Maternal attitudes, adjustment, health behaviors, and social support among mothers of infants in the neonatal intensive care unit

Introduction: A growing body of research suggests that an infants’ admission to a neonatal intensive care unit (NICU) is associated with adverse maternal mental health outcomes. Maternal attitudes, adjustment to motherhood, social support, and health behaviors may be important modifiable factors that could improve quality of life and well-being among NICU mothers. The current study examined the relationships among maternal attitudes, adjustment to motherhood, health behaviors, social support, and psychological functioning in NICU mothers. Methods: One hundred twenty-seven women were recruited from NICUs at three hospitals in the Philadelphia area and completed self-report measures while in the NICU. Descriptive analyses were conducted on the main variables, and a series of bivariate correlations and linear regression analyses were used to evaluate the primary study aims. Results: Descriptive statistics indicated that NICU mothers had diverse attitudes towards motherhood, specifically regarding body image, somatic symptoms, romantic relationships, sex, and their baby. In general, they perceived high levels of social support, which varied based upon psychological and reproductive characteristics. Statistically significant findings revealed that maternal attitudes, adjustment, and perceived social support variables were negatively correlated with anxiety, stress, and depressive symptoms. Discussion: This study demonstrates that certain maternal variables are related to psychological functioning among NICU mothers, such as maternal attitudes, adjustment, and social support. Determining how to bolster these variables as a protective mechanism for mothers during the stressful NICU experience is an important future direction. This study suggests that developing and implementing unique programs and interventions that target these variables in the NICU setting may benefit mothers, families, and infants

Sustainable Cocoa Production Program (SCPP): Analysis of cocoa beans processing and quality in post-harvest in South East Sulawesi in Indonesia

The production of cocoa, introduced in Indonesia during the 1980s, is now decreasing due to many different factors, among them decreased yields due to aging trees, the appearance of pests and diseases, and the farmers not being able to solve these problems due to their lack of knowledge. In 2012, Swisscontact implemented the Sustainable Cocoa Program (SCPP) to improve the competitiveness of the farmers in the cocoa value chain and to increase the productivity of cocoa beans on farm-level. The present study, conducted with the support of Swisscontact, is divided in two main different parts. The first part is a farmer analysis conducted in the district of Kolaka Timur to observe the effect of the SCPP and the UTZ certification on the agricultural practices and the post-harvest method on farm-level. Three different farmers’ groups were interviewed: 16 farmers involved in the SCPP and UTZ certified, 22 farmers involved in SCPP without any certification and 20 none-SCPP farmers. 32 women were interviewed as well to evaluate the gender equity in cocoa production. The second part of the study is an analysis of the quality of the cocoa beans by the different stakeholders of the value chain regarding the tools and the use of specific quality criteria. Eight local traders, six processing and trading companies and three associations involved in the cocoa sector were interviewed.The results in the first part show that the SCPP has an impact on the productivity of cocoa beans in the long term: the annual yield is significantly higher in the first group (UTZ-SCPP) and the agricultural practices are improved as well. The SCPP, with the creation of farmers’ cooperative, also increased the market access to the farmers. The second part shows that the tools and criteria used for analysing the quality of the cocoa beans are not the same in the value chain. Regarding the application of post-harvest practices, the study shows that the processing companies don’t have a real interest in buying fermented beans and they rather buy almost raw beans at a low price. The conclusion is that farmers involved in the SCPP have the possibility to produce a higher volume of cocoa beans but a market for fermented beans has to be created in order to add more value to the cocoa beans from Indonesia

Influence of climate change and human activities on the organic and inorganic composition of peat during the ‘Little Ice Age’ (El Payo mire, W Spain)

Acknowledgements We are grateful to Ana Moreno, Mariano Barriendos and Gerardo Benito who kindly provided us data included in Figure 5a. We also want to thank the two anonymous reviewers for their constructive comments. Funding This work was funded by the projects HAR2013-43701-P (Spanish Economy and Competitiveness Ministry) and CGL2010-20672 (Spanish Ministry of Science and Innovation). This research was also partially developed with Xunta de Galicia funding (grants R2014/001 and GPC2014/009). N Silva-Sánchez is currently supported by an FPU pre-doctoral grant (AP2010-3264) funded by the Spanish Government.Peer reviewedPostprin

