Sample records for valk kristel karu
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Malvasi, Antonio; Zaami, Simona; Tinelli, Andrea; Trojano, Giuseppe; Montanari Vergallo, Gianluca; Marinelli, Enrico
2018-02-21
A significant amount of data concerning maternal-fetal damage arising from the exertion of Kristeller maneuvers (KMs) or fundal pressure (FP) go unreleased due to medicolegal implications. For this reason, the paper gathers information as to the real magnitude of litigation related to FP-induced damages and injuries. The authors have undertaken a research in order to include general search engines (PubMed-Medline, Cochrane, Embase, Google, GyneWeb) and legal databases (De Jure, Italian database of jurisprudence daily update; Westlaw, Thomson Reuters, American ruling database and Bailii, UK Court Ruling Database). Results confirm said phenomenon to be more wide ranging than it appears through official channels. Several courts of law, both in the United States of America (USA) and in European Union (EU) Member States as well, have ruled against the use of the maneuver itself, assuming a stance conducive to a presumption of guilt against those doctors and healthcare providers who resorted to KMs or FP during deliveries. Given how rife FP is in mainstream obstetric practice, it is as if there were a wide gap between obstetric real-life and what official jurisprudence and healthcare institutions-sanctioned official practices are. The authors think that it would be desirable to draft specifically targeted guidelines or recommendations on maneuvers during vaginal delivery, in which to point out exactly what kinds of maneuvering techniques are to be absolutely banned and what maneuvers are to be allowed, and under what conditions their application can be considered appropriate.
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ERIC Educational Resources Information Center
Leahey, Tricia M.; Crowther, Janis H.; Irwin, Sharon R.
2008-01-01
Binge eating is a negative indicator of post-surgical weight loss and health outcome in bariatric surgery patients (Hsu, Bentancourt, Sullivan, 1996). Cognitive-behavioral techniques and mindfulness-based practices have been shown to successfully treat binge eating (Agras, Telch, Arnow, Eldredge, & Marnell, 1997; Kristeller & Hallett, 1999). This…
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Genetics Home Reference: cytogenetically normal acute myeloid leukemia
... on PubMed Marcucci G, Haferlach T, Döhner H. Molecular genetics of adult acute myeloid leukemia: prognostic and therapeutic ... on PubMed Sanders MA, Valk PJ. The evolving molecular genetic landscape in acute myeloid leukaemia. Curr Opin Hematol. ...
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Current Canadian Forces Education and Training for Moral and Ethical Decision Making in Operations
2010-01-01
default.asp. PIAGET, J. 1932. The moral judgment of the child. London: Kegan Paul, Trench, Trubner and Co. POJMAN, L.P. 2006. Ethics: Discovering right...provided by SME. Syllabus. n.d. Leadership and Ethics. Documentation provided by SME. TETLOCK, P., KRISTEL, O., ELSON, B., GREEN , M. LERNER, J. 2000
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Posttranscriptional Regulation of the Neurofibromatosis 2 Gene
2005-08-01
videomicroscopy . Neoplasia 1:31-41 Long-Sheng Chang et al. 32 232. Valk, P.J., Verhaak, R.G., Beijen, M.A., Erpelinck, C.A., Barjesteh van Waalwijk van Doorn...assessed by intravital multi-fluorescence videomicroscopy . Neoplasia. 1999; 1: 31-41. 137. Vajkoczy P, Menger MD, Goldbrunner R, et al. Targeting
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ERIC Educational Resources Information Center
He, Ming Fang; Sapp, Jeff; Botelho, Maria Jose; Nunez, Isabel; Scott-Simmons, Wynnetta; Johnson, Lincoln
2013-01-01
The theme of this column is African American Women's Memories of Racial Oppression and Segregation in the U.S. South and Its Relevance to Multicultural Education. The focus of the review is on Anne Valk and Leslie Brown's "Living with Jim Crow: African American Women and Memories of the Segregated South" (2010). In "Living with Jim…
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JPRS Report, Near East and South Asia.
1991-07-16
Mohana Ranga Rao was murdered, there was virtually to Tamil Nadu as Prime Minister and Opposition leader no Government in the State with Mr. Rama Rao ... Rao Saturday he had no objections to the government accused the TDP [Teluga Desam Party] leaders of viti- making public anything concerning his talks...Minister P. Chidambaram’s Rao and Mr. Upendra would be held responsible if demand that the minutes of the meeting Mr. Karu- violence erupted or anything
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Physical Demands, Mental Performance and Food Components in Military Settings
2005-08-01
2004). Recently, this task showed to be sensitive for the performance enhancing effects of modafinil and caffeine (Simons et al. 2004, in press). 4.2.2...Simons, Struyvenberg et al., 1997; Valk, Van Roon, Simons, Rikken, 2004). Recently, the MAT also showed performance enhancing effects of modafinil and... Choline , a part of the B-vitamins complex, can pass the blood-brain barrier. It has however not showed any effect on cognitive functioning yet
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Assessment of Thermal Dehydration Using the Human Eye: What is the Potential?
