Public Health

Clinical effectiveness and safety of time-lapse imaging systems for embryo incubation and selection in in-vitro fertilisation treatment (TILT) is a multicentre, three-parallel-group, double-blind, randomised controlled trial published in the Lancet. It found that in women undergoing IVF or ICSI treatment, the use of time-lapse imaging systems for embryo culture and selection does not increase the odds of live birth compared with standard care without time-lapse imaging. This finding triggered post-publication peer review by those interested in TILT to which the trialists responded robustly. This vlog presents the entire story of the TILT trial from its very beginning to post publication.

Gender-based violence is a common problem. Professor Khalid Khan presents the public health aspects of the domestic violence problem. Gender-based violence is a basic human rights breach and a very important public health problem. It is highly prevalent, affecting more than 1 in 10 women worldwide. Professor Bueno, interviewed in this blog, said, "I can’t imagine any other disease affecting quality of life as much as violence against women by her partner." And without any doubt, it is a health issue. Injuries are the more visible consequences, but not the most frequent or most severe. Being exposed to physical, psychological or sexual violence affects women's health in many ways, damaging physical, mental and social well-being. The question is: Is intimate partner violence preventable? It is associated with poverty, gender inequality, and discrimination. Violence against women is always a hidden problem. Its prevention can include screening and early detection within the ...

Maternal Perinatal Suicide: Suicide is one of the leading causes of death worldwide. It is considered a priority problem in global public health by the World Health Organisation (WHO). In the United States, maternal mortality increased by 26.6% between 2000 and 2014, with suicide being the leading cause of this increase. In various European countries, suicide is one of the leading causes of maternal mortality. Suicidal ideation is also associated with various effects on the mother and newborn, such as low birth weight, congenital anomalies, prematurity, and even a negative impact that can affect the mother-child bond or later child development. In women with suicidal ideation, the risk of perinatal loss increases sixfold. These mothers also suffer serious and lasting health consequences. Domestic violence is a risk factor, and skin-to-skin contact is protective.

There is unequal shared decision-making in cancer care. This vlog is delivered by Professor Khalid Khan at the University of Granada and Dr Marta Maes-Carballo, General Surgeon, Digestive System Consultant, Breast Cancer and Aesthetic Surgery at Hospital Público de Verín, Ourense, Spain. Patient's gender, a characteristic protected by law, often goes unprotected in healthcare oncology practice where recommendations for shared decision-making are made infrequently for women compared to men!! Prostate cancer guidelines frequently recommend shared decision-making, but endometrial cancer guidelines do not.

This vlog is delivered by by Professor Khalid Khan and Dr Carmen Amezcua, of the University of Granada, Spain.