WorldWideScience

Sample records for singleton susan goldin-meadow

  1. Susan Smith

    African Journals Online (AJOL)

    Owner

    'n Resep om ge- trou of in ontrou na te volg, bestaan nie. Ge- lukkig nie. Susan Smith se (debuut)bundel lok ... word gesteun deur die De Jong-motto, “we pass the words along”, maar in besonder ook die motto waarmee ... de ingrif “teen die gewels en fasades van ver- ganklike strukture”. Herhaling, duur en ver- wisseling is ...

  2. Singleton strings

    Energy Technology Data Exchange (ETDEWEB)

    Engquist, J. [Institute for Theoretical Physics and Spinoza Institute, Utrecht University (Netherlands); Sundell, P. [INFN, Pisa (Italy); Scuola Normale Superiore, Pisa (Italy); Tamassia, L. [Instituut voor Theoretische Fysica, Katholieke Universiteit Leuven, Celestijnenlaan 200D, 3001 Leuven (Belgium)

    2007-05-15

    The group theoretical structure underlying physics in anti de Sitter (AdS) spacetime is intrinsically different with respect to the flat case, due to the presence of special ultra-short representations, named singletons, that do not admit a flat space limit. The purpose of this collaboration is to exploit this feature in the study of string and brane dynamics in AdS spacetime, in particular while trying to establish a connection between String Theory in AdS backgrounds (in the tensionless limit) and Higher-Spin Gauge Theory. (orig.)

  3. Susan Flannery lahkub? / Harro Puusild

    Index Scriptorium Estoniae

    Puusild, Harro

    2008-01-01

    Ameerika teleseriaali "Vaprad ja ilusad" Stephanie Forresteri osatäitja Susan Flannery (1943) on seriaalis mänginud algusest peale s.o. 21 aastat. Lisatud intervjuu näitlejatariga. Sama ka Teleleht nr. 15, lk. 8-9 : ill

  4. In Conversation with Susan Holtz | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2010-11-26

    Nov 26, 2010 ... Susan Holtz is a private consultant and Adjunct Professor in the Environmental Planning Department of the Nova Scotia College for Art and Design. As a consultant, Ms. Holtz specializes in energy, environment, and sustainable development policy, and works on related issues as a mediator and facilitator.

  5. A polarised SUSANS facility to study magnetic systems

    Indian Academy of Sciences (India)

    Using a right-angled magnetic air prism, we have achieved a separation of ∼ 10 arcsec between ∼ 2 arcsec wide up- and down-spin peaks of 5.4 Å neutrons. The polarised neutron option has thus been introduced into the SUSANS instrument. Strongly spin-dependent SUSANS spectra have been observed over ±1.3 ...

  6. Susan Sontag — A Forgotten Mother?

    Directory of Open Access Journals (Sweden)

    Kludia Ziewiec

    2013-01-01

    Full Text Available The article discusses new and republished translations of Susan Sontag’s work, recently launched by the Karakter publishing house: Regarding the Pan of Others, On Photography, and Against Interpretation and Other Essays. The article focuses on the elements of Sontag’s thought that make her a forgotten mother of feminist and gender theoreticians, as well as such influential critics as Michel Foucault and Roland Barthes. The article points out to continuations of Sontag’s thought in contemporary theoretical and social projects, and to the pertinence of her critical observations on theories based on metaphysics of presence: psychoanalysis, Marxism, or hermeneutics. The article also touches upon history of war photography and related war journalism, and upon the ambivalent quality of imaging of the misery of war. It also present historical and cultural circumstances of the development of Sontag’s thought in the intellectual milieu of New York in the 1960s. The discussion recapitulates the main statements of Sontag’s essays, relating them to a wider theoretical context, which is aimed at a reappraisal of the forgotten intelectual in the history of literature.

  7. Psychoanalytic Interpretation of Blueberries by Susan Gibb

    Directory of Open Access Journals (Sweden)

    Maya Zalbidea Paniagua

    2014-06-01

    Full Text Available Blueberries (2009 by Susan Gibb, published in the ELO (Electronic Literature Organization, invites the reader to travel inside the protagonist’s mind to discover real and imaginary experiences examining notions of gender, sex, body and identity of a traumatised woman. This article explores the verbal and visual modes in this digital short fiction following semiotic patterns as well as interpreting the psychological states that are expressed through poetical and technological components. A comparative study of the consequences of trauma in the protagonist will be developed including psychoanalytic theories by Sigmund Freud, Jacques Lacan and the feminist psychoanalysts: Melanie Klein and Bracha Ettinger. The reactions of the protagonist will be studied: loss of reality, hallucinations and Electra Complex, as well as the rise of defence mechanisms and her use of the artistic creativity as a healing therapy. The interactivity of the hypermedia, multiple paths and endings will be analyzed as a literary strategy that increases the reader’s capacity of empathizing with the speaker.

  8. Susan swan and the female grotesque Susan swan and the female grotesque

    Directory of Open Access Journals (Sweden)

    Suzana Bornéo Funck

    2008-04-01

    Full Text Available Introduced to readers as “the tallest woman freelance writer in Canada”, Susan Swan belongs to a generation of writers whose experimental, innovative fiction has proved vital in the contemporary project of de/re/constructing narrative practice. Her 1983 novel The Biggest Modern Woman of the World constitutes an excellent example of what critic Linda Hutcheon has termed “historiographic metafiction”—”fiction that is intensely, self-reflexively art, but is also grounded in historical, social, and political realities” (Canadian 13. As a conscious engagement with social and historical contexts, such fiction aims at destabilizing and subverting accepted patterns of belief by reconceptualizing and narrating possible subjectivities. By means of intertextuality, especially parody, it engages in an ideological critique in terms of both sexual and national politics. Introduced to readers as “the tallest woman freelance writer in Canada”, Susan Swan belongs to a generation of writers whose experimental, innovative fiction has proved vital in the contemporary project of de/re/constructing narrative practice. Her 1983 novel The Biggest Modern Woman of the World constitutes an excellent example of what critic Linda Hutcheon has termed “historiographic metafiction”—”fiction that is intensely, self-reflexively art, but is also grounded in historical, social, and political realities” (Canadian 13. As a conscious engagement with social and historical contexts, such fiction aims at destabilizing and subverting accepted patterns of belief by reconceptualizing and narrating possible subjectivities. By means of intertextuality, especially parody, it engages in an ideological critique in terms of both sexual and national politics.

  9. A polarised SUSANS facility to study magnetic systems

    Indian Academy of Sciences (India)

    A polarised SUSANS facility to study magnetic systems. APOORVA G WAGH1, VEER CHAND RAKHECHA1, MARKUS STROBL2 and. WOLFGANG TREIMER2. 1Solid State Physics Division, Bhabha Atomic Research Centre, Mumbai 400 085, India. 2Berlin Neutron Scattering Center, Hahn-Meitner-Institut, Glienicker ...

  10. A polarised SUSANS facility to study magnetic systems

    Indian Academy of Sciences (India)

    . The sum of convolutions of |Fu(Q)|2 and |Fd(Q)|2 with the respective fits to the instrument resolution, peaked at parameterised Q-centres, is least-square fit- ted (figure 3) to the sample SUSANS spectrum to extract ρu(r) and ρd(r). The.

  11. Feature singletons attract spatial attention independently of feature priming.

    Science.gov (United States)

    Yashar, Amit; White, Alex L; Fang, Wanghaoming; Carrasco, Marisa

    2017-08-01

    People perform better in visual search when the target feature repeats across trials (intertrial feature priming [IFP]). Here, we investigated whether repetition of a feature singleton's color modulates stimulus-driven shifts of spatial attention by presenting a probe stimulus immediately after each singleton display. The task alternated every two trials between a probe discrimination task and a singleton search task. We measured both stimulus-driven spatial attention (via the distance between the probe and singleton) and IFP (via repetition of the singleton's color). Color repetition facilitated search performance (IFP effect) when the set size was small. When the probe appeared at the singleton's location, performance was better than at the opposite location (stimulus-driven attention effect). The magnitude of this attention effect increased with the singleton's set size (which increases its saliency) but did not depend on whether the singleton's color repeated across trials, even when the previous singleton had been attended as a search target. Thus, our findings show that repetition of a salient singleton's color affects performance when the singleton is task relevant and voluntarily attended (as in search trials). However, color repetition does not affect performance when the singleton becomes irrelevant to the current task, even though the singleton does capture attention (as in probe trials). Therefore, color repetition per se does not make a singleton more salient for stimulus-driven attention. Rather, we suggest that IFP requires voluntary selection of color singletons in each consecutive trial.

  12. Astronaut Susan J. Helms Mounts a Videao Camera in Zarya

    Science.gov (United States)

    2001-01-01

    Astronaut Susan J. Helms, Expedition Two flight engineer, mounts a video camera onto a bracket in the Russian Zarya or Functional Cargo Block (FGB) of the International Space Station (ISS). Launched by a Russian Proton rocket from the Baikonu Cosmodrome on November 20, 1998, the Unites States-funded and Russian-built Zarya was the first element of the ISS, followed by the U.S. Unity Node.

  13. Susan Dicklitch. The Elusive Promise of NGO's | Heck | Uganda ...

    African Journals Online (AJOL)

    Susan Dicklitch. The Elusive Promise of NGO's. Simon Heck. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.4314/uj.v46i1.23044 · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about ...

  14. Parallax adjustment algorithm based on Susan-Zernike moments

    Science.gov (United States)

    Deng, Yan; Zhang, Kun; Shen, Xiaoqin; Zhang, Huiyun

    2018-02-01

    Precise parallax detection through definition evaluation and the adjustment of the assembly position of the objective lens or the reticle are important means of eliminating the parallax of the telescope system, so that the imaging screen and the reticle are clearly focused at the same time. An adaptive definition evaluation function based on Susan-Zernike moments is proposed. First, the image is preprocessed by the Susan operator to find the potential boundary edge. Then, the Zernike moments operator is used to determine the exact region of the reticle line with sub-pixel accuracy. The image definition is evaluated only in this related area. The evaluation function consists of the gradient difference calculated by the Zernike moments operator. By adjusting the assembly position of the objective lens, the imaging screen and the reticle will be simultaneously in the state of maximum definition, so the parallax can be eliminated. The experimental results show that the definition evaluation function proposed in this paper has the advantages of good focusing performance, strong anti-interference ability compared with the other commonly used definition evaluation functions.

  15. Practitioner Profile: An Interview with Susan Bross, AFC®

    Directory of Open Access Journals (Sweden)

    Susan Bross

    2011-04-01

    Full Text Available

    Susan Bross is a nationally accredited financial counselor who established her private practice in 1992. She currently lives in San Rafael, California. She brings a multi-faceted background and a combination of skills to her work. As a financial counselor, she works with individuals, couples, and entrepreneurs throughout the nation to help clients develop a practical and emotionally healthy relationship with money. When asked, she will tell you that she is passionate about her work because it mirrors her own hard-won path with money. Readers of the Journal will find Ms. Bross’s approach to financial therapy inspiring. She teaches simple tools for effortless and sustainable cash flow and money management. She also guides her clients to balanced attitudes and beliefs about money and success.

  16. [The Durkheim Test. Remarks on Susan Leigh Star's Boundary Objects].

    Science.gov (United States)

    Gießmann, Sebastian

    2015-09-01

    The article reconstructs Susan Leigh Star's conceptual work on the notion of 'boundary objects'. It traces the emergence of the concept, beginning with her PhD thesis and its publication as Regions of the Mind in 1989. 'Boundary objects' attempt to represent the distributed, multifold nature of scientific work and its mediations between different 'social worlds'. Being addressed to several 'communities of practice', the term responded to questions from Distributed Artificial Intelligence in Computer Science, Workplace Studies and Computer Supported Cooperative Work (CSCW), and microhistorical approaches inside the growing Science and Technology Studies. Yet the interdisciplinary character and interpretive flexibility of Star’s invention has rarely been noticed as a conceptual tool for media theory. I therefore propose to reconsider Star's 'Durkheim test' for sociotechnical media practices.

  17. Singleton status and childhood obesity: Investigating effects and mechanisms Status :

    OpenAIRE

    Maoyong Fan; Yanhong Jin

    2015-01-01

    Over the past four decades, paralleling the increasing prevalence of childhood obesity, the share of families with only one child has been rising steadily. Using three waves of the National Survey of Children's Health, we examine the effect of being the only child in a family on childhood obesity and the mechanisms through which singleton status might affect childhood obesity. We find gender-specific and age-dependent singleton effects. That is, singletons have a higher level of body mass ind...

  18. Comparison of academic performance of twins and singletons in adolescence

    DEFF Research Database (Denmark)

    Christensen, Kaare; Petersen, Inge; Skytthe, Axel

    2006-01-01

    OBJECTIVES: To determine whether twins in recent cohorts show similar academic performance in adolescence to singletons and to test the effect of birth weight on academic performance in twins and singletons. DESIGN: Follow-up study. SETTING: Denmark. PARTICIPANTS: All twins (n=3411) and a 5% random...... increase in birth weight. CONCLUSIONS: Although older cohorts of twins have been found to have lower mean IQ scores than singletons, twins in recent Danish cohorts show similar academic performance in adolescence to that of singletons. Birth weight has a minimal effect on academic performance in recent...

  19. Pregnancy outcome in singleton term breeches from a referral ...

    African Journals Online (AJOL)

    Objective: To compare the pregnancy outcome in women with singleton breech presentation at term delivered by caesarean section (CS) and vaginal breech delivery. Design: A retrospective study. Setting: Abha Maternity hospital, Saudi Arabia. Material and Methods: 573 women with singleton breech presentation at term ...

  20. Role of Frontal Cortex in Attentional Capture by Singleton Distractors

    Science.gov (United States)

    de Fockert, Jan W.; Theeuwes, Jan

    2012-01-01

    The role of frontal cortex in selective attention to visual distractors was examined in an attentional capture task in which participants searched for a unique shape in the presence or absence of an additional colour singleton distractor. The presence of the additional singleton was associated with slower behavioural responses to the shape target,…

  1. Attentional control during visual search: The effect of irrelevant singletons

    NARCIS (Netherlands)

    Theeuwes, J.; Burger, R.

    1998-01-01

    Four experiments investigated whether a highly salient color singleton can be ignored during serial search. Observers searched for a target letter among nontarget letters and were instructed to ignore an irrelevant, highly salient color singleton that was either compatible or incompatible with the

  2. Defining Affect in Relation to Cognition: A Response to Susan McLeod.

    Science.gov (United States)

    Fleckenstein, Kristie S.

    1991-01-01

    Responds to Susan McLeod's "The Affective Domain and the Writing Process: Working Definitions." Suggests and defends an alternate way to define affect, based on the interweaving of affect and cognition. Discusses the "cognitive-affective dance." (PRA)

  3. Vanishing twin syndrome among ART singletons and pregnancy outcomes.

    Science.gov (United States)

    Magnus, Maria C; Ghaderi, Sara; Morken, Nils-Halvdan; Magnus, Per; Bente Romundstad, Liv; Skjærven, Rolv; Wilcox, Allen J; Eldevik Håberg, Siri

    2017-11-01

    Among babies born by ART, do singleton survivors of a vanishing twin have lower birth weight than other singletons? Vanishing twin syndrome (VTS) was associated with lower birth weight among ART singletons; a sibship analysis indicated that the association was not confounded by maternal characteristics that remain stable between deliveries. Previous studies indicate that ART singletons with VTS have increased risk of adverse pregnancy outcomes, compared with other ART singletons. The potential contribution of unmeasured maternal background characteristics has been unclear. This was a Norwegian population-based registry study, including 17 368 mothers with 20 410 ART singleton deliveries between January 1984 and December 2013. The study population included 17 291 ART singletons without VTS, 638 ART singletons with VTS and 2418 ART singletons with uncertain vanishing twin status. We estimated differences in birth weight and gestational age comparing ART singletons with VTS first to all ART singletons without VTS, and subsequently to their ART siblings without VTS, using random- and fixed-effects linear regression, respectively. The corresponding comparisons for the associations with preterm birth and small for gestational age (SGA) were conducted using random-and fixed-effects logistic regression. The sibling analysis of preterm birth included 587 discordant siblings, while the sibling analysis of SGA included 674 discordant siblings. ART singletons with VTS had lower birth weight when compared to all ART singletons without VTS, with an adjusted mean difference (95% CI) of -116 g (-165, -67). When we compared ART singletons with VTS to their ART singletons sibling without VTS, the adjusted mean difference was -112 g (-209, -15). ART singletons with VTS also had increased risk of being born SGA, with an adjusted odds ratio (OR) (95% CI) of 1.48 (1.07, 2.03) compared to all ART singletons without VTS, and 2.79 (1.12, 6.91) in the sibship analyses. ART singletons with

  4. Capture by colour: evidence for dimension-specific singleton capture.

    Science.gov (United States)

    Harris, Anthony M; Becker, Stefanie I; Remington, Roger W

    2015-10-01

    Previous work on attentional capture has shown the attentional system to be quite flexible in the stimulus properties it can be set to respond to. Several different attentional "modes" have been identified. Feature search mode allows attention to be set for specific features of a target (e.g., red). Singleton detection mode sets attention to respond to any discrepant item ("singleton") in the display. Relational search sets attention for the relative properties of the target in relation to the distractors (e.g., redder, larger). Recently, a new attentional mode was proposed that sets attention to respond to any singleton within a particular feature dimension (e.g., colour; Folk & Anderson, 2010). We tested this proposal against the predictions of previously established attentional modes. In a spatial cueing paradigm, participants searched for a colour target that was randomly either red or green. The nature of the attentional control setting was probed by presenting an irrelevant singleton cue prior to the target display and assessing whether it attracted attention. In all experiments, the cues were red, green, blue, or a white stimulus rapidly rotated (motion cue). The results of three experiments support the existence of a "colour singleton set," finding that all colour cues captured attention strongly, while motion cues captured attention only weakly or not at all. Notably, we also found that capture by motion cues in search for colour targets was moderated by their frequency; rare motion cues captured attention (weakly), while frequent motion cues did not.