2012-01-01
Kenefick a, Neil P. Walsh b, Matthew B. Fortes b, Marieh Esmaeelpour c,d, Samuel N. Cheuvront a,n a US Army Research Institute of Environmental Medicine...anhydrase inhibitors, which are commonly prescribed to glaucoma patients (van der Valk et al., 2005; World Heath Organization; 2009). Both types of...Deposition and thinning of the human tear film. J. Colloid Interface Sci. 184, 44–51. World Heath Organization, 2009. WHO model formulary 2008. WHO
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Engineered antibodies for monitoring of polynuclear aromatic hydrocarbons
DOE Office of Scientific and Technical Information (OSTI.GOV)
Karu, A.E.; Roberts, V.A.; Li, Q.X.
1998-06-01
'The long-term goal of this project is to develop antibodies and antibody-based methods for detection and recovery of polynuclear aromatic hydrocarbons (PAHs) and PAH adducts that are potential biomarkers in environmental and biological samples. The inherent cross-reactivity will be exploited by pattern recognition methods. Dr. Karu''s laboratory uses new haptens representing key PAHs to derive recombinant Fab (rFab) and single-chain Fv (scFv) antibodies from hybridoma lines and combinatorial phage display libraries. Computational models of the haptens and combining sites made by Dr. Roberts''s group are used to guide antibody engineering by mutagenesis. Dr. Li''s laboratory develops enzyme immunoassays (EIAs), sensors,more » and immunoaffinity methods that make use of the novel haptens and antibodies for practical analytical applications in support of DOE''s mission. This report summarizes work completed in one and one-half years of a 3-year project, with close collaboration between the three research groups. Dr. Alexander Karu''s laboratory: the authors proceeded with the two strategies described in the original proposal. Site-directed mutagenesis was used to correct differences in the rFab N-terminal amino acids that were introduced by the degenerate PCR primers used for gene amplification. The binding constants of the rFabs with the corrected sequences will be compared with those of the parent MAbs, and should be very similar. The 4D5 and 10C10 heavy and light chain sequences are being moved to the pCOMB3H phagemid vector to facilitate selection of new engineered mutants.'« less
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Transgenic Rat Models for Breast Cancer Research
1998-10-01
animals with mammary adenocarcinoma (1 out of 26 p53 null mice) whereas there was a high incidence of malignant lymphomas (20 out of 26). These studies...heir capacity to develop in utero . To this end, Dr. Warren has cultured various stages of rat embryos and 10 *~cý t. ?V& ks, 9A LA 6"r Eiac,’X4vrý...hyperplasia and adenocarcinomas in male and female mice. Cell 55: 619-625. 13. Andres, A.C., M.A. VanderValk, C.-A. Schoenenberger, F. Fluckinger, M
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Positron Emission Tomography: Principles, Technology, and Recent Developments
NASA Astrophysics Data System (ADS)
Ziegler, Sibylle I.
2005-04-01
Positron emission tomography (PET) is a nuclear medical imaging technique for quantitative measurement of physiologic parameters in vivo (an overview of principles and applications can be found in [P.E. Valk, et al., eds. Positron Emission Tomography. Basic Science and Clinical Practice. 2003, Springer: Heidelberg]), based on the detection of small amounts of posi-tron-emitter-labelled biologic molecules. Various radiotracers are available for neuro-logical, cardiological, and oncological applications in the clinic and in research proto-cols. This overview describes the basic principles, technology, and recent develop-ments in PET, followed by a section on the development of a tomograph with ava-lanche photodiodes dedicated for small animal imaging as an example of efforts in the domain of high resolution tomographs.
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Transformation of Chlorpyrifos and Chlorpyrifos-Methyl in Prairie Pothole Porewaters
NASA Astrophysics Data System (ADS)
Anderson, R. M.; Chin, Y. P.
