Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth

Introduction: This pilot study tested the feasibility and effectiveness of using Mindfulness-Based Childbirth Education (MBCE), a novel integration of mindfulness meditation and skills-based childbirth education, for mental health promotion with pregnant women. The MBCE protocol aimed to reduce fear of birth, anxiety, and stress and improve maternal self-efficacy. This pilot study also aimed to determine the acceptability and feasibility of the MBCE protocol. Methods: A single-arm pilot study of the MBCE intervention using a repeated-measures design was used to analyze data before and after the MBCE intervention to determine change trends with key outcome variables: mindfulness; depression, anxiety, and stress; childbirth self-efficacy; and fear of childbirth. Pregnant women (18-28 weeks’ gestation) and their support companions attended weekly MBCE group sessions over 8 weeks in an Australian community setting.Results: Of the 18 women who began and completed the intervention, missing data allowed for complete data from12 participants to be analyzed. Statistically significant improvements and large effect sizes were observed for childbirth self-efficacy and fear of childbirth. Improvements in depression, mindfulness, and birth outcome expectations were underpowered. At postnatal follow-up significant improvements were found in anxiety, whereas improvements in mindfulness, stress, and fear of birth were significant at a less conservative alpha level. Discussion: This pilot study demonstrated that a blended mindfulness and skills-based childbirth education intervention was acceptable to women and was associated with improvements in women’s sense of control and confidence in giving birth. Previous findings that low self-efficacy and high childbirth fear are linked to greater labor pain, stress reactivity, and trauma suggest the observed improvements in these variables have important implications for improving maternal mental health and associated child health outcomes. Ways in which these outcomes can be achieved through improved childbirth education are discussed

Global Journalist: How oil production affects the world economy

In this May 8, 2003 episode of Global Journalist, host Byron Scott and four journalists from Venezuela, Saudi Arabia, Nigeria and Russia discuss about how the oil market in OPEC member countries and allies impacts the world economy, and what is the future of oil and OPEC from these countries' perspectives

The effect of Helicobacter pylori infection and eradication in patients with gastro-oesophageal reflux disease: A parallel-group, double-blind, placebo-controlled multicentre study

Objectives: This study aimed to resolve controversy regarding the effects of Helicobacter pylori eradication therapy and H. pylori infection in gastro-oesophageal reflux disease. Design: A randomized, double-blind, multicentre trial was performed in patients presenting with reflux symptoms. H. pylori-positive patients were randomized to receive either antibiotics or placebo for 7 days. H. pylori-negative patient controls received placebo. All received esomeprazole 20 mg b.d. for 7 days, followed by 40 mg o.d. to complete an 8-week course, and were followed up for 32 weeks by telephone. Results: In this study, 198/589 (34%) patients were H. pylori-positive and 113 H. pylori-negative patients served as controls. Baseline endoscopy revealed 63% Los Angeles grade 0A and 37% Los Angeles grade BCD oesophagitis with no difference between patient groups. Symptom improvement on esomeprazole was seen in 89%. H. pylori eradication was successful in 82%. H. pylori eradication had no effect on symptomatic relapse (hazard ratio 1.15, 95% CI 0.74–1.8; p = 0.5). Overall, H. pylori-positive patients had a lower probability of relapse compared to H. pylori-negative controls (hazard ratio 0.6, 95% CI 0.43–0.85; p = 0.004). Relapse hazard was modulated also by oesophagitis grade (BCD vs. 0A, hazard ratio 2.1, 95% CI 1.5–3.0). Conclusion: Relapse of gastro-oesophageal reflux disease symptoms after a course of high dose acid suppression took longer for H. pylori-positive patients than H. pylori-negative controls; however eradication therapy had no effect on the risk of relapse; ClincialTrials.gov number, NCT00574925

Machine Learning in Automated Text Categorization

The automated categorization (or classification) of texts into predefined categories has witnessed a booming interest in the last ten years, due to the increased availability of documents in digital form and the ensuing need to organize them. In the research community the dominant approach to this problem is based on machine learning techniques: a general inductive process automatically builds a classifier by learning, from a set of preclassified documents, the characteristics of the categories. The advantages of this approach over the knowledge engineering approach (consisting in the manual definition of a classifier by domain experts) are a very good effectiveness, considerable savings in terms of expert manpower, and straightforward portability to different domains. This survey discusses the main approaches to text categorization that fall within the machine learning paradigm. We will discuss in detail issues pertaining to three different problems, namely document representation, classifier construction, and classifier evaluation.Comment: Accepted for publication on ACM Computing Survey

Toxicity of baits and their effects on population suppression of anastrepha fraterculus (diptera: tephritidae): implications for field management.