  5. Kitybė Susan Hill novelėje ,,The Woman in Black“

    OpenAIRE

    Kučinskaitė, Martyna

    2016-01-01

    Otherness in the Novella by Susan Hill “The Woman in Black” The present BA paper considers the representation of otherness in Susan Hill’s horror novella The Woman in Black (1983). The novella’s story is set in the Victorian England where the main concerns are the ghost of Jennet Humfrye who haunts the village, Crythin Gifford, and the haunted Eel Marsh House. Whenever she is seen by someone in the village, or in the house she haunts, a child dies under mysterious circumstances. The present p...

  6. Enhancing Student Interest in the Psychology of Aging: An Interview with Susan Krauss Whitbourne.

    Science.gov (United States)

    Fingerman, Karen L.

    2000-01-01

    Presents an interview with Susan Krauss Whitbourne in which she discusses issues such as the challenge in teaching a course on the psychology of aging; types of assignments and active learning she uses in her course; resources she recommends; and how her research influences the adult development courses she has taught. (CMK)

  7. Binding in the Lazy Susan of the 1 MW TRIGA at the Centro Nuclear de Mexico

    International Nuclear Information System (INIS)

    Sanchez, J.; Mulas, P.; Mariano, G.; Hernandez, R.

    1974-01-01

    Problems with the original Lazy Susan were reported in a previous conference, where the procedure followed for its removal was described. A new Lazy Susan was supplied by the fabricant and it was judged convenient to perform an out-of-core test of the dispositive. A rig was built to produce temperature gradients similar to the ones encountered in the operation at high power levels. After a temperature difference (estimated between 130 o C and 170 o C) between the rotating part and the outside surface was established, the Lazy Susan started to bind. This was reported to the fabricant and it was concluded that a new design was needed and since it would take at least two years before the new unit could be acquired, it was decided to install the Lazy Susan recently supplied. The unit now rotates for approximately 20 minutes when the reactor is operating at 1 MW and then binds. At lower power levels it is operative for longer periods of time. (author)

  8. Don't Take Touch for Granted: An Interview with Susan Lederman.

    Science.gov (United States)

    Verry, Rene

    1998-01-01

    Presents an interview with Susan Lederman that contains a fascinating and informative overview of the recent developments in neuropsychological research concerning the sense of touch. Discusses the physiological processes that support this sensory experience and reveals them to be much more flexible, intricate, and adaptive than previously…

  9. Pilot Susan L. Still chats with white room closeout crew member

    Science.gov (United States)

    1997-01-01

    KENNEDY SPACE CENTER, FLA. -- STS-83 Pilot Susan L. Still chats with white room closeout crew member Rene Arriens as she prepares to enter the Space Shuttle Columbia at Launch Pad 39A with assistance from closeout crew worker Bob Saulnier (behind Still).

  10. Re-Establishing Social Studies as a Core Subject: An Interview with Susan Griffin

    Science.gov (United States)

    Griffin, Susan

    2014-01-01

    NCSS Executive Director Susan Griffin was chair of the Task Force of Professional Organizations that worked with the Social Studies Assessment, Curriculum, and Instruction Collaborative (SSACI) of the Council of Chief State School Officers to initiate and guide the development of the "College, Career and Civic Life (C3) Framework for Social…

  11. Congenital Malformations in Singleton Infants Conceived by Assisted Reproductive Technologies and Singleton Infants by Natural Conception in Tehran, Iran

    Directory of Open Access Journals (Sweden)

    Ramin Mozafari Kermani

    2017-10-01

    Full Text Available Background: Multiple pregnancies occur more frequently in assisted reproductive technology (ART compared to normal conception (NC. It is known that the risk of congenital malformations in a multiple pregnancy are higher than single pregnancy. The aim of this study is to compare congenital malformations in singleton infants conceived by ART to singleton infants conceived naturally. Materials and Methods: In this historical cohort study, we performed a historical cohort study of major congenital malformations (MCM in 820 singleton births from January 2012 to December 2014. The data for this analysis were derived from Tehran’s ART linked data file. The risk of congenital malformations was compared in 164 ART infants and 656 NC infants. We performed multiple logistic regression analyses for the independent association of ART on each outcome. Results: We found 40 infants with MCM 29 (4.4% NC infants and 14 (8.3% ART infants. In comparison with NC infants, ART infants had a significant 2-fold increased risk of MCM (P=0.046. After adjusting individually for maternal age, infant gender, prior stillbirth, mother’s history of spontaneous abortion, and type of delivery, we did not find any difference in risk. In this study the majority (95.1% of all infants were normal but 4.9% of infants had at least one MCM. We found a difference in risk of MCMs between in vitro fertilization (IVF and intracytoplasmic sperm injection (ICSI. We excluded the possible role of genotype and other unknown factors in causing more malformations in ART infants. Conclusion: This study reported a higher risk of MCMs in ART singleton infants than in NC singleton infants. Congenital heart disease, developmental dysplasia of the hip (DDH, and urogenital malformations were the most reported major malformations in singleton ART infants according to organ and system classification.

  12. Singleton preterm births in Korle bu teaching hospital, Accra, Ghana ...

    African Journals Online (AJOL)

    Objective: To determine the singleton preterm birth rate, the relative proportions of the clinical categories of preterm births and to compare the outcomes in these categories. Setting: Department of Obstetrics & Gynaecol-ogy, Korle Bu Teaching Hospital. Participants: Preterm births from 1st July to 31st December 2003.

  13. The analysis of singletons in generalized birthday problems

    NARCIS (Netherlands)

    Koot, M.R.; Mandjes, M.R.H.

    2012-01-01

    This paper describes techniques to characterize the number of singletons in the setting of the generalized birthday problem, that is, the birthday problem in which the birthdays are non-uniformly distributed over the year. Approximations for the mean and variance presented which explicitly indicate

  14. The allocation of attention in displays with simultaneously presented singletons

    NARCIS (Netherlands)

    Akyürek, Elkan G; Schubö, Anna

    In an ERP experiment, we investigated whether a 'permanent salient distractor changes the deployment of attention to target and nontarget singletons. Observers searched for a color target in a search array that mainly consisted of black vertical lines, but also always contained a line in a

  15. Pregnancy outcome in singleton term breeches from a referral ...

    African Journals Online (AJOL)

    It is recommended that attention should be given to trainee obstetrician in selective external cephalic version at term and also the procedure of AVBD so as to reduce the caesarean section rate and also neonatal morbidity in term breeches in our community. Keywords: Pregnancy outcome, Singleton breech, Vaginal ...

  16. Study of Perineal Tears During Delivery of Singletons in Cephalic ...

    African Journals Online (AJOL)

    Study of Perineal Tears During Delivery of Singletons in Cephalic Presentation. E Nkwabong, L Kouam, GT Orock, MR Ekono, W Takang, KV Mve. Abstract. Background: Perineal lacerations are associated with short and long term maternal complications like perineal pain and superficial dyspareunia and must be prevented ...

  17. Detection algorithm of infrared small target based on improved SUSAN operator

    Science.gov (United States)

    Liu, Xingmiao; Wang, Shicheng; Zhao, Jing

    2010-10-01

    The methods of detecting small moving targets in infrared image sequences that contain moving nuisance objects and background noise is analyzed in this paper. A novel infrared small target detection algorithm based on improved SUSAN operator is put forward. The algorithm selects double templates for the infrared small target detection: one size is greater than the small target point size and another size is equal to the small target point size. First, the algorithm uses the big template to calculate the USAN of each pixel in the image and detect the small target, the edge of the image and isolated noise pixels; Then the algorithm uses the another template to calculate the USAN of pixels detected in the first step and improves the principles of SUSAN algorithm based on the characteristics of the small target so that the algorithm can only detect small targets and don't sensitive to the edge pixels of the image and isolated noise pixels. So the interference of the edge of the image and isolate noise points are removed and the candidate target points can be identified; At last, the target is detected by utilizing the continuity and consistency of target movement. The experimental results indicate that the improved SUSAN detection algorithm can quickly and effectively detect the infrared small targets.

  18. Amnioreduction in the management of polyhydramnios complicating singleton pregnancies.

    Science.gov (United States)

    Dickinson, Jan Elizabeth; Tjioe, Yan Yan; Jude, Emily; Kirk, Daniel; Franke, Malcolm; Nathan, Elizabeth

    2014-10-01

    The purpose of this study was to evaluate the contribution of amnioreduction to the management of singleton pregnancies that are complicated by symptomatic polyhydramnios. Retrospective review of all singleton pregnancies that received at least 1 amnioreduction for polyhydramnios from 2000-2012 at a single obstetric unit that provides a statewide service. The indications, procedural techniques, and pregnancy outcomes were evaluated. One hundred thirty-eight women with polyhydramnios (maximal vertical pocket [MVP], ≥8 cm) had 271 amnioreduction procedures during the study period. The median gestation at the first drain was 31.4 weeks (interquartile range, 28.4-34 weeks) and a median of 1 procedure (interquartile range, 1-2 procedures) was performed per pregnancy. Sixty-three women (45.6%) required >1 amnioreduction. The median volume removed per pregnancy was 2100 mL (interquartile range, 1500-4260 mL). The median duration from the first amnioreduction until delivery was 26 days (interquartile range, 15-52.5 days). There was no significant association between gestation at delivery and the volume per procedure or total volume that was removed. Earlier gestation at first drain was associated positively with earlier gestations at delivery. In 4.1% of amnioreduction procedures (11/271 procedures), there was an unplanned preterm birth within 48 hours. The median gestation at delivery was 36.4 weeks (interquartile range, 34-38 weeks). The final diagnoses were gastrointestinal malformations (21%), idiopathic polyhydramnios (20.3%), chromosomal anomaly (15.2%), syndromic condition (13.7%), and neurologic condition (8%). Amnioreduction has a useful role in the management of polyhydramnios in singleton pregnancies. Complications are uncommon, and delivery typically occurs near term. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. Sonographic measurement of fetal thymus size in uncomplicated singleton pregnancies.

    Science.gov (United States)

    Tangshewinsirikul, Chayada; Panburana, Panyu

    2017-03-04

    To establish sonographic reference ranges of the normal fetal thymus size between 17 and 38 weeks of gestational age (GA). The study was conducted between April 1 and December 31, 2013. Low-risk singleton pregnancies without obstetrical and medical complications at the GAs between 17 and 38 weeks were recruited for thymus measurement. The fetal thymus was identified on transabdominal sonography at the three-vessel view. Maximal transverse diameter, perimeter, and thymus/thoracic ratio were measured. The best-fit models in predicting thymic dimensions as a function of GA and biparietal diameter (BPD) were determined using regression analysis, and percentile charts for predicting thymic dimensions were constructed. A total of 296 singleton pregnancies were recruited in this study. Maximal transverse diameter, perimeter, and thymus/thoracic ratio increased throughout pregnancy. The regression equation for maximal transverse diameter of the thymus as a function of GA was as follows: Predicted mean thymus diameter (mm) = -25.904 + 2.476 × GA - 0.019 × GA 2 (r = 0.915; p thymus diameter (mm) = 1.428 + 0.044 × GA (r = 0.017; p < 0.001). Sonographic reference ranges of the normal fetal thymic dimensions between 17 and 38 weeks of GA have been established. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:150-159, 2017. © 2016 Wiley Periodicals, Inc.

  20. Hypercoiling of the umbilical cord in uncomplicated singleton pregnancies.

    Science.gov (United States)

    Ma'ayeh, Marwan; McClennen, Evan; Chamchad, Dmitri; Geary, Michael; Brest, Norman; Gerson, Andrew

    2017-06-26

    The umbilical coiling index (UCI) is a measure of the number of coils in the umbilical cord in relation to its length. Hypercoiled cords with a UCI of >0.3 coils/cm have been associated with adverse fetal and neonatal outcomes. The primary aim is to determine the accuracy of UCI measured on second trimester ultrasound in predicting UCI at birth. The secondary outcome is to investigate the association between hypercoiling of the umbilical cord on prenatal ultrasound and adverse maternal, fetal and neonatal outcomes. This was a prospective cohort study of uncomplicated singleton pregnancies. Seventy two patients were included in the study. UCI was measured in the second trimester ultrasound, and compared to UCI measured postnatally. Outcomes of patients with hypercoiled cords on ultrasound were compared to outcomes of patients with normocoiled cords. Our results failed to show a strong correlation between the UCI determined with ultrasound, and the UCI determined with examination of the umbilical cord after delivery. We also did not demonstrate that measurement of the UCI on second trimester ultrasound is able to predict adverse maternal, fetal or neonatal outcomes. This study suggests that measurement of the umbilical coiling index should not be part of routine second trimester sonography in patients with uncomplicated singleton pregnancies, with no other medical or surgical comorbidities.

  1. "A hint of it, with initials": adultery, textuality and publicity in Jane Austen's Lady Susan.

    Science.gov (United States)

    Russell, Gillian

    2010-01-01

    In spite of Jane Austen's professed “eye” for an adulteress, comparatively little attention has been paid to adultery and divorce as themes and contexts of her fiction. Her unpublished epistolary novel Lady Susan has a distinctive status in Austen's oeuvre, recognized as being exemplary of her “style” and yet atypical of her later achievement. A neglected context for the novel is the extensive reporting of adultery trials in contemporary print culture and the moral panic concerning adultery in the 1780s and 1790s, focusing initially on the adulteress as the brazen woman of fashion and later as a figure of sentimentalized abjection. A particularly notorious case, that involving Lady Henrietta Grosvenor and George III's brother, the Duke of Cumberland, is directly alluded to in Lady Susan. The textual strategies of adultery trial literature, particularly its emphasis on indirection through the use of detail or “hint”, had a long-term influence on the development of Austen's fiction and her positioning of herself as a professional writer after the 1790s.

  2. A New Approach: The Feminist Musicology Studies of Susan McClary and Marcia J. Citron

    Directory of Open Access Journals (Sweden)

    Kimberly Reitsma

    2014-06-01

    Full Text Available One of the currently prevalent analytic approaches in academia is feminist theory and criticism. Its combination with musicology has influenced the field for the past four decades. The goal of the new approach, loosely termed “feminist musicology,” has been to discover, analyze, discuss, and promote the representation of women and the “feminine” essence in various disciplines of music. Today, feminist musicology is highly researched, published in books and journals, and presented as scholarly papers at various musicological conferences around the world. This new approach introduces the ideologies of feminism to the study of music. Susan McClary and Marcia J. Citron are two musicologists who were influenced by these ideologies and have guided the musicological world in this direction of feminist musicology. Both have made serious contributions to the emerging field of feminist musicology. Both researched the ideas of gender musical construction within musical narratives, music as a gendered discourse, and historical and social factors that affected women in music. Although they have met with considerable resistance, Susan McClary and Marcia J. Citron have significantly expanded the scope of musicology through their application of feminist theory.

  3. Overweight in Singletons Compared to Children with Siblings

    DEFF Research Database (Denmark)

    Hunsberger, Monica; Formisano, Annarita; Reisch, Lucia

    2012-01-01

    The aim of this study was to compare the prevalence of overweight in only children to those with siblings and to explore potential behavioral mediating factors. This study relies upon cross-sectional data collected at survey centers in eight European countries participating in Identification....... The three southernmost countries have over threefold risk of overweight, dominated by Italy, compared with the north-central countries, which is not explained by the prevalence of singleton children. The excess risk of overweight among children without siblings was robustly observed even when considering...... and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS). The present analysis is based on measured anthropometry and parent or guardian-reported socio-demographic characteristics. Subjects include 12 720 children aged 2–9 years for whom number of siblings was known...