2014-12-01
The prairie pothole region (PPR) extends over approximately 700,000 km2 in the Great Plains region in United States and Canada and is a critical breeding ground for migratory waterfowl, as well as an important ecosystem for diverse invertebrates and aquatic plants (van der Valk, 2003). Consisting of up to 12 million permanent and temporary depressional wetlands, the PPR is negatively impacted by non-point source pesticide pollution due to extensive agricultural development in the region. Recent studies have shown that high (mM) levels of sulfate in the pothole lakes are capable of abiotically reducing dinitroaniline and chloroacetanilide pesticides (Zeng, 2011; Zeng, 2012). In this study the transformation of the organophosphorus pesticide chlorpyrifos (CP) and its analog chlorpyrifos-methyl (CPM) was studied using pore waters sampled from two pothole lakes. CP and CPM have been found to react in the laboratory with sulfur species via a SN2 mechanism, with degradation by sulfur compounds occurring faster than hydrolysis at high pH (Wu, 2006). To date the reaction of CP and CPM in natural environments with sulfur species has not been studied. Chlorpyrifos-methyl underwent rapid degradation in the presence of reduced sulfur species in pore water, while chlorpyrifos degradation occurred at significantly slower rates. Both CP and CPM degradation occurred at comparable rates to what has been previously observed in the laboratory (Wu, 2006). References van der Valk, Arnold G., and Roger L. Pederson. "The SWANCC decision and its implications for prairie potholes." Wetlands 23.3 (2003): 590-596. Wu, Tong, Qiu Gan, and Urs Jans. "Nucleophilic Substitution of Phosphorothionate Ester Pesticides with Bisulfide (HS-) and Polysulfides (Sn2-)." Environmental science & technology 40.17 (2006): 5428-5434. Zeng, Teng, et al. "Pesticide processing potential in prairie pothole porewaters."Environmental science & technology 45.16 (2011): 6814-6822. Zeng, Teng, Yu-Ping Chin, and William
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NASA Astrophysics Data System (ADS)
Seyler, P. T.; Viers, J.; Aries, S.; Fournier, P.
2014-12-01
The quantification of the role of weathering in the carbon cycle and its interaction with climate and tectonics at the geological time scale is one of the key questions of the geoscientists. The consumption of atmospheric CO2 by silicate weathering indisputably plays the central role in the long term carbon budget and consequently on mean global climate. Through the composition of major elements in river waters, CO2 consumption by the alteration of continental rocks can be estimated. The aim of this study is to estimate of the chemical weathering rate of the Zambesi basin and the impact of Karoo basalt province on chemical atmospheric consumption, evaluated from a database of major elements. The Karroo basalts outcrop erupted around 183 +/2 2 106 take place in the Upper and the Middle Zambezi, covering a surface of 9600 km2. The Zambesi Basin, located between 8° and 20° south latitude and between 16.5 and 36 east longitude, is the fourth largest in Africa. The catchment has a total area of some 1,281,000 km2, the mean annual temperature is 19,3°C and the annual rainfall varies from nearly 2 000 mm to 600 mm. During the sampling period, the annual runoff at Victoria Fall gauging Station ranged between 50 to 2000 m3/s ie 6.9 to 0.6 l/s/km2. The consumption rate of atmospheric CO2 associated with the chemical weathering was calculated from riverine HCO3- concentrations. During the weathering of volcanic rocks, all dissolved carbonates originate from atmospheric/sil CO2. Values of CO2 consumption rates are relatively high, about 0.024 1012 mol/yr, and are comparable to Deccan Traps consumption rates.
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Schaub, Andreas F; Litschgi, Mario; Hoesli, Irene; Holzgreve, Wolfgang; Bleul, Ulrich; Geissbühler, Verena
2008-01-01
To determine whether the obstetric gel shortens the second stage of labor and exerts a protective effect on the perineum. A total of 251 nulliparous women with singleton low-risk pregnancies in vertex position at term were recruited. A total of 228 eligible women were randomly assigned to Group A, without obstetric gel use, or to Group B, obstetric gel use, i.e., intermittent application into the birth canal during vaginal examinations, starting at the early first stage of labor (prior to 4 cm dilation) and ending with delivery. A total of 183 cases were analyzed. For vaginal deliveries without interventions, such as C-section, vaginal operative procedure or Kristeller maneuver, obstetric gel use significantly shortened the second stage of labor by 26 min (30%) (P=0.026), and significantly reduced perineal tears (P=0.024). First stage of labor and total labor duration were also shortened, but not significantly. Results did not show a significant change in secondary outcome parameters, such as intervention rates or maternal and newborn outcomes. No side effects were observed with obstetric gel use. Systematic vaginal application of obstetric gel showed a significant reduction in the second stage of labor and a significant increase in perineal integrity. Future studies should further investigate the effect on intervention rates and maternal and neonatal outcome parameters.
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An inflatable ergonomic 3-chamber fundal pressure belt to assist vaginal delivery.
