scholarly journals Age at introduction of solid foods and feeding difficulties in childhood: findings from the Southampton Women’s Survey

2016 ◽  
Vol 116 (4) ◽  
pp. 743-750 ◽  
Author(s):  
J. L. Hollis ◽  
S. R. Crozier ◽  
H. M. Inskip ◽  
C. Cooper ◽  
K. M. Godfrey ◽  
...  
Keyword(s):  
General Question ◽  
Child Feeding ◽  
Maternal Characteristics ◽  
Feeding Difficulties ◽  
Solid Foods ◽  
Potential Child ◽  
Pregnancy And Postpartum ◽  
Feeding Difficulty ◽  
Using Data ◽  
The Right

AbstractThis study aimed to determine whether age at introduction of solid foods was associated with feeding difficulties at 3 years of age. The present study was carried out using data from the Southampton Women’s Survey (SWS). Women enrolled in the SWS who subsequently became pregnant were followed-up during pregnancy and postpartum, and the offspring have been studied through childhood. Maternal socio-demographic and anthropometric data and child anthropometric and feeding data were collected through interviews and self-administered questionnaires. When the children were 3 years of age, mothers/carers rated six potential child feeding difficulty questions on a four-point Likert scale, including one general question and five specific feeding difficulty questions. Age at introduction of solids as a predictor of feeding difficulties was examined in 2389 mother–child pairs, adjusting for child (age last breast fed, sex, gestation) and maternal characteristics (parity, pre-pregnancy BMI, age, education, employment, parenting difficulties, diet quality). The majority of mothers/carers (61 %) reported some feeding difficulties (general feeding difficulty question) at 3 years of age, specifically with their child eating enough food (61 %), eating the right food (66 %) and being choosy with food (74 %). Children who were introduced to solids ≥6 months had a lower risk of feeding difficulties (RR 0·73; 95 % CI 0·59, 0·91, P=0·004) than children who were introduced to solids between 4 and 6 months. No other significant associations were found. There were few associations between feeding difficulties in relation to age at introduction of solid foods. However, general feeding difficulties were less common among infants introduced to solid foods ≥6 months of age.

The Multiple-Vortex Structure of the El Reno, Oklahoma, Tornado on 31 May 2013

2018 ◽  
Vol 146 (8) ◽  
pp. 2483-2502 ◽  
Author(s):  
Howard B. Bluestein ◽  
Kyle J. Thiem ◽  
Jeffrey C. Snyder ◽  
Jana B. Houser
Keyword(s):  
Doppler Radar ◽  
Radar Data ◽  
Rapid Scan ◽  
X Band ◽  
Close Range ◽  
Formation And Evolution ◽  
Using Data ◽  
Secondary Vortices ◽  
The Right ◽  
Gust Front

Abstract This study documents the formation and evolution of secondary vortices associated within a large, violent tornado in Oklahoma based on data from a close-range, mobile, polarimetric, rapid-scan, X-band Doppler radar. Secondary vortices were tracked relative to the parent circulation using data collected every 2 s. It was found that most long-lived vortices (those that could be tracked for ≥15 s) formed within the radius of maximum wind (RMW), mainly in the left-rear quadrant (with respect to parent tornado motion), passing around the center of the parent tornado and dissipating closer to the center in the right-forward and left-forward quadrants. Some secondary vortices persisted for at least 1 min. When a Burgers–Rott vortex is fit to the Doppler radar data, and the vortex is assumed to be axisymmetric, the secondary vortices propagated slowly against the mean azimuthal flow; if the vortex is not assumed to be axisymmetric as a result of a strong rear-flank gust front on one side of it, then the secondary vortices moved along approximately with the wind.

Location, Location, Location: Accelerometer Placement Affects Steps-Based Physical Activity Outcomes During Pregnancy and Postpartum

2021 ◽  
pp. 155982762110304
Author(s):  
Mallory R. Marshall ◽  
Alexander H. K. Montoye ◽  
Michelle R. Conway ◽  
Rebecca A. Schlaff ◽  
Karin A. Pfeiffer ◽  
...  
Keyword(s):  
Physical Activity ◽  
Repeated Measures ◽  
Time Points ◽  
Repeated Measures Analysis ◽  
Pregnancy And Postpartum ◽  
Vigorous Intensity ◽  
The Right ◽  
Physical Changes ◽  
Intensity Classification ◽  
Measurement Validity

