Parent–infant closeness after preterm birth and depressive symptoms : A longitudinal study

Background: Preterm birth increases the risk for postpartum depression in both mothers and fathers, calling for strategies to alleviate and prevent depressive symptoms in parents of preterm infants. The aim of this study was to assess the association between early parent-infant closeness and later depressive symptoms among parents of preterm infants. We hypothesized that longer duration of closeness associate with fewer depressive symptoms in both parents. Methods: This prospective cohort study included 23 neonatal intensive care units (NICUs) from 15 countries in 2018 to 2020. Each unit recruited families with preterm infants aiming to 30 families. The total duration of parents’ presence in the NICU, and separately parent-infant skin-to-skin contact and holding, were measured using a Closeness Diary up to 14  days. The Edinburgh Postnatal Depression Scale (EPDS) was used at discharge and at 4  months corrected age of the infant. Results: The study included 684 mothers and 574 fathers. The median presence was 469   min (Q1 258 and Q3 1,087) per 24   h for the mothers and 259   min (Q1 100 and Q3 540) for the fathers; mean EPDS scores were 9.2 (SD 5.0) and 6.3 (SD 4.4) at discharge and 6.6 (4.7) and 4.3 (4.2) at 4  months, respectively. Parents’ presence and depressive symptoms varied greatly between the units. Parents’ presence as the total measure, or skin-to-skin contact and holding separately, did not associate with depressive symptoms in either mothers or fathers at either time point (adjusted). Conclusion: No association was found between the duration of parent-infant closeness in the neonatal unit and parents’ depressive symptoms. The beneficial effects of family-centered care on parents’ depression seem to be mediated by other elements than parent-infant physical closeness. More research is needed to identify the critical elements which are needed to alleviate parents’ depression after NICU stay.© 2022 Lehtonen, Lilliesköld, De Coen, Toome, Gimeno, Caballero, Tameliene, Laroche, Retpap, Grundt, Van Hoestenberghe, Skene, Pape and Axelin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.fi=vertaisarvioitu|en=peerReviewed

Parent-infant closeness after preterm birth and depressive symptoms: A longitudinal study

Background: Preterm birth increases the risk for postpartum depression in both mothers and fathers, calling for strategies to alleviate and prevent depressive symptoms in parents of preterm infants. The aim of this study was to assess the association between early parent-infant closeness and later depressive symptoms among parents of preterm infants. We hypothesized that longer duration of closeness associate with fewer depressive symptoms in both parents.Methods: This prospective cohort study included 23 neonatal intensive care units (NICUs) from 15 countries in 2018 to 2020. Each unit recruited families with preterm infants aiming to 30 families. The total duration of parents’ presence in the NICU, and separately parent-infant skin-to-skin contact and holding, were measured using a Closeness Diary up to 14  days. The Edinburgh Postnatal Depression Scale (EPDS) was used at discharge and at 4  months corrected age of the infant.Results: The study included 684 mothers and 574 fathers. The median presence was 469   min (Q1 258 and Q3 1,087) per 24   h for the mothers and 259   min (Q1 100 and Q3 540) for the fathers; mean EPDS scores were 9.2 (SD 5.0) and 6.3 (SD 4.4) at discharge and 6.6 (4.7) and 4.3 (4.2) at 4  months, respectively. Parents’ presence and depressive symptoms varied greatly between the units. Parents’ presence as the total measure, or skin-to-skin contact and holding separately, did not associate with depressive symptoms in either mothers or fathers at either time point (adjusted).Conclusion: No association was found between the duration of parent-infant closeness in the neonatal unit and parents’ depressive symptoms. The beneficial effects of family-centered care on parents’ depression seem to be mediated by other elements than parent-infant physical closeness. More research is needed to identify the critical elements which are needed to alleviate parents’ depression after NICU stay.</p

Development of a rapid pH-based biosensor to monitor and control the hygienic quality of reclaimed domestic wastewater

The re-use of treated domestic wastewater necessitates a rigorous control and rapid monitoring of the hygienic quality of the reclaimed water. For this purpose, a new pH-based biosensor was developed. The essence of the methodology of the sensor is the monitoring of the acidification due to bacterial metabolism of added glucose. To improve the sensitivity, the alkalinity of the water sample is reduced prior to monitoring the acidification. This is done by stripping CO2 at a neutral or acidic pH value. The hygienic aspect of the sensor lies in the applied temperature (37 degreesC) and the use of N-2 as decarbonizing gas, thus creating conditions favorable for enteric bacteria. The developed sensor could be used onsite at an advanced stage of treatment, as an endpoint or intake quality control device. For both applications. a useful correlation was obtained between log total plate count and lag time or acidification rate, respectively. Absolute detection limits lay in the ranges of either 10(3) colony-forming units (CFU)/ml in 6 h (endpoint quality control), or less than 10(5) CFU/ml in 1 h (intake quality control)