Acanfora, Luisa; Rampon, Michela; Filippeschi, Marco; Marchi, Marco; Montisci, Massimo; Viel, Guido; Cosmi, Erich
2013-01-01
To evaluate whether Baby-guard-a new medical device with an ergonomic 3-chamber inflatable abdominal belt-can reduce complications associated with vaginal delivery. A randomized controlled single-blind prospective study of 80 pregnant women delivering at term was conducted at San Giuseppe Hospital, Empoli, Italy. In the study group (n=40), the abdominal belt was inflated to optimal therapeutic pressures. In the control group (n=40), the abdominal belt was inflated to minimal, non-therapeutic pressures. Factors relating to maternal, fetal, and labor complications during vaginal delivery were evaluated. Compared with the control group, women in the study group experienced a lower incidence of perineal and cervical lacerations (P<0.001); reduced use of the Kristeller maneuver (P<0.001); shorter duration of the second stage of labor (P<0.001); less psychologic and physical fatigue (P<0.001); fewer maternal requests for cesarean delivery during labor (P<0.001); fewer vacuum extractions (P<0.01); and fewer cesarean deliveries (P<0.02). No neonatal intensive care unit admissions were recorded in the study group versus 7 in the control group (P<0.012). Use of the ergonomic 3-chamber inflatable abdominal belt system reduced the incidence of risks associated with vaginal labor. Clinical trials.gov identifier: NCT01566331. Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
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Effect of the different cover crops on the soil moisture in a Hungarian vineyard
NASA Astrophysics Data System (ADS)
Donkó, Ádám; Miglécz, Tamás; Valkó, Orsolya; Deák, Balázs; Kelemen, András; Török, Péter; Tóthmérész, Béla; Drexler, Dóra
2017-04-01
in 2015, at two sampling dates (April and June). During sampling the soil moisture content was measured in seven different depths per sampling point in five replicates: 10 cm, 20 cm, 30 cm, 40 cm, 50 cm, 60 cm, and 70 cm. We found significantly lower indices in case of the Lolium perenne treatment compared to the Grass-forb, and Control treatments in 40-70 cm depth. The results are in accordance with the results of previous research, that state that the use of Lolium perenne in the inter-rows can be sustainable in case of at least 7-800 mm precipitation/year, or under irrigated conditions. Among the three species-rich mixtures we have not found significant differences, but the results show that the Grass-forb mixture (with Plantago lanceolata domination) utilized the least moisture from the soil. Literature Donkó Á, Miglécz T, Valkó O, Tóthmérész B, Deák B, Kelemen A, Török P, Zanathy G, Zsigrai Gy, Drexler D (2015): Intercropping experiments in Hungarian vineyards. HUNGARIAN AGRICULTURE RESEARCH. 24 (4): pp. 31-34. (2015) Miglécz T, Valkó O, Török P, Deák B, Kelemen A, Donkó Á, Drexler D, Tóthmérész B: Establishment of three cover crop mixtures in vineyards. SCIENTIA HORTICULTURAE 197: pp. 117-123. (2015)
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Practices and obstetric interventions in women from a state in the Northeast of Brazil.
Prado, Daniela Siqueira; Mendes, Rosemar Barbosa; Gurgel, Rosana Queiroz; Barreto, Ikaro Daniel de Carvalho; Bezerra, Felipa Daiana; Cipolotti, Rosana; Gurgel, Ricardo Queiroz
2017-12-01
To describe practices and interventions used during labor and childbirth and factors associated with such practices in puerperae in the state of Sergipe. A cross-sectional study with 768 postpartum women from 11 maternity hospitals interviewed 6 hours after delivery, and hospital records review. The associations between best practices and interventions used during labor and delivery with exposure variables were described using simple frequencies, percentages, crude and adjusted odds ratio (ORa) with the confidence interval. Of the women in the study, 10.6% received food and 27.8% moved during labor; non-pharmacological methods for pain relief were performed in 26.1%; a partogram was filled in 39.4% of the charts; and an accompanying person was present in 40.6% of deliveries. Oxytocin, amniotomy and labor analgesia were used in 59.1%, 49.3% and 4.2% of women, respectively. Lithotomy position during childbirth was used in 95.2% of the cases, episiotomy in 43.9% and Kristeller maneuver in 31.7%. The variables most associated with cesarean section were private financing (ORa=4.27, 95CI 2.44-7.47), higher levels of education (ORa=4.54, 95CI 2.56-8.3) and high obstetric risk (ORa=1.9, 95CI 1.31-2.74). Women whose delivery was funded privately were more likely to have an accompanying person present (ORa=2.12, 95CI 1.18-3.79) and to undergo labor analgesia (ORa=4.96, 95CI 1.7-14.5). Best practices are poorly performed and unnecessary interventions are frequent. The factors most associated with c-section were private funding, greater length of education and high obstetric risk.
