Mother’s exclusive breastfeeding behavior: a cross sectional study in Pekanbaru, Indonesia

Background: Exclusive breastfeeding (EBF) which is practiced until six months of infant age is one of the most effective ways to reduce infant morbidity and mortality. Indonesian government concerns about mother’s EBF behavior. This study aimed to find the problems of mother’s behavior to give EBF which are influenced by characteristic, knowledge, attitude, and community support including health workers.Methods: A cross sectional study was designed for six hundred and sixty mothers in four public health centers area in Pekanbaru, Indonesia, who have fewer than five years old children as respondents. The study was using questionnaires to collect the data.Results: The average age of respondents was 30.3 years old, 18.9% of them were high educated mothers, 83.6% of them were housewive mothers, and 26.1% of them had high family income. Only 36.1% of the mothers gave EBF until six months while 64.5% of the mothers had limited knowledge, 57.4% of mothers had negative attitude, and 63.5% of mothers had not good behavior for breastfeeding. There were more non EBF housewives mothers than the EBF ones. The majority of the respondents assumed that their breastfeed was insufficient and felt that their babies were still hungry; therefore, they provided formula milk, which was 77.0% and banana, which was 61.6% while  35.8% of them gave 2 kinds of complementary feeding for their babies before six months. Mother’s age, education and family income correlated significantly to EBF practice. Information, values, and emotional support from community also identified as significant aspects for successful EBF practice (p<0.001).Conclusions: Community support plays an important role in succeeding EBF practice for mothers.

Developing a Robust Migration Workflow for Preserving and Curating Hand-held Media

Many memory institutions hold large collections of hand-held media, which can comprise hundreds of terabytes of data spread over many thousands of data-carriers. Many of these carriers are at risk of significant physical degradation over time, depending on their composition. Unfortunately, handling them manually is enormously time consuming and so a full and frequent evaluation of their condition is extremely expensive. It is, therefore, important to develop scalable processes for stabilizing them onto backed-up online storage where they can be subject to highquality digital preservation management. This goes hand in hand with the need to establish efficient, standardized ways of recording metadata and to deal with defective data-carriers. This paper discusses processing approaches, workflows, technical set-up, software solutions and touches on staffing needs for the stabilization process. We have experimented with different disk copying robots, defined our metadata, and addressed storage issues to scale stabilization to the vast quantities of digital objects on hand-held data-carriers that need to be preserved. Working closely with the content curators, we have been able to build a robust data migration workflow and have stabilized over 16 terabytes of data in a scalable and economical manner.Comment: 11 pages, presented at iPres 2011. Also publishing in corresponding conference proceeding