  4. Perinatal outcomes in 6,338 singletons born after intrauterine insemination in Denmark, 2007 to 2012

    DEFF Research Database (Denmark)

    Malchau, Sara Sofia; Loft, Anne; Henningsen, Anna-Karina Aaris

    2014-01-01

    OBJECTIVE: To study perinatal outcomes in singletons born after intrauterine insemination (IUI) compared with children born after in vitro fertilization (IVF), intracytoplasmic sperm injection, and spontaneous conception (SC), and to assess predictors of poor outcome in singletons born after IUI......, exploring the effect of ovarian stimulation. DESIGN: National cohort study, 2007-2012. SETTING: Danish national registries. PATIENT(S): Four thousand two hundred twenty-eight singletons born after insemination with partner semen (IUI-H) and 1,881 singletons born after insemination with donor semen...

  5. Cord around neck in singleton term pregnancies and its outcome

    International Nuclear Information System (INIS)

    Sajjad, R.; Mustafa, N.

    2014-01-01

    To enlist the complications with nuchal cord in singleton term pregnancies and to determine maternal and fetal outcome in singleton term pregnancies. Design: Descriptive study. Place and duration of study: The study was carried out at Gynaecology and Obstetric department Combined Military Hospital Quetta from Nov 2007 to May 2008. Patients and methods: One hundred women irrespective of parity with healthy, singleton term pregnancy and cephalic presentation, labouring or not labouring, were selected from outpatient department. A total of 41 patients were booked with Doppler ultrasound done in antenatal period. Other 59 were poorly booked and diagnosed with cord around neck by clinical criteria e.g. high head at term, fetal distress, meconium discharge, slow progress in labour leading to prolonged labour. All patients signed well informed written proforma regarding study and its outcome. Vigilant feto maternal monitoring was done during labour. All events during labour were mentioned in proformas which were attached with patients case notes. Data was interperated in term of frequency and percentages. Results: Complications with cord around neck found were still birth 3%, fetal distress 15%, intrauterine death 1%. Prolonged labour was seen in 14%, Meconium discharge in 5%, and high presenting part was found in 11% of cases. Maternal outcome were elective caesarean section in 6%, emergency caesarean-section in 32%, spontaneous vaginal delivery in 54% and instrumental vaginal delivery in 8% of the cases. Different fetal outcomes seen were intrauterine death, stillbirth in 1%, and 3% patients respectively. Regarding neonatal outcome, 31% stayed in neonatal intensive care unit (NICU) for less than 48 hours, 69% stayed in NICU for more than 48 hours out of which 4% had early neonatal deaths (ENND). Fifty nine percent patients detected and suspected during labour were with, high head, slow progress in labour, decreased fetal movements, intra partum fetal distress, meconium

  6. In the postmodern mirror: intertextuality in Angels and Insects by Antonia Susan Byatt

    Directory of Open Access Journals (Sweden)

    Buda Agata

    2015-05-01

    Full Text Available The aim of the paper is to analyse the novel Angels and Insects by Antonia Susan Byatt in terms of intertextual references. The author’s assumptions are based on the categorisation by Ryszard Nycz, who distinguishes three major types of intertexts: text versus text, text versus literary genre and text versus mimesis. Byatt uses intertextuality mainly to comment on the role of nature in the world, as well as to enhance the importance of human relationship with nature. Moreover, the writer moves towards literary criticism, discussing poems by famous artists, such as Alfred Tennyson or John Milton. In this way, the novel by Byatt is also an example of metafiction. All the narration techniques used by the English writer make the novel a typically postmodern work of art.

  7. (REREADING INDEX CARDS: THE ARCHIVIST AS INTERPRETER IN SUSAN PUI SAN LOK'S 'NEWS'

    Directory of Open Access Journals (Sweden)

    Sandra Camacho

    2018-01-01

    Full Text Available Looking at susan pui san lok's projects News (2005 and RoCH (2013, this paper contemplates the notions put forward by Michel-Rolph Trouillot and Jacques Derrida on the power of archivists, not solely as guardians of documents but also as their interpreters. Taking into consideration that photographic and moving image archives present unique difficulties in their cataloguing processes, I examine silences that might be generated by a thematic classification that is not impervious to archivists' biases. Moreover, I consider if the silences created by manual processes of classification and retrieval might be surpassed through digital technologies, or if it is possible that new technologies simply create different types of silencing.

  8. Intermittent large amplitude internal waves observed in Port Susan, Puget Sound

    Science.gov (United States)

    Harris, J. C.; Decker, L.

    2017-07-01

    A previously unreported internal tidal bore, which evolves into solitary internal wave packets, was observed in Port Susan, Puget Sound, and the timing, speed, and amplitude of the waves were measured by CTD and visual observation. Acoustic Doppler current profiler (ADCP) measurements were attempted, but unsuccessful. The waves appear to be generated with the ebb flow along the tidal flats of the Stillaguamish River, and the speed and width of the resulting waves can be predicted from second-order KdV theory. Their eventual dissipation may contribute significantly to surface mixing locally, particularly in comparison with the local dissipation due to the tides. Visually the waves appear in fair weather as a strong foam front, which is less visible the farther they propagate.

  9. Recurrence risk of low Apgar score among term singletons: a population-based cohort study

    NARCIS (Netherlands)

    Ensing, Sabine; Schaaf, Jelle M.; Abu-Hanna, Ameen; Mol, Ben W. J.; Ravelli, Anita C. J.

    2014-01-01

    To examine the risk of recurrence of low Apgar score in a subsequent term singleton pregnancy. Population-based cohort study. The Netherlands. A total of 190,725 women with two subsequent singleton term live births between 1999 and 2007. We calculated the recurrence risk of low Apgar score after

  10. Monozygotic Triplets and a Singleton After ICSI and Day 3 Transfer of Two Embryos

    Directory of Open Access Journals (Sweden)

    Singpetch Suksompong

    2017-07-01

    Full Text Available Monozygotic triplets are a rare condition to occur naturally or even in assisted reproductive technologies. In this report, we present a case of monozygotic triplets with a singleton pregnancy following embryo transfer of 2 embryos. To our knowledge, this is the first published case of one singleton and monozygotic triplets after ICSI and transfer of two day 3 embyos in Thailand.

  11. Recurrence risk of preterm birth in subsequent twin pregnancy after preterm singleton delivery

    NARCIS (Netherlands)

    Schaaf, J. M.; Hof, M. H. P.; Mol, B. W. J.; Abu-Hanna, A.; Ravelli, A. C. J.

    2012-01-01

    Please cite this paper as: Schaaf J, Hof M, Mol B, Abu-Hanna A, Ravelli A. Recurrence risk of preterm birth in subsequent twin pregnancy after preterm singleton delivery.BJOG 2012;119:16241629. Objective To determine the risk of preterm birth in a subsequent twin pregnancy after previous singleton

  12. Recurrence risk of preterm birth in subsequent singleton pregnancy after preterm twin delivery

    NARCIS (Netherlands)

    Schaaf, Jelle M.; Hof, Michel H. P.; Mol, Ben Willem J.; Abu-Hanna, Ameen; Ravelli, Anita C. J.

    2012-01-01

    OBJECTIVE: The purpose of this study was to investigate the recurrence risk of preterm birth ( <37 weeks' gestation) in a subsequent singleton pregnancy after a previous nulliparous preterm twin delivery. STUDY DESIGN: We included 1957 women who delivered a twin gestation and a subsequent singleton

  13. Enhancing the Instructional Program with Creative Arts: Q&A with Susan Riley, M.Ed. Educator Effectiveness Webinar Series

    Science.gov (United States)

    Regional Educational Laboratory Mid-Atlantic, 2016

    2016-01-01

    This document provides Q&A with webinar presenter, Susan Riley. Riley's presentation looks at broad ideas of clarifying best practices in using arts integration (AI) and/or STEAM at any grade level. Questions cover topics such as: the creativity crisis in US schools, integrating art into math adult education (GED and ESL), theater arts in the…

  14. 78 FR 75676 - Mark W. Dobronski and Susan K. Dobronski-Acquisition of Control Exemption-Adrian & Blissfield...

    Science.gov (United States)

    2013-12-12

    ... Ferrovia, L.L.C. (Ferrovia), also a noncarrier and a limited liability company, which, until very recently... and Susan K. Dobronski--Acquisition of Control Exemption--Adrian & Blissfield Rail Road Company, Charlotte Southern Railroad Company, Detroit Connecting Railroad Company, Lapeer Industrial Railroad Company...

  15. Psychology and Schooling: The Impact of Susan Isaacs and Jean Piaget on 1960s Science Education Reform.

    Science.gov (United States)

    Hall, Jody S.

    2000-01-01

    Focuses on the tensions between two psychological frameworks in the negotiation of teaching practices, curriculum, and ideas about what constitutes childhood: (1) the theories of Jean Piaget focused on behavior at different developmental stages; or (2) the Susan Isaacs research that took a general view of children's intellectual capabilities. (CMK)

  16. "I Am Not a Fairy Tale": Contextualizing Sioux Spirituality and Story Traditions in Susan Power's "The Grass Dancer"

    Science.gov (United States)

    Diana, Vanessa Holford

    2009-01-01

    Standing Rock Sioux writer Susan Power's best-selling novel "The Grass Dancer" (1994) includes depictions of the supernatural and spiritual that do not conform to the Judeo-Christian or, in some cases, the atheist or rationalist worldviews of many readers. Power writes of ghost characters and haunted places, communication between the living and…

  17. 'Speaking Kleinian': Susan Isaacs as Ursula Wise and the Inter-War Popularisation of Psychoanalysis.

    Science.gov (United States)

    Shapira, Michal

    2017-10-01

    How did the complex concepts of psychoanalysis become popular in early twentieth-century Britain? This article examines the contribution of educator and psychoanalyst Susan Isaacs (1885-1948) to this process, as well as her role as a female expert in the intellectual and medical history of this period. Isaacs was one of the most influential British psychologists of the inter-war era, yet historical research on her work is still limited. The article focuses on her writing as 'Ursula Wise', answering the questions of parents and nursery nurses in the popular journal Nursery World, from 1929 to 1936. Researched in depth for the first time, Isaacs' important magazine columns reveal that her writing was instrumental in disseminating the work of psychoanalyst Melanie Klein in Britain. Moreover, Isaacs' powerful rebuttals to behaviourist, disciplinarian parenting methods helped shift the focus of caregivers to the child's perspective, encouraging them to acknowledge children as independent subjects and future democratic citizens. Like other early psychoanalysts, Isaacs was not an elitist; she was in fact committed to disseminating her ideas as broadly as possible. Isaacs taught British parents and child caregivers to 'speak Kleinian', translating Klein's intellectual ideas into ordinary language and thus enabling their swift integration into popular discourse.

  18. A Journey, the Pain of Others, and Historical Experience: Susan Silas

    Directory of Open Access Journals (Sweden)

    Sendyka, Roma

    2014-12-01

    Full Text Available The author interprets Susan Silas' Helmbrechts walk (1998-2003, a unique series of forty-five photographs and supplementing visual and textual materials collected during the walk along the route of two hundred and twenty-five miles. The walk repeats the route which in 1945 had to undertake women prisoners from the concentration camp in Helmbrechts near Flossenbürg in their death march to Prachatice in Czech Republic. The pictures Silas takes, the people she meets, and finally the trees, the very materiality of the road become the factors of creating her own, individual memory of the event from the past. Silas selects an object from "the margins of the Holocaust" – a forgotten event that she re-presents by reacting to contemporary objects placed along the route of the event. Silas' work offers an opportunity to critically review the concept of memory landscapes (where is memory located in a landscape? and the phenomenon of dark tourism (is following in the footsteps of the prisoners a kind of pilgrimage, tourism, or therapy?. Silas problematises the question of memory, as well as examines different kinds of non-memory. Her camera is directed at locations that can be termed "the non-sites of memory."

  19. Ovarian hyperstimulation syndrome in a spontaneous singleton pregnancy.

    Science.gov (United States)

    Cabar, Fábio Roberto

    2016-05-24

    The ovarian hyperstimulation syndrome is the combination of increased ovarian volume, due to the presence of multiple cysts and vascular hyperpermeability, with subsequent hypovolemia and hemoconcentration. We report a case of spontaneous syndrome in a singleton pregnancy. This was a spontaneous pregnancy with 12 weeks of gestational age. The pregnancy was uneventful until 11 weeks of gestational age. After that, the pregnant woman complained of progressive abdominal distention associated with abdominal discomfort. She did not report other symptoms. In the first trimester, a routine ultrasonography showed enlarged ovaries, multiples cysts and ascites. Upon admission, the patient was hemodynamically stable, her serum β-hCG was 24,487mIU/mL, thyroid-stimulating hormone was 2.2µUI/mL and free T4 was 1.8ng/dL. All results were within normal parameters. However, levels of estradiol were high (10,562pg/mL). During hospitalization, she received albumin, furosemide and prophylactic dose of enoxaparin. The patient was discharged on the sixth hospital day. RESUMO A síndrome de hiperestimulação ovariana é a combinação do aumento dos ovários, devido à presença de múltiplos cistos e de hiperpermeabilidade vascular, com subsequente hipovolemia e hemoconcentração. Relata-se um caso de síndrome espontânea em uma gestação única. Trata-se de gravidez espontânea com 12 semanas de idade gestacional. A gravidez ocorreu sem intercorrências até 11 semanas de idade gestacional. Após, a gestante passou a se queixar de distensão abdominal progressiva, associada com desconforto abdominal. A paciente não relatava outros sintomas. A ultrassonografia de rotina no primeiro trimestre mostrou ovários aumentados com múltiplos cistos e ascite. No momento da internação, a paciente apresentava-se hemodinamicamente estável, com β-hCG sérico de 24.487mUI/mL, hormônio estimulante da tireoide de 2,2µUI/m e T4 livre de 1,8ng/dL, ou seja, valores dentro dos par

  20. [Incidence of singleton macrosomia in Beijing and its risk factors].

    Science.gov (United States)

    Ren, J H; Wang, C; Wei, Y M; Yang, H X

    2016-06-25

    To evaluate the prevalence of macrosomia in Beijing in 2013 and identify its risk factors. Retrospective six months analysis of 14 188 full-term singleton pregnant women from 15 hospitals with different levels in Beijing in 2013. Each participant's demographic data and medical information were collected individually by questionnaires. Multiple logistic regression analysis was used to examine the associations between variables and the risk of macrosomia. (1)The total prevalence of macrosomia was 7.069% (1 003/14 188) in Beijing in 2013. (2)The prevalence varied between the 15 hospitals, the lowest was 5.36% (89/1 659), while the highest reached 8.80%(46/523). Furthermore, the incidence of macrosomia was 1.284 times (95% CI: 1.114- 1.480, P=0.001) higher in the second graded hospitals than that in the tertiary hospitals. (3) Multiple logistic regression analyses showed that risk factors for macrosomia were maternal height≥160 cm (adjusted OR=1.875, 95% CI: 1.559- 2.256), pre-pregnant body mass index (p-BMI) ≥24.0 kg/m(2) (24.0- 27.9 kg/m(2): adjusted OR=1.696, 95% CI: 1.426- 2.018; p-BMI≥28.0 kg/m(2): adjusted OR=2.393, 95% CI: 1.831- 3.127), gestational weight gain (GWG) ≥15.9 kg (adjusted OR=2.462, 95% CI: 2.125- 2.853), gravidity>1 (adjusted OR=1.408, 95% CI: 1.224- 1.620), gestational weeks≥40 (adjusted OR=2.007, 95%CI: 1.745-2.308) and gestational diabetes mellitus (adjusted OR=1.522, 95%CI: 1.298-1.784). GWG≥15.9 kg, p-BMI≥28.0 kg/m(2) and gestational weeks≥40 were three risk factors that had the strongest associations with macrosomia (all Pmacrosomia in hospitals with different levels is obvious different. Gestational weeks, p-BMI and GWG are three main controllable risk factors for macrosomia, thus should receive more attentions.