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Cognitive Performance Effects of Bilastine 20 mg During 6 Hours at 8000 ft Cabin Altitude.
Valk, Pierre J L; Simons, Ries; Jetten, Andrea M; Valiente, Román; Labeaga, Luis
2016-07-01
Bilastine is a new oral, second generation antihistamine used in the symptomatic treatment of allergic rhinoconjunctivitis and urticaria. It is considered a nonsedating antihistamine and might be recommended for use in pilots, pending research on the effects on flying-related performance under hypobaric conditions that prevail in an airliner. We assessed the effects of a single dose of bilastine 20 mg on alertness and complex task performance of healthy volunteers in a hypobaric chamber at 75.2 kPa (8000 ft/2438 m cabin altitude). In a randomized, double-blind, crossover study, 24 volunteers received a single dose of bilastine 20 mg, hydroxyzine 50 mg (active control), and placebo. Using the Vigilance and Tracking Task, Multi-Attribute Task Battery, and Stanford Sleepiness Scale, assessments were made before and up to 6 h after intake of the study medication. Bilastine 20 mg had no impairing effects on sleepiness levels, vigilance, or complex task performance for up to 6 h post-dose. Hydroxyzine 50 mg (active control) was associated with significant sleepiness and impaired performance across this time period, confirming the sensitivity of the tests. Bilastine 20 mg did not cause sleepiness or impaired performance on tasks related to flying. It is anticipated that a single dose of bilastine 20 mg will not affect flying performance. Bilastine may provide a safe therapeutic alternative for pilots suffering from allergic rhinitis or urticaria. Our findings might also have implications for the treatment of allergic disorders of personnel involved in other safety-sensitive jobs. Valk PJL, Simons R, Jetten AM, Valiente R, Labeaga L. Cognitive performance effects of bilastine 20 mg during 6 hours at 8000 ft cabin altitude. Aerosp Med Hum Perform. 2016; 87(7):622-627.
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Young, Katherine I; Mundis, Stephanie; Widen, Steven G; Wood, Thomas G; Tesh, Robert B; Cardosa, Jane; Vasilakis, Nikos; Perera, David; Hanley, Kathryn A
2017-08-31
Mosquito-borne dengue virus (DENV) is maintained in a sylvatic, enzootic cycle of transmission between canopy-dwelling non-human primates and Aedes mosquitoes in Borneo. Sylvatic DENV can spill over into humans living in proximity to forest foci of transmission, in some cases resulting in severe dengue disease. The most likely vectors of such spillover (bridge vectors) in Borneo are Ae. albopictus and Ae. niveus. Borneo is currently experiencing extensive forest clearance. To gauge the effect of this change in forest cover on the likelihood of sylvatic DENV spillover, it is first necessary to characterize the distribution of bridge vectors in different land cover types. In the current study, we hypothesized that Ae. niveus and Ae. albopictus would show significantly different distributions in different land cover types; specifically, we predicted that Ae. niveus would be most abundant in forests whereas Ae. albopictus would have a more even distribution in the landscape. Mosquitoes were collected from a total of 15 sites using gravid traps and a backpack aspirator around Kampong Puruh Karu, Sarawak, Malaysian Borneo, where sylvatic DENV spillover has been documented. A total of 2447 mosquitoes comprising 10 genera and 4 species of Aedes, were collected over the three years, 2013, 2014 and 2016, in the three major land cover types in the area, homestead, agriculture and forest. Mosquitoes were identified morphologically, pooled by species and gender, homogenized, and subject to DNA barcoding of each Aedes species and to arbovirus screening. As predicted, Ae. niveus was found almost exclusively in forests whereas Ae. albopictus was collected in all land cover types. Aedes albopictus was significantly (P = 0.04) more abundant in agricultural fields than forests. Sylvatic DENV was not detected in any Aedes mosquito pools, however genomes of 14 viruses were detected using next generation sequencing. Land cover type affects the abundance and distribution of the most
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Monguilhott, Juliana Jacques da Costa; Brüggemann, Odaléa Maria; Freitas, Paulo Fontoura; d'Orsi, Eleonora
2018-01-01
OBJECTIVE To analyze if the presence of a companion favors the use of best practices in the delivery care in the South region of Brazil. METHODS This is a cross-sectional analysis of the longitudinal study Nascer no Brasil. We analyzed data from 2,070 women from the South region of Brazil who went into labor. The data were collected between February and August 2011, by interviews and medical records. We performed a bivariate and multivariate analysis, calculating the crude and adjusted prevalence ratios using Poisson regression with robust variance estimation. The level of significance adopted was 5%. RESULTS Most women had a companion during labor (51.7%), but few remained during delivery (39.4%) or cesarean section (34.8%). Less than half of the women had access to several recommended practices, while non-recommended practices continue to be performed. In the model adjusted for age, education level, source of payment for the delivery, parity, and score of the Brazilian Association of Market Research Institutes, the presence of a companion was statistically associated with a greater supply of liquids and food (aPR = 1.34), dietary prescription (aPR = 1.34), use of non-pharmacological methods for pain relief (aPR = 1.37), amniotomy (aPR = 1.10), epidural or spinal analgesia (aPR = 1.84), adoption of non-lithotomy position in the delivery (aPR = 1.77), stay in the same room during labor, delivery, and postpartum (aPR = 1.62), skin-to-skin contact in the delivery (aPR = 1.81) and cesarean section (PR = 2.43), as well as reduced use of the Kristeller maneuver (aPR = 0.67), trichotomy (aPR = 0.59), and enema (aPR = 0.49). CONCLUSIONS In the South region of Brazil, most women do not have access to the best practices in addition to undergoing several unnecessary interventions. The presence of a companion is associated with several beneficial practices and the reduction in some interventions, although other interventions are not impacted.
