maternal protection
Recently Published Documents


TOTAL DOCUMENTS

33
(FIVE YEARS 8)

H-INDEX

8
(FIVE YEARS 1)

Author(s):  
Francisco José Cortés Vieco

Teena Maguire and her child, Bethie, are brutally attacked and beaten by a mob of violent young men in a park at night. While the mother is gang raped and nearly killed, the daughter is both the witness and the victim of physical and psychological violence. Through its innovative second-person narration, Joyce Carol Oates’s novella Rape: A Love Story (2004) contributes to her sustained interest in family relationships, violence, crime and justice. However, rather than focusing on the victim of the rape, Oates writes a coming-of-age story that explores the daughter’s trauma, posttraumatic stress disorder and fight for survival, a struggle that coincides with the girl’s critical passage from childhood to adulthood. During the months after the assault, Bethie’s innocence is also repeatedly violated by the aggressors’ intrusion into her life and the hostility of the community in the town of Niagara Falls and its social institutions, such as police, school, media, healthcare and the judicial system. Unable to cling to girlhood or to find maternal protection, her forced witnessing of her mother’s gang rape compels Bethie to mature too early while experiencing her first love for a man.


2021 ◽  
Author(s):  
Caroline G. Atyeo ◽  
Lydia L. Shook ◽  
Sarah Brigida ◽  
Rose M. De Guzman ◽  
Stepan Demidkin ◽  
...  

The availability of three COVID-19 vaccines in the United States provides an unprecedented opportunity to examine how vaccine platforms and timing of vaccination in pregnancy impact maternal and neonatal immunity. Here, we characterized the antibody profile after Ad26.COV2.S, mRNA-1273 or BNT162b2 vaccination in 158 pregnant individuals, and evaluated transplacental antibody transfer by profiling maternal and umbilical cord blood in 175 maternal-neonatal dyads. These analyses revealed lower vaccine-induced functions and Fc-receptor binding after Ad26.COV2.S compared to mRNA vaccination, and subtle advantages in titer and function with mRNA-1273 versus BN162b2. mRNA vaccinees had higher titers and functions against SARS-CoV-2 variants of concern. First and third trimester vaccination resulted in enhanced maternal immune responses relative to second trimester. Higher cord:maternal transfer ratios following first and second trimester vaccination reflect placental compensation for waning maternal titers. These results support vaccination early in pregnancy to maximize maternal protection throughout gestation, without compromising neonatal antibody protection.


2021 ◽  
Author(s):  
Saúl Domínguez-Guerrero ◽  
Fausto Méndez-de la Cruz ◽  
Norma Manríquez-Morán ◽  
Mark Olson ◽  
Patricia Galina-Tessaro ◽  
...  

Abstract Viviparity is an evolutionary innovation that enhances maternal protection of developing embryos relative to egg-laying ancestors. The behavioral, physiological, morphological, and life history pathways underpinning this innovation, however, remain unclear. We capitalized on the repeated origin of viviparity in phrynosomatid lizards to tease apart the phenotypic patterns associated with evolutionary transitions to live birth. We detected tandem reductions in mass-specific metabolic rate and mass-specific production in viviparous lineages, in turn reflecting decreases in thermal physiology and fecundity, respectively. These pathways reduce the energetic burden of viviparity without concomitant reductions in offspring body size. Although viviparous lizards are more prevalent in cold environments, transitions in thermal habitat only weakly predict parity mode evolution. Likewise, only cold tolerance adapts rapidly to thermal environment. Heat tolerance and preferred body temperatures track the thermal environment, but with a lag at million-year timescales. This lag likely reflects behavioral buffering: viviparous lizards thermoregulate to low body temperatures, regardless of ambient conditions. Rather than representing an adaptation to cold climates, the lower thermal and metabolic physiology of viviparous species are likely an energetic adjustment for reproduction that facilitated their prolific colonization of cooler environments.