  1. Attenuation of ductus arteriosus intimal thickening in preterm sheep twins compared with singletons.

    Science.gov (United States)

    Ito, Satoko; Yokoyama, Utako; Saito, Junichi; Sato, Shinichi; Usuda, Haruo; Watanabe, Shimpei; Kitanishi, Ryuta; Miura, Yuichiro; Saito, Masatoshi; Hanita, Takushi; Matsuda, Tadashi; Ishikawa, Yoshihiro

    2017-11-01

    Preterm twins have a higher morbidity rate of patent ductus arteriosus (PDA) than do singletons. However, the effect of multiple births on maturation of the ductus arteriosus (DA) has not been reported. Because intimal thickening (IT) is required for DA anatomical closure, we examined IT development in the DA of preterm twins and singletons. Sheep DA tissues obtained from preterm fetuses were subjected to elastica van Gieson staining to evaluate IT. The total IT score in each DA was the sum of the IT scores obtained from six evenly divided parts of the DA, which was positively correlated with gestational ages in singletons. Total IT scores were smaller in preterm twins than in singletons, although no difference in gestational age, birth weight, or gender ratio was observed. These data suggest that IT development of the DA is attenuated in sheep preterm twins, which may affect the higher morbidity of PDA.

  2. Lower perinatal mortality in preterm born twins than in singletons: a nationwide study from The Netherlands.

    Science.gov (United States)

    Vasak, Blanka; Verhagen, Jessica J; Koenen, Steven V; Koster, Maria P H; de Reu, Paul A O M; Franx, Arie; Nijhuis, Jan G; Bonsel, Gouke J; Visser, Gerard H A

    2017-02-01

    Twin pregnancies are at increased risk for perinatal morbidity and death because of many factors that include a high incidence of preterm delivery. Compared with singleton pregnancies, overall perinatal risk of death is higher in twin pregnancies; however, for the preterm period, the perinatal mortality rate has been reported to be lower in twins. The purpose of this study was to compare perinatal mortality rates in relation to gestational age at birth between singleton and twin pregnancies, taking into account socioeconomic status, fetal sex, and parity. We studied perinatal mortality rates according to gestational age at birth in 1,502,120 singletons pregnancies and 51,658 twin pregnancies without congenital malformations who were delivered between 2002 and 2010 after 28 weeks of gestation. Data were collected from the nationwide Netherlands Perinatal Registry. Overall the perinatal mortality rate in twin pregnancies (6.6/1000 infants) was higher than in singleton pregnancies (4.1/1000 infants). However, in the preterm period, the perinatal mortality rate in twin pregnancies was substantially lower than in singleton pregnancies (10.4 per 1000 infants as compared with 34.5 per 1000 infants, respectively) for infants who were born at <37 weeks of gestation; this held especially for antepartum deaths. After 39 weeks of gestation, the perinatal mortality rate was higher in twin pregnancies. Differences in parity, fetal sex, and socioeconomic status did not explain the observed differences in outcome. Overall the perinatal mortality rate was higher in twin pregnancies than in singleton pregnancies, which is most likely caused by the high preterm birth rate in twins and not by a higher mortality rate for gestation, apart from term pregnancies. During the preterm period, the antepartum mortality rate was much lower in twin pregnancies than in singleton pregnancies. We suggest that this might be partially due to a closer monitoring of twin pregnancies, which indirectly

  3. Large baby syndrome in singletons born after frozen embryo transfer (FET)

    DEFF Research Database (Denmark)

    Pinborg, Anja; Henningsen, AA; Loft, A

    2013-01-01

    Are singletons born after frozen embryo transfer (FET) at increased risk of being born large for gestational age (LGA) and if so, is this caused by intrinsic maternal factors or related to the freezing/thawing procedures?......Are singletons born after frozen embryo transfer (FET) at increased risk of being born large for gestational age (LGA) and if so, is this caused by intrinsic maternal factors or related to the freezing/thawing procedures?...

  4. Academic achievement of twins and singletons in early adulthood: Taiwanese cohort study.

    Science.gov (United States)

    Tsou, Meng-Ting; Tsou, Meng-Wen; Wu, Ming-Ping; Liu, Jin-Tan

    2008-07-21

    To examine the long term effects of low birth weight on academic achievements in twins and singletons and to determine whether the academic achievement of twins in early adulthood is inferior to that of singletons. Cohort study. Taiwanese nationwide register of academic outcome. A cohort of 218 972 singletons and 1687 twins born in Taiwan, 1983-5. College attendance and test scores in the college joint entrance examinations. After adjustment for birth weight, gestational age, birth order, and sex and the sociodemographic characteristics of the parents, twins were found to have significantly lower mean test scores than singletons in Chinese, mathematics, and natural science, as well as a 2.2% lower probability of attending college. Low birthweight twins had an 8.5% lower probability of college attendance than normal weight twins, while low birthweight singletons had only a 3.2% lower probability. The negative effects of low birth weight on the test scores in English and mathematics were substantially greater for twins than for singletons. The twin pair analysis showed that the association between birth weight and academic achievement scores, which existed for opposite sex twin pairs, was not discernible for same sex twin pairs, indicating that birth weight might partly reflect other underlying genetic variations. These data support the proposition that twins perform less well academically than singletons. Low birth weight has a negative association with subsequent academic achievement in early adulthood, with the effect being stronger for twins than for singletons. The association between birth weight and academic performance might be partly attributable to genetic factors.

  5. UNDERSTANDİNG SUSAN BORDO AND HER WORK; UNBEARABLE WEİGHT :FEMİNİSM, WESTERN CULTURE, BODY

    Directory of Open Access Journals (Sweden)

    ÇAĞLAR DEMİR

    2017-02-01

    Full Text Available Throughout history of thought, there have been many views about the women, their status in society, their struggle with patriarchy, and inequality  applied to them in all areas. There are different ways of oppression on women, such as confinement to home, inequality in wages between both sexes.  However, few scholars have written and declared their own views about how the patriarchal world and companies form women as they wish. Susan Bordo is one of  the most outstanding and distinguished feminist writers in the world who focuses on  how patriarchal capitalist understanding works on women’s body in terms of weight and weakness. According to Susan Bordo, male dominated capital world decides on women about what to wear and what to eat and women try to lose weight to be in the form men wish. State of  starving all the time leads to an illness called anorexia. The writer bases her views on the thoughts of literary critic and thinker, Foucault. The  objective of this article is to help the readers understand Susan Bordo’s views and analyse her impressive work; Unbearable Weight: Feminism, Western Culture and  the Body  and make her known in academic world.

  6. Conformity expectations: Differential effects on IVF twins and singletons' parent-child relationships and adjustment.

    Science.gov (United States)

    Anderson, Kayla N; Rueter, Martha A; Connor, Jennifer J; Chen, Muzi; Damario, Mark

    2015-08-01

    Increased utilization of in vitro fertilization (IVF) to treat infertility has resulted in a growing twin birthrate. Despite early childhood risks, twins have fewer psychosocial problems in middle childhood than singleton children. This study proposes that parents' conformity expectations for children have differential effects on parent-child relationships for twin and singleton children, which indirectly explains twins' more optimum psychosocial adjustment. Parental conformity expectations, parent-child relationship satisfaction, and children's emotional, behavioral, and attention problems were assessed in a sample of 288 6- to 12-year-old IVF-conceived twins and singletons. Overall, parents of twins had higher expectations for child conformity to parent rules than singleton parents. Path models demonstrate that twin status and parental expectations for child conformity interact to influence parent-child relationships, and this interaction indirectly accounted for differences in twins' and singletons' psychosocial adjustment. Findings suggest parenting constructs have differential influences on the association between twin status and parent-child relationships. Parenting research, predominantly conducted with singletons, should be reexamined before applying existing research to twin children and their families. (c) 2015 APA, all rights reserved).

  7. Bárbara Mujica, ed., Shakespeare and the Spanish «Comedia». Translation, Interpretation, Performance. Essays in Honor of Susan L. Fischer

    Directory of Open Access Journals (Sweden)

    Alejandro García-Reidy

    2016-01-01

    Full Text Available Reseña de Bárbara Mujica, ed., Shakespeare and the Spanish «Comedia». Translation, Interpretation, Performance. Essays in Honor of Susan L. Fischer, Bucknell University Press, Lewisburg, 2013, 298 pp. ISBN 9781611485172.

  8. No. 261-Prenatal Screening for Fetal Aneuploidy in Singleton Pregnancies.

    Science.gov (United States)

    Chitayat, David; Langlois, Sylvie; Wilson, R Douglas

    2017-09-01

    To develop a Canadian consensus document on maternal screening for fetal aneuploidy (e.g., Down syndrome and trisomy 18) in singleton pregnancies. Pregnancy screening for fetal aneuploidy started in the mid 1960s, using maternal age as the screening test. New developments in maternal serum and ultrasound screening have made it possible to offer all pregnant patients a non-invasive screening test to assess their risk of having a fetus with aneuploidy to determine whether invasive prenatal diagnostic testing is necessary. This document reviews the options available for non-invasive screening and makes recommendations for Canadian patients and health care workers. To offer non-invasive screening for fetal aneuploidy (trisomy 13, 18, 21) to all pregnant women. Invasive prenatal diagnosis would be offered to women who screen above a set risk cut-off level on non-invasive screening or to pregnant women whose personal, obstetrical, or family history places them at increased risk. Currently available non-invasive screening options include maternal age combined with one of the following: (1) first trimester screening (nuchal translucency, maternal age, and maternal serum biochemical markers), (2) second trimester serum screening (maternal age and maternal serum biochemical markers), or (3) 2-step integrated screening, which includes first and second trimester serum screening with or without nuchal translucency (integrated prenatal screen, serum integrated prenatal screening, contingent, and sequential). These options are reviewed, and recommendations are made. Studies published between 1982 and 2009 were retrieved through searches of PubMed or Medline and CINAHL and the Cochrane Library, using appropriate controlled vocabulary and key words (aneuploidy, Down syndrome, trisomy, prenatal screening, genetic health risk, genetic health surveillance, prenatal diagnosis). Results were restricted to systematic reviews, randomized controlled trials, and relevant observational

  9. Prenatal screening for fetal aneuploidy in singleton pregnancies.

    Science.gov (United States)

    Chitayat, David; Langlois, Sylvie; Douglas Wilson, R

    2011-07-01

    To develop a Canadian consensus document on maternal screening for fetal aneuploidy (e.g., Down syndrome and trisomy 18) in singleton pregnancies. Pregnancy screening for fetal aneuploidy started in the mid 1960s, using maternal age as the screening test. New developments in maternal serum and ultrasound screening have made it possible to offer all pregnant patients a non-invasive screening test to assess their risk of having a fetus with aneuploidy to determine whether invasive prenatal diagnostic testing is necessary. This document reviews the options available for non-invasive screening and makes recommendations for Canadian patients and health care workers. To offer non-invasive screening for fetal aneuploidy (trisomy 13, 18, 21) to all pregnant women. Invasive prenatal diagnosis would be offered to women who screen above a set risk cut-off level on non-invasive screening or to pregnant women whose personal, obstetrical, or family history places them at increased risk. Currently available non-invasive screening options include maternal age combined with one of the following: (1) first trimester screening (nuchal translucency, maternal age, and maternal serum biochemical markers), (2) second trimester serum screening (maternal age and maternal serum biochemical markers), or (3) 2-step integrated screening, which includes first and second trimester serum screening with or without nuchal translucency (integrated prenatal screen, serum integrated prenatal screening, contingent, and sequential). These options are reviewed, and recommendations are made. Studies published between 1982 and 2009 were retrieved through searches of PubMed or Medline and CINAHL and the Cochrane Library, using appropriate controlled vocabulary and key words (aneuploidy, Down syndrome, trisomy, prenatal screening, genetic health risk, genetic health surveillance, prenatal diagnosis). Results were restricted to systematic reviews, randomized controlled trials, and relevant observational

  10. Twin versus singleton pregnancies: the incidence, pregnancy complications, and obstetric outcomes in a Nigerian tertiary hospital.

    Science.gov (United States)

    Obiechina, Nj; Okolie, Ve; Eleje, Gu; Okechukwu, Zc; Anemeje, Oa

    2011-01-01

    Twin pregnancy is associated with more pregnancy complications and poorer pregnancy outcome than singleton pregnancy. Hence periodic review is necessary to improve on the pregnancy outcome. To determine the incidence and compare pregnancy complications and obstetric outcomes of twin pregnancies and singleton pregnancies. The twin pregnancies (study group) that were delivered at Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, South-East Nigeria from 1st February 2005 to 31st January 2010 were compared with singleton deliveries (control group) that occurred in the same hospital during the same period. A total of 3351 deliveries were conducted during the study period, of which 113 were twin deliveries, giving an incidence of 1:29.6 deliveries. Only 100 case files could be retrieved for analysis. The mean parities for the twins and singletons were 2.7 ± 2.33 weeks and 1.96 ± 1.87 weeks whereas the mean gestational age at delivery for twin and singleton deliveries were 34 ± 5.2 weeks and 38.7 ± 2.4 weeks respectively (P < 0.05). The mean birth weights were 3.14 ± 0.73 kg and 2.3 ± 1.0 kg for singletons and twins respectively (P < 0.05). Hypertensive disorders of pregnancy, cord prolapse, malpresentation, premature rupture of membranes, low Apgar scores, cesarean section rate, and perinatal death were significantly higher in twin pregnancies than in singleton. The incidence of twin pregnancy over the study period was high and was significantly associated with more pregnancy complications and poorer obstetric outcomes. Close antenatal and intrapartum care are needed in order to improve outcome and decrease complications.

  11. Physical examination-indicated cerclage in singleton and twin pregnancies: maternal-fetal outcomes.

    Science.gov (United States)

    Bernabeu, Andrea; Goya, Maria; Martra, Miquel; Suy, Anna; Pratcorona, Laia; Merced, Carme; Llurba, Elisa; Casellas, Manel; Carreras, Elena; Cabero, Luis

    2016-01-01

    To study maternal and perinatal outcomes after physical examination-indicated cerclage in both singleton and twin pregnancies and evaluate the possible risk factors associated. Retrospective review of all women undergoing physical examination-indicated cerclage at the Hospital Vall d'Hebro, Barcelona from January 2009 to December 2012 after being diagnosed with cervical incompetence and risk of premature birth. During the study period, 60 cases of women diagnosed with cervical incompetence who were carrying live and morphologically-normal fetuses (53 singleton and 7 twin pregnancies), and who had an imminent risk of premature birth were evaluated. Mean gestational age until birth was 35 weeks in singleton and 32 weeks in twin pregnancies. Four cases (7.5%) of immature births and one case (2.0%) of neonatal death were recorded in singleton pregnancies. No cases of immature births or neonatal deaths were recorded in twin pregnancies. Diagnostic amniocentesis was performed IN all cases to rule out possible chorioamnionitis. Physical examination-indicated cerclage for cervical incompetence in women at risk for immature or preterm birth demonstrates good perinatal prognosis without increasing maternal morbidity in either singleton or twin pregnancies. The increase in gestation time in our study may also have been due to the fact that patients with subclinical chorioamnionitis were excluded by diagnostic amniocentesis.

  12. Prevention of Preterm Birth with Pessary in Singletons (PoPPS): a randomized controlled trial.

    Science.gov (United States)

    Dugoff, Lorraine; Berghella, Vincenzo; Sehdev, Harish; Mackeen, A Dhanya; Goetzl, Laura; Ludmir, Jack

    2017-09-20

    To determine if pessary use prevents preterm birth in singleton gestations with a short transvaginal ultrasound cervical length and without a prior spontaneous preterm birth. In this open-label multicenter randomized trial we enrolled asymptomatic women with singleton gestations with a transvaginal ultrasound cervical length ≤ 25 mm at 18 0 -23 6 weeks and no prior spontaneous preterm birth. Subjects were randomized to receive the Bioteque cup pessary or no pessary. Pessaries were inserted by trained maternal fetal medicine staff.. Vaginal progesterone was recommended to women with a cervical length ≤20mm. The primary outcome was preterm birth preterm birth preterm birth preterm birth preterm birth in women with singleton gestations with a short transvaginal ultrasound cervical length and without a prior spontaneous preterm birth in this small underpowered randomized controlled trial. This trial was registered on ClinicalTrials.gov, number NCT 02056652. This article is protected by copyright. All rights reserved.

  13. Risk of Metabolic Syndrome and Diabetes Mellitus Among Young Twins and Singletons in Guinea-Bissau

    DEFF Research Database (Denmark)

    Bjerregaard-Andersen, Morten; Hansen, Lone; da Silva, Leontina I

    2013-01-01

    OBJECTIVETwins in Africa may be at increased risk of metabolic disorders due to strained conditions in utero, including high exposure to infections. We studied metabolic syndrome (MS) and diabetes mellitus (DM) among young twins and singletons in Guinea-Bissau.RESEARCH DESIGN AND METHODSThe study...... was cross-sectional and occurred from October 2009 until August 2011 at the Bandim Health Project, a demographic surveillance site in the capital Bissau. Twins and singleton controls between 5 and 32 years were visited at home. Fasting blood samples for metabolic measurements were collected. Zygosity...... was established genetically for a subset. DM was defined as HbA1c ≥6.5% (48 mmol/mol) and MS by the International Diabetes Federation criteria.RESULTSHbA1c was available for 574 twins and 463 singletons. Mean age was 15.3 years versus 15.8 years, respectively. Eighteen percent of twins were monozygotic...