Anastrepha fraterculus (Wiedemann, 1830) is the main pest of fruit in southern Brazil. The use of toxic baits is one of the alternatives for its management. In this study, the toxic baits Anamed + malathion (10,000 mg/liter), Flyral 1.25% + malathion (2,000 mg/liter), and Gelsura (alpha-cypermethrin, 2,000 and 4,000 mg/liter) were highly toxic to the adults of A. fraterculus (lethal time [LT50] 90% mortality) on A. fraterculus adults up to 21 d after treatment (DAT). In the presence of 5, 25, and 50 mm of rainfall, there was a significant reduction in the residual effect over time. However, with up to 50 mm of rain, Anamed + malathion and Gelsura 2,000 and 4,000 mg/liter caused between 43.0 and 79.0% of mortality. In the field, during two consecutive seasons (2015/2016 and 2016/2017), applications of Gelsura 2,000 mg/liter (four applications/season) caused population suppression of the pest throughout the apple fruiting period. However, in the 2016/2017 season, in the area using Gelsura, a higher percentage (&#8776;12%) of apple fruits damaged by A. fraterculus females was observed when compared with the area with insecticide application (damage <3%). The toxic bait Gelsura (2,000 and 4.000 mg/liter) was shown to be promising for use in the management of A. fraterculus, with results similar to those with the application of synthetic insecticides. Key words: South American fruit fly, integrated pest management, rain effect, chemical contro

High resolution array-CGH analysis of single cells

Heterogeneity in the genome copy number of tissues is of particular importance in solid tumor biology. Furthermore, many clinical applications such as pre-implantation and non-invasive prenatal diagnosis would benefit from the ability to characterize individual single cells. As the amount of DNA from single cells is so small, several PCR protocols have been developed in an attempt to achieve unbiased amplification. Many of these approaches are suitable for subsequent cytogenetic analyses using conventional methodologies such as comparative genomic hybridization (CGH) to metaphase spreads. However, attempts to harness array-CGH for single-cell analysis to provide improved resolution have been disappointing. Here we describe a strategy that combines single-cell amplification using GenomePlex library technology (GenomePlex(®) Single Cell Whole Genome Amplification Kit, Sigma-Aldrich, UK) and detailed analysis of genomic copy number changes by high-resolution array-CGH. We show that single copy changes as small as 8.3 Mb in single cells are detected reliably with single cells derived from various tumor cell lines as well as patients presenting with trisomy 21 and Prader–Willi syndrome. Our results demonstrate the potential of this technology for studies of tumor biology and for clinical diagnostics

Recomendações para avaliação de iscas tóxicas sobre as moscas-das-frutas Anastrepha fraterculus e Ceratitis capitata (Diptera: Tephritidae) em laboratório.

As iscas tóxicas têm sido uma ferramenta importante para o manejo das moscas-das-frutas no Brasil. De maneira geral, a tecnologia consiste na associação entre um atrativo alimentar e um agente letal que controla os adultos do inseto ao entrarem em contato ou se alimentarem da mistura. Como vantagens do uso da tecnologia, destaca-se o emprego de doses reduzidas de inseticidas e a possibilidade de diminuir a presença de resíduos tóxicos nos frutos, devido a aplicação ser realizada nas bordas dos pomares, nos troncos e/ou folhas, evitando atingir os frutos.bitstream/item/201146/1/Doc109.pd

Quantitative Bias in Illumina TruSeq and a Novel Post Amplification Barcoding Strategy for Multiplexed DNA and Small RNA Deep Sequencing

Here we demonstrate a method for unbiased multiplexed deep sequencing of RNA and DNA libraries using a novel, efficient and adaptable barcoding strategy called Post Amplification Ligation-Mediated (PALM). PALM barcoding is performed as the very last step of library preparation, eliminating a potential barcode-induced bias and allowing the flexibility to synthesize as many barcodes as needed. We sequenced PALM barcoded micro RNA (miRNA) and DNA reference samples and evaluated the quantitative barcode-induced bias in comparison to the same reference samples prepared using the Illumina TruSeq barcoding strategy. The Illumina TruSeq small RNA strategy introduces the barcode during the PCR step using differentially barcoded primers, while the TruSeq DNA strategy introduces the barcode before the PCR step by ligation of differentially barcoded adaptors. Results show virtually no bias between the differentially barcoded miRNA and DNA samples, both for the PALM and the TruSeq sample preparation methods. We also multiplexed miRNA reference samples using a pre-PCR barcode ligation. This barcoding strategy results in significant bias