bluuebunny/crossref_metadata_2025_split huggingface dataset:
The experiences of maternity in front of hospitalization in high risk pregnances
Authors: Ciciliotti da Silva M , Ferreira B Heintze , Santos D Fraga , Fernandes F , Magalhães Bersot , de Brito Martins G , Pacheco J , Barbosa Moreira , Ribeiro M , Riquieri Lira , da Cordeiro Silva M V , Duarte Lima R C , Carvalho Andrade M A 
Published: October 2020

Abstract

Introduction
The pregnancy-puerperal cycle is defined as a moment that involves physical, psychological and social changes. There are pregnancies that require specialized care and attention due to the presence of risk factors that may be prior to pregnancy and / or that may be associated with the pregnancy condition itself, which characterize them as high-risk pregnancies. Currently, prenatal care with risk stratification is the main care strategy for pregnant women, once the risk classification is identified, it is possible to promote interventions according to the health needs of each pregnant woman. For this, the risk assessment is carried out at each prenatal consultation, so that, depending on the course of pregnancy, hospitalization becomes necessary. The diagnosis of high-risk pregnancies accompanied by hospitalization has impacts on the woman's life, such as loss of autonomy, a sense of failure and the incidence of greater care and interventions by the health team and the family that can configure practices to control their bodies.

Objective
This work aims to identify the hospitalization process during high-risk pregnancy as a space for the production of projects, resistance and protagonism through the protocols and regulations that configure the hospital context.

Methodology
This is an exploratory analysis of a qualitative approach in public health. A reference maternity hospital in high-risk pregnancy located in a teaching hospital in Greater Vitória was chosen. It will be used to define sampling for convenience. The data will be collected through semi-structured interviews and on-site observations by the researcher. The data analysis methodology used will be content analysis.

Expected Results
It is expected to understand the various practices of protagonism and resistance that permeate the care of hospitalized pregnant women.

Key messages
This work has an impact on the improvement of the maternal and child care network of the public health system in Brazil. This work allows to evaluate the quality of the assistance provided in the public maternity.
Neural tube defects: how many cases could have been prevented in Portugal?
Authors: Braz P , Machado A , Kislaya I , Dias C M 
Published: October 2020

Abstract
Neural tube defects (NTD) occurs when the neural tube does not close properly until the 28th day of foetal life. About 70% of NTD can be prevent if women start folic acid (FA) before pregnancy and until the end of 1st trimester. Portugal has this primary prevention since 1998, however the secondary prevention of NTD with TOPFA is still high (80%). The aim of this study is to describe when FA intake was started and estimate the number of cases that would have be prevented if FA intake started before pregnancy as recommended.
A cross-sectional study using data from the National Registry of Congenital Anomalies between 2004-2017 was performed. The temporal evolution of the beginning of FA intake was analysed with Cochran-Armitage test for proportions. The proportion of preventable cases was estimated considering the 70% prevention fraction and the number of NTD cases registered in RENAC that occurred in pregnancies without the recommended FA supplementation.
On average, 13.8% of all women started FA before pregnancy, 46.2% during 1st trimester and 6.1% did not take folic acid. A statistically significant trend (p &lt; 0.001) was observed in the group that started before pregnancy with increase from 6.8% in 2004 to 17.9% in 2017. The prevalence of NTD was 4.2 cases / 10,000 births, ranging from 2 cases / 10,000 births (2007) to 7 cases / 10,000 births (2014). Between women who had a pregnancy with NTD, 16.8% started FA before pregnancy, 42.2% in the 1st trimester and 9.7% did not take the supplement. If all women had started FA before pregnancy, an estimated 202 NTD cases could have been prevented.
In Portugal, the proportion of women who adhere to this measure is very low, similarly to other European countries, compromising the primary prevention of NTD. Perhaps due to the high percentage of TOPFA, the idea that this anomalies continue to affect our children has been lost. Primary prevention of NTDs should be encouraged with measures that promote FA supplementation.