Qualidade de vida de pacientes oncológicos estomizados

Dissertação (mestrado)—Universidade de Brasília, Faculdade de Ciências da Saúde, Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem, 2013.A pessoa estomizada, em razão do câncer colorretal ou por outras causas, enfrenta várias perdas que podem ser reais ou simbólicas. A perda do controle da eliminação de fezes e gases, a preocupação com o odor, vazamento e desconforto físico, a perda da condição mandatória para a vida em sociedade podem ocasionar o isolamento psicológico e social, fios condutores para sentimentos negativos que afetam as relações interpessoais. Além disto, encontra-se com a imagem corporal e a autoestima diminuídas, provocando em si mesma, sentimentos de repugnância. A reabilitação e a adaptação são elementos do processo de cuidar em saúde e enfermagem da pessoa estomizada. Portanto, uma das finalidades do processo de cuidar é a reinserção social da pessoa estomizada; outra é o auxílio na identificação e na superação de barreiras que impeçam sua adaptação. O objetivo deste estudo foi o de conhecer a percepção da qualidade de vida e a interpretação da realidade biopsicossocial de estomizados intestinais em razão do câncer de colorretal e por outras causas. Trata-se de um estudo transversal, exploratório descritivo com abordagem quantitativa e qualitativa à luz da análise de conteúdo. A amostra foi constituída, seleção por conveniência, ou seja, por demanda espontânea à participação do estudo, contando com a colaboração de 226 estomizados intestinais cadastrados no Programa de Assistência Ambulatorial ao Estomizado da Secretaria de Saúde do Distrito Federal. Brasil. A coleta de dados ocorreu no período de novembro de 2009 a agosto de 2011. Para a obtenção dos dados, utilizou-se um questionário sócio-demográíico e clínico, o questionário em português da WHOOOL-bref e entrevista que foi analisada à luz da Análise de Conteúdo de Bardin. Foi realizada uma análise estatística descritiva dos dados do questionário sócio-demográfico e clínico, além da entrevista. Os dados do questionário WHOOOL-bref foram analisados por meio do cálculo da média, desvio padrão e proporções e análise inferencial. A análise estatística foi realizada no software SPSS para Windows versão 20.0. Os resultados apresentaram escores médios para os domínios, físico, psicológico, relações sociais e meio ambiente do WHOOOL-bref e de qualidade de vida geral, nos quais não foram verificadas diferenças, estatisticamente, significativas entre os grupos. Em relação à associação entre as facetas e os domínios físico, psicológico, relações sociais e meio ambiente, os resultados apontaram em ambos os grupos uma associação significante da maioria das facetas nos respectivos domínios. No domínio físico, a faceta dor e desconforto obteve correlação somente para o grupo de estomizados intestinais em razão do câncer colorretal. No tocante às entrevistas, emergiram quatros categorias, bem estar físico, bem estar psicológico, bem estar social e bem estar espiritual. Os resultados deste estudo concluíram que a importância da troca de saberes e práticas permite uma relação de parceria, estabelece estratégias que contribuem, gradativamente, para o cuidado integral, resultando na garantia do processo de cuidar em saúde e enfermagem para os estomizados intestinais. Esta investigação contribuirá na melhoria da qualidade de vida da pessoa estomizada e de seus familiares e poderá dar subsídios a outras pesquisas neste contexto. _______________________________________________________________________________________ ABSTRACTThe ostomized individual due to colorectal cancer or other causes faces several losses that may be either real or symbolic. The loss of control over the elimination of feces and gases, the concern with odor, leakages and physical discomfort, and a loss of autonomy for life in society may lead to a state of psychological and social isolation, which acts as a conduit for negative feelings that affect the interpersonal relations. Furthermore, one may undergo a diminishment of the corporal self-image and self-esteem, which prompts feelings of repugnance. Rehabilitation and adaptation are elements of the process of health assistance for ostomized persons. Therefore, one of the aims of this process is their social reinsertion; another aim is to help identify and overcome the barriers that hamper their adaptation. The objective of this study is to deepen the knowledge on the perception of life quality and to interpret the biopsychosocial reality of the intestinal ostomized due to colorectal cancer and other causes. This is a cross-disciplinary, exploratory and descriptive study with a qualitative and quantitative approach under the light of the analysis of contents. The sample was selected by convenience, i.e. by spontaneous participation, and counted with the collaboration of 226 ostomized individuals inscribed in the Outpatient Assistance Program to Ostomized Persons, of the Health Secretariat of the Federal District. The collection of data took place from November 2009 to August 2011. A socio-demographic and clinical questionnaire was used, along with the Portuguese WHOOOL-brefsurvey and a interview, which was examined under the light of the Bardin Content Analysis. A descriptive