270 research outputs found
Features of designing of social and economic development of municipal formations on the basis of semantic-cognitive modeling
In the article features of social and economic development of municipal formations are allocated. It is noted that most of the municipalities on the territory of the Russian Federation are rural settlements. It was concluded that it is difficult to construct an adequate model of socio-economic development with the help of traditional approaches. It is proposed to use semantic modeling to represent the socio economic development of rural settlements, as well as cognitive mapping to identify the many dependencies that arise between indicators that directly affect the socio-economic development of rural settlements
Breast-feeding in women with hypertensive disorders in pregnancy
Aims: Breast feeding is particularly important and difficult in children born prematurely, especially after hypertensive diseases in pregnancies (HDP). Therefore, we aimed to investigate breast feeding in women who developed HDP. Methods: Data on breast-feeding was collected within a nationwide research project on psychosocial factors in HDP. A self-administered questionnaire was given to 2600 women with a suspected history of HDP and 1233 controls. After matching and confirming diagnosis according to ISSHP criteria, 877 women with HDP and 623 controls were included into the study. Results: Control women initiated (48.9/39.2%; P<0.001) and continued (42.2/37.2%; P<0.005) breast-feeding significantly more often than women with HDP. This holds particularly for women who developed HELLP syndrome (48.9/34.7%; P<0.0001, 42.2/33.5%; P<0.0001). A delivery before the 32nd gestational week (19.5/81.8%; P<0.0001) and a birth weight of less than 1500g (18.8/75%; P<0.0001) were associated with the decision not to breast-feed. Conclusions: Women affected by HDP breast fed significantly less often than control women. This effect is at least partly caused by the increased rate of prematurity. Encouraging and supporting these women in breast-feeding is important to improve neonatal physical and mental developmen
Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences
Aims: To explore the association between childhood sexual abuse (CSA), physical abuse, as well as other adverse childhood experiences (ACE), and different obstetrical risk factors/behaviors. Methods: In this cohort study, obstetrical risk factors and perinatal outcome in 85 women exposed to CSA were compared to 170 matched unexposed women. CSA, physical abuse, and ACE were explored by face-to-face interviews and by questionnaire. Data on perinatal outcome were extracted from medical charts. Fisher's exact, χ2-test, and multiple logistic regression were used for statistical analysis. Results: During pregnancy women with CSA experiences were significantly more often smoking (31.7%/9.4%; P<0.0001), had partners abusing drugs (10.6%/1.2%; P<0.0005), experienced physical (16.5%/0; P<0.0001), sexual (12.9%/0; P<0.0001), and emotional abuse (44.7%/1.7%; P<0.0001), reported depression (24.7%/1.8%; P<0.0001), and suicidal ideation (10.6%/0; P<0.0001) than women without CSA experiences. Differences in risk factors were more often correlated with physical than with sexual abuse during childhood. The probability for premature delivery was associated with CSA, physical abuse and ACE as well as with several of the risk factors investigated. Conclusion: Women with CSA, physical, and ACE present with a variety of abuse-associated obstetrical risk factors and an increased risk for premature delivery. Therefore, all types of abusive and other ACE should be considered in prenatal car
Organization of personnel management in oil and gas corporation "Petrovietnam"
The petroleum industry is one of the most vital industries in the development strategy of Vietnam. Prevailing in this industry is Vietnam National Oil and Gas Group,“Petrovietnam”, operating under the directions of Ministry of Industry and Trade and controlling the oil and gas industry. A significant part in the steady growth path and the operational efficiency increment of the Group is contributed by the human resource policies. As oil prices were sharply declining, which began in 2014, a certain workforce reduction was planned by “Petrovietnam”, not only to deal with the situation but also to improve the quality of its workforce. Thus, managing human resources is one of the strategic tools of “Petrovietnam” corporate group
Respiratory and cardiac monitoring at night using a wrist wearable optical system
Sleep monitoring provides valuable insights into the general health of an
individual and helps in the diagnostic of sleep-derived illnesses.