Calcium Removal from Industrial Wastewater by Bio-catalytic CaCO3 Precipitation

High concentrations of soluble calcium in industrial wastewater present problems due to the calcification of downstream processing. The current trend towards circuit closure and increased water re-use will escalate this problem. We investigated ureolytic microbial carbonate precipitation as a novel process for removing excess calcium from industrial effluents. Two laboratory-scale reactors, both with a hydraulic retention time of 8 h, were fed with 1.8 dm3 of anaerobic effluent (about 11 mM Ca2+) from a paper recycling plant. Both reactors were inoculated with pre-cultivated calcareous sludge and the treatment reactor was additionally dosed with urea to a final concentration of 8.3 mM. Even though the anaerobic wastewater was saturated as such with respect to CaCO3, urea addition and hydrolysis was shown to be a pre-requisite for precipitation. Almost all (85-90% w/v) of the soluble calcium was precipitated as CaCO3 and removed through sedimentation in the treatment reactor. This bio-catalytic process presents an uncomplicated and efficient method for the removal of calcium from industrial wastewater

Indirect electrochemical oxidation of reverse osmosis membrane concentrates at boron-doped diamond electrodes

The treatment or disposal of concentrates generated from the filtrative treatment of water is rapidly becoming a factor of major environmental concern. This preliminary study discusses a novel approach in the abatement of reverse osmosis membrane retentate i.e. electrochemical oxidation. The recalcitrant organic constituents as well as the ammonia nitrogen in the retentate could be readily oxidised using boron-doped diamond electrodes. From the model fitted to these data, a constant removal rate and current efficiency was calculated. Analysis of the inorganic chlorinated species revealed that the oxidation mechanism was mainly due to the indirect oxidative action of electrogenerated hypochlorite. Keywords: RO retentate, Reject brine, Electrolysis, COD, TA

Pre-evaporative Fenton remediation of treated municipal wastewater for reuse purposes.

The present study explored the application of evaporative technology as an alternative desalination technique for wastewater treatment plant effluent. In the experiments carried out, it was shown that evaporation allowed for extensive decontamination of wastewater treatment plant effluent as most inorganic and organic contaminants were completely removed. Ammonia could be retained in the concentrate when pH was adjusted to values lower than 4; however this led to increased nitrite volatility due to the formation of nitric oxide. Using an electronic nose, it was observed that evaporation gave rise to a change in odour quality and quantity due to volatilisation of the volatile organic compounds present in the effluent. Remediation of these components was carried out by Fenton oxidation prior to evaporation. A high removal was observed under the applied conditions of Fa(2+) = 25 mg l(-1), H2O2 = 50 mg l(-1), pH = 3 and a reaction time of 2 hours

HACCP (Hazard Analysis and Critical Control Points) to guarantee safe water reuse and drinking water production: a case study

To obtain a sustainable water catchment in the dune area of the Flemish west coast, the integration of treated domestic wastewater in the existing potable water production process is planned. The hygienic hazards associated with the introduction of treated domestic wastewater into the water cycle are well recognised. Therefore, the concept of HACCP (Hazard Analysis and Critical Control Points) was used to guarantee hygienically safe drinking water production. Taking into account the literature data on the removal efficiencies of the proposed advanced treatment steps with regard to enteric viruses and protozoa and after setting high quality limits based on the recent progress in quantitative risk assessment, the critical control points (CCPs) and points of attention (POAs) were identified. Based on the HACCP analysis a specific monitoring strategy was developed which focused on the control of these CCPs and POAs

Molecular fingerprinting of bacterial populations in groundwater and bottled mineral water

Monitoring the hygienic quality of drinking waters by determining the concentration of fecal indicators with traditional plate count techniques suffers from important drawbacks. In this work, the potential of PCR-DGGE (polymerase chain reaction - denaturing gradient gel electrophoresis) analysis of 16S rDNA genes to fingerprint the bacterial populations of mineral water and groundwater was investigated. A rapid and simple pretreatment to concentrate and release bacterial DNA prior to PCR was explored. This pretreatment was successful for commercially bottled mineral water. For groundwater, an additional resuscitation step was required to obtain a PCR signal. It was clear that the groundwater under scrutiny contained a more diverse bacterial community than the mineral water. A comparison was made between four kinds of mineral waters and one sample of groundwater using the developed procedures. For each kind of water, bacterial populations cultured on R2A plates were also subjected to PCR-DGGE. Comparison of the fingerprints of the plated samples and the original samples suggested the presence of viable but nonculturable bacteria in the waters. The obtained cluster dendrogram indicated that each kind of water was characterized by a specific molecular fingerprint. The sensitivity of the whole of the procedure was between 10(4) and 10(5) cfu ml(-1) as determined using a pure culture of Escherichia coli. The described PCR-DGGE method can constitute the basis of a new and interesting strategy to monitor in a relatively rapid way (less than 24 h) the bacterial quality of waters such as mineral water, groundwater and certain types of reclaimed water