As pregnancy progresses, physical changes may affect physical activity (PA) measurement validity. n = 11 pregnant women (30.1 ± 3.8 years) wore ActiGraph GT3X+ accelerometers on the right hip, right ankle, and non-dominant wrist for 3–7 days during the second and third trimesters (21 and 32 weeks, respectively) and 12 weeks postpartum. Data were downloaded into 60-second epochs from which stepping cadence was calculated; repeated-measures analysis of variance was used to determine significant differences among placements. At all time points, the wrist accelerometer measured significantly more daily steps (9930–10 452 steps/d) and faster average stepping cadence (14.5–14.6 steps/min) than either the hip (4972–5944 steps/d, 7.1–8.6 steps/min) or ankle (7161–8205 steps/d, 10.3–11.9 steps/min) placement, while moderate- to vigorous-intensity activity at the wrist (1.2–1.7 min/d) was significantly less than either hip (3.0–5.9 min/d) or ankle (6.1–7.3 min/d). Steps, cadence, and counts were significantly lower for the hip than the ankle at all time points. Kappa calculated for agreement in intensity classification between the various pairwise comparisons ranged from .06 to .41, with Kappa for hip–ankle agreement (.34–.41) significantly higher than for wrist–ankle (.09–.11) or wrist–hip (.06–.16). These data indicate that wrist accelerometer placement during pregnancy likely results in over counting of PA parameters and should be used with caution.

Industry-Sponsored Medical Education — In the Quest for Professional Integrity and Legal Certainty

2007 ◽  
Vol 14 (4) ◽  
pp. 313-319
Author(s):  
Benedikt Buchner
Keyword(s):  
Medical Education ◽  
Self Regulation ◽  
State Regulation ◽  
General Question ◽  
Legal Certainty ◽  
European Directive ◽  
Starting Point ◽  
Good Starting Point ◽  
Advertising Law ◽  
The Right

AbstractIndustry-sponsored medical education is a much disputed issue. So far, there has been no regulatory framework which provides clear and definite rules as to whether and under what circumstances the sponsorship of medical education is acceptable. State regulation does not exist, or confines itself to a very general principle. Professional regulation, even though applied frequently, is rather vague and indefinite, raising the general question as to whether self-regulation is the right approach at all. Certainly, self-regulation by industry cannot and should not replace other regulatory approaches. Ultimately, advertising law in general and the European Directive 2001/83/EC specifically, might be a good starting point in providing legal certainty and ensuring the independence of medical education. Swiss advertising law illustrates how the principles of the European Directive could be implemented clearly and unambiguously.

scholarly journals Feeding difficulties in disabled children leads to malnutrition: experience in an Indian slum

2003 ◽  
Vol 90 (6) ◽  
pp. 1097-1106 ◽  
Author(s):  
Aisha K. Yousafzai ◽  
Suzanne Filteau ◽  
Sheila Wirz
Keyword(s):  
Nutritional Status ◽  
Children With Disabilities ◽  
Cross Sectional Study ◽  
Nutritional Deficiencies ◽  
Disabled Children ◽  
Cross Sectional ◽  
Feeding Difficulties ◽  
The Disabled ◽  
Feeding Difficulty ◽  
Weight For Age

The aim of the present study was to explore the nature, extent and probable causes of nutritional deficiencies among children with disabilities living in Dharavi, a slum in Mumbai, India. A cross-sectional study was conducted to investigate whether the nutritional status of children with disabilities, aged 2–6 years (n141), was worse than that of non-disabled sibling controls (n122) and neighbour controls (n162). Data on food patterns, anthropometry, micronutrient status and feeding difficulties reported by parents were collected. The mean weight for age of the children with disabilities (−2·44 (sd 1·39)Zscores;n120) was significantly lower (P<0·05) compared with the sibling (−1·70 (sd 1·20)Zscores;n109) and neighbour (−1·83 (sd 1·290)Zscores;n162) control groups. The children with disabilities had significantly lower (P<0·05) mean haemoglobin levels (92 (sd 23) g/l;n134) compared with siblings (102 (sd 18) g/l;n103) and neighbours (99 (sd 18) g/l;n153). Relative risk (RR) analysis indicated that the disabled children with feeding difficulties were significantly more likely (P<0·05) to be malnourished, by the indicator of weight for age (RR 1·1; 95 % CI 1·08, 1·20) compared with the disabled children without a feeding difficulty. They were also significantly more likely to be malnourished using the indicators of height for age (RR 1·3; 95 % CI 1·19, 1·43) and weight for height (RR 2·4; 95 % CI 1·78, 3·23) compared with the disabled children without a feeding difficulty. Feeding difficulties were identified as a risk factor for vulnerability to inadequate nutritional status among children with disabilities.