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Monguilhott, Juliana Jacques da Costa; Brüggemann, Odaléa Maria; Freitas, Paulo Fontoura; d'Orsi, Eleonora
2018-01-01
ABSTRACT OBJECTIVE To analyze if the presence of a companion favors the use of best practices in the delivery care in the South region of Brazil. METHODS This is a cross-sectional analysis of the longitudinal study Nascer no Brasil. We analyzed data from 2,070 women from the South region of Brazil who went into labor. The data were collected between February and August 2011, by interviews and medical records. We performed a bivariate and multivariate analysis, calculating the crude and adjusted prevalence ratios using Poisson regression with robust variance estimation. The level of significance adopted was 5%. RESULTS Most women had a companion during labor (51.7%), but few remained during delivery (39.4%) or cesarean section (34.8%). Less than half of the women had access to several recommended practices, while non-recommended practices continue to be performed. In the model adjusted for age, education level, source of payment for the delivery, parity, and score of the Brazilian Association of Market Research Institutes, the presence of a companion was statistically associated with a greater supply of liquids and food (aPR = 1.34), dietary prescription (aPR = 1.34), use of non-pharmacological methods for pain relief (aPR = 1.37), amniotomy (aPR = 1.10), epidural or spinal analgesia (aPR = 1.84), adoption of non-lithotomy position in the delivery (aPR = 1.77), stay in the same room during labor, delivery, and postpartum (aPR = 1.62), skin-to-skin contact in the delivery (aPR = 1.81) and cesarean section (PR = 2.43), as well as reduced use of the Kristeller maneuver (aPR = 0.67), trichotomy (aPR = 0.59), and enema (aPR = 0.49). CONCLUSIONS In the South region of Brazil, most women do not have access to the best practices in addition to undergoing several unnecessary interventions. The presence of a companion is associated with several beneficial practices and the reduction in some interventions, although other interventions are not impacted. PMID:29364356
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Cattle grazing and its long-term effects on sedge meadows
Middleton, Beth
2004-01-01
Most people think that wetlands are temporary, that they fill in by natural processes, and eventually become dry land. Some of these outdated ideas have come from the way that this subject has been covered in introductory textbooks in schools (Gibson, 1996). From these texts, we learned incorrectly that over time a lake fills with sediment or organic matter to become a wetland, which dries out to support shrubs and trees, and eventually it is no longer a wetland (Middleton, 1999; Middleton and others, 2004). These old ideas of how vegetation changes (succession) are no longer accepted. Wetland succession should be thought of as a cycle, with natural disturbance driving the changes, depending on the needs of the species. Succession is not something that changes a wetland into something that is not a wetland (Egler, 1978; van der Valk, 1981; Middleton and others, 1991; Klinger, 1996; Middleton, 1999).As an example of how disturbance changes wetlands, I have studied sedge meadows that have become invaded by shrubs after cattle (Bos sp.) have grazed them, in the Lodi Marsh State Natural Area, Wisconsin. Cattle disturbances allowed shrubs to invade sedge meadows, but the cattle also grazed on the shrubs, which kept them small. After the cows were removed, the plant species changed in the sedge meadow from the original sedges (fig. 1), to sedges mixed with growing small shrubs, and eventually to tall shrubs with very small amounts of sedge, called “shrub carr” (Middleton, 2002a). Even though there has been a succession of plant types, the meadows, which began as wetlands, have remained wetlands. The settlers originally found the sedge meadows to be open “sedge” lands and not shrubby. The settlers cut the sedges by hand to feed the cattle. Whitetailed deer (Odocoileus virginianus), though probably not bison (Bison bison), grazed these sedge meadows (Middleton 2002a).Subsequent studies have explored methods to control invasive shrubs to restore the biodiversity of
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Early neonatal Glutaric aciduria type I hidden by perinatal asphyxia: a case report.
