Despite the link that has been reported widely in the literature between poor vision and quality of life outcomes, older adults are not uniform in their experience
of adverse outcomes associated with poor vision.
«When one considers the modest decrease in risk
of adverse outcomes associated with the use of a number of widely used medications such as anti-cholesterol drugs, the effect sizes seen in this study are really impressive,» said Dr. Memtsoudis.
Not exact matches
Helping adolescent males to delay fatherhood may also be important from a child health perspective: research that controlled for maternal age and other key factors found teenage fatherhood
associated with an increased risk
of adverse pregnancy
outcomes, including preterm birth, low birth weight and neonatal death (Chen et al, 2007).
Her research portfolio includes findings that suggest disparities in
adverse pregnancy
outcomes begin as early as conception, multivitamin use around the time
of conception prevents some miscarriages, over-the-counter use
of non-steroidal anti-inflammatory agents is not a probable cause
of miscarriage (and may be protective in some women), and the vast majority
of uterine fibroids are not
associated with
adverse pregnancy
outcomes including miscarriage and preterm birth, though fibroids are related to a moderately higher likelihood
of cesarean.
For nulliparous women, there is some evidence that planning birth at home is
associated with a higher risk
of an
adverse perinatal
outcome.
Discontinuation
of epidural analgesia late in labour for reducing the
adverse delivery
outcomes associated with epidural analgesia.
Rates
of obstetrical intervention are high in U.S. hospitals, and we found large absolute differences in the risks
of these interventions between planned out -
of - hospital births and in - hospital births.38 In contrast, serious
adverse fetal and neonatal
outcomes are infrequent in all the birth settings we assessed, and the absolute differences in risk that we observed between planned birth locations were correspondingly small; for example, planned out -
of - hospital births were
associated with an excess
of less than 1 fetal death per 1000 deliveries in multivariate and propensity - score - adjusted analyses.
Labor induction has been increasing since the early 1990s, 1 and the rate is running at about 20 % for pregnancies at term.2, 3 Induction
of labor compared with spontaneous labor is
associated with
adverse maternal
outcomes, including at least a doubling in the caesarean delivery rate, 4,5 25 — 50 % increase in instrumental vaginal delivery rate, 3,5 higher postpartum hemorrhage rate, 5 and prolonged labor.5 Neonates born after induced labor are more likely to have low Apgar score and low umbilical cord blood pH. 5
In analyses adjusted for maternal race and ethnic group, age, parity, and medical conditions
associated with greater risk, the associations between planned location
of delivery and most
adverse outcomes and obstetrical procedures remained significant (Table 4).
Planned birth at home in low risk women without complicating conditions at the start
of care in labour was
associated with significant cost savings and a significant decrease in
adverse perinatal
outcomes avoided.
There was, however, an increased incidence
of adverse perinatal
outcome associated with planned birth at home in nulliparous low risk women, resulting in the probability
of it being the most cost effective option at a cost effectiveness threshold
of # 20000 declining to 0.63.
We used multiple regression to estimate the differences in total cost between the settings for birth and to adjust for potential confounders, including maternal age, parity, ethnicity, understanding
of English, marital status, BMI, index
of multiple deprivation score, parity, and gestational age at birth, which could each be
associated with planned place
of birth and with
adverse outcomes.12 For the generalised linear model on costs, we selected a γ distribution and identity link function in preference to alternative distributional forms and link functions on the basis
of its low Akaike's information criterion (AIC) statistic.
Nevertheless, «travel times greater than 20 minutes [to a healthcare facility] have been
associated with increased risk
of adverse neonatal
outcomes, including mortality.»
There was, however, an increased incidence
of adverse perinatal
outcomes associated with planned birth at home in nulliparous low risk women, resulting in the probability
of it being the most cost effective option at a threshold
of # 20000 declining to 0.63.
This cost effectiveness information, however, should be considered in the light
of an increased risk
of adverse perinatal
outcome associated with planned home birth in low risk nulliparous women.