Key messages
Primary prevention of NTD is possible. Proportion of women who adhere to primary prevention is low.
Maternal psychological distress during and after pregnancy and atopic dermatitis in children
Authors: Kawaguchi C , Murakami K , Obara T , Ishikuro M , Ueno F , Noda A , Kuriyama S 
Published: October 2020

Abstract

Background
Previous studies reported the association between maternal psychological distress (PD) during or after pregnancy and atopic dermatitis in children. However, studies examining the association from both pre- and post-natal aspects are limited.

Methods
We analysed data from 6,366 mother-child pairs who participated in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study in Japan. Mothers were categorised into four groups of PD (K6 scores ≥5) during early pregnancy and one year after delivery; no PD in both periods, prenatal PD only, postnatal PD only, and PD in both periods. Mothers reported on their children's atopic dermatitis at age two using the International Study of Asthma and Allergies in Childhood (ISAAC). Multivariate logistic regression analysis was conducted to examine the association between maternal PD and atopic dermatitis in children adjusting for maternal age at delivery, maternal education, maternal smoking during early pregnancy, maternal history of atopic diseases, paternal history of atopic diseases, preterm birth, parity, and child's sex.

Results
The study population included 51.9% without PD in both periods, 14.6% with prenatal PD only, 14.0% with postnatal PD only, and 19.4% with PD in both periods. The prevalence of atopic dermatitis in children at age two was 18.8%. Mothers with postnatal PD only and mothers with PD in both periods had higher risks of children's atopic dermatitis compared with mothers without PD in both periods; the adjusted odds ratios (95% confidence intervals) were 1.37 (1.14-1.65) and 1.38 (1.17-1.63), respectively. The corresponding odds ratio (95% confidence interval) of mothers with prenatal PD only was 1.08 (0.89-1.31).

Conclusions
Postnatal PD was associated with an increased risk of atopic dermatitis in children. This finding suggests the importance for monitoring mental health among postpartum women.

Key messages
Postnatal PD has significant effects on atopic dermatitis in children. This study is a first study to examine the association between maternal PD and children’s atopic dermatitis in Japan. Improvements of postnatal care including social support might be effective in preventing atopic dermatitis in children.
A picture of the adolescents dietary habits in Tunisia
Authors: Sahli J , Limam M , Ghardallou M , Mellouli M , Mtiraoui A , Zedini C , Ajmi T 
Published: October 2020

Abstract

Background
Adolescence is one of the main growth periods of life during which dietary needs are specific and where diet quality is important for healthy development. Nonetheless, unhealthy eating behaviours are common among adolescents including over consumption of unhealthy fast food, sugar and fat and skipping meals. Exposure to unhealthy eating can lead to chronic conditions such as obesity and diabetes. In this context, we conducted this study to describe the quality of the diet of middle school students in the Region of Kairouan in Tunisia.

Methods
This is a cross-sectional study conducted in 2017 among middle school students in the Region of Kairouan. Data collection was carried out using a self-administered questionnaire.

Results
In this study, 494 students were included. In terms of food type, fast food meals (sandwiches) were the most preferred type of food (52.6%). Daily consumption of vegetables and fruit was reported by 48.8% of students. Among the participants, 46.8% reported daily consumption of olive oil. Daily water consumption was less than one liter for 32% of the college students. Daily coffee and/or tea consumption concerned 53.8% of respondents. In the current study, 39.3% of the students reported that they consume more than three meals per day and 26.7% declared that they often skip the breakfast. In our study, 62.8% of the participants had reported their dissatisfaction with their nutrition education, 54.9% sought to know the food composition and 57.9% reported that they have a willingness to adopt a healthy eating.

Conclusions
A quality and diversified diet can cover the specific nutritional needs of adolescents. A diet inspired by the Mediterranean food is to be encouraged. Further studies should be conducted among adolescents to evaluate the impact of a healthy and balanced diet on health and school achievement.

Key messages
The quality of diet of Tunisian adolescents is to be improved. Effective comprehensive programs for healthy lifestyle promotion are needed to improve the eating behaviour among Tunisian adolescents.
Differences for managing mother’s own milk for very preterm infants across 11 European countries
Authors: Rodrigues C , Zeitlin J , Wilson E , Toome L , Cuttini M , Maier R F , Pierrat V , Barros H 
Published: October 2020

Abstract

Background
There is an ongoing debate about the best practices to handle mother's own milk (MOM) for infants born very preterm (VPT, ≤32 weeks of gestation), specifically to prevent the human cytomegalovirus (HCMV) transmission and bacterial contamination of expressed MOM. Thus, we aimed to compare practices for managing MOM for VPT infants in European neonatal intensive care units (NICUs).