Polysomnography, is considered the gold standard for such task. However, it is
very unwieldy and therefore not suitable for long-term analysis. Here, we
present a non-intrusive wearable system that, by using photoplethysmography, it
can estimate beat-to-beat intervals, pulse rate, and breathing rate reliably
during the night. The performance of the proposed approach was evaluated
empirically in the Department of Psychology at the University of Fribourg. Each
participant was wearing two smart-bracelets from Ava as well as a complete
polysomnographic setup as reference. The resulting mean absolute errors are
17.4 ms (MAPE 1.8%) for the beat-to-beat intervals, 0.13 beats-per-minute (MAPE
0.20%) for the pulse rate, and 0.9 breaths-per-minute (MAPE 6.7%) for the
breath rate.Comment: Submitted to the 40th International Conference of the IEEE
Engineering in Medicine and Biology Society (EMBC
Prenatal care in adult women exposed to childhood sexual abuse
Aims: Several case reports show a negative impact of childhood sexual abuse (CSA) on prenatal care. The study aimed to systematically investigate this association in a larger study group. Methods: CSA was investigated by face-to-face interviews and by a modified questionnaire developed by Wyatt. All study participants completed a self-administered questionnaire designed to investigate the consequences of CSA on prenatal care during adulthood. Data from 85 women after CSA were compared to those of 170 matched women without such experiences. Results: Women exposed to CSA had fewer than five prenatal consultations more often than unexposed women (26%/7%; P<0.0001). Of the 85 women with a positive history for CSA, 9.4% had been asked for such antecedents, 36.5% had intense memories on original abuse situations during pregnancy, 56.6% mentioned specific consequences of CSA on prenatal care and 61.2% were satisfied with obstetrical support. Exposed women (62.4%) felt significantly less prepared for labor than unexposed women (75.9%) (P<0.0001). Conclusions: CSA experiences are associated with impaired prenatal care. These results underscore the compelling need to improve prenatal care in women exposed to CSA through better education of obstetricians regarding the effects of CSA and in their ability to provide empathetic professional suppor
Maternal request: a reason for rising rates of cesarean section?
Objective: The rising rate of cesarean sections (CS), especially those on maternal request, is an important obstetric care issue. The aim of this two-point cross-sectional study was to evaluate the prevalence of CS and their indications. Methods: We performed a retrospective chart review of the indications of all CS performed at a tertiary care clinic in Switzerland in 2002 and 2008. Chi-square, Student's t and Mann-Whitney U tests were performed to identify significant differences. Results: The number of CS rose from 23.3% (371 out of 1,594 total life births) in 2002 to 27.5% (513 out of 1,866) in 2008 (p=0.005). Of all deliveries, the rate of CS on maternal request and, among these, especially those requested after previous CS, increased significantly (2.1 vs. 5.1% and 0.3 vs. 1.2%, respectively). The number of CS due to previous traumatic birth experience nearly doubled (0.7 vs. 1.2%, not significant). Maternal and fetal complications were rare but not negligible in the subset of low-risk patients requesting CS. Conclusions: The study demonstrated a significant increase in CS on maternal request, especially in case of previous CS. The findings of this study support the need for specific counseling strategies for women requesting delivery by C
Prolactin secretory rhythm in women: immediate and long-term alterations after sexual contact
BACKGROUND Prolactin (PRL) is one of the most versatile hormones in the mammalian body, affecting reproductive, sexual and other functions. In rats, mating or vaginocervical stimulation activates a characteristic PRL secretory pattern for several days, which is essential for successful reproduction. Although the underlying mechanisms appear to be different, PRL is also crucial for human fertility. We have detected a PRL increase in women induced by sexual intercourse. Extending these findings, the current study aimed at analyzing the PRL secretory rhythm after sexual contact, in order to elucidate whether human females also show long-term alterations of the PRL secretory pattern. METHODS In a pilot study, serial blood samples were taken from women (n= 7) in mid-cycle to assess changes in PRL secretory rhythm induced by sexual intercourse, during a period of 32 h. RESULTS Compared with control condition, sexual intercourse with orgasm induced not only the well-established immediate PRL increase of ∼300% but also an additional PRL elevation around noon of the next day (P< 0.05). These fluctuations were measured on top of the regular circadian rhythm of PRL, manifested as a surge early in the morning. CONCLUSIONS We are able to demonstrate a long-term change in the PRL secretory rhythm after sexual intercourse with orgasm in females, suggesting memory effects. We hypothesize that the additionally secreted PRL could be beneficial for decidualization and implantation. Further studies with more participants are required to investigate in detail the implications of such effects on reproductive success in human
Men and Women Underestimate Their Partners Sexual Satisfaction - A Comparison of Male and Female Perceptions of Sexuality in 260 Heterosexual Couples
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