scholarly journals May-Thurner Syndrome Is Aggravated by Pregnancy

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 222
Author(s):  
Kuntharee Traisrisilp ◽  
Manatsawee Manopunya ◽  
Tanop Srisuwan ◽  
Wisit Chankhunaphas ◽  
Theera Tongsong
Keyword(s):  
Conservative Treatment ◽  
Renal Agenesis ◽  
Iliac Vein ◽  
Vein Thrombosis ◽  
Left Lower Extremity ◽  
Asymptomatic Patients ◽  
Pregnancy And Postpartum ◽  
Anticoagulant Prophylaxis ◽  
The Right ◽  
Deep Vein

This study aims to emphasize that asymptomatic patients with undiagnosed and asymptomatic May-Thurner syndrome (MTS) may firstly develop severe compression during pregnancy. A 40-year-old woman, G1P0, at 22 weeks of twin gestation presented with left lower extremity edema and pain. One twin was structurally normal while the other had bilateral renal agenesis with oligohydramnios. Magnetic resonance venography (MRV) revealed severe compression of the left iliac vein by the right iliac artery without evidence of deep vein thrombosis (DVT). Conservative treatment with anticoagulant prophylaxis was instituted throughout the rest of pregnancy and postpartum period. She was also complicated with severe pre-eclampsia, a cesarean section was performed due to a prolapsed cord at 27 weeks of gestation, and she gave birth to a surviving baby weighing 1100 g. In conclusion, this case report provides evidence that pregnancy can disclose a subtle May-Thurner anatomy to be symptomatic without DVT. Successful pregnancy outcomes could be achieved with conservative treatment and anticoagulant prophylaxis.

scholarly journals Botulinum toxin injection changes resting state cerebellar connectivity in cervical dystonia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Pavel Hok ◽  
Lenka Hvizdošová ◽  
Pavel Otruba ◽  
Michaela Kaiserová ◽  
Markéta Trnečková ◽  
...  
Keyword(s):  
Functional Mri ◽  
Resting State ◽  
Cervical Dystonia ◽  
Botulinum Neurotoxin ◽  
Botulinum Toxin Injection ◽  
Clinical Severity ◽  
Before And After ◽  
Positive Correlations ◽  
Using Data ◽  
The Right

AbstractIn cervical dystonia, functional MRI (fMRI) evidence indicates changes in several resting state networks, which revert in part following the botulinum neurotoxin A (BoNT) therapy. Recently, the involvement of the cerebellum in dystonia has gained attention. The aim of our study was to compare connectivity between cerebellar subdivisions and the rest of the brain before and after BoNT treatment. Seventeen patients with cervical dystonia indicated for treatment with BoNT were enrolled (14 female, aged 50.2 ± 8.5 years, range 38–63 years). Clinical and fMRI examinations were carried out before and 4 weeks after BoNT injection. Clinical severity was evaluated using TWSTRS. Functional MRI data were acquired on a 1.5 T scanner during 8 min rest. Seed-based functional connectivity analysis was performed using data extracted from atlas-defined cerebellar areas in both datasets. Clinical scores demonstrated satisfactory BoNT effect. After treatment, connectivity decreased between the vermis lobule VIIIa and the left dorsal mesial frontal cortex. Positive correlations between the connectivity differences and the clinical improvement were detected for the right lobule VI, right crus II, vermis VIIIb and the right lobule IX. Our data provide evidence for modulation of cerebello-cortical connectivity resulting from successful treatment by botulinum neurotoxin.

scholarly journals The Implementation of Infant and Young Children Feeding Counseling

2021 ◽  
Vol 9 (E) ◽  
pp. 224-228
Author(s):  
Elvyrah Faisal ◽  
Fahmi Hafid ◽  
Dwi Erma Kusumawati ◽  
Nasrul Nasrul ◽  
Jurana Jurana
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Child Survival ◽  
Child Feeding ◽  
Face To Face ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Healthy Growth ◽  
The Right ◽  
Central Sulawesi

BACKGROUND: Counseling is an important part of successful infant and young child feeding (IYCF). Optimal IYCF is a key area for improving child survival and promoting healthy growth and development. AIM: The purpose of this study is to determine the characteristics and to provide an overview of the input, process, and output components of IYCF counseling in the Central Sulawesi stunting area. MATERIALS AND METHODS: This type of research is a semi-quantitative study which describes the knowledge and abilities of counselors. The population in this study were nutrition officers, midwives, and cadres who had received IYCF training and had followed the orientation of the IYCF module for at least 30 h in stunting focus locations. The sample in the study was counselors who received training in three subdistricts of Central of Sulawesi. RESULTS: The informants were 14 IYCF counselors. All respondents were female, aged 22–48 years. The method of counseling is by the counselor visiting pregnant women/mothers of toddlers/caregivers directly and face to face. In general, inadequate counseling room facilities are the barrier faced by counselors. Training was only limited to orientation and there was no post-training monitoring. The activities carried out by the counselor are in the range of 70–86%. Benefit of giving counseling for IYCF is that mothers will know nutritional status of their children. IYCF increases knowledge about breastfeeding better than milk formulas, the right type and age of feeding. The training has referred to the module referring to the WHO/UNICEF module which is presented in 37 h of field lessons. CONCLUSIONS: Counseling is an important part of successful IYCF. The method of counseling is by the counselor visiting pregnant women/mothers of toddlers/caregivers directly and face to face. Benefit of giving counseling for IYCF is that mothers will know nutritional status of their children.

scholarly journals Are Artificial Intelligence (AI) And Machine Learning (ML) Having An Effective Role In Helping Humanity Address The New Coronavirus Pandemic?