  14. Healthcare expenses associated with multiple vs singleton pregnancies in the United States.

    Science.gov (United States)

    Lemos, Elkin V; Zhang, Dongmu; Van Voorhis, Bradley J; Hu, X Henry

    2013-12-01

    The purpose of this study was to document cost that is associated with multiple births vs singleton births in the United States. This was a retrospective cohort study that used a claims database. Women 19-45 years old with live-born infants from 2005-2010 were identified. Infant deliveries were identified by International Classification of Diseases, 9th Revision, Clinical Modification diagnosis codes. The cost entailed all payment made by insurers and patients. For mothers, the cost included expenses from 27 weeks before delivery to 1 month after delivery. For infants, the cost contained all expenses until their first birthday. Adjusted cost was estimated by generalized linear models after adjustment for the potential confounding variables with a gamma distribution and a log link. The analysis included 437,924 eligible deliveries. Of them, 97.02% were singletons; 2.85% were twins, and 0.13% was triplets or more. Women with multiple pregnancies had higher systemic and localized comorbidities compared with women with singleton pregnancies (P < .0001). Twins and triplets or more were more likely to have stayed in a neonatal intensive care unit than were singletons (P < .0001). On average, adjusted total all-cause health care cost was $21,458 (95% confidence interval [CI], $21,302-21,614) per delivery with singletons, $104,831 (95% CI, $103,402-106,280) with twins, and $407,199 (95% CI, $384,984-430,695) with triplets or more. Pregnancies with the delivery of twins cost approximately 5 times as much when compared with singleton pregnancies; pregnancies with delivery of triplets or more cost nearly 20 times as much. Copyright © 2013 Mosby, Inc. All rights reserved.

  15. Assisted Reproductive Technology and Newborn Size in Singletons Resulting from Fresh and Cryopreserved Embryos Transfer.

    Directory of Open Access Journals (Sweden)

    Galit Levi Dunietz

    Full Text Available The aim of this study was two-fold: to investigate the association of Assisted Reproductive Technology (ART and small newborn size, using standardized measures; and to examine within strata of fresh and cryopreserved embryos transfer, whether this association is influenced by parental infertility diagnoses. We used a population-based retrospective cohort from Michigan (2000-2009, Florida and Massachusetts (2000-2010. Our sample included 28,946 ART singletons conceived with non-donor oocytes and 4,263,846 non-ART singletons.Regression models were used to examine the association of ART and newborn size, measured as small for gestational age (SGA and birth-weight-z-score, among four mutually exclusive infertility groups: female infertility only, male infertility only, combined female and male infertility, and unexplained infertility, stratified by fresh and cryopreserved embryos transfer.We found increased SGA odds among ART singletons from fresh embryos transfer compared with non-ART singletons, with little difference by infertility source [adjusted odds-ratio for SGA among female infertility only: 1.18 (95% CI 1.10, 1.26, male infertility only: 1.20 (95% CI 1.10, 1.32, male and female infertility: 1.18 (95% CI 1.06, 1.31 and unexplained infertility: 1.24 (95% CI 1.10, 1.38]. Conversely, ART singletons, born following cryopreserved embryos transfer, had lower SGA odds compared with non-ART singletons, with mild variation by infertility source [adjusted odds-ratio for SGA among female infertility only: 0.56 (95% CI 0.45, 0.71, male infertility only: 0.64 (95% CI 0.47, 0.86, male and female infertility: 0.52 (95% CI 0.36, 0.77 and unexplained infertility: 0.71 (95% CI 0.47, 1.06]. Birth-weight-z-score was significantly lower for ART singletons born following fresh embryos transfer than non-ART singletons, regardless of infertility diagnoses.

  16. Lower marriage and divorce rates among twins than among singletons in Danish birth cohorts 1940-1964

    DEFF Research Database (Denmark)

    Petersen, Inge; Martinussen, Torben; McGue, Matthew

    2011-01-01

    compare rates of marriage and divorce in a sample of 35,975 twins and 81,803 singletons born 1940-1964. Cox-regressions are used in order to control for potential confounders. We find that compared with singletons twins have significantly lower marriage rates: (males: 15-19 years: Hazard Ratio (HR) = 0...... twins compared with singletons (HR=0.87, 95%CI: 0.83-0.90). These differences offset each other, thus 57% of both populations remain in their first marriage until censoring. The interpretation may be that since twins have a partner from birth, they do not have the same need for marriage as singletons...

  17. Susan Loucks-Horsley learning model in light pollution theme: based on a new taxonomy for science education

    International Nuclear Information System (INIS)

    Liliawati, W; Utama, J A; Fauziah, H

    2016-01-01

    The curriculum in Indonesia recommended that science teachers in the elementary and intermediate schools should have interdisciplinary ability in science. However, integrated learning still has not been implemented optimally. This research is designing and applying integrated learning with Susan Loucks-Horsley model in light pollution theme. It can be showed how the student's achievements based on new taxonomy of science education with five domains: knowing and understanding, science process skill, creativity, attitudinal and connecting and applying. This research use mixed methods with concurrent embedded design. The subject is grade 8 of junior high school students in Bandung as many as 27 students. The Instrument have been employed has 28 questions test mastery of concepts, observations sheet and moral dilemma test. The result shows that integrated learning with model Susan Loucks-Horsley is able to increase student's achievement and positive characters on light pollution theme. As the results are the average normalized gain of knowing and understanding domain reach in lower category, the average percentage of science process skill domain reach in good category, the average percentage of creativity and connecting domain reach respectively in good category and attitudinal domain the average percentage is over 75% in moral knowing and moral feeling. (paper)

  18. Why do singletons conceived after assisted reproduction technology have adverse perinatal outcome?

    DEFF Research Database (Denmark)

    Pinborg, A; Wennerholm, U B; Romundstad, L B

    2013-01-01

    Assisted reproduction technology (ART) is used worldwide, at increasing rates, and data show that some adverse outcomes occur more frequently than following spontaneous conception (SC). Possible explanatory factors for the well-known adverse perinatal outcome in ART singletons were evaluated....

  19. Ambulatory arterial stiffness index is unchanged in uncomplicated third-trimester singleton and twin pregnancies.

    Science.gov (United States)

    Kärkkäinen, Henna; Heiskanen, Nonna; Saarelainen, Heli; Valtonen, Pirjo; Lyyra-Laitinen, Tiina; Laitinen, Tomi; Vanninen, Esko; Heinonen, Seppo

    2011-05-01

    To document the ambulatory arterial stiffness index (AASI) during pregnancy compared to three months after delivery in singleton and twin pregnancies. Descriptive study with a follow-up design. University hospital in Eastern Finland. 43 childbearing women; 32 with singleton and 11 with twin pregnancies. Ambulatory blood pressure measurements were conducted using a digital ambulatory blood pressure system. AASI was calculated as 1 minus the regression slope of diastolic on systolic blood pressures obtained from 24-hour monitoring. Arterial stiffness measured by AASI. In normotensive pregnant women, the 95th percentiles of AASI were 0.40 in singleton and 0.46 in twin pregnancies, respectively, implying arterial normality and high elasticity. There were no differences in AASI values between singleton and twin pregnancies and no changes were observed postpartum. After delivery, but not during pregnancy, AASI correlated negatively with nocturnal systolic and diastolic blood pressure reduction (dipping) (r=-0.536, p=0.001; r=-0.674, ptwin pregnancies had no detectable effects on AASI. However, pregnancy appeared to overcome the negative effects of low high-density lipoproteins, unfavorable dipping status and advanced maternal age on arterial stiffness, but not the effect caused by maternal body mass index. © 2011 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2011 Nordic Federation of Societies of Obstetrics and Gynecology.

  20. Trends in preterm birth in singleton deliveries in a Hong Kong population

    NARCIS (Netherlands)

    Hui, Annie S. Y.; Lao, Terence T.; Leung, Tak Yeung; Schaaf, Jelle M.; Sahota, Daljit S.

    2014-01-01

    To examine trends in preterm birth and its relationship with perinatal mortality in Hong Kong. In a retrospective cohort study, data were reviewed from singletons delivered between 1995 and 2011 at a university teaching hospital. Trends in preterm birth (between 24 and 36 weeks of pregnancy),

  1. Body size in five-year-old twins: Heritability and comparison to singleton standards

    NARCIS (Netherlands)

    Estourgie-van Burk, G.F.; Bartels, M.; van Beijsterveldt, C.E.M.; Delemarre-van de Waal, H.A.; Boomsma, D.I.

    2006-01-01

    The aim of this study is to examine causes of individual differences in height, weight and body mass index (BMI) in 5-year-old children registered with the Netherlands Twin Register. In addition, we examine whether the results of twin studies can be expanded to the singleton population by comparing

  2. Comparison of Late Mortality Among Twins Versus Singletons With Congenital Heart Defects

    DEFF Research Database (Denmark)

    Herskind, Anne Maria; Larsen, Lisbeth Aagaard; Pedersen, Dorthe Almind

    2017-01-01

    In 2014, in the United States, nearly 7% of newborns were twins. Congenital heart defects (CHDs) are more frequent in both monozygotic and dizygotic twins than in singletons. Still, the longer-term prognosis for CHD twins is unknown. Here we assess the mortality pattern for CHD twins up to age 36...... years and compare it with that for non-CHD twins, non-CHD co-twins, and CHD singletons. We identified all twins and a 5% random sample of all singletons born in Denmark from 1977 to 2009 by linking Danish national population and health registers. CHD cases were defined as subjects having a primary...... inpatient diagnosis of CHD (excluding preterm ductus) within the first year of life, and mortality was assessed through 2013. Among 63,362 live-born twin individuals, a total of 373 twins (0.59%) had a CHD diagnosis, whereas the corresponding numbers for singletons were 383 of 98,647 (0.39%). During...

  3. Systematic review of progesterone for the prevention of preterm birth in singleton pregnancies

    DEFF Research Database (Denmark)

    Rode, Line; Langhoff-Roos, Jens; Andersson, Charlotte

    2009-01-01

    BACKGROUND: A Cochrane review in 2006 concluded that further knowledge is required before recommendation can be made with regard to progesterone in the prevention of preterm birth. OBJECTIVE: To provide an update on the preventive effect of progesterone on preterm birth in singleton pregnancies. ...

  4. Trends in preterm birth: singleton and multiple pregnancies in the Netherlands, 2000-2007

    NARCIS (Netherlands)

    Schaaf, J. M.; Mol, B. W. J.; Abu-Hanna, A.; Ravelli, A. C. J.

    2011-01-01

    Several studies have reported increasing trends in preterm birth in developed countries, mainly attributable to an increase in medically indicated preterm births. Our aim was to describe trends in preterm birth among singleton and multiple pregnancies in the Netherlands. Prospective cohort study.

  5. Development and health of 5 - 8-year-old singletons born after intracytoplasmic sperm injection

    NARCIS (Netherlands)

    Knoester, Marjolein

    2007-01-01

    This thesis describes the Leiden Artificial Reproductive Techniques Follow-up Project. In this project, the potential long-term effects of intracytoplasmic sperm injection (ICSI) were assessed in 5 – 8-year-old singleton children. ICSI is the method of artificial reproduction in which a sperm cel is

  6. Stillbirth rates in singleton pregnancies in a stable population at Karl ...

    African Journals Online (AJOL)

    To determine the changes in stillbirth rates in singleton pregnancies in a stable population over a period of 50 years. Methods. Stillbirth rates for ... stillbirths, neonatal deaths and deliveries, from which the stillbirth rates for fetuses ≥500 g ... from black residential areas have recently increased rapidly, the study was limited to ...

  7. Trends in birth asphyxia, obstetric interventions and perinatal mortality among term singletons: a nationwide cohort study

    NARCIS (Netherlands)

    Ensing, Sabine; Abu-Hanna, Ameen; Schaaf, Jelle M.; Mol, Ben Willem J.; Ravelli, Anita C. J.

    2015-01-01

    The objective of the present study is to investigate trends in birth asphyxia and perinatal mortality in the Netherlands over the last decade. A nationwide cohort study among women with a term singleton pregnancy. We assessed trends in birth asphyxia in relation to obstetric interventions for fetal

  8. Preterm birth in singleton and multiple pregnancies : evaluation of costs and perinatal outcomes

    NARCIS (Netherlands)

    van Baaren, Gert J.; Peelen, Myrthe J. C. S.; Schuit, Ewoud; van der Post, Joris A. M.; Mol, Ben W. J.; Kok, Marjolein; Hajenius, Petra J.

    Objective: To estimate costs of preterm birth in singleton and multiple pregnancies. Study design: Cost analysis based on data from a prospective cohort study and three multicentre randomised controlled trials (2006-2012) in a Dutch nationwide consortium for women's health research. Women with

  9. Do very preterm twins and singletons differ in their neurodevelopment at 5 years of age?

    Science.gov (United States)

    Bodeau-Livinec, Florence; Zeitlin, Jennifer; Blondel, Béatrice; Arnaud, Catherine; Fresson, Jeanne; Burguet, Antoine; Subtil, Damien; Marret, Stéphane; Rozé, Jean-Christophe; Marchand-Martin, Laetitia; Ancel, Pierre-Yves; Kaminski, Monique

    2013-11-01

    Twins have inconsistently shown poorer outcomes than singletons. Although a high proportion of twins are born very preterm, data are sparse on the long-term outcomes in very preterm twins. The objective of this study was to compare mortality and neurodevelopmental outcomes of very preterm singletons and twins and to study outcomes in relation to factors specific to twins. Birth cohort study Etude Epidemiologique sur les Petits Ages Gestationnels (EPIPAGE). Nine regions in France. All very preterm live births occurring from 22 to 32 weeks of gestation in all maternity wards of nine French regions in 1997 (n=2773). Neurodevelopmental status, including cerebral palsy, and a cognitive assessment with the Kaufman Assessment Battery for Children, with scores on the Mental Processing Composite (MPC) scale, was available for 1732 and 1473 children at 5 years of age, respectively. Among live births, twins had higher hospital mortality than singletons (adjusted (a)OR: 1.4 (95% CI 1.1 to 1.9)). Among survivors, there was no crude difference at 5 years between twins and singletons in the prevalence of cerebral palsy (8.0% vs 9.1%, respectively), MPC <70 (9.5% vs 11.1%) and mean MPC (94.6 vs 94.4). However, after adjustment for sex, gestational age, intrauterine growth restriction and social factors, twins were more likely to have lower MPC scores (mean difference: -2.4 (95% CI-4.8 to 0.01)). Live born twins had a higher risk of mortality when birth weight discordance was present (aOR:2.9 (95% CI 1.7 to 4.8)), but there were no differences in long-term outcomes. Compared with very preterm singletons, twins had higher mortality, no difference with respect to severe deficiencies, but slightly lower MPC scores at 5 years.

  10. Gestational diabetes mellitus: glycemic control during pregnancy and neonatal outcomes of twin and singleton pregnancies.

    Science.gov (United States)

    Guillén-Sacoto, María Augusta; Barquiel, Beatriz; Hillman, Natalia; Burgos, María Ángeles; Herranz, Lucrecia

    2018-04-20

    To assess the impact of glycemic control in gestational on neonatal weight and metabolic complications of twin and singleton pregnancies. An observational, retrospective study to monitor 120 twin and 240 singleton pregnancies in women with GDM. Maternal glycemic parameters during pregnancy (oral glucose tolerance test results, treatment, insulinization rate, mean HbA1c in the third trimester), and neonatal complications and weight were recorded. A higher infant birth weight ratio (IBWR 1.02±0.12 vs. 0.88±0.12, P<.001) and a lower rate of newborns small for gestational age (severe SGA 2.5% vs. 8.3%, P=.012) were seen after singleton pregnancies as compared to twin pregnancies. The rates of newborns large for gestational age (LGA 12.6% vs. 12.5%, P=.989); macrosomic (6.7% vs. 7.5%, P=.777); or small for gestational age (SGA 6.7% vs. 10.8%, P=.175) were similar in both groups. Neonates from twin pregnancies had a higher risk of hypoglycemia (adjusted OR 4.71; 1.38-16.07, P=.013) and polycythemia (adjusted OR 10.05; 1.82-55.42, P=0.008). A linear relationship was seen between third trimester HbA1c levels and IBWR in singleton (r=.199, P=.003), but not in twin pregnancies (r=0.049, P=0.610). Risk of severe SGA, hypoglycemia, and polycythemia was significantly higher in twin pregnancies of women with GDM. Neonatal weight outcomes and metabolic complications in twin pregnancies of women with GDM were not related to glycemic control. Moreover, in our study population, fasting glucose at diagnosis and mean HbA1c in the third trimester showed a linear relationship with higher birth weights in singleton, but not in twin pregnancies. Copyright © 2018 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. Placenta previa and risk of major congenital malformations among singleton births in Finland.