Biasucci, Giacomo; Morelli, Nicola; Natacci, Federica; Mastrangelo, Massimo
2018-01-15
Perinatal asphyxia (PA) occurs in about 2 to 10 per 1000 live full-term births. Although neonatal epileptic seizures are observed in up to 60% of cases, PA may mimic or subtend other conditions. Hypoxia related brain injury is particularly relevant, as it may have permanent effects on neuropsychomotor development. Antepartum obstetric conditions, may, in turn, lead to hypoxic-ischemic damage to the fetus and the newborn, often underlying PA. Herein, a case of PA that hid and triggered signs and symptoms of Glutaric Aciduria type I (GA-I), is reported. R.F. was born at term after prolonged labour, by induced vaginal delivery with the Kristeller manoeuvre. He presented with severe asphyxia and asystoly. Immediate cardiopulmonary resuscitation promptly restored cardiorespiratory parameters, allowing for early extubation 30 min after. During the following hours, severe axial muscle hypotonia with an increased tone of the limb extensor muscles became evident. The absence of crying and archaic reflexes persisted and there was an onset of generalized tonic or clonic seizure. First level metabolic and inflammatory markers were within the normal range. An inherited metabolic disease was then suspected, due to the persistent clinical signs of severe neurological damage without any detectable septic parameter. GA-I was assessed and specific treatment started without any clinical improvement, although ensuring adequate growth and metabolic control. Thereafter, the baby developed a severe encephalopathy with drug resistant epileptic seizures. The progression of the neurological damage and a CVC-related sepsis led him to exitus at 2 years. To the best of our knowledge, this is the first case of early post-natal onset of GA-I reported in literature to date, in the absence of expanded newborn screening (NBS) programme. As expanded NBS programmes for inborn errors of metabolism have not yet been internationally adopted, we are of the opinion that such diseases may well be hidden
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Hansen, Lars Jørgen; Drivsholm, Thomas B
2002-01-28
This review should be cited as: Renders CM, Valk GD, Griffin S. Wagner EH, Eijk JThM van, Assendelft WJJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings (Cochrane Review). In: The Cochrane Library, Issue 2, 2001. Oxford: Update Software. A substantive amendment to this systematic review was last made on 29 June 2000. Cochrane reviews are regularly checked and updated if necessary. Diabetes is a common chronic disease that is increasingly managed in primary care. Different systems have been proposed to manage diabetes care. To assess the effects of different interventions, targeted at health professionals or the structure in which they deliver care, on the management of patients with diabetes in primary care, outpatient and community settings. We searched the Cochrane Effective Practice and Organisation of Care Group specialised register, the Cochrane Controlled Trials Register (Issue 4 1999), MEDLINE (1966-1999), EMBASE (1980-1999), Cinahl (1982-1999), and reference lists of articles. Randomised trials (RCTs), controlled clinical trials (CCTs), controlled before and after studies (CBAs) and interrupted time series (ITS) analyses of professional, financial and organisational strategies aimed at improving care for people with Type 1 or Type 2 diabetes. The participants were health care professionals, including physicians, nurses and pharmacists. The outcomes included objectively measured health professional performance or patient outcomes, and self-report measures with known validity and reliability. Two reviewers independently extracted data and assessed study quality. Forty-one studies were included involving more than 200 practices and 48,000 patients. Twenty-seven studies were RCTs, 12 were CBAs, and two were ITS. The studies were heterogeneous in terms of interventions, participants, settings and outcomes. The methodological quality of the studies was often poor. In all studies the intervention
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Exupéry - a mobile fast response system for managing a volcanic crisis
NASA Astrophysics Data System (ADS)
Hort, M. K.