2020 ◽  
Vol 17 ◽  
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Disease Outbreaks ◽  
Hospital Capacity ◽  
Data Engineering ◽  
Clinical Presentations ◽  
The Face ◽  
Effective Role ◽  
Using Data ◽  
The Right

COVID-19 has become a pandemic affecting the most of countries in the world. One of the most difficult decisions doctors face during the Covid-19 epidemic is determining which patients will stay in hospital, and which are safe to recover at home. In the face of overcrowded hospital capacity and an entirely new disease with little data-based evidence for diagnosis and treatment, the old rules for determining which patients should be admitted have proven ineffective. But machine learning can help make the right decision early, save lives and lower healthcare costs. So, there is therefore an urgent and imperative need to collect data describing clinical presentations, risks, epidemiology and outcomes. On the other side, artificial intelligence(AI) and machine learning(ML) are considered a strong firewall against outbreaks of diseases and epidemics due to its ability to quickly detect, examine and diagnose these diseases and epidemics.AI is being used as a tool to support the fight against the epidemic that swept the entire world since the beginning of 2020.. This paper presents the potential for using data engineering, ML and AI to confront the Coronavirus, predict the evolution of disease outbreaks, and conduct research in order to develop a vaccine or effective treatment that protects humanity from these deadly diseases.

scholarly journals A simulation-based approach to improve decoded neurofeedback performance

2018 ◽  
Author(s):  
Ethan Oblak ◽  
James Sulzer ◽  
Jarrod Lewis-Peacock
Keyword(s):  
Real Time ◽  
Brain Activity ◽  
Processing Parameters ◽  
Orientation Tuning ◽  
Design Parameters ◽  
Visual Orientation ◽  
Brain Functions ◽  
Simulation Based ◽  
Using Data ◽  
The Right

AbstractThe neural correlates of specific brain functions such as visual orientation tuning and individual finger movements can be revealed using multivoxel pattern analysis (MVPA) of fMRI data. Neurofeedback based on these distributed patterns of brain activity presents a unique ability for precise neuromodulation. Recent applications of this technique, known as decoded neurofeedback, have manipulated fear conditioning, visual perception, confidence judgements and facial preference. However, there has yet to be an empirical justification of the timing and data processing parameters of these experiments. Suboptimal parameter settings could impact the efficacy of neurofeedback learning and contribute to the ‘non-responder’ effect. The goal of this study was to investigate how design parameters of decoded neurofeedback experiments affect decoding accuracy and neurofeedback performance. Subjects participated in three fMRI sessions: two ‘finger localizer’ sessions to identify the fMRI patterns associated with each of the four fingers of the right hand, and one ‘finger finding’ neurofeedback session to assess neurofeedback performance. Using only the localizer data, we show that real-time decoding can be degraded by poor experiment timing or ROI selection. To set key parameters for the neurofeedback session, we used offline simulations of decoded neurofeedback using data from the localizer sessions to predict neurofeedback performance. We show that these predictions align with real neurofeedback performance at the group level and can also explain individual differences in neurofeedback success. Overall, this work demonstrates the usefulness of offline simulation to improve the success of real-time decoded neurofeedback experiments.

scholarly journals Certain disputed issues related to the preemption right

2004 ◽  
Vol 76 (9) ◽  
pp. 159-169
Author(s):  
Radenka Cvetić
Keyword(s):  
General Question ◽  
The Republic ◽  
The Right

At one time there was a law in the Republic of Serbia ordering the court to check ex officio at the time of certification of the contract of sale of immovableness, whether the statutory preemption right has been respected. There is no such law since 1998, but the current Law on sale of immovable leaves a possibility of interpretation in favor of existence of a public protection of the preemption right. For this reason, the author, in the first section of her work, poses a general question: should there be a protection of the preemption right ex officio, or should such protection be available only at the request of the authorized person. In the second section of her work, the author draws attention to the necessity of existence of adequate rules that would prevent evasion of the preemption right, as well as the need to regulate precisely the legal effects of a request seeking protection of this right in case of breach of the right of priority.

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