BMC Medicine ◽  
2020 ◽  
Vol 18 (1) ◽  
Author(s):  
David Hodgson ◽  
Richard Pebody ◽  
Jasmina Panovska-Griffiths ◽  
Marc Baguelin ◽  
Katherine E. Atkins

Abstract Background With a suite of promising new RSV prophylactics on the horizon, including long-acting monoclonal antibodies and new vaccines, it is likely that one or more of these will replace the current monoclonal Palivizumab programme. However, choosing the optimal intervention programme will require balancing the costs of the programmes with the health benefits accrued. Methods To compare the next generation of RSV prophylactics, we integrated a novel transmission model with an economic analysis. We estimated key epidemiological parameters by calibrating the model to 7 years of historical epidemiological data using a Bayesian approach. We determined the cost-effective and affordable maximum purchase price for a comprehensive suite of intervention programmes. Findings Our transmission model suggests that maternal protection of infants is seasonal, with 38–62% of infants born with protection against RSV. Our economic analysis found that to cost-effectively and affordably replace the current monoclonal antibody Palivizumab programme with long-acting monoclonal antibodies, the purchase price per dose would have to be less than around £4350 but dropping to £200 for vaccinated heightened risk infants or £90 for all infants. A seasonal maternal vaccine would have to be priced less than £85 to be cost-effective and affordable. While vaccinating pre-school and school-age children is likely not cost-effective relative to elderly vaccination programmes, vaccinating the elderly is not likely to be affordable. Conversely, vaccinating infants at 2 months seasonally would be cost-effective and affordable if priced less than £80. Conclusions In a setting with seasonal RSV epidemiology, maternal protection conferred to newborns is also seasonal, an assumption not previously incorporated in transmission models of RSV. For a country with seasonal RSV dynamics like England, seasonal programmes rather than year-round intervention programmes are always optimal.


2020 ◽  
Vol 31 (5) ◽  
pp. 1159-1171
Author(s):  
Allison A Galezo ◽  
Vivienne Foroughirad ◽  
Ewa Krzyszczyk ◽  
Céline H Frère ◽  
Janet Mann

Abstract The juvenile period is a challenging life-history stage, especially in species with a high degree of fission–fusion dynamics, such as bottlenose dolphins, where maternal protection is virtually absent. Here, we examined how juvenile male and female bottlenose dolphins navigate this vulnerable period. Specifically, we examined their grouping patterns, activity budget, network dynamics, and social associations in the absence of adults. We found that juveniles live in highly dynamic groups, with group composition changing every 10 min on average. Groups were generally segregated by sex, and segregation was driven by same-sex preference rather than opposite-sex avoidance. Juveniles formed strong associations with select individuals, especially kin and same-sex partners, and both sexes formed cliques with their preferred partners. Sex-specific strategies in the juvenile period reflected adult reproductive strategies, in which the exploration of potential social partners may be more important for males (which form long-term alliances in adulthood) than females (which preferentially associate with kin in adulthood). Females spent more time alone and were more focused on foraging than males, but still formed close same-sex associations, especially with kin. Males cast a wider social net than females, with strong same-sex associations and many male associates. Males engaged in more affiliative behavior than females. These results are consistent with the social bonds and skills hypothesis and suggest that delayed sexual maturity in species with relational social complexity may allow individuals to assess potential associates and explore a complex social landscape without the risks associated with sexual maturity (e.g., adult reproductive competition; inbreeding).


Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1045
Author(s):  
Sierra A. Kleist ◽  
Kathryn A. Knoop

Late-onset sepsis (LOS) and other systemic bloodstream infections are notable causes of neonatal mortality, particularly in prematurely born very low birth weight infants. Breastfeeding in early life has numerous health benefits, impacting the health of the newborn in both the short-term and in the long-term. Though the known benefits of an exclusive mother’s own milk diet in early life have been well recognized and described, it is less understood how breastfed infants enjoy a potential reduction in risk of LOS and other systemic infections. Here we review how gut residing pathogens within the intestinal microbiota of infants can cause a subset of sepsis cases and the components of breastmilk that may prevent the dissemination of pathogens from the intestine.


2019 ◽  
Author(s):  
David Hodgson ◽  
Richard Pebody ◽  
Jasmina Panovska-Griffiths ◽  
Marc Baguelin ◽  
Katherine E. Atkins