statistical analysis was undertaken for the socio-demographic and clinical questionnaire and the interview. The data of the WHOQOL-bref survey was analyzed by calculating the mean, the standard deviation, proportions and statistical inference. The statistical analysis was undertaken with the SPSS software for Windows, v.20.0. The results presented average scores for the physical, psychological, social-relations and environmental domains of WHOOOL-bref. and for life quality in general, and no significant statistical differences was found among the groups. Regarding the linkages between the physical, psychological, social-relations and environmental facets and domains, the results pointed in both groups to a significant linkage between most facets in their respective domains. In the physical domain, the facet pain and discomfort had a correlation only for the group of intestinal ostomized due to colorectal cancer. Regarding the interviews, four categories have emerged: physical well-being, psychological well-being, social well-being and spiritual well-being. The results of the study lead to the conclusion that the importance of the exchange of knowledge and practices allows a relation of partnership and establishes strategies that gradually contribute to a fuller assistance, resulting in the guarantee of the process of assisting the health and providing nursing to the intestinal ostomized. This investigation will contribute in the improvement of the quality of life of the ostomized persons and their families, and may provide inputs to other researches in this context. _______________________________________________________________________________________ RESUMENLa persona ostomizada, como consecuencia de câncer colonectal o de otras causas, enfrenta diversas perdidas que pueden ser reales o simbólicas. La perdida dei control de la eliminación de heces y gases, la preocupación con el olor, fugas e incomodidades físicas, la perdida de autonomia en la vida en sociedad pueden ocasionar el aislamiento psicológico y social como un hilo conductor para sentimientos negativos que afectan las relaciones interpersonales. Además, la persona se encuentra con la imagen corporal y la autoestima disminuidas, lo que puede provocar en si misma sentimientos de repugnancia. La rehabilitación y la adaptación son elementos dei proceso de cuidados de salud y enfermería a la persona ostomizada. Por eso, una de las finalidades dei proceso de cuidar es la reinserción social de la persona ostomizada; otra es la ayuda en la identificación y en la superación de barreras que impiden su adaptación. El objetivo dei presente estúdio es conocer más la percepción de la calidad de vida e interpretar la realidad biopsicosocial de ostomizados intestinales en consecuencia dei câncer colonectal y de otras causas. Se trata de un estúdio transversal, exploratorio y descriptivo con un enfoque cuantitativo y cualitativo bajo el análisis de contenidos. El muestreo se ha constituido en una selección por conveniência, o sea, por la aceptación espontanea de participación en el estúdio, y ha contado con la colaboración de 226 ostomizados intestinales registrados en el Programa de Atención Ambulatória a la Persona Ostomizada, de la Secretaria de Salud dei Distrito Federal de Brasil. La recopilación de datos ocurrió en el periodo entre noviembre de 2009 y agosto de 2011. Para la obtención de los datos, se utilizo un cuestionario socio-demográfico y clínico, el cuestionario en português de la WHOQOL-brefy una entrevista que fue analizada a la luz dei Análisis de Contenido de Bardin. Se realizo un análisis estadístico descriptivo de los datos dei cuestionario socio- demográfico y clínico, además de la entrevista. Los datos dei cuestionario WHOQOL-bref fueron analizados por el cálculo dei promedio, de la desviación estándar, de las proporciones y dei análisis inferencial. El análisis estadístico se realizo en el software SPSS para Windows v.20.0. Los resultados presentaron puntuaciones medias para los dominios físico, psicológico, de relaciones sociales y medio ambiente dei WHOOOL-bref. y de calidad de vida general, en las cuales no se han obseivado diferencias estadísticamente significativas entre los grupos. En cuanto a la asociación entre las facetas y los dominios físico, psicológico, de relaciones sociales y medio ambiente, los resultados senalaron en ambos los grupos una asociación significativa de la mayoría de las facetas en los respectivos dominios. En el dominio físico, la faceta dolor e incomodidad obtuvo correlación solamente para el grupo de ostomizados intestinales en consecuencia de câncer colonectal. En lo tocante a las entrevistas, cuatro categorias han emergido: bienestar físico, bienestar psicológico, bienestar social, y bienestar espiritual. Los resultados dei estúdio permiten concluir que la importancia dei intercâmbio de saberes y prácticas pennite una relación de sociedad, establece estrategias que contribuyen gradualmente| a la atención integral, resultando en la garantia dei proceso de atención a la salud y enfermería para los ostomizados intestinales. Esta investigación contribuirá para inejorar la calidad de vida de la persona ostomizada y de sus familiares, y podrá proveer subsidios para otras investigaciones en este contexto