    Science.gov (United States)

    Kancherla, Vijaya; Räisänen, Sari; Gissler, Mika; Kramer, Michael R; Heinonen, Seppo

    2015-06-01

    Placenta previa has been associated with adverse birth outcomes, but its association with congenital malformations is inconclusive. We examined the association between placenta previa and major congenital malformations among singleton births in Finland. We performed a retrospective population register-based study on all singletons born at or after 22+0 weeks of gestation in Finland during 2000 to 2010. We linked three national health registers: the Finnish Medical Birth Register, the Hospital Discharge Register, and the Register of Congenital Malformations, and examined several demographic and clinical characteristics among women with and without placenta previa, in association with major congenital malformations. We estimated adjusted odds ratios and 95% confidence intervals using multivariable logistic regression models. The prevalence of placenta previa was estimated as 2.65 per 1000 singleton births in Finland (95% confidence interval, 2.53-2.79). Overall, 6.2% of women with placenta previa delivered a singleton infant with a major congenital malformation, compared with 3.8% of unaffected women (p ≤ 0.001). Placenta previa was positively associated with almost 1.6-fold increased risk of major congenital malformations in the offspring, after controlling for maternal age, parity, fetal sex, smoking, socio-economic status, chorionic villus biopsy, In vitro fertilization, pre-existing diabetes, depression, preeclampsia, and prior caesarean section (adjusted odds ratio = 1.55; 95% confidence interval, 1.27-1.90). Using a large population-based study, we found that placenta previa was weakly, but significantly associated with an increased risk of major congenital malformations in singleton births. Future studies should examine the association between placenta previa and individual types of congenital malformations, specifically in high-risk pregnancies. © 2015 Wiley Periodicals, Inc.

  12. Impact of obstetric history on the risk of spontaneous preterm birth in singleton and multiple pregnancies: a systematic review.

    Science.gov (United States)

    Kazemier, B M; Buijs, P E; Mignini, L; Limpens, J; de Groot, C J M; Mol, B W J

    2014-09-01

    Information about the recurrence of spontaneous preterm birth in subsequent twin/singleton pregnancies is scattered. To quantify the risk of recurrence of spontaneous preterm birth in different subtypes of subsequent pregnancies. An electronic literature search in OVID MEDLINE and EMBASE, complemented by PubMed, to find recent studies. Studies comparing the risk of spontaneous preterm birth after a previous preterm and previous term pregnancy. The absolute risk of recurrence with a 95% confidence interval and the absolute risk of preterm birth after a term delivery were calculated. Data from studies were pooled using the Mantel-Haenszel method. We detected 13 relevant studies. The risk of recurrence of preterm birth was significantly increased in all preterm pregnancy subtypes, compared with their term counterparts. Women pregnant with twins after a previous preterm singleton had the highest absolute risk of recurrence (57.0%, 95% CI 51.9-61.9%), and after a previous term singleton their absolute risk was 25% (95% CI 24.3-26.5%). Women pregnant with a singleton after a previous preterm twin pregnancy have an absolute recurrence risk of 10% (95% CI 8.2-12.3%), whereas a singleton pregnancy after delivering a previous twin up to term yields a low absolute risk of only 1.3% (95% CI 0.8-2.2). Women pregnant with a singleton after a previous preterm singleton have an absolute recurrence risk of 20% (95% CI 19.9-20.6). The risk of recurrence of preterm birth is influenced by the singleton/twin order in both pregnancies, and varies between 10% for a singleton after previous preterm twins to 57% for twins after a previous preterm singleton. © 2014 Royal College of Obstetricians and Gynaecologists.

  13. Susan Magoffin’s Santa Fe Days in 1846: The Value of Testimony Les journées de Santa Fé en 1846 de Susan Magoffin : la valeur du témoignage

    Directory of Open Access Journals (Sweden)

    Susanne Berthier-Foglar

    2009-11-01

    Full Text Available Susan Magoffin, la jeune épouse d’un commerçant de la piste de Santa Fe, accompagna son mari en 1846 pour un voyage où la caravane suivait de près l’Armée de l’Ouest et pendant lequel elle tint un journal. Cet article traite des 37 jours que dura la pause de la caravane à Santa Fe et aborde plus spécifiquement la façon dont l’auteur appréhendait l’altérité dans un environnement inhabituel et parfois dangereux. Pour apprécier la valeur du témoignage, je combine une analyse du discours avec une évaluation statistique du contenu. La description, parfois naïve, de Santa Fe sous l’occupation américaine illustre les raisons de la guerre contre le Mexique. En tant qu’agent de la destinée manifeste, Susan Magoffin admirait le général Kearny en lui attribuant des qualités surhumaines et en participant à ses efforts de propagande. Alors qu’elle était enracinée dans sa classe et sa culture, elle voyait la population mexicaine et les Amérindiens avec un esprit ouvert bien que ses motifs pour apprendre l’espagnol, ainsi que le métier de commerçante, avaient une fonction plus prosaïque.

  14. Twin-singleton differences in intelligence: a register-based birth cohort study of Norwegian males.

    Science.gov (United States)

    Eriksen, Willy; Sundet, Jon M; Tambs, Kristian

    2012-10-01

    The aim was to determine the difference in intelligence between singletons and twins in young adulthood. Data from the Medical Birth Register of Norway were linked with register data from the Norwegian National Conscript Service. The study base consisted of data on the 445,463 males who were born alive in either single or twin births in Norway during 1967-1984 and who were examined at the time of the mandatory military conscription (age 18-20). Within this study base, there were data on 1,653 sibships of full brothers that included at least one man born in single birth and at least one man born in twin birth (4,307 persons, including 2,378 twins and 1,929 singletons). The intelligence scores of the singletons were 11% (95% confidence interval [CI]: 9-14%) of a standard deviation higher than those of the twins, after adjustment for birth year, birth order, parental ages at delivery, parental education levels, and other factors. The adjusted within-family difference was also 11% (95 % CI: 6-16%) of a standard deviation, indicating that unmeasured factors shared by siblings (e.g., maternal body height) have not influenced the estimate in important ways. When gestational age at birth was added to the model, the estimate for the difference in intelligence score was approximately the same. Including birth weight in the model strongly reduced the estimate. In conclusion, twins born in Norway during 1967-1984 had slightly lower intelligence in early adulthood compared with the singletons.

  15. Maternal risk factors for singleton preterm births and survival at the ...

    African Journals Online (AJOL)

    2015-02-24

    Feb 24, 2015 ... ratio [aOR] = 2.63; 95% confidence interval [CI] 1.92, 6.07), Previous preterm birth (aOR = 5.06; 95% CI: 2.66, 9.12), ... on gestational age at birth and mode of delivery, but not on maternal sociodemographic risk factors for singleton preterm births. ... of preterms in this area have become important in order to.

  16. Conformal Maxwell Theory as a Singleton Field Theory on $ADS_{5}$, IIB Three Branes and Duality

    CERN Document Server

    Ferrara, Sergio

    1998-01-01

    We examine the boundary conditions associated with extended supersymmetric Maxwell theory in 5-dimensional anti-De Sitter space. Excitations on the boundary are identical to those of ordinary 4-dimensional conformal invariant super electrodynammics. Extrapolations of these excitations give rise to a 5-dimensional topological gauge theory of the singleton type. The possibility of a connection of this phenomenon to the world volume theory of 3-branes in IIB string theory is discussed.

  17. Hierarchical singleton-type recurrent neural fuzzy networks for noisy speech recognition.

    Science.gov (United States)

    Juang, Chia-Feng; Chiou, Chyi-Tian; Lai, Chun-Lung

    2007-05-01

    This paper proposes noisy speech recognition using hierarchical singleton-type recurrent neural fuzzy networks (HSRNFNs). The proposed HSRNFN is a hierarchical connection of two singleton-type recurrent neural fuzzy networks (SRNFNs), where one is used for noise filtering and the other for recognition. The SRNFN is constructed by recurrent fuzzy if-then rules with fuzzy singletons in the consequences, and their recurrent properties make them suitable for processing speech patterns with temporal characteristics. In n words recognition, n SRNFNs are created for modeling n words, where each SRNFN receives the current frame feature and predicts the next one of its modeling word. The prediction error of each SRNFN is used as recognition criterion. In filtering, one SRNFN is created, and each SRNFN recognizer is connected to the same SRNFN filter, which filters noisy speech patterns in the feature domain before feeding them to the SRNFN recognizer. Experiments with Mandarin word recognition under different types of noise are performed. Other recognizers, including multilayer perceptron (MLP), time-delay neural networks (TDNNs), and hidden Markov models (HMMs), are also tested and compared. These experiments and comparisons demonstrate good results with HSRNFN for noisy speech recognition tasks.

  18. The Singleton case: enforcing medical treatment to put a person to death.

    Science.gov (United States)

    Garasic, Mirko Daniel

    2013-11-01

    In October 2003 the Supreme Court of the United States allowed Arkansas officials to force Charles Laverne Singleton, a schizophrenic prisoner convicted of murder, to take drugs that would render him sane enough to be executed. On January 6 2004 he was killed by lethal injection, raising many ethical questions. By reference to the Singleton case, this article will analyse in both moral and legal terms the controversial justifications of the enforced medical treatment of death-row inmates. Starting with a description of the Singleton case, I will highlight the prima facie reasons for which this case is problematic and merits attention. Next, I will consider the justification of punishment in Western society and, in that context, the evolution of the notion of insanity in the assessment of criminal responsibility during the past two centuries, both in the US and the UK. In doing so, I will take into account the moral justification used to enforce treatment, looking at the conflict between the prisoner's right to treatment and his right to refuse medication where not justified by outcomes that can be reasonably expected to be positive for the individual. Finally, in contrast with some retributivist arguments in favour of enforced treatment to enable execution, I will propose a possible alternative, necessary if we are to consistently uphold the notion of autonomy.

  19. Birthweight distribution in ART singletons resulting from embryo culture in two different culture media compared with the national population.

    Science.gov (United States)

    Lemmen, J G; Pinborg, A; Rasmussen, S; Ziebe, S

    2014-10-10

    Is there a difference in birthweight distribution in ART singletons born after IVF culture in two different culture media? There is no effect of culture media on both crude and adjusted birthweight distributions in ART singletons from nulliparous mothers. Studies on human ART singletons have reported a difference in birthweight in singletons following IVF culture in different culture media. However, other studies comparing different culture media have not shown any significant differences in birthweight. This study was a retrospective comparison of birthweights in IVF/ICSI singletons conceived after fresh embryo transfer following embryo culture in Cook or Medicult medium and in a national cohort of naturally conceived singletons in nulliparous women. The study compares four independent groups consisting of singletons in nulliparous women from Cook-d2: 2-day culture in Cook medium at Rigshospitalet (n = 974), Medicult-d2: 2-day culture in Medicult EmbryoAssist medium at Rigshospitalet (n = 147), Medicult-d3: 3-day culture in Medicult EmbryoAssist medium with and without added GM-CSF (n = 204), and DK: pregnancies from the Danish birth registry (n = 106842). The study compares the birthweights of singletons from nulliparous women in the four independent groups mentioned above; Cook-d2: Medicult-d2: Medicult-d3: and DK. In addition, distributions of large and small for gestational age infants were compared between the groups and a multiple linear regression analysis was used to determine which factors determined birthweight. We found no significant difference in the crude birthweight distributions between singletons born after culture in Cook-d2 or Medicult-groups. Singleton girls from the Cook-d2 group weighed 3302 ± 28 g, versus 3252 ± 76 in the Medicult-d2 group (difference 50 g; P = 0.547). Singleton boys from the Cook-d2 group weighed 3430 ± 27 g, versus 3354 ± 56 in the Medicult-d2 group (difference 76 g; P = 0.279). In the background population, mean

  20. An unusual case of asymptomatic hyperreactio luteinalis present at cesarean section of a spontaneous singleton pregnancy

    Directory of Open Access Journals (Sweden)

    Ahmed M. Abbas

    2017-06-01

    Full Text Available Hyperreactio Luteinalis (HL is a benign self-limited pregnancy-related condition characterized by bilateral ovarian enlargement with multiple theca lutein cysts. It is commonly associated with gestational trophoblastic diseases and multiple pregnancy. We report a rare case of HL discovered accidentally during cesarean section (CS of a spontaneously conceived normal singleton pregnancy. CS was performed due to fetal malpresentation and previously scarred uterus, and delivered a healthy male neonate. Expectant management was performed to permit conservation of both ovaries without unnecessary surgical intervention. The condition resolved within 6 weeks postpartum without adding morbidity to the patient.

  1. ‘Speaking Kleinian’: Susan Isaacs as Ursula Wise and the Inter-War Popularisation of Psychoanalysis

    Science.gov (United States)

    Shapira, Michal

    2017-01-01

    How did the complex concepts of psychoanalysis become popular in early twentieth-century Britain? This article examines the contribution of educator and psychoanalyst Susan Isaacs (1885–1948) to this process, as well as her role as a female expert in the intellectual and medical history of this period. Isaacs was one of the most influential British psychologists of the inter-war era, yet historical research on her work is still limited. The article focuses on her writing as ‘Ursula Wise’, answering the questions of parents and nursery nurses in the popular journal Nursery World, from 1929 to 1936. Researched in depth for the first time, Isaacs’ important magazine columns reveal that her writing was instrumental in disseminating the work of psychoanalyst Melanie Klein in Britain. Moreover, Isaacs’ powerful rebuttals to behaviourist, disciplinarian parenting methods helped shift the focus of caregivers to the child’s perspective, encouraging them to acknowledge children as independent subjects and future democratic citizens. Like other early psychoanalysts, Isaacs was not an elitist; she was in fact committed to disseminating her ideas as broadly as possible. Isaacs taught British parents and child caregivers to ‘speak Kleinian’, translating Klein’s intellectual ideas into ordinary language and thus enabling their swift integration into popular discourse. PMID:28901872

  2. Umbilical cord length in singleton gestations: a Finnish population-based retrospective register study.

    Science.gov (United States)

    Georgiadis, L; Keski-Nisula, L; Harju, M; Räisänen, S; Georgiadis, S; Hannila, M-L; Heinonen, S

    2014-04-01

    Many complications of pregnancy and delivery are associated with umbilical cord length. It is important to examine the variation in length, in order to identify normal and abnormal conditions. Moreover, the factors influencing cord growth and development are not precisely known. The main objectives were to provide updated reference charts for umbilical cord length in singleton pregnancies and to evaluate potential factors affecting cord length. Birth register data of 47,284 singleton pregnant women delivering in Kuopio University Hospital, Finland was collected prospectively. Gender-specific centile charts for cord length from 22 to 44 gestational weeks were obtained using generalized additive models for location, scale, and shape (GAMLSS). Gestational, fetal, and maternal factors were studied for their potential influence on cord length with single variable analysis and stepwise multiple linear regression analysis. Cord length increased according to gestational age, while the growth decelerated post-term. Birth weight, placental weight, pregravid maternal body mass index, parity, and maternal age correlated to cord length. Gestational diabetes and previous miscarriages were associated with longer cords, while female gender and placental abruption were associated with shorter cords. Girls had shorter cords throughout gestation although there was substantial variation in length in both genders. Cord length associated significantly with birth weight, placental weight, and gestational age. Significantly shorter cords were found in women with placental abruption. This important finding requires further investigation. Copyright © 2014 Elsevier Ltd. All rights reserved.

  3. Reference charts and equations of fetal biometry for normal singleton pregnant women in Shaanxi, China.

    Science.gov (United States)

    Jiang, X; Zhang, Y H; Li, Y; Ma, X; Zhu, Y S H; Shang, L

    2013-01-01

    To construct reference charts and equations of fetal biometry for singleton pregnant women in Shaanxi, China. This was a cross-sectional study involving 6,832 singleton pregnant women. One set of fetal ultrasonographic measurement data between the 16th to 41st gestational weeks (GW) was randomly selected from each pregnant woman, and biparietal diameter (BPD), abdominal circumference (AC), and femur length (FL) were recorded. Mean and standard deviation (SD) of BPD, AC, and FL were fitted by polynomial. Centile = Mean + Z(alpha) x SD was used to calculate centiles. Differences in the 50th centile of BPD, AC, and FL between Hong Kong, Korean, Italian and Shaanxi fetuses were compared. Mean of BPD, AC, and FL were well-fitted by quadratic polynomial, SD of BPD, AC and FL were fitted by linear regression. Equations for estimating mean and SD for BPD, AC, and FL from GW were obtained. Centiles for BPD,AC, and FL were calculated. From the 21st GW, the differences in BPD,AC, and FL between Hong Kong, Korean, Italian, and Shaanxi fetuses became larger. Fetal biometry reference charts and equations for estimating fetal size and GW could be used in obstetrics practice and research in Shaanxi, China.