There does not appear to be an
associated increased risk
of adverse maternal, fetal, or neonatal
outcomes.
In the era
of electronic fetal monitoring, among neonates born to nulliparous women,
adverse neonatal
outcomes generally have not been
associated with the duration
of the second stage
of labor.
Similarly, in a secondary analysis
of 1,862 women enrolled in an early versus delayed pushing trial, a longer duration
of active pushing was not
associated with
adverse neonatal
outcomes, even in women who pushed for more than 3 hours (28).
Enabling women to breastfeed is also a public health priority because, on a population level, interruption
of lactation is
associated with
adverse health
outcomes for the woman and her child, including higher maternal risks
of breast cancer, ovarian cancer, diabetes, hypertension, and heart disease, and greater infant risks
of infectious disease, sudden infant death syndrome, and metabolic disease (2, 4).
Planned home births attended by registered professional attendants have not been
associated with an increased risk
of adverse perinatal
outcomes in large studies in North America, 1 — 3 the United Kingdom, 4 Europe, 5 — 8 Australia 9 and New Zealand.
Our study showed that planned home birth attended by a registered midwife was
associated with very low and comparable rates
of perinatal death and reduced rates
of obstetric interventions and
adverse maternal
outcomes compared with planned hospital birth attended by a midwife or physician.
Overall, we did not find any increased likelihood for any
adverse outcome for women or their infants
associated with having been randomised to a midwife - led continuity model
of care.
«Mothers
of infants with complex congenital heart disease are exposed to increased stress, which has been
associated with numerous
adverse outcomes,» said Barbara Medoff - Cooper, PhD, RN FAAN, principal investigator and nurse scientist in the Cardiac Center at Children's Hospital
of Philadelphia and at Penn Nursing.
In the article, Stamatina Iliodromiti from the University
of Glasgow, UK, and colleagues found birth weight less than 25th or greater than 85th centile to be
associated with greater risk
of adverse outcomes compared with birth weight within these cutoffs, suggesting an expansion
of the definition
of «fetus at risk» beyond the less than 10th or greater than 90th centile range that is commonly used to trigger surveillance
of fetal well - being and / or delivery.
A review
of studies investigating the 2008 recession in Europe show it was
associated with
adverse health
outcomes, particularly for suicides and mental health problems, finds a study in The BMJ.
«Our results suggest that exposure to higher levels
of air pollution during pregnancy is
associated with various
adverse pregnancy
outcomes,» said Prof. Lerner - Geva.
High levels
of two novel urinary biomarkers early in critical illness are
associated with
adverse long - term
outcomes in patients with acute kidney injury (AKI), according to an international, multi-center study led by University
of Pittsburgh School
of Medicine Researchers.
«The results
of this study were
of particular interest because more than half
of the pregnant women with migraine experienced some type
of adverse birth
outcome, suggesting that these pregnancies should be considered high risk,» said study author Matthew S. Robbins, M.D., director
of inpatient services at Montefiore Headache Center, chief
of neurology at Jack D. Weiler Hospital
of Montefiore, and
associate professor
of clinical neurology at Albert Einstein College
of Medicine.
«Our goal is to raise overall awareness
of military sexual trauma, including the impact on male veterans, and
associated adverse outcomes such as homelessness,» Kimerling says.
There is evidence that rTMS is safe and not
associated with any
adverse events, but given the variability in technique and
outcome reporting that prevented meta - analysis, the evidence for efficacy
of rTMS for seizure reduction is still lacking despite reasonable evidence that it is effective at reducing epileptiform discharges.
«Our study finds that our assumptions
of «care neutrality» may be wrong and that, among adults undergoing major surgery, complete handover
of intraoperative anesthesia care compared with no handover was
associated with a higher risk
of adverse postoperative
outcomes.
«This is one
of the largest studies to have examined the
adverse mental health and neurodevelopmental
outcomes associated with PCOS, and we hope the results will lead to increased awareness, earlier detection and new treatments,» Rees said in a journal news release.
