635 research outputs found
Bounded fitness landscapes and the evolution of the linguistic diversity
A simple spatial computer simulation model was recently introduced to study
the evolution of the linguistic diversity. The model considers processes of
selective geographic colonization, linguistic anomalous diffusion and mutation.
In the approach, we ascribe to each language a fitness function which depends
on the number of people that speak that language. Here we extend the
aforementioned model to examine the role of saturation of the fitness on the
language dynamics. We found that the dependence of the linguistic diversity on
the area after colonization displays a power law regime with a nontrivial
exponent in very good agreement with the measured exponent associated with the
actual distribution of languages on the Earth.Comment: 10 pages, 3 figure
Optimising the contribution of midwifery to preventing stillbirths and improving the overall quality of care:Co-ordinated global action needed
Whose voice counts?:Achieving better outcomes in global sexual and reproductive health and rights research
Many indicators related to sexual and reproductive health and rights have worsened, with COVID-19, war and powerful conservative political movements around the world reversing decades of improvements.Improving sexual and reproductive health and rights generates a cascade effect that contributes to gender equality and power and improves overall health and well-being.Any solutions to address the problems in global sexual and reproductive health and rights research first require recognition of a fundamental disconnect between who is leading the research and the actual needs of the users of care.We encourage pursuit of transdisciplinary solution-focused questions and research designs that address the needs of local communities by drawing on the knowledge of diverse interprofessional groups, across geographic regions, who have access to the resources and space that amplify their voices and ways of working
Effective suckling in relation to naked maternal-infant body contact in the first hour of life: an observation study
Background
Best practice guidelines to promote breastfeeding suggest that (i) mothers hold their babies in naked body contact immediately after birth, (ii) babies remain undisturbed for at least one hour and (iii) breastfeeding assistance be offered during this period. Few studies have closely observed the implementation of these guidelines in practice. We sought to evaluate these practices on suckling achievement within the first hour after birth.
Methods
Observations of seventy-eight mother-baby dyads recorded newborn feeding behaviours, the help received by mothers and birthing room practices each minute, for sixty minutes.
Results
Duration of naked body contact between mothers and their newborn babies varied widely from 1 to 60 minutes, as did commencement of suckling (range = 10 to 60 minutes). Naked maternal-infant body contact immediately after birth, uninterrupted for at least thirty minutes did not predict effective suckling within the first hour of birth. Newborns were four times more likely to sustain deep rhythmical suckling when their chin made contact with their motherâs breast as they approached the nipple (OR 3.8; CI 1.03 - 14) and if their mothers had given birth previously (OR 6.7; CI 1.35 - 33). Infants who had any naso-oropharyngeal suctioning administered at birth were six times less likely to suckle effectively (OR .176; CI .04 - .9).
Conclusion
Effective suckling within the first hour of life was associated with a collection of practices including infants positioned so their chin can instinctively nudge the underside of their motherâs breast as they approach to grasp the nipple and attach to suckle. The best type of assistance provided in the birthing room that enables newborns to sustain an effective latch was paying attention to newborn feeding behaviours and not administering naso-oropharyngeal suction routinely
The Odyssey of Dental Anxiety: From Prehistory to the Present. A Narrative Review
Dental anxiety (DA) can be considered as a universal phenomenon with a high prevalence worldwide; DA and pain are also the main causes for medical emergencies in the dental office, so their prevention is an essential part of patient safety and overall quality of care. Being DA and its consequences closely related to the fight-or-flight reaction, it seems reasonable to argue that the odyssey of DA began way back in the distant past, and has since probably evolved in parallel with the development of fight-or-flight reactions, implicit memory and knowledge, and ultimately consciousness. Basic emotions are related to survival functions in an inseparable psychosomatic unity that enable an immediate response to critical situations rather than generating knowledge, which is why many anxious patients are unaware of the cause of their anxiety. Archeological findings suggest that humans have been surprisingly skillful and knowledgeable since prehistory. Neanderthals used medicinal plants; and relics of dental tools bear witness to a kind of Neolithic proto-dentistry. In the two millennia BC, Egyptian and Greek physicians used both plants (such as papaver somniferum) and incubation (a forerunner of modern hypnosis, e.g., in the sleep temples dedicated to Asclepius) in the attempt to provide some form of therapy and painless surgery, whereas modern scientific medicine strongly understated the role of subjectivity and mind-body approaches until recently. DA has a wide range of causes and its management is far from being a matter of identifying the ideal sedative drug. A patient's proper management must include assessing his/her dental anxiety, ensuring good communications, and providing information (iatrosedation), effective local anesthesia, hypnosis, and/or a wise use of sedative drugs where necessary. Any weak link in this chain can cause avoidable suffering, mistrust, and emergencies, as well as having lifelong psychological consequences. Iatrosedation and hypnosis are no less relevant than drugs and should be considered as primary tools for the management of DA. Unlike pharmacological sedation, they allow to help patients cope with the dental procedure and also overcome their anxiety: achieving the latter may enable them to face future dental care autonomously, whereas pharmacological sedation can only afford a transient respite
The techno-ecological practice as the politics of ontological coalitions