  4. Diasporic Reconciliations of Politics, Love and Trauma: Susan Abulhawa’s Quest for Identity in Mornings in Jenin

    Directory of Open Access Journals (Sweden)

    Ayman M Abu-Shomar

    2015-04-01

    Full Text Available Negotiating human conditions is an emblematic critical impetus of diaspora informed by multiple cultural possibilities practiced through the creation of multiple spaces that cross the realm of the ‘self’ to that of the ‘other’. It offers a locale to cross from the oppressed ‘self’ to an understanding of an oppressor ‘other’. Yet, diasporic negotiation is politically involved in the most responsible manner; it engages the contextual social realities in order to enable creative possibilities for overcoming the logic of the politics altogether. It invites a kind of political involvement that assures the ‘situatedness of the ethical’ in a framework of moral humanistic realisations. The realisation of diasporic negotiations is dialogically engaged in manners that will give birth to new possibilities for human togetherness. In this essay, I trace the signs of diasporic negotiations of politics, love and trauma in Susan Abulhawa’s Mornings in Jenin by focusing on the Diasporic identity of Amal (the central character. I consider the intersections between diaspora, dislocation of identity and the creation of negotiating spaces that qualify an 'epistemology of Diaspora' against essentialised and ethnocentric construction of realities. I argue that Abulhawa creates diasporic spaces and immense moral scenes to transcend a particular stance of politics via transcending love in opposition to suffering and tribulation. I contend that Abulhawa’s conceptualisation of Diasporic negotiations enables her to depict and gauge two extreme human sentiments: love and trauma, yet, without yielding or compromising the right of just resistance and dissent. Keywords: Diaspora, humanism, Trauma, identity, negotiating difference, and 'Otherness'

  5. First trimester β-hCG and estradiol levels in singleton and twin pregnancies after assisted reproduction.

    Science.gov (United States)

    Póvoa, Ana; Xavier, Pedro; Matias, Alexandra; Blicksttein, Isaac

    2017-07-28

    To compare levels of β-hCG and estradiol collected during the first trimester in singleton and twin pregnancies following assisted reproduction technologies (ART). We prospectively evaluated 50 singleton and 47 dichorionic twin pregnancies that eventually ended in live births. Patients were recruited from a single ART center with standard treatment protocols followed by fresh embryo transfers. Hormone measurements were performed within a narrow gestational age range and analyzed in a single laboratory thus minimizing inter- and intra-assay variability. We measured serum β-hCG at 13 days after embryo transfer as well as samples of β-hCG and estradiol at 8-9 weeks+6 days. No significant differences existed between singletons and twins in respect to demographic and cycle characteristics. β-hCG and estradiol were all significantly higher in twins (PhCG and estradiol in twins, pointing to the potential role of these placental hormones in early support of a twin pregnancy.

  6. Analysis of intracranial hemorrhage grade in preterm singleton pregnancies delivered vaginally or by cesarean section

    Directory of Open Access Journals (Sweden)

    Ljuština Saša

    2013-01-01

    Full Text Available Background/Aim. Preterm birth is the leading cause of neonatal mortality. Periventricular hemorrhage-intraventricular hemorrhage (PVH-IVH remains a significant cause of both morbidity and mortality in infants prematurely born. The aim of the study was to evaluate the perinatal outcome regarding IVH of premature babies according to the mode of delivery. Methods. A total of 126 women in preterm singleton pregnancies with vertex presentation and 126 neonates weighted from 750 g to 1,500 g at birth were enrolled. The outcomes of 64 neonates born vaginally were compared to 62 neonates born by cesarean section. Results. There was no significant difference in the incidence of IVH among both groups. Conclusion. Our data is consistent with the hypothesis that the mode of delivery does not influence IVH and consenquently perinatal outcome in preterm neonates.

  7. Excess Mortality in Patients Diagnosed With Hypothyroidism: A Nationwide Cohort Study of Singletons and Twins

    Science.gov (United States)

    Thvilum, Marianne; Brandt, Frans; Almind, Dorthe; Christensen, Kaare; Brix, Thomas Heiberg

    2013-01-01

    Background: Although hypothyroidism is associated with increased morbidity, an association with increased mortality is still debated. Our objective was to investigate, at a nationwide level, whether a diagnosis of hypothyroidism influences mortality. Methods: In an observational cohort study from January 1, 1978 until December 31, 2008 using record-linkage data from nationwide Danish health registers, 3587 singletons and 682 twins diagnosed with hypothyroidism were identified. Hypothyroid individuals were matched 1:4 with nonhypothyroid controls with respect to age and gender and followed over a mean period of 5.6 years (range 0–30 years). The hazard ratio (HR) for mortality was calculated using Cox regression analyses. Comorbidity was evaluated using the Charlson score (CS). Results: In singletons with hypothyroidism, the mortality risk was increased (HR 1.52; 95% confidence interval [CI]: 1.41–1.65). Although the effect attenuated, hypothyroidism remained associated with increased mortality when evaluating subjects with a CS = 0 (HR 1.23; 95% CI: 1.05–1.44). In twin pairs discordant for hypothyroidism, the hypothyroid twin had excess mortality compared with the corresponding euthyroid cotwin (HR 1.40; 95% CI 0.95–2.05). However, after stratifying for zygosity, hypothyroidism was associated with excess mortality in dizygotic twin pairs (HR 1.61; 95% CI 1.00–2.58), whereas the association attenuated in monozygotic pairs (HR 1.06; 95% CI 0.55–2.05). Conclusions: Hypothyroidism is associated with an excess mortality of around 50%, which to some degree is explained by comorbidity. In addition, the finding of an association between hypothyroidism and mortality within disease discordant dizygotic but not monozygotic twin pairs indicates that the association between hypothyroidism and mortality is also influenced by genetic confounding. PMID:23365121

  8. Commentary on Susan Isaacs

    Science.gov (United States)

    Martin, Jane

    2011-01-01

    A central principle of 1970s feminism was a concern with making women visible and the historical creation of women's public voices is an important methodological premise of feminist research. When written, biographies of female actors "recovered" from the condescension of posterity, can illuminate the telling of individual and collective…

  9. A comparison of perinatal outcomes in singletons and multiples born after IVF or ICSI, stratified for neonatal risk criteria

    NARCIS (Netherlands)

    van Heesch, Mirjam M. J.; Evers, Johannes L. H.; Dumoulin, John C. M.; van der Hoeven, Mark A. H. B. M.; van Beijsterveldt, Catharina E. M.; Bonsel, Gouke J.; Dykgraaf, Ramon H. M.; van Goudoever, Johannes B.; Koopman-Esseboom, Corine; Nelen, Willianne L. D. M.; Steiner, Katerina; Tamminga, Pieter; Tonch, Nino; van Zonneveld, Piet; Dirksen, Carmen D.

    2014-01-01

    To compare perinatal singleton and multiple outcomes in a large Dutch in-vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) population and within risk subgroups. Newborns were assigned to a risk category based on gestational age, birthweight, Apgar score and congenital malformation.

  10. Can early ultrasonography explain the lower miscarriage rates in twin as compared to singleton pregnancies following assisted reproduction?

    Science.gov (United States)

    Póvoa, Ana; Matias, Alexandra; Xavier, Pedro; Blickstein, Isaac

    2017-06-20

    To compare first trimester 2D conventional and 3D power Doppler angiography measures in twins and singletons following assisted reproduction. We prospectively evaluated 50 singleton and 47 twin pregnancies that eventually ended in live births. Patients were recruited from a single assisted reproductive technology (ART) center with standard treatment protocols. Obstetric ultrasound was performed at 8-9 weeks +6 days. Intervillous flow, uteroplacental circulation and uterine artery pulsatility (PI) and resistance index (RI) using two-dimensional (2D) ultrasound examination were evaluated. Using three-dimensional (3D) power Doppler angiography, placental volume and the 3D power Doppler indices from the intervillous and uteroplacental circulation were calculated. Demographic and cycle characteristics were similar in mothers of singletons and twins. Placental volume was significantly (1.6-fold) larger in twins. Vascular density and blood perfusion in the intervillous space were lower in twins. The comparison of the other parameters did not show significant differences between singletons and twins. The data confirm the larger placental volume in twins, denoting a probable higher production of placental hormones that would support an early twin pregnancy. The lower vascular density and blood perfusion in the intervillous space in twins may also confer a reproductive advantage to them.

  11. Differences in outcome between twins and singletons born very preterm: results from a population-based European cohort.

    NARCIS (Netherlands)

    Papiernik, E.; Zeitlin, J.; Delmas, D.; Blondel, B.; Kunzel, W.; Cuttini, M.; Weber, T.; Petrou, S.; Gortner, L.; Kollee, L.A.A.; Draper, E.S.

    2010-01-01

    BACKGROUND: About 10% of twins are born before 32 weeks of gestation and very preterm birth rates are increasing. Preterm twins tend to have more favourable outcomes than singletons of the same gestational age, but fewer data are available for very preterm infants. This study aims to determine

  12. Prevalence of impaired glucose tolerance and other types of dysglycaemia among young twins and singletons in Guinea-Bissau

    DEFF Research Database (Denmark)

    Egegaard Hennild, Ditte; Bjerregaard-Andersen, Morten; Joaquím, Luis Carlos

    2016-01-01

    BACKGROUND: Twins may be at increased risk of dysglycaemic disorders due to adverse fetal conditions. Data from Africa regarding this association is limited. We studied impaired glucose tolerance (IGT) and other types of dysglycemia among twins and singletons in Guinea-Bissau. METHODS: The study...

  13. Impact of obstetric history on the risk of spontaneous preterm birth in singleton and multiple pregnancies: a systematic review

    NARCIS (Netherlands)

    Kazemier, B. M.; Buijs, P. E.; Mignini, L.; Limpens, J.; de Groot, C. J. M.; Mol, B. W. J.; von Dadelszen, P.; Magee, L.; Sawchuck, D.; Gao, E.; Oude Rengerink, K.; Zamora, J.; Fox, C.; Daniels, J.; Khan, K. S.; Thangaratinam, S.; Meads, C.

    2014-01-01

    Information about the recurrence of spontaneous preterm birth in subsequent twin/singleton pregnancies is scattered. To quantify the risk of recurrence of spontaneous preterm birth in different subtypes of subsequent pregnancies. An electronic literature search in OVID MEDLINE and EMBASE,

  14. Mid-pregnancy, perinatal, and neonatal reproductive endocrinology: a prospective cohort study in twins and singleton control subjects.

    Science.gov (United States)

    Kuijper, Esther A M; Twisk, Jos W R; Korsen, Ted; Caanen, Mirte R; Kushnir, Mark M; Rockwood, Alan L; Meikle, A Wayne; Hompes, Peter G; Wit, Jan M; Lambalk, Cornelis B

    2015-12-01

    To answer the questions: Are perinatal reproductive hormone profiles different in case of a twin compared with a singleton pregnancy? Are reproductive endocrine profiles of twin girls influenced by their male co-twin and vice versa? Prospective cohort study from January 2004 to October 2009. Not applicable. A total of 204 mothers of twins and 248 singleton control subjects, aged >18 years, pregnant with a twin or singleton and no endocrine disease or malignancy. Blood samples were collected at mid-gestation from the mother and at delivery from the mothers and the umbilical cords. Estrogens, androgens, sex hormone-binding globulin, progesterone, and gonadotropins were measured. Hormonal profiles were compared between singletons and twins, different types of twins, and opposite-sex and same-sex twins. Estrogen and progesterone concentrations were higher in mothers of twins compared with singletons, but twin babies had lower estrogen and progesterone concentrations at birth. Opposite-sex twin girls did not have higher androgens in cord blood compared with same-sex twin girls. Boys of an opposite-sex twin had lower luteinizing hormone concentrations compared with dizygotic twin boys with a brother as a co-twin. Children from a twin are not overexposed to sex steroids at the time of birth, despite higher concentrations in their mothers, and girls from opposite sex twins do not show androgenic influences from their male co-twin. The female co-twin may influence the hypothalamic-pituitary-testicular axis of her brother via central inhibition. Copyright © 2015 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  15. How the cervix shortens: an anatomic study using 3-dimensional transperineal sonography and image registration in singletons and twins.

    Science.gov (United States)

    Parikh, Reshma; Patel, Atur; Stack, Trevor; Socrate, Simona; House, Michael

    2011-09-01

    The purpose of this study was to use a fixed reference to study movement (displacement) of the cervical internal os from the second to the third trimester in singletons and twins. The rationale was to gain insight into anatomic changes associated with cervical shortening. For each patient, 2 transperineal scans were performed 12 weeks apart (20 and 32 weeks). The internal os and symphysis pubis were visualized in the same field of view. Image registration techniques were used to align the 2 scans using the symphysis as a fixed reference. Total displacement, anterior displacement, and inferior displacement of the internal os were measured. Displacements were correlated with cervical shortening. Bland-Altman plots and interobserver intraclass correlation coefficients were calculated. A total of 42 healthy participants were studied: 28 with singletons and 14 with twins. The mean ± SD values for total displacement were 2.1 ± 1.2 and 2.0 ± 1.2 cm for singletons and twins, respectively (P = .75). The direction of displacement was significantly different. The mean anterior displacement was 1.1 cm greater for singletons than for twins (95% confidence interval, 0.29-2.0 cm, P = .01). Mean inferior displacement was 1.3 cm greater for twins than for singletons (95% confidence interval, 2.2-0.1 cm; P = .03). Only inferior displacement correlated with cervical shortening (P < .001; R(2) = 0.74). For every 2.2 cm of inferior displacement, the cervix shortened 1.0 cm. Assessments of reliability showed good agreement between 2 observers. The anatomic position of the internal cervical os depends on gestational age and fetal number. Cervical shortening correlated most strongly with inferior displacement.

  16. Effect of Body Mass Index on pregnancy outcomes in nulliparous women delivering singleton babies

    Directory of Open Access Journals (Sweden)

    Liston William A

    2007-07-01

    Full Text Available Abstract Background The increasing prevalence of obesity in young women is a major public health concern. These trends have a major impact on pregnancy outcomes in these women, which have been documented by several researchers. In a population based cohort study, using routinely collected data, this paper examines the effect of increasing Body Mass Index (BMI on pregnancy outcomes in nulliparous women delivering singleton babies. Methods This was a retrospective cohort study, based on all nulliparous women delivering singleton babies in Aberdeen between 1976 and 2005. Women were categorized into five groups – underweight (BMI 2, normal (BMI 20 – 24.9 Kg/m2 overweight (BMI 25 – 29.9 Kg/m2, obese (BMI 30 – 34.9 Kg/m2 and morbidly obese (BMI > 35 Kg/m2. Obstetric and perinatal outcomes were compared by univariate and multivariate analyses. Results In comparison with women of BMI 20 – 24.9, morbidly obese women faced the highest risk of pre-eclampsia {OR 7.2 (95% CI 4.7, 11.2} and underweight women the lowest {OR 0.6 (95% CI 0.5, 0.7}. Induced labour was highest in the morbidly obese {OR 1.8 (95% CI 1.3, 2.5} and lowest in underweight women {OR 0.8 (95% CI 0.8, 0.9}. Emergency Caesarean section rates were highest in the morbidly obese {OR 2.8 (95% CI 2.0, 3.9}, and comparable in women with normal and low BMI. Obese women were more likely to have postpartum haemorrhage {OR 1.5 (95% CI 1.3, 1.7} and preterm delivery ( 4,000 g was in the morbidly obese {OR 2.1 (95% CI 1.3, 3.2} and the lowest in underweight women {OR 0.5 (95% CI 0.4, 0.6}. Conclusion Increasing BMI is associated with increased incidence of pre-eclampsia, gestational hypertension, macrosomia, induction of labour and caesarean delivery; while underweight women had better pregnancy outcomes than women with normal BMI.