A high level
of caffeine intake was
associated with risk factors for
adverse reproductive
outcomes.
Such statements reflect the current views
of Barnes & Noble with respect to future events, the
outcome of which is subject to certain risks, including, among others, the general economic environment and consumer spending patterns, decreased consumer demand for Barnes & Noble's products, low growth or declining sales and net income due to various factors, possible disruptions in Barnes & Noble's computer systems, telephone systems or supply chain, possible risks
associated with data privacy, information security and intellectual property, possible work stoppages or increases in labor costs, possible increases in shipping rates or interruptions in shipping service, effects
of competition, possible risks that inventory in channels
of distribution may be larger than able to be sold, possible risks
associated with changes in the strategic direction
of the device business, including possible reduction in sales
of content, accessories and other merchandise and other
adverse financial impacts, possible risk that component parts will be rendered obsolete or otherwise not be able to be effectively utilized in devices to be sold, possible risk that financial and operational forecasts and projections are not achieved, possible risk that returns from consumers or channels
of distribution may be greater than estimated, the risk that digital sales growth is less than expectations and the risk that it does not exceed the rate
of investment spend, higher - than - anticipated store closing or relocation costs, higher interest rates, the performance
of Barnes & Noble's online, digital and other initiatives, the success
of Barnes & Noble's strategic investments, unanticipated increases in merchandise, component or occupancy costs, unanticipated
adverse litigation results or effects, product and component shortages, the potential
adverse impact on the Company's businesses resulting from the Company's prior reviews
of strategic alternatives and the potential separation
of the Company's businesses, the risk that the transactions with Microsoft and Pearson do not achieve the expected benefits for the parties or impose costs on the Company in excess
of what the Company anticipates, including the risk that NOOK Media's applications are not commercially successful or that the expected distribution
of those applications is not achieved, risks
associated with the international expansion contemplated by the relationship with Microsoft, including that it is not successful or is delayed, the risk that NOOK Media is not able to perform its obligations under the Microsoft and Pearson commercial agreements and the consequences thereof, risks
associated with the restatement contained in, the delayed filing
of, and the material weakness in internal controls described in Barnes & Noble's Annual Report on Form 10 - K for the fiscal year ended April 27, 2013, risks
associated with the SEC investigation disclosed in the quarterly report on Form 10 - Q for the fiscal quarter ended October 26, 2013, risks
associated with the ongoing efforts to rationalize the NOOK business and the expected costs and benefits
of such efforts and
associated risks and other factors which may be outside
of Barnes & Noble's control, including those factors discussed in detail in Item 1A, «Risk Factors,» in Barnes & Noble's Annual Report on Form 10 - K for the fiscal year ended April 27, 2013, and in Barnes & Noble's other filings made hereafter from time to time with the SEC.
