Morbilidade Neonatal e Cesariana Electiva em Recém-Nascidos de Termo

INTRODUCTION: International guidelines suggest that non-urgent planned deliveries be scheduled at or after 39 weeks. Despite this recommendation elective cesarean often occurs before 39 weeks. Some research has demonstrated that elective cesarean before 39 weeks poses a greater risk to the infants than at or after 39 weeks. OBJECTIVE: To evaluate neonatal morbidity in term newborns born by elective cesarean section. MATERIAL AND METHODS: Retrospective study of all term elective cesarean sections (scheduled and without labor) performed in level III maternity, in the last 11 years (2003 - 2013). High risk pregnancies were excluded: twins, premature rupture of membranes, preeclampsia, poorly controlled diabetes mellitus, Rh isoimmunization and congenital malformations. Two groups of newborns with gestational age less than 39 weeks and equal or greater than 39 weeks gestational age were compared. RESULTS: In our sample, 45% of elective caesarean sections were performed before 39 weeks. Infants born before 39 weeks were more frequently admitted in neonatal intensive care, odds ratio 2.4 [1.4 - 4.1] p = 0.001, had more respiratory morbidity, odds ratio 2.4 [1.6 - 3.8] p < 0.001, more hyperbilirubinaemia odds ratio 2.3 [1.5 - 3.7] p < 0.001, more hypoglycaemia and/or feeding difficulties odds ratio 1.6 [1.2 - 2.4] p = 0.006, and longer admissions (more than five days), odds ratio 2.0 [1.4 - 3] p < 0.001. DISCUSSION: As in other studies 'early term' had higher respiratory and metabolic morbidity and consequently had a longer hospital stay. CONCLUSION: These findings support recommendations to delay elective cesarean delay until 39 weeks of gestation.info:eu-repo/semantics/publishedVersio

Accelerated life testing of frozen green beans (Phaseolus vulgaris, L.) quality loss kinetics: colour and starch

This study uses the information derived from a computational research for the design of accelerated life testing (ALT) to implement experimentally the step stress methodology for the quantification of frozen green beans (Phaseolus vulgaris, L.) colour and starch degradation kinetics. Colour loss and starch degradation were successfully modelled, respectively, by a first-order reversible and apparent first-order kinetics, under dynamic temperature fluctuations. Results show that the step stress produces models with lower regression standard errors than the conventional isothermal methodology, increasing the accuracy of the estimated kinetic parameters. The ALT methodology, produces however, higher confidence intervals for the estimated kinetic parameters, than the isothermal methodology (e.g. colour b-coordinate by the: (i) isothermal methodology: k₋₁₅ ºC=22.189±0.349 day⁻¹·10⁻³; and (ii) ALT methodology: k₋₁₅ ºC=22.189±0.349 day⁻¹·10⁻³). Furthermore, as expected, higher Arrhenius activation energies (Ea) were estimated by the ALT step-stress methodology, than by the isothermal methodology (e.g. Hunter total colour difference (TCDH): (i) isothermal methodology: Ea=106.272±18.67 kJmol⁻¹; and (ii) ALT methodology: Ea=140.344±18.670 kJmol⁻¹). Accelerated tests are valuable tools, that can aid the study of quality losses in frozen foods. Although ALT tests increase the complexity of data analysis, they produce satisfactory results, when applied to frozen green beans kinetics of starch and colour losses.info:eu-repo/semantics/acceptedVersio

Ethical and methodological dilemmas in mixed-methods research: an empirically-based perspective about gamete donation

Research in the field of gamete donation has focused mostly on the dichotomy between the resource-poor countries/conditions of the donors and the richer Western countries’ recipients/hosting research projects. Furthermore, most independent studies focus only on the group of donors, with a shortage of original empirical research using mixed-methods. Based on a mixed-methods study that aims to understand how social, cultural and economic characteristics intertwine with the health experiences, knowledge and identities of those involved in gamete donation (i.e. donors, recipients and health professionals), we will explore the ethical and methodological challenges that emerged in connection to fieldwork experiences associated with anonymity, confidentiality, informed consent, researchers’ gender and researchers’ potential impact on the participant and vice versa.info:eu-repo/semantics/publishedVersio

Continuous spectra in high-harmonic generation driven by multicycle laser pulses

We present observations of the emission of XUV continua in the 20-37 eV region by high harmonic generation (HHG) with $4$-$7\ \mathrm{fs}$ pulses focused onto a Kr gas jet. The underlying mechanism relies on coherent control of the relative delays and phases between individually generated attosecond pulse, achievable by adjusting the chirp of the driving pulses and the interaction geometry. Under adequate negative chirp and phase matching conditions, the resulting interpulse interference yields a continuum XUV spectrum, which is due to both microscopic and macroscopic (propagation) contributions. This technique opens the route for modifying the phase of individual attosecond pulses and for the coherent synthesis of XUV continua from multicycle driving laser pulses without the need of an isolated attosecond burst.Comment: 14 pages, 5 figures. Submitted to Physical Review

Predictors of shared book reading at home with preschoolers: Are there differences between Roma and non-Roma low-income families?

Previous research highlights several benefits of shared book reading (SBR) for child development, but less studies exist about its predictors (Yarosz & Barnett, 2001). Literature on home SBR in Portugal is scarce (Araújo & Costa, 2015; Peixoto et al., 2008), and studies on its predictors in families at socioeconomic risk or Roma families in this context are, respectively, reduced (Gamelas et al., 2003) or inexistent. This study aimed to investigate the predictors of the frequency of SBR in two ethnically diverse groups of families. Specifically, we studied the associations between child and family (mother) characteristics, parental aspirations, and parental involvement in preschool events and frequency of home SBR. Two hundred and six caregivers of Portuguese Roma ( n = 101) and non-Roma ( n = 105) low-income preschoolers (109 boys; M age = 5, SD age = 0.94) living in the Metropolitan areas of Lisbon and Oporto, Portugal, completed a survey, in face-to-face meetings. A multiple regression model, using AMOS (v. 25), showed that mothers’ educational level, educational aspirations for their child, and involvement in informal (but not formal) events in preschool were positively associated with frequency of SBR. Ethnicity did not moderate these associations. The overall similar pattern results for Roma and non-Roma low income families is an important finding, suggesting that these families may experience similar challenges in engaging in SBR with their preschool children and, therefore, may benefit from interventions with similar features.info:eu-repo/semantics/acceptedVersio