The paper focuses on the art projects aimed at visualizing (grasping) the physical or biological phenomena through interfaces and / or installations designed specifically for such purpose. Such works often mirror the post-Âdigital condition of our time where the digital technologies constitute the common background for everyday activities, no longer having the allure of "new" and "exciting" (Berry, Dieter et al., 2015). In this process, both the networked technologies of wireless communication and the act of crossing the boundaries between the digital and the physical play the crucial role as the post-Âdigital networked imagery increasingly becomes directly connected to the physical environment. I would like to ponder on the questions of processuality and relationality involved in such instances where the complexity of the hybrid works of art clearly transgresses the paradigm of representationalism (Thrift, 2008;ÍŸ Anderson and Harrison, 2010;ÍŸ Kember and Zylinska, 2012). The particular attention is given to the fact that such artworks bond different ontological realms (discursive, physical, digital) and different agents (human and non-Âhuman, carbon-Âbased and software-Âbased) forging âontological coalitionsâ (Malafouris, 2013). Throughout the article the mutlirealist and relational perspective is offered, inspired by the propositions of Gilbert Simondon and Etienne Souriau. Based on the research project supported by National Science Centre Poland ("The aesthetics of post-Âdigital imagery: between new materialism and object-Âoriented philosophy", 2016/21/B/HS2/00746)
Student midwives' perceptions on the organisation of maternity care and alternative maternity care models in the Netherlands - a qualitative study
BACKGROUND:
A major change in the organisation of maternity care in the Netherlands is under consideration, going from an echelon system where midwives provide primary care in the community and refer to obstetricians for secondary and tertiary care, to a more integrated maternity care system involving midwives and obstetricians at all care levels. Student midwives are the future maternity care providers and they may be entering into a changing maternity care system, so inclusion of their views in the discussion is relevant. This study aimed to explore student midwives' perceptions on the current organisation of maternity care and alternative maternity care models, including integrated care.
METHODS:
This qualitative study was based on the interpretivist/constructivist paradigm, using a grounded theory design. Interviews and focus groups with 18 female final year student midwives of the Midwifery Academy Amsterdam Groningen (AVAG) were held on the basis of a topic list, then later transcribed, coded and analysed.
RESULTS:
Students felt that inevitably there will be a change in the organisation of maternity care, and they were open to change. Participants indicated that good collaboration between professions, including a shared system of maternity notes and guidelines, and mutual trust and respect were important aspects of any alternative model. The students indicated that client-centered care and the safeguarding of the physiological, normalcy approach to pregnancy and birth should be maintained in any alternative model. Students expressed worries that the role of midwives in intrapartum care could become redundant, and thus they are motivated to take on new roles and competencies, so they can ensure their own role in intrapartum care.
CONCLUSIONS:
Final year student midwives recognise that change in the organisation of maternity care is inevitable and have an open attitude towards changes if they include good collaboration, client-centred care and safeguards for normal physiological birth. The graduating midwives are motivated to undertake an expanded intrapartum skill set. It can be important to involve students' views in the discussion, because they are the future maternity care providers. (aut. ref.
Neolithic settlement at the woodland's edge: palynological data and timber architecture in Orkney, Scotland
It has often been assumed that the islands of Orkney were essentially treeless throughout much of the Holocene, with any âscrubâ woodland having been destroyed by Neolithic farming communities by around 3500 cal. BC. This apparently open, hyper-oceanic environment would presumably have provided quite marginal conditions for human settlement, yet Neolithic communities flourished and the islands contain some of the most spectacular remains of this period in north-west Europe. The study of new Orcadian pollen sequences, in conjunction with the synthesis of existing data, indicates that the timing of woodland decline was not synchronous across the archipelago, beginning in the Mesolithic, and that in some areas woodland persisted into the Bronze Age. There is also evidence to suggest that woodland communities in Orkney were more diverse, and therefore that a wider range of resources was available to Neolithic people, than has previously been assumed. Recent archaeological investigations have revealed evidence for timber buildings at early Neolithic settlement sites, suggesting that the predominance of stone architecture in Neolithic Orkney may not have been due to a lack of timber as has been supposed. Rather than simply reflecting adaptation to resource constraints, the reasons behind the shift from timber to stone construction are more complex and encompass social, cultural and environmental factors
Measurement as relational, intensive and inclusive: Towards a âminorâ mathematics
Minor mathematics refers to the mathematical practices that are often erased by state-sanctioned curricular images of mathematics. We use the idea of a minor mathematics to explore alternative measurement practices. We argue that minor measurement practices have been buried by a âmajorâ settler mathematics, a process of erasure that distributes âsensibilityâ and formulates conditions of mathematics dis/ability. We emphasize how measuring involves the making and mixing of analogies, and that this involves attending to intensive relationships rather than extensive properties. Our philosophical and historical approach moves from the archeological origins of human measurement activity, to pivotal developments in modern mathematics, to configurations of curriculum. We argue that the project of proliferating multiple mathematics is required in order to disturb narrow (and perhaps white, western, male) images of mathematicsâand to open up opportunities for a more pluralist and inclusive school mathematics
- âŠ