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https://www.readbyqxmd.com/read/28918550/advance-care-planning-challenges-at-the-emergency-department-of-a-cancer-care-center
#1
Maria T Cruz-Carreras, Patrick Chaftari, Jayne Viets-Upchurch
INTRODUCTION: Code status discussions form an important part of advance care planning (ACP) as it enables physicians to respect the patient's wishes for end-of-life care. However, in some cases, code status discussions can be challenging causing the physician to go against the patient's wishes and the code of medical ethics. This is especially true in an emergency setting. In this paper, we will discuss three cases of advanced cancer patients, where code status discussions posed challenges to healthcare providers...
September 16, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28916245/tetanus-diphtheria-and-acellular-pertussis-vaccination-during-pregnancy-and-reduced-risk-of-infant-acute-respiratory-infections
#2
Zeina G Khodr, Anna T Bukowinski, Gia R Gumbs, Ava Marie S Conlin
BACKGROUND: To protect infants from pertussis infection, the Advisory Committee on Immunization Practices (ACIP) recommends women receive the tetanus toxoid, reduced diphtheria toxoid, acellular pertussis (Tdap) vaccine between 27 and 36weeks of pregnancy. Here, we assessed the association between timing of maternal Tdap vaccination during pregnancy and acute respiratory infection (ARI) in infants <2months of age. METHODS: This retrospective cohort study included 99,434 infants born to active duty military women in the Department of Defense Birth and Infant Health Registry from 2006 through 2013...
September 12, 2017: Vaccine
https://www.readbyqxmd.com/read/28916221/reduced-risk-of-peanut-sensitization-following-exposure-through-breast-feeding-and-early-peanut-introduction
#3
Tracy J Pitt, Allan B Becker, Moira Chan-Yeung, Edmond S Chan, Wade T A Watson, Rishma Chooniedass, Meghan B Azad
BACKGROUND: Recent trials have shown that avoiding peanuts during infancy increases the risk of peanut allergy; however, these studies did not address maternal peanut consumption. OBJECTIVE: We sought to investigate the relationship between maternal peanut consumption while breast-feeding, timing of direct peanut introduction, and peanut sensitization at age 7 years. METHODS: Secondary analysis of a nested cohort within the 1995 Canadian Asthma Primary Prevention Study intervention study was performed...
August 22, 2017: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/28915987/interpreting-narratives-within-a-cross-national-interdisciplinary-study-a-case-study-of-a-collaborative-process
#4
Deborah L Tolman, Chunyan Yu, Kristin Mmari
PURPOSE: This article presents a case study of a collaborative process for the analysis of a young girl's narrative on becoming an adolescent in Shanghai. The purpose was to illuminate how interpretation of narratives can be strengthened with a diverse team of researchers. METHODS: Three different researchers, each representing a different discipline and lens for analyzing qualitative data, collaboratively analyzed and interpreted a 12-year-old girl's narrative from Shanghai as part of the Global Early Adolescent Study...
October 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28915907/effect-of-a-mother-s-recorded-voice-on-emergence-from-general-anesthesia-in-pediatric-patients-study-protocol-for-a-randomized-controlled-trial
#5
Seok Young Song, Sang Gyu Kwak, Eugene Kim
BACKGROUND: Emergence delirium is a behavioral disturbance after general anesthesia in children and may distress both the patients and the primary caregivers, such as parents and medical staff, looking after the patients. Various medical and emotional interventions have been investigated to reduce emergence delirium; however, none are completely effective. This trial intends to assess whether the mother's recorded voice can reduce this adverse post-anesthesia event and facilitate arousal from general anesthesia...