ABSTRACTBackgroundWith a suite of promising new RSV prophylactics on the horizon, including long-acting monoclonal antibodies and new vaccines, it is likely that one or more of these will replace the current monoclonal Palivizumab programme. However, choosing the optimal intervention programme will require balancing the costs of the programmes with the health benefits accrued.MethodsTo compare the next generation of RSV prophylactics, we integrated a novel transmission model with an economic analysis. We estimated key epidemiological parameters by calibrating the model to seven years of historical epidemiological data using a Bayesian approach. We determined the cost-effective and affordable maximum purchase price for a comprehensive suite of intervention programmes.FindingsOur transmission model suggests that maternal protection of infants is seasonal, with 2-14% of infants born with protection against RSV. Our economic analysis found that to cost-effectively and affordably replace the current monoclonal antibody Palivizumab programme with long-acting monoclonal antibodies, the purchase price per dose would have to be less than around £4,350 but dropping to £200 for vaccinated heightened risk infants or £90 for all infants. A seasonal maternal vaccine would have to be priced less than £85 to be cost-effective and affordable. While vaccinating pre-school and school-age children is likely not cost-effective relative to elderly vaccination programmes, vaccinating the elderly is not likely to be affordable. Conversely, vaccinating infants at 2 months seasonally would be cost-effective and affordable if priced less than £80.InterpretationsIn a setting with seasonal RSV epidemiology, maternal protection conferred to newborns is also seasonal, an assumption not previously incorporated in transmission models of RSV. For a country with seasonal RSV dynamics like England, seasonal programmes rather than year-round intervention programmes are always optimal.FundingMedical Research Council and National Institute for Health ResearchRESEARCH IN CONTEXTEvidence before this studyA recent systematic review identified RSV prophylactic candidates currently in clinical trials, including a maternal vaccine (RSV F-nanoparticles vaccine), long-acting monoclonal antibodies aimed at neonates (MEDI8897), and an active adenovirus vector-based vaccine aimed at infants and/or the elderly (ChAd155-RSV). Given the significant observed health burden due to RSV in children, these products, which are mainly aimed at children, are likely to be effective at preventing RSV disease. However, uncertainties surrounding i) the dynamics of maternally-derived protection in neonates, ii) the impact of herd immunity, and iii) the purchasing cost of these prophylactics, means it is not clear if these products are cost-effective. Therefore, evaluating the purchasing price required for these prophylactics to remain cost-effective using a dynamic transmission model, in which the herd immunity is included and the dynamics of maternally-derived immunity is determined by calibrating the model to data, is a public health priority.Added-value of this studyOur study finds that in a setting with seasonal RSV epidemiology, maternal protection conferred to newborns is also seasonal. In addition, our study estimates the maximum purchasing price per course for various potential RSV intervention programmes to be cost-effective in England, assuming a cost-effectiveness threshold of £20,000/QALY as recommended by the National Institute of Clinical Excellence (NICE). We find that to cost-effectively and affordably replace the current monoclonal antibody Palivizumab programme with long-acting monoclonal antibodies, the purchase price per dose would have to be less than around £4,350 but dropping to £200 for vaccinated heightened risk infants or £90 for all infants. A seasonal maternal vaccine would have to be priced less than £85 to be cost-effective and affordable. While vaccinating pre-school and school-age children is likely not cost-effective relative to elderly vaccination programmes, and vaccinating the elderly is not likely to be affordable.Implications of all the available evidenceThe seasonal protection conferred to newborns is consistent with empirical immunological data from maternal cord blood and ecological evidence from hospital records. Further, extending a monoclonal antibody programme would be possible if there is a considerable drop in price and maternal vaccination remains the only realistic vaccination strategy in the UK. With further clinical trials planned for RSV F-nanoparticles vaccine to evaluate its efficacy, and with clinical trial completion dates set at the end of 2021 for the other two prophylactic candidates, the results of this study provide a comprehensive overview of the impact of potential RSV intervention programmes both in the present and in the coming years.


2019 ◽  
Author(s):  
Madeline J. Farber ◽  
M. Justin Kim ◽  
Annchen R. Knodt ◽  
Ahmad R. Hariri

ABSTRACTRecently, we reported that variability in early-life caregiving experiences maps onto individual differences in threat-related brain function. Specifically, we found that greater familial affective responsiveness is associated with increased amygdala reactivity to interpersonal threat, particularly in adolescents having experienced relatively low recent stress. Here, we conceptually replicate and extend on our previous work to provide further evidence that subtle variability in specific features of early caregiving shapes structural and functional connectivity between the amygdala and medial prefrontal cortex (mPFC) in a cohort of 312 young adult volunteers. Multiple regression analyses revealed that participants who reported higher maternal but not paternal protection exhibited increased amygdala reactivity to explicit signals of interpersonal threat (i.e., angry facial expressions) but not implicit signals of broad environmental threat (i.e., fearful facial expressions). While amygdala functional connectivity with regulatory regions of the mPFC was not significantly associated with maternal protection, participants who reported higher maternal protection exhibited relatively decreased structural integrity of the uncinate fasciculus (UF), a white matter tract connecting these same brain regions. The observed associations were independent of the potential confounding influences of participant sex, socioeconomic status, and self-reported childhood trauma. There were no significant associations between structural or functional brain measures and either maternal or paternal care ratings. These findings suggest that an over controlling parenting style in mothers during childhood is associated with functional and structural alterations of brain regions involved in generating and regulating responses to threat in young adulthood.


