Prevalence of exclusive breastfeeding and its determinants in first 6 months of life: A prospective study

Background: Exclusive breastfeeding for first 6 months of life is recommended under Infant and Young Child Feeding practices in India. The objective of present study was to estimate the prevalence of exclusive breastfeeding during first 6 months of life of babies and to identify factors that interfere with the practice in the study area. Methods: A prospective cohort of 462 women who delivered at maternity unit of Government Medical College & Hospital, Rajkot, which is a tertiary care centre for the district, was studied. Data collection was done at hospital as well as during home visits of babies at 1, 3 and 6 months. Factors related to cessation of breastfeeding were analyzed using univariate, bivariate and multivariate analysis. Results: All 462 mothers reported breastfeeding their newborns. Prevalence of exclusive breastfeeding reported at 3 months was 97% which declined to 62% by 6 months of age of infants. Bivariate analysis revealed no significant association between interruption of exclusive breastfeeding before 6 months of age and various demographic, socioeconomic, maternal and infant characteristics. Multivariate analysis by logistic regression demonstrated no association between discontinuation of exclusive breastfeeding and socioeconomic status, maternal education and maternal age, number of antenatal visits, maternal employment and initiation of breastfeeding after delivery. Conclusion: Exclusive breastfeeding prevalence rate found higher than at national level indicating better feeding practices in these part of India. Also, factors classically considered as supportive for breastfeeding had shown no association with breastfeeding pattern in present study

De Sitter Holography with a Finite Number of States

We investigate the possibility that, in a combined theory of quantum mechanics and gravity, de Sitter space is described by finitely many states. The notion of observer complementarity, which states that each observer has complete but complementary information, implies that, for a single observer, the complete Hilbert space describes one side of the horizon. Observer complementarity is implemented by identifying antipodal states with outgoing states. The de Sitter group acts on S-matrix elements. Despite the fact that the de Sitter group has no nontrivial finite-dimensional unitary representations, we show that it is possible to construct an S-matrix that is finite-dimensional, unitary, and de Sitter-invariant. We present a class of examples that realize this idea holographically in terms of spinor fields on the boundary sphere. The finite dimensionality is due to Fermi statistics and an `exclusion principle' that truncates the orthonormal basis in which the spinor fields can be expanded.Comment: 23 pages, 1 eps figure, LaTe

A window into the neutron star: Modelling the cooling of accretion heated neutron star crusts

In accreting neutron star X-ray transients, the neutron star crust can be substantially heated out of thermal equilibrium with the core during an accretion outburst. The observed subsequent cooling in quiescence (when accretion has halted) offers a unique opportunity to study the structure and thermal properties of the crust. Initially crust cooling modelling studies focussed on transient X-ray binaries with prolonged accretion outbursts (> 1 year) such that the crust would be significantly heated for the cooling to be detectable. Here we present the results of applying a theoretical model to the observed cooling curve after a short accretion outburst of only ~10 weeks. In our study we use the 2010 outburst of the transiently accreting 11 Hz X-ray pulsar in the globular cluster Terzan 5. Observationally it was found that the crust in this source was still hot more than 4 years after the end of its short accretion outburst. From our modelling we found that such a long-lived hot crust implies some unusual crustal properties such as a very low thermal conductivity (> 10 times lower than determined for the other crust cooling sources). In addition, we present our preliminary results of the modelling of the ongoing cooling of the neutron star in MXB 1659-298. This transient X-ray source went back into quiescence in March 2017 after an accretion phase of ~1.8 years. We compare our predictions for the cooling curve after this outburst with the cooling curve of the same source obtained after its previous outburst which ended in 2001.Comment: 4 pages, 1 figure, to appear in the proceedings of "IAUS 337: Pulsar Astrophysics - The Next 50 Years" eds: P. Weltevrede, B.B.P. Perera, L. Levin Preston & S. Sanida

Generation of unstructured grids and Euler solutions for complex geometries

Algorithms are described for the generation and adaptation of unstructured grids in two and three dimensions, as well as Euler solvers for unstructured grids. The main purpose is to demonstrate how unstructured grids may be employed advantageously for the economic simulation of both geometrically as well as physically complex flow fields

Implementing pediatric inpatient asthma pathways.

ObjectivePathways are succinct, operational versions of evidence-based guidelines. Studies have demonstrated pathways improve quality of care for children hospitalized with asthma, but we have limited information on other key factors to guide hospital leaders and clinicians in pathway implementation efforts. Our objective was to evaluate the adoption, implementation, and reach of inpatient pediatric asthma pathways.MethodsThis was a mixed-methods study of hospitals participating in a national collaborative to implement pathways. Data sources included electronic surveys of implementation leaders and staff, field observations, and chart review of children ages 2-17 years admitted with a primary diagnosis of asthma. Outcomes included adoption by hospitals, pathway implementation factors, and reach of pathways to children hospitalized with asthma. Quantitative data were analyzed using descriptive statistics and multivariable regression. Qualitative data were analyzed using thematic content analysis.ResultsEighty-five hospitals enrolled; 68 (80%) adopted/completed the collaborative. These 68 hospitals implemented pathways with overall high fidelity, implementing a median of 5 of 5 core pathway components (Interquartile Range [IQR] 4-5) in a median of 5 months (IQR 3-9). Implementation teams reported a median time cost of 78 h (IQR: 40-120) for implementation. Implementation leaders reported the values of pathway implementation included improvements in care, enhanced interdisciplinary collaboration, and access to educational resources. Leaders reported barriers in modifying electronic health records (EHRs), and only 63% of children had electronic pathway orders placed.ConclusionsHospitals implemented pathways with high fidelity. Barriers in modifying EHRs may have limited the reach of pathways to children hospitalized with asthma

The Volume of 2D Black Holes

It is shown that the definition for the volume of stationary black holes advocated in hep-th/0508108 readily generalizes to the case of dilaton gravity in D=2. The dilaton field is included as part of the measure. A feature observed in D=3 and 4 has been the impossibility to obtain infinite volume while retaining finite area without encountering some kind of pathology. It is demonstrated that this also holds in D=2. Consistency with spherically reduced gravity is shown. For the Witten black hole it is found that the area is proportional to the volume.Comment: 9 pages, 3 figures, uses iopart_mod.cl

Further constraints on neutron star crustal properties in the low-mass X-ray binary 1RXS J180408.9−-342058

We report on two new quiescent {\it XMM-Newton} observations (in addition to the earlier {\it Swift}/XRT and {\it XMM-Newton} coverage) of the cooling neutron star crust in the low-mass X-ray binary 1RXS J180408.9$-$342058. Its crust was heated during the $\sim$4.5 month accretion outburst of the source. From our quiescent observations, fitting the spectra with a neutron star atmosphere model, we found that the crust had cooled from $\sim$ 100 eV to $\sim$73 eV from $\sim$8 days to $\sim$479 days after the end of its outburst. However, during the most recent observation, taken $\sim$860 days after the end of the outburst, we found that the crust appeared not to have cooled further. This suggested that the crust had returned to thermal equilibrium with the neutron star core. We model the quiescent thermal evolution with the theoretical crustal cooling code NSCool and find that the source requires a shallow heat source, in addition to the standard deep crustal heating processes, contributing $\sim$0.9 MeV per accreted nucleon during outburst to explain its observed temperature decay. Our high quality {\it XMM-Newton} data required an additional hard component to adequately fit the spectra. This slightly complicates our interpretation of the quiescent data of 1RXS J180408.9$-$342058. The origin of this component is not fully understood.Comment: Accepted for publication by MNRA