September 15, 2017: Trials
https://www.readbyqxmd.com/read/28914459/testing-a-biopsychosocial-model-of-the-basic-birth-beliefs
#6
Heidi Preis, Rony Chen, Michal Eisner, Joseph Pardo, Yoav Peled, Arnon Wiznitzer, Yael Benyamini
BACKGROUND: Women perceive what birth is even before they are pregnant for the first time. Part of this conceptualization is the basic belief about birth as a medical and natural process. These two separate beliefs are pivotal in the decision-making process about labor and birth. Adapting Engel's biopsychosocial framework, we explored the importance of a wide range of factors which may contribute to these beliefs among first-time mothers. METHOD: This observational study included 413 primiparae ≥24 weeks' gestation, recruited in medical centers and in natural birth communities in Israel...
September 15, 2017: Birth
https://www.readbyqxmd.com/read/28913714/high-transient-colonization-by-pneumocystis-jirovecii-between-mothers-and-newborn
#7
Cristian Vera, Yudy A Aguilar, Lázaro A Vélez, Zulma Vanessa Rueda
The aim of the study was to explore the frequency and dynamics of acquisition and colonization of Pneumocystis jirovecii among neonates, as well as the epidemiological and genotypic characteristics in mother-child binomial. In a prospective enrolled cohort of women in their third trimester of pregnancy, nasopharyngeal swabs (NPS) and clinical and epidemiological data were collected at four different times: 17 days, 2nd, 4th, and 6th month of life of the newborn. P. jirovecii was detected by nested-PCR for the mtLSU-rRNA gene in each NPS; the genotypes were determined amplifying four genes...
September 14, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28913663/effects-of-a-program-to-promote-high-quality-parenting-by-divorced-and-separated-fathers
#8
Irwin Sandler, Heather Gunn, Gina Mazza, Jenn-Yun Tein, Sharlene Wolchik, Cady Berkel, Sarah Jones, Michele Porter
This paper reports on the effects on parenting and on children's mental health problems and competencies from a randomized trial of a parenting program for divorced and separated fathers. The program, New Beginnings Program-Dads (NBP-Dads), includes ten group sessions (plus two phone sessions) which promote parenting skills to increase positive interactions with children, improve father-child communication, use of effective discipline strategies, and skills to protect children from exposure to interparental conflict...
September 15, 2017: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/28913128/early-initiation-and-exclusive-breastfeeding-factors-influencing-the-attitudes-of-mothers-who-gave-birth-in-a-baby-friendly-hospital
#9
Elif Yılmaz, Fatma Doğa Öcal, Zehra Vural Yılmaz, Meryem Ceyhan, Osman Fadıl Kara, Tuncay Küçüközkan
OBJECTIVE: To investigate the initation time of breastfeeding, exclusive breastfeeding rates, and complementary feeding practices during the first six months of life among mothers who gave birth in a baby-friendly hospital. MATERIALS AND METHODS: A cross-sectional study was conducted with 350 mothers. Demographic characteristics, obstetric history and information about breastfeeding initiation were collected at the hospital. Information about factors affecting breastfeeding duration and feeding practices of the infants were obtained at the end of six months...
March 2017: Turk J Obstet Gynecol
https://www.readbyqxmd.com/read/28912815/feasibility-of-metatranscriptome-analysis-from-infant-gut-microbiota-adaptation-to-solid-foods-results-in-increased-activity-of-firmicutes-at-six-months
#10
Floor Hugenholtz, Jarmo Ritari, Lotta Nylund, Mark Davids, Reetta Satokari, Willem M de Vos
Newborns are rapidly colonized by microbes and their intestinal tracts contain highly dynamic and rapidly developing microbial communities in the first months of life. In this study, we describe the feasibility of isolating mRNA from rapidly processed faecal samples and applying deep RNA-Seq analysis to provide insight into the active contributors of the microbial community in early life. Specific attention is given to the impact of removing rRNA from the mRNA on the phylogenetic and transcriptional profiling and its analysis depth...