Methods
Data were collected as part of the EPICE (Effective Perinatal Intensive Care in Europe) study which explored the use of evidence-based practices for the care of VPT infants in 11 European countries. Structured questionnaires were sent to the head of all participating NICUs with at least 10 VPT admissions. Of the eligible 135 NICUs, 134 replied.

Results
A written protocol for breastfeeding/human milk use was available in 91% of the NICUs. Overall, 34% used human bank milk for all VPT infants whose mothers did not express and 56% reported using fresh MOM without restrictions regarding minimum gestational age, birth weight or risk of HCMV transmission (country range: 0-100%). In 22% of units all VPT infants received MOM pasteurized (country range: 0-73%). HCMV serology on all mothers who express their milk was not required in 71% of units (country range: 7-100%). Among NICUs that performed HCMV serology, 3% provided untreated fresh MOM and 23.5% formula in the case of positive mothers. Systematic bacteriological analyses of MOM were not performed in 76% NICUs (country range: 29-100%) while less than 10% did it for the first milk feeding, 7% every week and 8% with another frequency.

Conclusions
There are large variations in managing MOM across countries, which could reflect differences in regulations or guidelines, and among the same country NICUs, revealing that different options can operate locally. This variability suggests substantial differences in attitudes about what constitutes best practices among European neonatologists.

Key messages
We found significant differences across and within European countries for managing MOM for VPT infants suggesting lack of strong recommendations at the international and national level. There is wide variation in what European neonatologists consider best practices. To guide practice and not jeopardise VPT infants from MOM we need strong evidence-based data.
Positive deviance in child malnutrition of urban poor of Mumbai, India: A longitudinal analysis
Authors: Yaddanapudi L , Dalal R , Agnihotri S B 
Published: October 2020

Abstract

Background
Maharashtra has the largest share of urban population in India (13.5%) and is home to the largest slums. Malnutrition rates in these settlements are very high due to insufficient feeding, poverty, poor water quality and sanitation. The Foundation for Mother and Child Health (FMCH) has been working on reducing malnutrition in the urban slums of Mumbai for about 14 years now. Longitudinal data (2014-2019) collected by them was used in this analysis.

Objectives
To analyze the nutritional status of children before and after the intervention of FMCH and identify underlying factors associated with positive deviance in them.

Methods
NFHS-4 urban data of the lowest wealth quintile was used to analyze nutritional status of urban poor in India. Primary data of 4634 children (age 0-5) from the slums of Mumbai was analyzed for nutritional status during baseline and end line using ENA software. Descriptive statistical methods and binary logistic regression model were applied on selected 1583 cases using SPSS.

Results
Malnutrition rates in these children were lesser than national averages until 2 years of age. From baseline to end line, 48% reduction was observed in wasting within the first 6 months of age. Binary logistic regression reveals that age at registration (Odds ratio, OR = 0.94, p-value=0.04) and area of residence (p-value=0.00) are two most significant factors contributing to positive deviance in the child's nutritional status. Another univariate logistic regression on categorized breastfeeding score reveals that a higher score results in higher odds (OR = 1.561, p-value=0.01) of positive deviance in nutritional status of the child.

Conclusions
Since the strategy in each area is different, the most successful strategy is thus identified. The importance of early identification and intervention for effective tackling of malnutrition is highlighted through this analysis. Also, the role of effective breastfeeding techniques has emerged to be extremely significant.

