitive interventions, health-focused measures like supplementation, comprehensive policies.
Язык: Английский
Процитировано
1
Women s Health, Год журнала: 2024, Номер 20
Опубликована: Янв. 1, 2024
Increasing global temperatures due to climate change have raised serious concerns regarding its potential impact on health outcomes. Pregnant women and their fetuses are among the most vulnerable groups being affected by these dramatic changes resulting in adverse outcomes for both mother developing fetus. Evidence heat-related pregnancy adversities high-income countries is conclusive, however, such evidence rare low- middle-income (LMICs). This review was conducted bridge knowledge gap providing evidence-based insights into specific repercussions of high heat exposures during effect birth LMICs. A systematic assess environmental or ambient (abortion, stillbirth, preterm birth, low birthweight (LBW)) Electronic searches were MEDLINE, Embase, CINAHL, Web Science, Scopus. Observational studies published between 2010 2023 included review. Screening done using Covidence software, data extracted Excel sheets quality assessment National Institutes Health’s Heart, Lung, Blood Institute tool. We 11 studies. Four six that births showed an association births. five reported exposure LBW. Three four stillbirths a significant stillbirths. One two spontaneous abortion revealed with abortion. Meta-analysis could not be performed lack homogeneity defining exposure. Amongst studies, seven categorized as “good” “fair” methodological quality. study concluded temperature can births, LBWs, abortions, Urgent action imperative national scales facilitate comprehensive definitive LMICs, enabling deeper understanding pregnant women. Longitudinal paramount confirming associations devising targeted interventions strategies aimed at enhancing maternal child within LMIC contexts. Registration: PROSPERO ID: CRD42023449173.
Язык: Английский
Процитировано
1
Atmosphere, Год журнала: 2023, Номер 14(7), С. 1183 - 1183
Опубликована: Июль 21, 2023
The impact of climate change on the physical environment, ecosystems, and human societies is increasingly recognized as most important global challenge. Climate may alter, among others, thermal occurrence extreme weather events, exposure to physical, chemical, biological pollutants, thus affecting health with several potential outcomes. occupational safety has been receiving increasing attention in last years. In European Union, workers under rule Directive 89/391 its daughters. a changing climate, compliance all requirements existing EU regulation entails an additional effort implement preventive protective measures. A central role workers’ protection played by proper information training, which partly charge physicians. This paper provides basic proposal topics related update training integrate curricula Importantly, suitable contribute promoting adaptation measures, are part individual, societal, responses change.
Язык: Английский
Процитировано
3
Women and Birth, Год журнала: 2023, Номер 37(1), С. 1 - 3
Опубликована: Ноя. 15, 2023
Язык: Английский
Процитировано
2
International Egyptian Journal of Nursing Sciences and Research, Год журнала: 2024, Номер 4(2), С. 504 - 522
Опубликована: Янв. 1, 2024
Background: Climate change is caused by human activities and results in a rise temperature, precipitation, sea level, extreme weather events.Climate has already affected will continue to affect population health, such as malnutrition, diarrhea, malaria, dengue fever, injuries, deaths.Aim: This research aims evaluate the effect of nursing instructional module on pregnant women' knowledge practice regarding climate change.Research Design: A quasi-experimental (one group pre & post) was used study.Setting: The study conducted at El-Ghamarawy maternal child health center Beni-Suef University Hospital.Sample: purposive sample 116 women.Tools for data collection: Three tools were collect data; Tool (I): Structured interviewing questionnaire: which divided into two parts Part 1: Demographic Characteristics, 2: Obstetric history.Tool (II): Pregnant Women' Knowledge Assessment Questionnaire Regarding Changes.Tool (III): Women's check list Changes.Results current revealed highly statistically significant improvement women's practices change.Conclusion: concluded that had positive changes, supports hypothesis Recommendations: Regular educational programs are needed women maintain refresh their
Язык: Английский
Процитировано
0