2017: International Journal of Microbiology
https://www.readbyqxmd.com/read/28903109/does-breastfeeding-shape-food-preferences-links-to-obesity
#11
Alison K Ventura
The first 2 years of life have been recognized as a critical window for obesity prevention efforts. This period is characterized by rapid growth and development and, in a relatively short period of time, a child transitions from a purely milk-based diet to a more varied solid-food diet. Much learning about food and eating occurs during this critical window, and it is well-documented that early feeding and dietary exposures predict later food preferences, eating behaviors, and dietary patterns. The focus of this review will be on the earliest feeding experiences - breast- and formula-feeding - and the unique role of breastfeeding in shaping children's food preferences...
2017: Annals of Nutrition & Metabolism
https://www.readbyqxmd.com/read/28902298/nursing-infant-with-acquired-toxoplasmosis-in-the-first-months-of-life-a-case-report
#12
Hanstter Hallison Alves Rezende, Heloísa Ribeiro Storchilo, Jaqueline Ataíde Silva Lima, Antônio Roberto Gomes, Taynara Cristina Gomes, Jéssica Yonara de Souza, Mariza Martins Avelino, Waldemar Naves do Amaral, Marina Clare Vinaud, Ana Maria de Castro
Toxoplasmosis is caused by Toxoplasma gondii and the probability of this infection occurring in the first months of life is usually low because its transmission is related to eating habits. A 6-month-old nursing infant was diagnosed with acute toxoplasmosis, which was identified through anti- T. gondii IgA, IgM and low-avidity IgG serologic assays, polymerase chain reaction (PCR) and mouse bioassay test although its mother was seronegative. This serological divergence between mother and child led us to interview the mother regarding epidemiological factors...
August 24, 2017: Revista do Instituto de Medicina Tropical de São Paulo
https://www.readbyqxmd.com/read/28899652/predicting-preschool-children-s-eating-in-the-absence-of-hunger-from-maternal-pressure-to-eat-a-longitudinal-study-of-low-income-latina-mothers
#13
Lionor Galindo, Thomas G Power, Ashley D Beck, Jennifer Orlet Fisher, Teresia M O'Connor, Sheryl O Hughes
Early work by Klesges et al. (1983, 1986) suggested that mothers who frequently prompt their children to eat have children at greater risk for obesity. This is consistent with the hypothesis that controlling feeding practices override children's responsiveness to their internal fullness cues, increasing the risk of overeating and obesity (e.g., Johnson & Birch, 1994). Subsequent cross-sectional research on pressure to eat, however, has been inconsistent. Most studies have shown that maternal self-reports of pressure to eat are negatively associated with childhood obesity, and observational studies showed inconsistent relationships with child weight status...
September 9, 2017: Appetite
https://www.readbyqxmd.com/read/28895676/maria-sk%C3%A5-odowska-curie-her-life-and-work-the-150-anniversary-of-her-birthday
#14
Małgorzata M. Dobrzyńska
Maria Skłodowska was born on November 7, 1867 in Warsaw (Poland). Her parents were teachers. Maria’s mother has died in 1878 of tuberculosis. In 1893 and 1894, respectively, Maria was awarded master’s degrees in physics and in mathematics from the Sorbonne University. In 1895 Maria married Pierre Curie. In 1897 their daughter Irene was born. Maria investigated rays emitted by uranium salts. She hypothesized that the radiation come from atom and called this phenomenon “radioactivity”. In 1898, Maria and Pierre discovered new radioactive elements polonium and radium...
2017: Roczniki Państwowego Zakładu Higieny
https://www.readbyqxmd.com/read/28888919/patterns-of-perinatal-depression-and-stress-in-late-adolescent-and-young-adult-mothers
#15
Rosamar Torres, Deepika Goyal, Amanda C Burke-Aaronson, Caryl L Gay, Kathryn A Lee
OBJECTIVE: To compare symptoms of depression, maternal adjustment, and perceived stress in late adolescent and young adult mothers and to examine the patterns of these symptoms during the first 3 months after birth. DESIGN: Secondary analysis of extant longitudinal data. SETTING: San Francisco Bay Area, with participants in their home environments. PARTICIPANTS: Ethnically diverse women expecting their first infants recruited during the third trimester from childbirth education classes and antenatal clinics...