Key messages
Impacting over 4000 children, the right nutrition in the first 1000 days and regular monitoring resulted in almost 50% reduction in wasting. Effective breastfeeding techniques were found to be extremely significant in the improvement of child's nutritional status.
Equitable perinatal healthcare for migrants, Portugal: Comparative analysis of a self-assessment tool
Authors: Doetsch J , Almendra R , Carrapatoso M , Teixeira C , Barros H 
Published: October 2020

Abstract
Migration is seen as a common risk factor in obstetric management. Migrants often have a higher risk of experience worse pregnancy outcomes, higher rates of operative delivery, and a higher likelihood to receive less adequate postpartum care when compared to native women. This study evaluates self-perceived assessment of migrant women and hospital directors on equitable migrant friendly perinatal healthcare quality and access during intrapartum and postpartum period at public maternity units across Portuguese mainland between 2017-2019.
This cross-sectional study analyses perinatal health data from migrant women over 18 years giving birth in public maternity units from between April 2017 and March 2019 as part of the baMBINO project. Data on the assessments of maternity units' directors on equitable migrant friendly healthcare was collected in a self-assessment tool. Two standards on healthcare access and on healthcare quality were developed by: 1) scoring 25 and 30 questions, respectively, from 0 (worst) to 5 (best); 2) calculating the average of each score. The One-Sample Wilcoxon Test (non-parametric) was applied to compare the assessment of hospital directors with the migrant mothers and the Kruskal-Wallis one-way analysis of variance to test for regional differences.
Significant differences between migrant woman and healthcare directors' assessments on migrant friendly healthcare access and quality of care were found. Directors rated healthcare access with a median score of 2.4, twice as good as migrant women (1.3). Migrant women rated healthcare quality with a median score of 4.0 (directors: 3.2). Significant differences between the regions for quality of care and healthcare access were found. Statistically significant difference between migrants from Portuguese and non-Portuguese speaking countries was identified for healthcare access (p-value &lt; 0.001) and healthcare quality (p-value &lt; 0.05).

Key messages
The need to guarantee equitable healthcare access and quality contemplates as a first step to overcome health inequalities for migrant women in Portugal. The comparison between patients and healthcare providers’ assessments assists in the understanding of existent barriers in access to health care and improves quality assurance.
Geometric decomposition, potential-based representation and integrability of non-linear systems
Authors: Guay M , Hudon N , Höffner K 
Published: October 2020

Abstract
This paper considers the problem of representing a sufficiently smooth non-linear dynamical [system] as a structured potential-driven system. The proposed method is based on a decomposition of a differential one-form associated to a given vector field into its exact and anti-exact components, and into its co -exact and anti-coexact components. The decomposition method, based on the Hodge decomposition theorem, is rendered constructive by introducing a dual operator to the standard homotopy operator. The dual operator inverts locally the co-differential operator, and is used in the present paper to identify the symplectic structure of the dynamics. Applications of the proposed approach to gradient systems, Hamiltonian systems and generalized Hamiltonian systems are given to illustrate the proposed approach. Finally, integrability conditions for generalized Hamiltonian systems are established using the proposed decomposition.
Use of machine learning in geriatric clinical care for chronic diseases: a systematic literature review
Authors: Choudhury Avishek , Renjilian Emily , Asan Onur 
Published: October 2020

AbstractObjectivesGeriatric clinical care is a multidisciplinary assessment designed to evaluate older patients’ (age 65 years and above) functional ability, physical health, and cognitive well-being. The majority of these patients suffer from multiple chronic conditions and require special attention. Recently, hospitals utilize various artificial intelligence (AI) systems to improve care for elderly patients. The purpose of this systematic literature review is to understand the current use of AI systems, particularly machine learning (ML), in geriatric clinical care for chronic diseases.Materials and MethodsWe restricted our search to eight databases, namely PubMed, WorldCat, MEDLINE, ProQuest, ScienceDirect, SpringerLink, Wiley, and ERIC, to analyze research articles published in English between January 2010 and June 2019. We focused on studies that used ML algorithms in the care of geriatrics patients with chronic conditions.ResultsWe identified 35 eligible studies and classified in three groups: psychological disorder (n = 22), eye diseases (n = 6), and others (n = 7). This review identified the lack of standardized ML evaluation metrics and the need for data governance specific to health care applications.ConclusionMore studies and ML standardization tailored to health care applications are required to confirm whether ML could aid in improving geriatric clinical care.
Associations between piglet umbilical blood hematological criteria, birth order, birth interval, colostrum intake, and piglet survival
Authors: Gourley Kiah M , DeRouchey Joel M , Tokach Mike D , Dritz Steve S , Goodband Robert D , Woodworth Jason C 
Published: October 2020