2018 ◽  
pp. 151-178
Author(s):  
Richard R. Strathmann

Modes of development of marine crustaceans and other marine invertebrates include presence or absence of a larval stage, of larval feeding, and of maternal protection of offspring. These different developmental modes impose different compromises (trade-offs) between the number of offspring and their size or the extent of maternal protection. Crustaceans differ from many marine animals in not shedding eggs prior to fertilization, which eliminates the complication of selection on size of eggs as a target for sperm. Features shared with marine invertebrates of several phyla include rare and ancient origins of feeding larvae, irreversible losses of a feeding larval stage, a constraint on brooding imposed by embryos’ need for oxygen, and possible benefits from slower development of protected embryos. Crustaceans differ, however, in having a diverse exoskeletal tool kit that has provided unusual capabilities. Nauplii and zoeae are diverse in form, behavior, and habitat, despite each being nominally one type of larva. Nauplii, as feeding larvae, have adapted to both the benthos and plankton. Settling stages (cyprids and decapodids) with enhanced speed have evolved twice. Some very large adults can supply their large broods with oxygen. Capacity for defense of offspring and home has led a few times to eusociality. The need to molt to grow and change form imposes episodic risk and growth and, in some cases, links evolution of egg size and size at metamorphosis. Crustaceans’ diverse life histories enable comparisons with broad implications for marine invertebrates: opportunity for dispersal is similar for larvae and adults of some crustaceans, demonstrating that marine larvae need not be adaptations for dispersal; development from very small eggs is enabled by less equipment needed for first larval feeding and also by postlarval stages being parasites; eggs shed into the water suffer greater mortality than planktonic larvae or brooded eggs, yet some planktonic crustaceans depend on benthic resting eggs for persistence of populations; larvae escape predation in diverse ways, and bigger larvae are not consistently safer; predation near the seafloor makes settlement a risky stage. Parallels with other taxa are numerous, but the crustacean exoskeletal tool kit has conferred unusual evolutionary opportunities and constraints. Even among marine crustaceans, however, evolutionary options for life histories differ among clades because of rare evolutionary origins of traits of larvae and mothers and biased evolutionary transitions in those traits.


2018 ◽  
Vol 285 (1881) ◽  
pp. 20180541 ◽  
Author(s):  
Jesus E. Madrid ◽  
Tara M. Mandalaywala ◽  
Sean P. Coyne ◽  
Jamie Ahloy-Dallaire ◽  
Joseph P. Garner ◽  
...  

Research has increasingly highlighted the role that developmental plasticity—the ability of a particular genotype to produce variable phenotypes in response to different early environments—plays as an adaptive mechanism. One of the most widely studied genetic contributors to developmental plasticity in humans and rhesus macaques is a serotonin transporter gene-linked polymorphic region (5-HTTLPR), which determines transcriptional efficiency of the serotonin transporter gene in vitro and modifies the availability of synaptic serotonin in these species. A majority of studies to date have shown that carriers of a loss-of-function variant of the 5-HTTLPR, the short (s) allele, develop a stress-reactive phenotype in response to adverse early environments compared with long (l) allele homozygotes, leading to the prevalent conceptualization of the s-allele as a vulnerability allele. However, this framework fails to address the independent evolution of these loss-of-function mutations in both humans and macaques as well as the high population prevalence of s-alleles in both species. Here we show in free-ranging rhesus macaques that s-allele carriers benefit more from supportive early social environments than l-allele homozygotes, such that s-allele carriers which receive higher levels of maternal protection during infancy demonstrate greater social competence later in life. These findings provide, to our knowledge, the first empirical support for the assertion that the s-allele grants high undirected biological sensitivity to context in primates and suggest a mechanism through which the 5-HTTLPR s-allele is maintained in primate populations.


Sign in / Sign up

Export Citation Format

Share Document