The postural effects of load carriage on young people – a systematic review

BACKGROUND: Spinal pain in young people is a significant source of morbidity in industrialised countries. The carriage of posterior loads by young people has been linked with spinal pain, and the amount of postural change produced by load carriage has been used as a measure of the potential to cause tissue damage. The purpose of this review was to identify, appraise and collate the research evidence regarding load-carriage related postural changes in young people. METHODS: A systematic literature review sought published literature on the postural effects of load carriage in young people. Sixteen databases were searched, which covered the domains of allied health, childcare, engineering, health, health-research, health-science, medicine and medical sciences. Two independent reviewers graded the papers according to Lloyd-Smith's hierarchy of evidence scale. Papers graded between 1a (meta-analysis of randomised controlled trials) and 2b (well-designed quasi-experimental study) were eligible for inclusion in this review. These papers were quality appraised using a modified Crombie tool. The results informed the collation of research evidence from the papers sourced. RESULTS: Seven papers were identified for inclusion in this review. Methodological differences limited our ability to collate evidence. CONCLUSIONS: Evidence based recommendations for load carriage in young people could not be made based on the results of this systematic review, therefore constraining the use of published literature to inform good load carriage practice for young people

Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey

<p>Abstract</p> <p>Background</p> <p>In spite of the evidence supporting the importance of breastfeeding during the first year of life, data on breastfeeding practices remain limited in Canada. The study aimed to examine the prevalence and predictors of 6-month exclusive breastfeeding among Canadian women.</p> <p>Methods</p> <p>The analysis was based on the Maternity Experience Survey targeting women aged ≥ 15 years who had singleton live births between February 2006 - May 2006 in the Canadian provinces and November 2005 - February 2006 in the territories. The main outcome was exclusive breastfeeding based on the World Health Organization definition. Socioeconomic, demographic, maternal, pregnancy and delivery related variables were considered for a multivariate logistic regression using stepwise modeling. Bootstrapping was performed to account for the complex sampling design.</p> <p>Results</p> <p>The sample size in this study was 5,615 weighted to represent 66,810 Canadian women. While ever breastfeeding was 90.3%, the 6-month exclusive breastfeeding rate was 13.8%. Based on the regression model, having higher years of education, residing in the Northern territories and Western provinces, living with a partner, having had previous pregnancies, having lower pre-pregnancy body mass index and giving birth at older age were associated with increased likelihood of 6-month exclusive breastfeeding. Moreover, smoking during pregnancy, Caesarean birth, infant's admission to the intensive care unit and maternal employment status before 6 months of infant's age were negatively associated with exclusive breastfeeding. Mothers choosing to deliver at home were more likely to remain exclusively breastfeeding for 6 months (Odds Ratio: 5.29, 95% Confidence Interval: 2.95-9.46).</p> <p>Conclusions</p> <p>The 6-month exclusive breastfeeding rate is low in Canada. The study results constitute the basis for designing interventions that aim to bridge the gap between the current practices of breastfeeding and the World Health Organization recommendation.</p

Measurement of the WZ production cross section in pp collisions at root s=7 and 8 TeV and search for anomalous triple gauge couplings at root s=8 TeV

Peer reviewe

Rehabilitation and humanization on Calle de la Playa (Sada)

[Resumen:] La Calle de la Playa es una de las calles más destacadas de la localidad de Sada con agradables vistas a la playa de las Delicias. En la actualidad, dispone de aceras y una zona de merendero en avanzado estado de deterioro, además la calle está básicamente orientada a la circulación y aparcamiento de vehículos. Lo que supone una clara diferencia visual y funcional, con respecto al paseo marítimo y carril bici que une el puerto de Sada con el centro del pueblo. La finalidad del presente proyecto es promover el paseo de peatones a lo largo de la calle de la playa, compaginando también el paso de los vehículos, sin ser estos la prioridad. Para ello, se realiza una calle peatonal en la que solo se permite el paso de vehículos autorizados. Será una calle uniforme, sin bordillos, estando a la misma cota la calzada y la zona peatonal, ya que el número de vehículos que circulen por la calle será reducido. En la zona peatonal se situarán las terrazas y mobiliario urbano que convertirán a la calle de la Playa, en una de las calles de mayor atractivo turístico de Sada. La zona de merendero de “El Curruncho”, se rehabilitará haciendo de ella un espacio de ocio para el disfrute de todas las edades. Dicha zona, contará con tumbonas de madera para disfrutar las magníficas vistas del pueblo, un parque infantil, un merendero renovado y amplios espacios verdes. Para continuar la estética del paseo marítimo que une el puerto con el centro de Sada, se dispondrán 3.5 metros de ancho de paseo marítimo a lo largo de la playa.Traballo fin de grao (UDC.ETSECCP). Enxeñaría de Obras Públicas. Curso 2016/201

Prevalence and characteristics of Postpartum Depression symptomatology among Canadian women: a cross-sectional study

Abstract Background This study aims to look at the prevalence and characteristics of postpartum depression symptomatology (PPDS) among Canadian women. Studies have found that in developed countries, 10-15% of new mothers were affected by major postpartum depression. Mothers who suffer from postpartum depression may endure difficulties regarding their ability to cope with life events, as well as negative clinical implications for maternal-infant attachment. Methods An analysis based on 6,421 Canadian women, who had a live birth between 2005 and 2006 and were part of the Maternity Experience Survey (MES), was performed. PPDS was measured based on the Edinburgh Postnatal Depression Scale. Various factors that assessed socio-economic status, demographic factors, and maternal characteristics were considered for the multinomial regression model. Results The national prevalence of minor/major and major PPDS was found to be 8.46% and 8.69% respectively. A mother's stress level during pregnancy, the availability of support after pregnancy, and a prior diagnosis of depression were the characteristics that had the strongest significant association with the development of PPDS. Conclusions A significant number of Canadian women experience symptoms of postpartum depression. Findings from this study may be useful to increase both the attainment of treatment and the rate at which it can be obtained among new mothers. Interventions should target those with the greatest risk of experiencing PPDS, specifically immigrant and adolescent mothers.</p

Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey

Abstract Background In spite of the evidence supporting the importance of breastfeeding during the first year of life, data on breastfeeding practices remain limited in Canada. The study aimed to examine the prevalence and predictors of 6-month exclusive breastfeeding among Canadian women. Methods The analysis was based on the Maternity Experience Survey targeting women aged ≥ 15 years who had singleton live births between February 2006 - May 2006 in the Canadian provinces and November 2005 - February 2006 in the territories. The main outcome was exclusive breastfeeding based on the World Health Organization definition. Socioeconomic, demographic, maternal, pregnancy and delivery related variables were considered for a multivariate logistic regression using stepwise modeling. Bootstrapping was performed to account for the complex sampling design. Results The sample size in this study was 5,615 weighted to represent 66,810 Canadian women. While ever breastfeeding was 90.3%, the 6-month exclusive breastfeeding rate was 13.8%. Based on the regression model, having higher years of education, residing in the Northern territories and Western provinces, living with a partner, having had previous pregnancies, having lower pre-pregnancy body mass index and giving birth at older age were associated with increased likelihood of 6-month exclusive breastfeeding. Moreover, smoking during pregnancy, Caesarean birth, infant's admission to the intensive care unit and maternal employment status before 6 months of infant's age were negatively associated with exclusive breastfeeding. Mothers choosing to deliver at home were more likely to remain exclusively breastfeeding for 6 months (Odds Ratio: 5.29, 95% Confidence Interval: 2.95-9.46). Conclusions The 6-month exclusive breastfeeding rate is low in Canada. The study results constitute the basis for designing interventions that aim to bridge the gap between the current practices of breastfeeding and the World Health Organization recommendation

Potential biological therapies for severe preeclampsia: a systematic review and meta-analysis

Abstract Background Preeclampsia remains a significant danger to both mother and child and current prevention and treatment management strategies are limited. The objective of this systematic review was to investigate the current literature on evidence for the use of the regenerative capacity of mesenchymal stem cell (MSC) therapy, the anticoagulant activity of antithrombin (AT), or the free radical scavenging activity of alpha-1-microglobulin (A1M) as potential novel treatments for severe preeclampsia and Hemolysis, Elevated Liver enzymes, Low Platelet count (HELLP). Method We conducted a systematic review of potential biological therapies for preeclampsia. We screened MEDLINE and Embase from inception through May 2017 for studies using AT, A1M or MSCs as potential treatments for preeclampsia and/or HELLP. A meta-analysis was performed to pool data from randomized control trials (RCTs) with homogenous outcomes using the inverse variance method. The Newcastle-Ottawa Scale, the Cochrane risk of bias tool for RCTs, and SYRCLE’s risk of bias tool for animal studies were used to investigate potential bias of studies. Results The literature search retrieved a total of 1015 articles, however, only 17 studies met the selection criteria: AT (n = 9, 8 human and 1 animal); A1M (n = 4, 3 animal and 1 ex-vivo); and, MSCs (n = 4, 3 animal and 1 ex-vivo). A meta-analysis of AT therapy versus placebo and a meta-analysis for AT therapy with heparin versus heparin alone did not show significant differences between study groups. Animal and ex-vivo studies demonstrated significant benefits in relevant outcomes for A1M and MSCs versus control treatments. Most RCT studies were rated as having a low risk of bias across categories with some studies showing an unclear risk of bias in some categories. The two cohort studies both received a total of four out of nine stars (a rating of “poor” quality). Most animal studies had an unclear risk of bias across most categories, with some studies having a low risk of bias in some categories. Conclusions The findings of this review are strengthened by rigorous systematic search and review of the literature. Results of our meta-analyses do not currently warrant further exploration of AT as a treatment of preeclampsia in human trials. Results of animal and ex-vivo studies of A1M and MSCs were encouraging and supportive of initiating human investigations

Serum concentrations of retinol, β-carotene and zinc in women with breast cancer submitted to radiotherapy according to prior treatment modality and toxicity

Objective: To analyze serum concentrations of retinol, β-carotene and zinc in women with breast cancer undergoing radiotherapy, considering different modalities of previous treatment and toxic effects. Methods: longitudinal study in a cohort of women with breast cancer assessed in pre-treatment (T0), 7 (T2) and 120 (T3) days after radiation therapy. Patients were divided into 3 groups, according to treatment modality prior radiation: breast-conserving surgery (G1), chemotherapy (G2) and breast-conserving surgery and chemotherapy (G3). Serum concentrations of retinol, β-carotene and zinc was assessed. Presence and degree of toxicity were assessed according to the scale of the RTOG for and RTOG/EORTC for acute and late toxicity, respectively. Results: 230 patients were assessed, mean age of 63.6 (±9.3) years. There was significant reduction in the mean of all micronutrients studied when comparing T0 to T1. At T2, all nutrients increased when compared to T1. For acute toxicity, there was no difference in antioxidant levels according to the degree of toxicity for any of the groups, with the exception of G3, which presented lower serum zinc concentrations in women with a higher degree of acute toxicity. In late toxicity, G1 had lower serum concentrations of retinol and B-carotene, when compared to G2 and G3. Conclusion: The significant reduction of all micronutrients after radiotherapy, regardless of the type of the previous treatment, reinforces the oxidative impact of radiation and draws attention to the importance of maintaining an adequate nutritional status of antioxidants to improve the prognosis