Such statements reflect the current views
of Barnes & Noble with respect to future events, the
outcome of which is subject to certain risks, including, among others, the effect
of the proposed separation
of NOOK Media, the general economic environment and consumer spending patterns, decreased consumer demand for Barnes & Noble's products, low growth or declining sales and net income due to various factors, possible disruptions in Barnes & Noble's computer systems, telephone systems or supply chain, possible risks
associated with data privacy, information security and intellectual property, possible work stoppages or increases in labor costs, possible increases in shipping rates or interruptions in shipping service, effects
of competition, possible risks that inventory in channels
of distribution may be larger than able to be sold, possible risks
associated with changes in the strategic direction
of the device business, including possible reduction in sales
of content, accessories and other merchandise and other
adverse financial impacts, possible risk that component parts will be rendered obsolete or otherwise not be able to be effectively utilized in devices to be sold, possible risk that financial and operational forecasts and projections are not achieved, possible risk that returns from consumers or channels
of distribution may be greater than estimated, the risk that digital sales growth is less than expectations and the risk that it does not exceed the rate
of investment spend, higher - than - anticipated store closing or relocation costs, higher interest rates, the performance
of Barnes & Noble's online, digital and other initiatives, the success
of Barnes & Noble's strategic investments, unanticipated increases in merchandise, component or occupancy costs, unanticipated
adverse litigation results or effects, product and component shortages, risks
associated with the commercial agreement with Samsung, the potential
adverse impact on the Company's businesses resulting from the Company's prior reviews
of strategic alternatives and the potential separation
of the Company's businesses (including with respect to the timing
of the completion thereof), the risk that the transactions with Pearson and Samsung do not achieve the expected benefits for the parties or impose costs on the Company in excess
of what the Company anticipates, including the risk that NOOK Media's applications are not commercially successful or that the expected distribution
of those applications is not achieved, risks
associated with the international expansion previously undertaken, including any risks
associated with a reduction
of international operations following termination
of the Microsoft commercial agreement, the risk that NOOK Media is not able to perform its obligations under the Pearson and Samsung commercial agreements and the consequences thereof, the risks
associated with the termination
of Microsoft commercial agreement, including potential customer losses, risks
associated with the restatement contained in, the delayed filing
of, and the material weakness in internal controls described in Barnes & Noble's Annual Report on Form 10 - K for the fiscal year ended April 27, 2013, risks
associated with the SEC investigation disclosed in the quarterly report on Form 10 - Q for the fiscal quarter ended October 26, 2013, risks
associated with the ongoing efforts to rationalize the NOOK business and the expected costs and benefits
of such efforts and
associated risks and other factors which may be outside
of Barnes & Noble's control, including those factors discussed in detail in Item 1A, «Risk Factors,» in Barnes & Noble's Annual Report on Form 10 - K for the fiscal year ended May 3, 2014, and in Barnes & Noble's other filings made hereafter from time to time with the SEC.
Such statements reflect the current views
of Barnes & Noble with respect to future events, the
outcome of which is subject to certain risks, including, among others, the general economic environment and consumer spending patterns, decreased consumer demand for Barnes & Noble's products, low growth or declining sales and net income due to various factors, including store closings, higher - than - anticipated or increasing costs, including with respect to store closings, relocation, occupancy (including in connection with lease renewals) and labor costs, the effects
of competition, the risk
of insufficient access to financing to implement future business initiatives, risks
associated with data privacy and information security, risks
associated with Barnes & Noble's supply chain, including possible delays and disruptions and increases in shipping rates, various risks
associated with the digital business, including the possible loss
of customers, declines in digital content sales, risks and costs
associated with ongoing efforts to rationalize the digital business and the digital business not being able to perform its obligations under the Samsung commercial agreement and the consequences thereof, the risk that financial and operational forecasts and projections are not achieved, the performance
of Barnes & Noble's initiatives including but not limited to its new store concept and e-commerce initiatives, unanticipated
adverse litigation results or effects, potential infringement
of Barnes & Noble's intellectual property by third parties or by Barnes & Noble
of the intellectual property
of third parties, and other factors, including those factors discussed in detail in Item 1A, «Risk Factors,» in Barnes & Noble's Annual Report on Form 10 - K for the fiscal year ended April 30, 2016, and in Barnes & Noble's other filings made hereafter from time to time with the SEC.
In this instance, however, the overall weight
of the evidence from the cumulative body
of information contained in this Public Health Review demonstrates that there are significant uncertainties about the kinds
of adverse health
outcomes that may be
associated with HVHF, the likelihood
of the occurrence
of adverse health
outcomes, and the effectiveness
of some
of the mitigation measures in reducing or preventing environmental impacts which could adversely affect public health.
BACKGROUND: Ultrafine particles (UFPs) have been
associated with
adverse health
outcomes in children, but studies are often limited by surrogate estimates
of exposure.
Exposure to
adverse early - life environments is
associated with a range
of negative developmental
outcomes, including poor mental and physical health and atypical social functioning.