On the Reference Structure for the Resonance Energy of Aromatic Hydrocarbons

To use the Zagreb Group and Aihara definition of resonance energy, it is necessary that the roots of the reference polynomial all be real. A partial proof that they are has been obtained in three ways. Direct solution of the reference polynomial for annulenes shows all roots real in this case. Application of Sturm sequences promises the complete proof in principle, but requires the proof of inequalities which we have so far resolved only for molecules with four or fewer atoms. A graph theoretical approach succeeds for all conjugated hydrocarbons in which no edge is shared by two rings. It is also suggested that the reference polynomial may be used for discriminating planar isospectral molecules

Evaluation of high-dose daptomycin for therapy of experimental Staphylococcus aureus foreign body infection

BACKGROUND: Daptomycin is a novel cyclic lipopeptide whose bactericidal activity is not affected by current antibiotic resistance mechanisms displayed by S. aureus clinical isolates. This study reports the therapeutic activity of high-dose daptomycin compared to standard regimens of oxacillin and vancomycin in a difficult-to-treat, rat tissue cage model of experimental therapy of chronic S. aureus foreign body infection. METHODS: The methicillin-susceptible S. aureus (MSSA) strain I20 is a clinical isolate from catheter-related sepsis. MICs, MBCs, and time-kill curves of each antibiotic were evaluated as recommended by NCCLS, including supplementation with physiological levels (50 mg/L) of Ca(2+ )for daptomycin. Two weeks after local infection of subcutaneously implanted tissue cages with MSSA I20, each animal received (i.p.) twice-daily doses of daptomycin, oxacillin, or vancomycin for 7 days, or was left untreated. The reductions of CFU counts in each treatment group were analysed by ANOVA and Newman-Keuls multiple comparisons procedures. RESULTS: The MICs and MBCs of daptomycin, oxacillin, or vancomycin for MSSA strain I20 were 0.5 and 1, 0.5 and 1, or 1 and 2 mg/L, respectively. In vitro elimination of strain I20 was more rapid with 8 mg/L of daptomycin compared to oxacillin or vancomycin. Twice-daily administered daptomycin (30 mg/kg), oxacillin (200 mg/kg), or vancomycin (50 mg/kg vancomycin) yielded bactericidal antibiotic levels in infected cage fluids throughout therapy. Before therapy, mean (± SEM) viable counts of strain I20 were 6.68 ± 0.10 log(10 )CFU/mL of cage fluid (n = 74). After 7 days of therapy, the mean (± SEM) reduction in viable counts of MSSA I20 was 2.62 (± 0.30) log(10 )CFU/mL in cages (n = 18) of daptomycin-treated rats, exceeding by >2-fold (P < 0.01) the viable count reductions of 0.92 (± 0.23; n = 19) and 0.96 (± 0.24; n = 18) log(10 )CFU/mL in cages of oxacillin-treated and vancomycin-treated rats, respectively. Viable counts in cage fluids of untreated animals increased by 0.48 (± 0.24; n = 19) log(10 )CFU/mL. CONCLUSION: The improved efficacy of the twice-daily regimen of daptomycin (30 mg/kg) compared to oxacillin (200 mg/kg) or vancomycin (50 mg/kg) may result from optimisation of its pharmacokinetic and bactericidal properties in infected cage fluids

Remarkable change in age-specific breast cancer incidence in the Swiss canton of Geneva and its possible relation with the use of hormone replacement therapy

BACKGROUND: This article aims to explain the reasons for the remarkable change in age of breast cancer occurrence in the Swiss canton of Geneva. METHODS: We used population-based data from the Geneva cancer registry, which collects information on method of detection, stage and tumour characteristics since 1975. For patients diagnosed between 1997–2003, we obtained additional information on use of hormone replacement therapy from a large prospective study on breast cancer. Using generalized log linear regression analysis, we compared age-specific incidence rates with respect to period, stage, oestrogen receptor status, method of detection and use of hormone replacement therapy. RESULTS: In the periods 1975–1979 and 1985–1989, breast cancer risk increased with age, showing the highest incidence rates among women aged ≥ 85 years. From 1997, the age-specific incidence curve changed completely (p < 0.0001), showing an incidence peak at 60–64 years and a reduced incidence among elderly women. This incidence peak concerned mainly early stage and oestrogen positive cancers and was exclusively observed among women who ever used hormone replacement therapy, regardless whether the tumour was screen-detected or not. CONCLUSION: The increasing prevalence of hormone replacement therapy use during the 1990s could explain the important change in age-specific breast cancer incidence, not only by increasing breast cancer risk, but also by revealing breast cancer at an earlier age