子どもの体温リズムに関連する生活要因の検討

　The purpose of this study was to clarify the relationship between lifestyle and temperature rhythm in child. We conducted a cross-sectional study with 254 subjects. The study consisted of the day-by-day measurement of childrens temperature rhythms and lifestyle factors such as their sleep-wake rhythm, meals, etc., and a selfadministered questionnaire completed by the parents of the enrolled subjects. An analysis of the results of the survey found that the children went to bed at approximately 10 : 00 PM and woke up at approximately 7 : 20 AM. Approximately 50% of children had entrained body temperature rhythms, and the proportion increased for children 4 years old and older. Body temperature rhythms were related to time of going to sleep, time of waking up, and their age in months, and the body temperature rhythms showed higher entrainment for earlier time of going to sleep and time of waking up, as well as for higher age in months. The factor with the strongest relationship was time of going to sleep. The time of going to sleep had the strongest relationship with the body temperature rhythm for both the younger children and the older children. In addition, a relationship was observed for the time of waking up among the younger children. 　生活要因と幼児の体温リズムの関連を明らかにするために、１～５歳の保育園児２５４名 を対象に調査を行った。 　調査の内容は、体温リズムの測定および保護者への自記式質問紙とday-by-day plot法に よる睡眠覚醒リズム、食事等の生活状況調査である。 　幼児の睡眠状況は、就寝時刻は２２時前後、起床時刻は７時２０分、体温リズムが同調して いた子どもは約５割で、４歳児以上になるとその割合が高くなっていた。 　体温リズムには就寝時刻、起床時刻、児の月齢が関連し、就寝時刻、起床時刻が早いほど、 月齢が高いほど体温リズムは同調しており、最も関連の強い要因は就寝時刻であった。 　年少児群と年長児群のいずれも最も体温リズムと関連があったのは就寝時刻であったが、 年少児群では起床時刻にも関連が認められた。[原著

子どもの体温リズムと生活習慣に関する縦断的研究

　In order to clarify the long-term influence of lifestyle factors, body temperature and lifestyle conditions were studied over 8 months from May 2007 to December 2007 on all days, excluding Saturdays and Sundays and national holidays, for 64 children in nursery school from the ages of 1－5. The mean time of the going to sleep was 21 : 34 and the mean time of waking up was 6 : 48. The time of waking up was significantly later in the period from October to December than that in the period from May to September, however, no seasonal differences were observed in the time of going to sleep. The body temperature rhythm was entrained in approximately 50% of children, and four to five-year-old children have a higher proportion of entrained body temperature rhythms than one to three-year-old children. The factors related to body temperature rhythms were the “change in time of going to sleep”, “regularity of lifestyle”, and “time of going to sleep in December”. The strongest relationship was found in “change in time of going to sleep”. １～５歳の保育園児６４名を対象に、土日、祝日を除く２００７年５月から１２月までの８ヶ月 間、体温と生活状況を調査し、幼児の体温リズムと長期的な生活要因の関連を明らかにし た。幼児の平均就寝時刻は２１時３４分、平均起床時刻は６時４８分であった。起床時刻は５～ ９月に比べ１０～１２月では有意に遅くなっていたが、就寝時刻には時期による差は見られな かった。体温リズムが同調していた子どもは約５割で、１～３歳に比べ４～５歳では同調 群の割合が高くなっていた。体温リズムと関連が認められたのは「就寝時刻の推移」、「生 活の規則性」、「１２月の就寝時刻」で、最も強い関連があったのは「就寝時刻の推移」であっ た。[原著

A case of non-invasive serous adenocarcinoma at unilateral fimbria with spread to the peritoneal/uterine cavity: case report

Recently, fimbriae have been identified as a possible arising site for the pelvic serous carcinoma (PSC) both in BRCA-positive and BRCA-negative women. Although non-invasive (intraepithelial) serous adenocarcinoma of the fimbria has been found in specimens obtained from prophylactic salphingo-oophorectomies in BRCA-positive women, there has not been any case report in clinical situation, since this type of tumor is usually detected after stromal invasion/widespread dissemination. We describe a 67-year-old woman with non-invasive serous adenocarcinoma located solely in the left fimbria. This case may suggest the benefit of endometrial cytology and detailed gross examination of fimbria for the early detection of fimbrial carcinoma. This case may provide evidence suggesting fimbrial intraepithelial adenocarcinoma is one cause of PSC

肺癌におけるマトリックスメタロプロティナーゼ: その産生,局在と癌細胞の浸潤・転移における役割

取得学位 : 博士（医学）, 学位授与番号 : 医博甲第1044号, 学位授与年月日：平成4年3月25日,学位授与年：199