Our findings add insight into the pathways linking early childhood adversity to poor adult wellbeing.29 Complementing past work that focused on physical health, 9 our findings provide information about links between ACEs and early childhood
outcomes at the intersection
of learning, behavior, and health.29 We found that ACEs experienced in early childhood were
associated with poor foundational skills, such as language and literacy, that predispose individuals to low educational attainment and adult literacy, both
of which are related to poor health.23, 30 — 33 Attention problems, social problems, and aggression were also
associated with ACEs and also have the potential to interfere with children's educational experience given known associations between self - regulatory behavior and academic achievement.34, 35 Consistent with the original ACE study and subsequent research, we found that exposure to more ACEs was
associated with more
adverse outcomes, suggesting a dose — response association.3 — 8 In fact, experiencing ≥ 3 ACEs was
associated with below - average performance or problems in every
outcome examined.
Cannabis use can be a significant contributor to poor mental health, particularly when it begins at a young age.4, 5 The
adverse mental health effects
of cannabis use in the general population are increasingly recognised, including anxiety, depression, 6 — 8 psychotic disorders, 4, 9 — 12 dependence6, 7, 13 withdrawal14, 15 and cognitive impairment.16, 17 Starting to use cannabis before age 15 is
associated with an increased likelihood
of developing later psychotic disorders, increased risk
of dependence, other drug use, and poor educational and psychosocial
outcomes.5
Relative to children with no ACEs, children who experienced ACEs had increased odds
of having below - average academic skills including poor literacy skills, as well as attention problems, social problems, and aggression, placing them at significant risk for poor school achievement, which is
associated with poor health.23 Our study adds to the growing literature on
adverse outcomes associated with ACEs3 — 9,24 — 28 by pointing to ACEs during early childhood as a risk factor for child academic and behavioral problems that have implications for education and health trajectories, as well as achievement gaps and health disparities.
The higher risk for maternal postpartum depression is also
associated with reduced parenting skills, which may have negative consequences for the development
of the child.28 — 30 Parents
of obese children may lack effective parenting skills providing both a consistent structured frame and emotional support.31 In women with GDM, psychosocial vulnerability including low levels
of social and family networks is
associated with more
adverse neonatal
outcomes, especially increased birth weight.32 Thus, there is a tight interaction between maternal lifestyle, weight status, mental health, social support as well as between maternal and child's overall health.
Recent examinations into the
outcomes of childhood trauma have resulted in findings that demonstrate the notion that extreme childhood adversity is not only linked to undesirable juvenile and adult behaviors, but that there is also an intergenerational risk factor
associated with
adverse experiences at a young age (e.g., Bifulco et al., 2002; Chartier, Walker, & Naimark, 2010; Felitti et al., 1998; Gregorowski & Seedat, 2013; Mersky, Topitzes, & Reynolds, 2013; Sameroff, 2000).
Thus,
adverse outcomes associated with ACE exposure begin in early childhood and impact multiple aspects
of children's lives.
Maternal glucose at 28 weeks
of gestation is not
associated with obesity in 2 - year - old offspring: the Belfast Hyperglycemia and
Adverse Pregnancy
Outcome (HAPO) family study
Perinatal depression is common; in high - income countries the point prevalence is approximately 13 %, with higher rates estimated in low - income and middle - income countries.1 Furthermore, perinatal depression is
associated with an increased risk
of adverse child
outcomes, including behavioural, emotional and cognitive difficulties, 2 which persist into late childhood and adolescence.
Small size at birth is
associated with a range
of adverse health
outcomes, 1 including poor cognitive development, 2 an effect that is largely unconfounded by features
of the family environment, such as socioeconomic status and birth order.
Depression is known to be
associated with
adverse outcomes, including non-adherence with advice and poorer quality
of life.
We chose to use characteristics used for sample recruitment as indicators
of long - term stress (eg, coming from a low - SES household) and having few personal resources (eg, being unmarried), 2 factors
associated with a host
of adverse outcomes.