2009-12-01
analyze the incoming data (e.g. earthquake classification, rapid moment tensor inversion, deformation modeling, an automatic alert level system) which are currently under development. Exupery Working Group: Barsch R (2); Bernsdorf S (3); Beyreuther M (2); Cong X (4); Dahm T (1); Eineder M (4); Erbertseder T (4); Gerstenecker C (5); Hammer C (6); Hansteen T (7); Krieger L (1); Läufer G (5); Maerker C (4); Montalvo Garcia A (1); Ohrnberger M (6); Rix M (4); Rödelsperger S (5); Seidenberger K (4); Shirzaei M (8); Stammler K (9); Stittgen H (9); Valks P (4); Walter T (8); Wallenstein N (10); Wassermann J (2); Zakšek K (1) (1)Institute of Geophysics, Hamburg, Germany; (2) Department of Earth and Environmental Sciences, Geophysical Observatory, Munich, Germany; (3)Centauron - geosoftware & consulting, Weimar, Germany; (4)DLR Oberpfaffenhofen, Germany; (5)Institute of Physical Geodesy, Darmstadt, Germany; (6)Institute of Geosciences, Potsdam, Germany; (7) IFM-GEOMAR, Leibniz Institute of Marine Sciences, Germany; (8)Department physics of the earth, GFZ, Potsdam, Germany; (9)BGR, Geocentre Hannover, Germany; (10)CVARG, Universidade Dos Acores; Portugal
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Distinguishing "new" from "old" carbon in post mining soils
NASA Astrophysics Data System (ADS)
Vindušková, Olga; Frouz, Jan
2014-05-01
Introduction Soils developing on heaped overburden after open pit coal mining near Sokolov, Czech Republic, provide an exceptional opportunity to study sites of different ages (0-70 years) developing on similar substrate under relatively well-known conditions. Soil organic carbon (SOC) is an useful indicator of soil quality and represents an important global carbon pool. Post-mining soils would be a perfect model for long-term study of carbon dynamics. Unfortunately, quantifying SOC in Sokolov post-mining soils is quite complicated, since conventional quantification methods cannot distinguish between SOC derived from plant residues and fossil organic carbon derived from coal and kerogen present in the overburden. Moreover, also inorganic carbon may sometimes bias SOC quantification. Up to now, the only way to directly estimate recently derived SOC in these soils is radiocarbon dating (Rumpel et al. 1999; Karu et al. 2009). However, this method is costly and thus cannot be used routinely. The aim of our study is to find an accessible method to quantify recently derived SOC. We would highly appreciate ideas of other soil scientists, organic geochemists and sedimentologists on how to solve this challenge. Methods and hypotheses A set of 14 soil samples were analysed by radiocarbon (14C-AMS) analysis, near-infrared spectroscopy (NIRS), 13C CPMAS NMR spectroscopy, Rock-Eval and XRD. For calibration of NIRS, also 125 artificial mixtures were produced by mixing different amounts of claystone, coal and partially decomposed litter. NIRS (1000-2500 nm) as well as younger mid-infrared spectroscopy has been widely applied to soils (Janik et al. 2007; Vasques et al. 2009; Michel et al. 2009). When combined with multivariate chemometric techniques, it can be used to predict concentration of different compounds. No study has yet focused on NIRS application to soils where fossil carbon is found in two chemically different forms - whereas coal is rather aromatic, kerogen in our
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Fundal pressure during the second stage of labour.
Hofmeyr, G Justus; Vogel, Joshua P; Cuthbert, Anna; Singata, Mandisa
2017-03-07
Fundal pressure during the second stage of labour (also known as the 'Kristeller manoeuvre') involves application of manual pressure to the uppermost part of the uterus directed towards the birth canal, in an attempt to assist spontaneous vaginal birth and avoid prolonged second stage or the need for operative birth. Fundal pressure has also been applied using an inflatable belt. Fundal pressure is widely used, however methods of its use vary widely. Despite strongly held opinions in favour of and against the use of fundal pressure, there is limited evidence regarding its maternal and neonatal benefits and harms. There is a need for objective evaluation of the effectiveness and safety of fundal pressure in the second stage of labour. To determine if fundal pressure is effective in achieving spontaneous vaginal birth, and preventing prolonged second stage or the need for operative birth, and to explore maternal and neonatal adverse effects related to fundal pressure. We searched Cochrane Pregnancy and Childbirth's Trials Register (30 November 2016) and reference lists of retrieved studies. Randomised and quasi-randomised controlled trials of fundal pressure (manual or by inflatable belt) versus no fundal pressure in women in the second stage of labour with singleton cephalic presentation. Two or more review authors independently assessed potential studies for inclusion and quality. We extracted data using a pre-designed form. We entered data into Review Manager 5 software and checked for accuracy. Nine trials are included in this updated review. Five trials (3057 women) compared manual fundal pressure versus no fundal pressure. Four trials (891 women) compared fundal pressure by means of an inflatable belt versus no fundal pressure. It was not possible to blind women and staff to this intervention. We assessed two trials as being at high risk of attrition bias and another at high risk of reporting bias. All other trials were low or unclear for other risk of bias