September 6, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28888281/intergenerational-relations-before-and-after-offspring-arrive-a-within-person-investigation
#16
Antti O Tanskanen
The birth of a child may re-orientate the relations between adult children and their parents; however, the previous studies on the topic are both scarce and methodologically limited. The current study investigates whether younger adults' entry into parenthood (i.e., the birth of the first child) is associated with increased contact frequency, emotional closeness, intimacy and conflict with their own parents. The participants are from the German Panel Analysis of Intimate Relationships and Family Dynamics, which is a prospective survey of younger adults with six annual follow-up waves between 2009 and 2014 (n = 17,662 person-observations from 4821 persons)...
September 2017: Social Science Research
https://www.readbyqxmd.com/read/28887720/early-folic-acid-supplement-initiation-and-risk-of-adverse-early-childhood-respiratory-health-a-population-based-study
#17
Vivian H Alfonso, Gretchen Bandoli, Ondine von Ehrenstein, Beate Ritz
Objectives Folate plays a vital role in biologic functions yet women often do not meet the recommended dietary intake in pregnancy. It has been suggested that high folic acid intake during pregnancy may increase the risk of respiratory diseases in offspring. However, findings from observational studies in human populations are inconclusive. Methods In this population-based study, we collected self-reported folic acid and prenatal vitamin supplement use during pregnancy 3-6 months postpartum from mothers in Los Angeles whose children were born in 2003...
September 8, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28887589/assessment-of-ct-dose-to-the-fetus-and-pregnant-female-patient-using-patient-specific-computational-models
#18
Tianwu Xie, Pierre-Alexandre Poletti, Alexandra Platon, Christoph D Becker, Habib Zaidi
PURPOSE: This work provides detailed estimates of the foetal dose from diagnostic CT imaging of pregnant patients to enable the assessment of the diagnostic benefits considering the associated radiation risks. MATERIALS AND METHODS: To produce realistic biological and physical representations of pregnant patients and the embedded foetus, we developed a methodology for construction of patient-specific voxel-based computational phantoms based on existing standardised hybrid computational pregnant female phantoms...
September 8, 2017: European Radiology
https://www.readbyqxmd.com/read/28886415/burden-of-higher-lead-exposure-in-african-americans-starts-in-utero-and-persists-into-childhood
#19
Andrea E Cassidy-Bushrow, Alexandra R Sitarik, Suzanne Havstad, Sung Kyun Park, Lawrence F Bielak, Christine Austin, Christine Cole Johnson, Manish Arora
BACKGROUND: Recent public health lead crises in urban areas emphasize the need to better understand exposure to environmental toxicants, particularly in higher risk groups. Although African-American children have the highest prevalence of elevated blood lead levels in the United States, little is known about when this trajectory of disproportionate burden of lead exposure first emerges. OBJECTIVES: Using tooth-matrix biomarkers that directly measure fetal and early childhood metal levels, the primary goal of this study was to determine if there were racial disparities in lead levels during fetal development and early childhood...
September 5, 2017: Environment International
https://www.readbyqxmd.com/read/28885096/infant-hydrocephalus-in-sub-saharan-africa-the-reality-on-the-tanzanian-side-of-the-lake
#20
Maria M Santos, Derick K Rubagumya, Imani Dominic, Amos Brighton, Soledad Colombe, Philip O'Donnell, Micaella R Zubkov, Roger Härtl
OBJECTIVE Infant hydrocephalus is estimated to affect more than 100,000 new infants each year in sub-Saharan Africa (SSA). Bugando Medical Centre (BMC), a government-funded and patient cost-shared referral center, serves over 13 million people in the Lake and Western regions of Tanzania. The goals of this study were to characterize the infant population affected by hydrocephalus who presented to BMC and were treated with a ventriculoperitoneal shunt (VPS) to determine the rate of early complications associated with this surgical procedure and to assess its potential risk factors...
September 8, 2017: Journal of Neurosurgery. Pediatrics
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