Distribution and biological role of the oligopeptide-binding protein (OppA) in Xanthomonas species

In this study we investigated the prevalence of the oppA gene, encoding the oligopeptide binding protein (OppA) of the major bacterial oligopeptide uptake system (Opp), in different species of the genus Xanthomonas. The oppA gene was detected in two Xanthomonas axonopodis strains among eight tested Xanthomonas species. The generation of an isogenic oppA-knockout derivative of the Xac 306 strain, showed that the OppA protein neither plays a relevant role in oligopeptide uptake nor contributes to the infectivity and multiplication of the bacterial strain in leaves of sweet orange (Citrus sinensis) and Rangpur lime (Citrus limonia). Taken together these results suggest that the oppA gene has a recent evolutionary history in the genus and does not contribute in the physiology or pathogenesis of X. axonopodis

Pseudomonas viridiflava, a Multi Host Plant Pathogen with Significant Genetic Variation at the Molecular Level

The pectinolytic species Pseudomonas viridiflava has a wide host range among plants, causing foliar and stem necrotic lesions and basal stem and root rots. However, little is known about the molecular evolution of this species. In this study we investigated the intraspecies genetic variation of P. viridiflava amongst local (Cretan), as well as international isolates of the pathogen. The genetic and phenotypic variability were investigated by molecular fingerprinting (rep-PCR) and partial sequencing of three housekeeping genes (gyrB, rpoD and rpoB), and by biochemical and pathogenicity profiling. The biochemical tests and pathogenicity profiling did not reveal any variability among the isolates studied. However, the molecular fingerprinting patterns and housekeeping gene sequences clearly differentiated them. In a broader phylogenetic comparison of housekeeping gene sequences deposited in GenBank, significant genetic variability at the molecular level was found between isolates of P. viridiflava originated from different host species as well as among isolates from the same host. Our results provide a basis for more comprehensive understanding of the biology, sources and shifts in genetic diversity and evolution of P. viridiflava populations and should support the development of molecular identification tools and epidemiological studies in diseases caused by this species

Classification of Plant Associated Bacteria Using RIF, a Computationally Derived DNA Marker

A DNA marker that distinguishes plant associated bacteria at the species level and below was derived by comparing six sequenced genomes of Xanthomonas, a genus that contains many important phytopathogens. This DNA marker comprises a portion of the dnaA replication initiation factor (RIF). Unlike the rRNA genes, dnaA is a single copy gene in the vast majority of sequenced bacterial genomes, and amplification of RIF requires genus-specific primers. In silico analysis revealed that RIF has equal or greater ability to differentiate closely related species of Xanthomonas than the widely used ribosomal intergenic spacer region (ITS). Furthermore, in a set of 263 Xanthomonas, Ralstonia and Clavibacter strains, the RIF marker was directly sequenced in both directions with a success rate approximately 16% higher than that for ITS. RIF frameworks for Xanthomonas, Ralstonia and Clavibacter were constructed using 682 reference strains representing different species, subspecies, pathovars, races, hosts and geographic regions, and contain a total of 109 different RIF sequences. RIF sequences showed subspecific groupings but did not place strains of X. campestris or X. axonopodis into currently named pathovars nor R. solanacearum strains into their respective races, confirming previous conclusions that pathovar and race designations do not necessarily reflect genetic relationships. The RIF marker also was sequenced for 24 reference strains from three genera in the Enterobacteriaceae: Pectobacterium, Pantoea and Dickeya. RIF sequences of 70 previously uncharacterized strains of Ralstonia, Clavibacter, Pectobacterium and Dickeya matched, or were similar to, those of known reference strains, illustrating the utility of the frameworks to classify bacteria below the species level and rapidly match unknown isolates to reference strains. The RIF sequence frameworks are available at the online RIF database, RIFdb, and can be queried for diagnostic purposes with RIF sequences obtained from unknown strains in both chromatogram and FASTA format