Abstract
A total of 656 pigs (623 live-born and 33 stillborn) from 43 sows were used to evaluate hematological criteria at birth and their association with piglet survival. At birth of each piglet, birth time and order within the litter, weight, umbilical cord status (intact or ruptured) and whether the pig was live-born or stillborn were recorded. A 200µL sample of blood from the umbilical cord was collected and immediately analyzed for concentrations of glucose, oxygen partial pressure (pO2), carbon dioxide partial pressure (pCO2), pH, base excess (BE), bicarbonate (HCO3), saturated oxygen (sO2), total carbon dioxide (TCO2), sodium, potassium, ionized calcium (iCa), hematocrit (Hct), and hemoglobin (Hb) on a hand held iStat portable clinical analyzer (iStat Alinity, Abbott Point of Care Inc., Princeton, NJ). Piglets were categorized into quartiles based on birth order and cumulative birth interval (CumBI). Live-born pigs had higher (P &lt; 0.01) umbilical cord blood pH, HCO3, BE, sO2, TCO2, and birth weight compared with stillborn pigs, but lower (P &lt; 0.01) pCO2, K, iCa, and glucose compared with stillborn pigs. Pigs with intact umbilical cords at birth were associated with higher (P &lt; 0.01) blood pH, HCO3, BE, and TCO2 compared with piglets born with a ruptured umbilical cord. Pigs with intact umbilical cords were associated with lower (P &lt; 0.01) Hct and Hb concentrations and born earlier (P &lt; 0.01) in the birth order compared with pigs born with a ruptured umbilical cord. Pigs that did not survive to weaning had lower (P &lt; 0.01) umbilical cord blood pH, HCO3, BE, sO2, TCO2, Na, glucose, and birth weight, and 24 hr weight compared with pigs alive at weaning. Pigs born in the first quartile for CumBI had higher (P &lt;0.05) pH compared with pigs in the other three quartiles. Umbilical cord blood HCO3, BE, and TCO2 decreased (P &lt;0.05) with each change in CumBI quartile from first to last. Blood glucose was lowest (P &lt;0.05) in pigs born before 44 min and highest in pigs born after 164 min. Umbilical cord blood pH, HCO3, BE, TCO2, Na, glucose, Hct, and Hb were positively associated (P &lt;0.001) with colostrum intake, indicating increased blood values resulted in higher colostrum intake. Although a pig may be live-born, their survival to 24 hr and to weaning is reduced when blood pH, HCO3, BE, and sO2 are lower reiterating the importance of management practices that can reduce the birth interval between pigs and the number of pigs experiencing moderate to severe hypoxia.
Trapping Failure Leads to Discovery of Potent Semiochemical Repellent for the Walnut Twig Beetle
Authors: Audley Jackson P , Dallara Paul L , Nelson Lori J , Hamud Shakeeb M , Bostock Richard M , Seybold Steven J 
Published: October 2020

Abstract
The walnut twig beetle, Pityophthorus juglandis Blackman, and its associated fungal pathogen that causes thousand cankers disease, currently threaten the viability of walnut trees across much of North America. During a 2011 assessment of seasonal flight patterns of P. juglandis with yellow sticky traps baited with the male-produced aggregation pheromone component, 3-methyl-2-buten-1-ol, dramatically reduced catches were recorded when Tree Tanglefoot adhesive was used to coat the traps. In summer 2011, two trap adhesives were tested for potential repellency against P. juglandis in a field trapping bioassay. SuperQ extracts of volatiles from the most repellent adhesive were analyzed by gas chromatography–mass spectrometry, and limonene and α-pinene were identified as predominant components. In field-based, trapping experiments both enantiomers of limonene at a release rate of ~700 mg/d conferred 91–99% reduction in trap catches of P. juglandis to pheromone-baited traps. (+)- and (‒)-α-Pinene reduced trap catch by 40 and 53%, respectively, at the highest release rate tested. While a combination of R-(+)-limonene and (+)-α-pinene resulted in a 97% reduction in the number of P. juglandis caught, the combination did not consistently result in greater flight trap catch reduction than individual limonene enantiomers. The repellent effect of limonene may be valuable in the development of a semiochemical-based tool for management of P. juglandis and thousand cankers disease.