Polish Baby Boom in United Kingdom – Emotional Determinants of Medical Care Perception by Pregnant Poles in UK

In the year of 2004 United Kingdom experienced the wave of immigration from Poland which was recently admitted to the European Union. In 2010 Poland was one of three countries of origin of non-UK born mothers, and the increase in birth rates among Poles in United Kingdom has started in 2005 (Office for National Statistics, 2010; Hayes et al., 2011). The aim of this paper is to examine the perception of various components of medical care received during the course of pregnancy by Polish women residing in the United Kingdom (N = 106). We took under consideration two aspects of female emotional and cognitive functioning: inclination to depression, and empathy. Depression was measured by the Edinburgh Depression Scale (Cox et al., 1987), and empathy was measured by the Empathic Sensitivity Questionnaire (ESQ) (Kazmierczak et al., 2007). As hypothesized pregnant women who scored higher in depression and emotional contagion were also less satisfied with the information they received from the medical staff. Personal distress was the sole empathic dimension, which was associated with dissatisfaction with: a general gynecological care during pregnancy, emotional support from a gynecologist / a midwife, and the quality of medical care provided by a gynecologist / a midwife. Other-oriented empathic tendencies (empathic concern and perspective taking) facilitated cultural adaptation in our sample in respect of dealing with foreign health system in a highly vulnerable time of pregnancy

Parâmetros de secagem de argamassas de revestimento

Esse artigo se propõe a estudar o comportamento na secagem de argamassas de revestimento. Foram estudadas argamassas mistas de cimento Portland, cal hidratada, em diferentes proporções de dosagem com o objetivo de verificar a influência dos parâmetros de dosagem no transporte de água. A etapa experimental foi conduzida para observar o transporte de água líquida e vapor durante a secagem. O transporte de água líquida foi estudado a partir da absorção por capilaridade, e o transporte de vapor de água no ensaio de permeabilidade de vapor de água. A cinética de secagem foi estudada a partir de curvas de secagem obtidas de acordo com a metodologia de ensaio proposta pela norma europeia EN 16322. Em síntese, é possível afirmar que o tipo de agregado, o teor de aglomerantes e o teor de água são determinantes do comportamento das argamassas quanto ao transporte de água. O índice de secagem se mostrou um indicativo importante para interpretar a facilidade de transporte de água líquida e vapor em argamassas.The objective of this article was to study the drying behavior of rendering mortars. Cement-lime mortars with different mix proportions were evaluatedto analyze the influence of mix materials on water transport. The experimental program was produced to observe the transport of liquid water and vapor water in mortars during the drying process. The liquid water transport was studied through capillary absorption and the water vapor transport by the water vapor permeability test. The drying curves used to investigate drying kinetics were obtained according to the methodology recommended by European standard EN 16322. In summary, it is possible to affirm that the aggregate, the binder and water contents determine the behavior of the mortars regarding water transport. The drying index is considered a good indicator of the easiness of both liquid and vapor water transport

Is the retinol-binding protein 4 a possible risk factor for cardiovascular diseases in obesity?

Although many preventive and treatment approaches have been proposed, cardiovascular disease (CVD) remains one of the leading causes of deaths worldwide. Current epidemiological data require the specification of new causative factors, as well as the development of improved diagnostic tools to provide better cardiovascular management. Excessive accumulation of adipose tissue among patients suffering from obesity not only constitutes one of the main risk factors of CVD development but also alters adipokines. Increased attention is devoted to bioactive adipokines, which are also produced by the adipose tissue. The retinol-binding protein 4 (RBP4) has been associated with numerous CVDs and is presumably associated with an increased cardiovascular risk. With this in mind, exploring the role of RBP4, particularly among patients with obesity, could be a promising direction and could lead to better CVD prevention and management in this patient group. In our review, we summarized the current knowledge about RBP4 and its association with essential aspects of cardiovascular disease—lipid profile, intima-media thickness, atherosclerotic process, and diet. We also discussed the RBP4 gene polymorphisms essential from a cardiovascular perspective.info:eu-repo/semantics/publishedVersio

Women's psychological experiences of physiological childbirth: a meta-synthesis

Objective: To synthesise qualitative studies on women's psychological experiences of physiological childbirth. Design: Meta-synthesis. Methods: Studies exploring women's psychological experiences of physiological birth using qualitative methods were eligible. The research group searched the following databases: MEDLINE, CINAHL, PsycINFO, PsycARTICLES, SocINDEX and Psychology and Behavioural Sciences Collection. We contacted the key authors searched reference lists of the collected articles. Quality assessment was done independently using the Critical Appraisal Skills Programme (CASP) checklist. Studies were synthesised using techniques of meta-ethnography. Results: Eight studies involving 94 women were included. Three third order interpretations were identified: 'maintaining self-confidence in early labour', 'withdrawing within as labour intensifies' and 'the uniqueness of the birth experience'. Using the first, second and third order interpretations, a line of argument developed that demonstrated 'the empowering journey of giving birth' encompassing the various emotions, thoughts and behaviours that women experience during birth. Conclusion: Giving birth physiologically is an intense and transformative psychological experience that generates a sense of empowerment. The benefits of this process can be maximised through physical, emotional and social support for women, enhancing their belief in their ability to birth and not disturbing physiology unless it is necessary. Healthcare professionals need to take cognisance of the empowering effects of the psychological experience of physiological childbirth. Further research to validate the results from this study is necessary. PROSPERO registration number CRD4201603707

Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirth

Background: Psychological aspects of labor and birth have received little attention within maternity care service planning or clinical practice. The aim of this paper is to propose a model demonstrating how neurohormonal processes, in particular oxytocinergic mechanisms, not only control the physiological aspects of labor and birth, but also contribute to the subjective psychological experiences of birth. In addition, sensory information from the uterus as well as the external environment might influence these neurohormonal processes thereby influencing the progress of labor and the experience of birth. Methodology: In this new model of childbirth, we integrated the findings from two previous systematic reviews, one on maternal plasma levels of oxytocin during physiological childbirth and one meta-synthesis of women's subjective experiences of physiological childbirth. Findings: The neurobiological processes induced by the release of endogenous oxytocin during birth influence maternal behaviour and feelings in connection with birth in order to facilitate birth. The psychological experiences during birth may promote an optimal transition to motherhood. The spontaneous altered state of consciousness, that some women experience, may well be a hallmark of physiological childbirth in humans. The data also highlights the crucial role of one-to-one support during labor and birth. The physiological importance of social support to reduce labor stress and pain necessitates a reconsideration of many aspects of modern maternity care. Conclusion: By listening to women's experiences and by observing women during childbirth, factors that contribute to an optimized process of labor, such as the mothers' wellbeing and feelings of safety, may be identified. These observations support the integrative role of endogenous oxytocin in coordinating the neuroendocrine, psychological and physiological aspects of labor and birth, including oxytocin mediated. decrease of pain, fear and stress, support the need for midwifery one-to-one support in labour as well as the need for maternity care that optimizes the function of these neuroendocrine processes even when birth interventions are used. Women and their partners would benefit from understanding the crucial role that endogenous oxytocin plays in the psychological and neuroendocrinological process of labor

Cadherin-23 Mediates Heterotypic Cell-Cell Adhesion between Breast Cancer Epithelial Cells and Fibroblasts

In the early stages of breast cancer metastasis, epithelial cells penetrate the basement membrane and invade the surrounding stroma, where they encounter fibroblasts. Paracrine signaling between fibroblasts and epithelial tumor cells contributes to the metastatic cascade, but little is known about the role of adhesive contacts between these two cell types in metastasis. Here we show that MCF-7 breast cancer epithelial cells and normal breast fibroblasts form heterotypic adhesions when grown together in co-culture, as evidenced by adhesion assays. PCR and immunoblotting show that both cell types express multiple members of the cadherin superfamily, including the atypical cadherin, cadherin-23, when grown in isolation and in co-culture. Immunocytochemistry experiments show that cadherin-23 localizes to homotypic adhesions between MCF-7 cells and also to heterotypic adhesions between the epithelial cells and fibroblasts, and antibody inhibition and RNAi experiments show that cadherin-23 plays a role in mediating these adhesive interactions. Finally, we show that cadherin-23 is upregulated in breast cancer tissue samples, and we hypothesize that heterotypic adhesions mediated by this atypical cadherin may play a role in the early stages of metastasis

Women’s psychological experiences of physiological childbirth: a meta-synthesis

Objective To synthesise qualitative studies on women’s psychological experiences of physiological childbirth. Design Meta-synthesis. Methods Studies exploring women’s psychological experiences of physiological birth using qualitative methods were eligible. The research group searched the following databases: MEDLINE, CINAHL, PsycINFO, PsycARTICLES, SocINDEX and Psychology and Behavioural Sciences Collection. We contacted the key authors searched reference lists of the collected articles. Quality assessment was done independently using the Critical Appraisal Skills Programme (CASP) checklist. Studies were synthesised using techniques of meta-ethnography. Results Eight studies involving 94 women were included. Three third order interpretations were identified: ‘maintaining self-confidence in early labour’, ‘withdrawing within as labour intensifies’ and ‘the uniqueness of the birth experience’. Using the first, second and third order interpretations, a line of argument developed that demonstrated ‘the empowering journey of giving birth’ encompassing the various emotions, thoughts and behaviours that women experience during birth. Conclusion Giving birth physiologically is an intense and transformative psychological experience that generates a sense of empowerment. The benefits of this process can be maximised through physical, emotional and social support for women, enhancing their belief in their ability to birth and not disturbing physiology unless it is necessary. Healthcare professionals need to take cognisance of the empowering effects of the psychological experience of physiological childbirth. Further research to validate the results from this study is necessary. PROSPERO registration number CRD42016037072