  17. Divergence of estimated fetal weight and birth weight in singleton fetuses.

    Science.gov (United States)

    Sotiriadis, Alexandros; Eleftheriades, Makarios; Papadopoulos, Vassileios; Sarafidis, Kosmas; Pervanidou, Panagiota; Assimakopoulos, Efstratios

    2018-03-01

    To evaluate differences in distribution of estimated fetal weight (EFW) and birth weight (BW) of ongoing fetuses and neonates of the same gestational age. Reference curves for EFW (Hadlock BPD-HC-AC-FL formula, N = 1191) and BW (N = 1036) in singleton pregnancies from 24 +0 to 40 +6 gestational weeks were calculated. Multiple pregnancies, fetuses with major or multiple abnormalities or syndromes and iatrogenic preterm deliveries due to preeclampsia or abnormal fetal Doppler were excluded. The standardized residuals for EFW and BW were calculated and compared. EFW and BW can be accurately described by quadratic equations (R 2  = 0.944 and 0.807, respectively). The distribution of standardized residuals for BW using the EFW formula was negative from 28 +0 to 35 +6 weeks. The 50th and 5th centiles of BW were lower than those of EFW throughout prematurity, and they converged at approximately 38 gestational weeks. The 5th centile for BW was 30% lower than the 5th centile for EFW at 27 weeks, 27.5% lower at 30 weeks and 19.4% at 34 weeks. Preterm infants have lower BW distribution compared to the expected EFW of ongoing pregnancies of the same gestational age, supporting the concept of hidden intrauterine morbidity for a proportion of these infants.

  18. Determinants of successful breastfeeding initiation in healthy term singletons: a Swiss university hospital observational study.

    Science.gov (United States)

    Gubler, Tabea; Krähenmann, Franziska; Roos, Malgorzata; Zimmermann, Roland; Ochsenbein-Kölble, Nicole

    2013-05-01

    Breastfeeding significantly benefits mothers and infants. We aimed to identify the determinants of its successful initiation. A retrospective study of 1893 mothers delivering healthy term singletons at a Swiss university hospital from 1/2008 to 3/2009 determined the associations between multiple breastfeeding and early postpartum parameters by univariate and multiple regression analysis. Multiparity was associated with nursing exclusively at the breast at discharge (Ppacifier use (P<0.05). Among obese mothers, nursing exclusively at the breast at discharge was less frequent, and use of all feeding aids more frequent, than among normal-weight women (both P<0.001). Neuraxial anesthesia was associated with use of maltodextrin and bottle (both P<0.05) compared to no anesthesia. Delayed first skin-to-skin contact and rooming-in for <24 h/day were each associated with maltodextrin and cup (P<0.05). Nursing exclusively at the breast at discharge was less frequent (P<0.001), and bottle use more frequent (P<0.05), in women with sore nipples than in those without. Obesity is a potent inhibitor of breastfeeding initiation. Delivery without anesthesia by a multiparous normal-weight mother, followed by immediate skin-to-skin contact, rooming-in for 24 h/day, and dedicated nipple care, provides the best conditions for successful early postpartum breastfeeding without the need for feeding aids or nutritional supplements

  19. RIG-I-Like Receptor Signaling in Singleton-Merten Syndrome

    Directory of Open Access Journals (Sweden)

    Changming Lu

    2017-09-01

    Full Text Available Singleton-Merten syndrome (SMS is an autosomal dominant, multi-system innate immune disorder characterized by early and severe aortic and valvular calcification, dental and skeletal abnormalities, psoriasis, glaucoma, and other varying clinical findings. Recently we identified a specific gain-of-function mutation in IFIH1, interferon induced with helicase C domain 1, segregated with this disease. SMS disease without hallmark dental anomalies, termed atypical SMS, has recently been reported caused by variants in DDX58, DEXD/H-box helicase 58. IFIH1 and DDX58 encode retinoic acid-inducible gene I (RIG-I-like receptors family members melanoma differentiation-associated gene 5 and RIG-I, respectively. These cytosolic pattern recognition receptors function in viral RNA detection initiating an innate immune response through independent pathways that promote type I and type III interferon expression and proinflammatory cytokines. In this review, we focus on SMS as an innate immune disorder summarizing clinical features, molecular aspects of the pathogenetic pathway and discussing underlying mechanisms of the disease.

  20. [Singleton and twin pregnancies of PKU patients - individual variability of phenylalanine tolerance: experience of a single treatment center (Preliminary report)].

    Science.gov (United States)

    Żółkowska, Joanna; Hozyasz, Kamil K; Nowacka, Maria

    2017-01-01

    Phenylketonuria (PKU) is the autosomal recessive deficiency of phenylalanine hydroxylase resulting in the accumulation of phenylalanine (Phe) in blood and in the brain. Phe restriction in a patient's diet is determined depending on the amount of Phe intake which allows for stable blood Phe levels within the therapeutic range of 120-360µmol/L. In clinical practice the empirical determination of Phe tolerance relies on frequent assessment of blood Phe concentrations in relation to Phe intake from food records. Untreated maternal PKU may lead to maternal PKU syndrome in offspring. The objective of the study was to compare Phe tolerance during the course of singleton and multiple pregnancies of PKU patients. Case subjects and methods: The cases reviewed included three sets of classical PKU-affected Polish women on a low-phenylalanine diet during the course of singleton and twin pregnancies and their PKU-unaffected newborns. All the patients were under regular supervision of a metabolic dietitian to stabilize blood Phe levels and determine Phe tolerance. Data on pregnancy weight gain, the gestational age when the diet initiated, the percent of Phe assessments 360 µmol/L, as well as offspring birth measurements were analyzed. The total increase in Phe tolerance and its pattern during the course of singleton and twin pregnancies differed remarkably in each patient. Three PKU women (Q383X/R408W, EX3DEL/EX3DEL, R281L/R408W) increased their Phe tolerance in singleton and twin pregnancies by 579%/468%, 674%/261%, and 427%/236%, respectively. During the last 10 weeks of singleton and twin pregnancy Phe tolerance showed an increase by 62%/149%, 33%/64%, and 37%/40%, respectively. The analysis of predictors for Phe tolerance showed that an individual's weight gain and the fetal weight gain as estimated from liveborn birth-weight data had no predictive capacity. Individual Phe tolerance in singleton pregnancies of PKU patients does not predict tolerance in twin pregnancy

  1. Mutations in DDX58, which Encodes RIG-I, Cause Atypical Singleton-Merten Syndrome

    Science.gov (United States)

    Jang, Mi-Ae; Kim, Eun Kyoung; Now, Hesung; Nguyen, Nhung T.H.; Kim, Woo-Jong; Yoo, Joo-Yeon; Lee, Jinhyuk; Jeong, Yun-Mi; Kim, Cheol-Hee; Kim, Ok-Hwa; Sohn, Seongsoo; Nam, Seong-Hyeuk; Hong, Yoojin; Lee, Yong Seok; Chang, Sung-A; Jang, Shin Yi; Kim, Jong-Won; Lee, Myung-Shik; Lim, So Young; Sung, Ki-Sun; Park, Ki-Tae; Kim, Byoung Joon; Lee, Joo-Heung; Kim, Duk-Kyung; Kee, Changwon; Ki, Chang-Seok

    2015-01-01

    Singleton-Merten syndrome (SMS) is an autosomal-dominant multi-system disorder characterized by dental dysplasia, aortic calcification, skeletal abnormalities, glaucoma, psoriasis, and other conditions. Despite an apparent autosomal-dominant pattern of inheritance, the genetic background of SMS and information about its phenotypic heterogeneity remain unknown. Recently, we found a family affected by glaucoma, aortic calcification, and skeletal abnormalities. Unlike subjects with classic SMS, affected individuals showed normal dentition, suggesting atypical SMS. To identify genetic causes of the disease, we performed exome sequencing in this family and identified a variant (c.1118A>C [p.Glu373Ala]) of DDX58, whose protein product is also known as RIG-I. Further analysis of DDX58 in 100 individuals with congenital glaucoma identified another variant (c.803G>T [p.Cys268Phe]) in a family who harbored neither dental anomalies nor aortic calcification but who suffered from glaucoma and skeletal abnormalities. Cys268 and Glu373 residues of DDX58 belong to ATP-binding motifs I and II, respectively, and these residues are predicted to be located closer to the ADP and RNA molecules than other nonpathogenic missense variants by protein structure analysis. Functional assays revealed that DDX58 alterations confer constitutive activation and thus lead to increased interferon (IFN) activity and IFN-stimulated gene expression. In addition, when we transduced primary human trabecular meshwork cells with c.803G>T (p.Cys268Phe) and c.1118A>C (p.Glu373Ala) mutants, cytopathic effects and a significant decrease in cell number were observed. Taken together, our results demonstrate that DDX58 mutations cause atypical SMS manifesting with variable expression of glaucoma, aortic calcification, and skeletal abnormalities without dental anomalies. PMID:25620203

  2. Intrapartum and neonatal outcomes in singleton pregnancies following conception by assisted reproduction techniques.

    Science.gov (United States)

    Rozdarz, Kellie M; Flatley, Christopher J; Kumar, Sailesh

    2017-12-01

    To characterise maternal demographics and ascertain whether clinically important differences exist in the intrapartum and neonatal outcomes associated with assisted reproductive technology (ART). A retrospective study was undertaken between January 2007 and December 2013 of all singleton pregnancies conceived via ART at a major tertiary unit in Brisbane, Australia. Intrapartum outcomes were mode of delivery and indication for emergency caesarean. Neonatal outcomes investigated were gestation at delivery, birth weight, Apgar scores, acidosis at birth, respiratory distress, need for resuscitation, admission to neonatal intensive care and stillbirth. There were 4733 (7.4%) ART and 59 277 (92.6%) spontaneous conception pregnancies. Women who conceived using ART were less likely to have a spontaneous vaginal delivery (odds ratio (OR) 0.60, 95% CI 0.57-0.64) and were more likely to require operative or assisted birth: elective caesarean (adjusted OR (aOR) 1.31, 95% CI 1.22-1.40), emergency caesarean (aOR 1.19, 95% CI 1.09-1.28), or instrumental delivery (aOR 1.45, 95% CI 1.32-1.58). Neonates who were conceived using ART were less likely to be born at term (aOR 0.64, 95% CI 0.58-0.71) and have lower birth weights. No differences were observed in rates of respiratory distress, admission to the neonatal intensive care unit, or stillbirth between the ART and spontaneous conception cohorts. The odds of neonatal acidosis (OR 0.71, 95% CI0.63-0.81) were lower in the ART cohort. Although higher rates of operative deliveries were seen for women who conceive using ART, neonatal outcomes were generally no different between the two cohorts. © 2017 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

  3. Abnormal human chorionic gonadotropin (hCG) trends after transfer of multiple embryos resulting in viable singleton pregnancies.

    Science.gov (United States)

    Brady, Paula C; Farland, Leslie V; Missmer, Stacey A; Racowsky, Catherine; Fox, Janis H

    2017-12-19

    The purpose of this study is to investigate whether abnormal hCG trends occur at a higher incidence among women conceiving singleton pregnancies following transfer of multiple (two or more) embryos (MET), as compared to those having a single embryo transfer (SET). Retrospective cohort study was performed of women who conceived singleton pregnancies following fresh or frozen autologous IVF/ICSI cycles with day 3 or day 5 embryo transfers between 2007 and 2014 at a single academic medical center. Cycles resulting in one gestational sac on ultrasound followed by singleton live birth beyond 24 weeks of gestation were included. Logistic regression models adjusted a priori for patient age at oocyte retrieval and day of embryo transfer were used to estimate the Odds Ratio of having an abnormal hCG rise (defined as a rise or hCG rises between the first and second measurements, compared to 2.7% (n = 17) of patients undergoing SET (OR 2.16, 95% CI 1.26-3.71). Among patients with initially abnormal hCG rises who had a third level checked (89%), three-quarters had normal hCG rises between the second and third measurements. Patients who deliver singletons following MET were more likely to have suboptimal initial hCG rises, potentially due to transient implantation of other non-viable embryo(s). While useful for counseling, these findings should not change standard management of abnormal hCG rises following IVF. The third hCG measurements may clarify pregnancy prognosis.

  4. Perinatal outcomes among singletons after assisted reproductive technology with single-embryo or double-embryo transfer versus no assisted reproductive technology.

    Science.gov (United States)

    Martin, Angela S; Chang, Jeani; Zhang, Yujia; Kawwass, Jennifer F; Boulet, Sheree L; McKane, Patricia; Bernson, Dana; Kissin, Dmitry M; Jamieson, Denise J

    2017-04-01

    To examine outcomes of singleton pregnancies conceived without assisted reproductive technology (non-ART) compared with singletons conceived with ART by elective single-embryo transfer (eSET), nonelective single-embryo transfer (non-eSET), and double-embryo transfer with the establishment of 1 (DET -1) or ≥2 (DET ≥2) early fetal heartbeats. Retrospective cohort using linked ART surveillance data and vital records from Florida, Massachusetts, Michigan, and Connecticut. Not applicable. Singleton live-born infants. None. Preterm birth (PTB Reproductive Medicine. All rights reserved.

  5. Parents' anxiety and depression symptoms after successful infertility treatment and spontaneous conception: does singleton/twin pregnancy matter?

    Science.gov (United States)

    Tendais, I; Figueiredo, B

    2016-10-01

    Does mode of conception [spontaneous/after infertility treatment (IT)], type of pregnancy (singleton/twin) and parent gender have an effect on anxiety and depression levels and trajectories during pregnancy and the post-partum period? Conception after IT was associated with a transitory increase in anxiety during the perinatal period for parents of singletons, while for IT parents of twins higher levels of psychopathological symptoms tended to persist during pregnancy and the post-partum period. Most previous studies have shown that successful IT is not associated with poor psychological well-being during pregnancy and the post-partum period, but there is also some evidence for heightened pregnancy-related anxiety, lower self-esteem and lower self-efficacy. Parents of twins experience increased postnatal anxiety and depression. This prospective longitudinal study assessed 267 couples (N = 534) at each trimester of pregnancy, after childbirth and at 3 months post-partum. The sample comprised 36 couples who had conceived after IT (19 twin pairs and 17 singletons) and 231 couples who had conceived spontaneously (SC; 28 twin pairs and 203 singletons). Couples were recruited at four public hospitals in Portugal, and self-report measures of anxiety and depression symptoms were administered. IT parents reported higher anxiety after childbirth than parents who SC, regardless of pregnancy type. IT parents of twins showed higher anxiety at mid-pregnancy, as well as higher anxiety and depression at 3 months post-partum than IT parents of singletons. Among IT mothers, those who had twins exhibited higher depression after childbirth than those who had singletons. Differences according to mode of conception, pregnancy type and parents gender over time were also noted. During pregnancy, IT parents of twins showed no significant change in depression scores, while the other groups depression scores statistically significantly decreased over time. From pregnancy to the post

  6. Intrauterine death in singleton pregnancies with trisomy 21, 18, 13 and monosomy X

    Directory of Open Access Journals (Sweden)

    Vanessa Vigna Goulart

    2016-04-01

    Full Text Available Summary A retrospective study from November 2004 to May 2012, conducted at the Obstetric Clinic of Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HC-FMUSP, which included 92 singleton pregnancies with prenatal diagnosis of trisomy of chromosome 21 (T21, 18, 13 (T13/18 and monosomy X (45X, with diagnosis performed until the 26th week of pregnancy. The aim of the study was to describe the frequency and to investigate predictors of spontaneous fetal death (FD. Diagnosis (T21, n=36; T13/18, n=25; 45X, n=31 was made at a mean gestational age of 18.3±3.7 weeks, through chorionic villus biopsy (n=22,24%, amniocentesis (n=66, 72% and cordocentesis (n=4, 4%. Major malformations were present in 45 (49%; with hydrops in 32 (35% fetuses, more frequently in 45X [n=24/31, 77% vs. T21 (n=6/36, 17% and T13/18 (n=2/25, 8%, p<0.001]. Specialized fetal echocardiography was performed in 60% (55/92. Of these, 60% (33/55 showed changes in heart morphology and/or function. Fetuses with T13/18 had a higher incidence of cardiac anomalies [60 vs. 25% (T21 and 29% (45X, p= 0.01]. FD occurred in 55 (60% gestations, being more frequent in 45X [n=26/31, 84% vs. T21 (n=13/36, 36% and T13/18 (n=16/25, 64%, p<0.01]. Stepwise analysis showed a correlation between hydrops and death in fetuses with T21 (LR= 4.29; 95CI=1.9-8.0, p<0.0001. In fetuses with 45X, the presence of echocardiographic abnormalities was associated with lower risk of FD (LR= 0.56; 95CI=0.27- 0.85, p=0.005. No predictive factors were identified in the T13/18 group. Intra- uterine lethality of aneuploid fetuses is high. Occurrence of hydrops increases risk of FD in pregnancies with T21. In pregnancies with 45X, the occurrence of echocardiographic changes reduces this risk.

  7. Vaginal progesterone for preventing preterm birth and adverse perinatal outcomes in singleton gestations with a short cervix: a meta-analysis of individual patient data.

    Science.gov (United States)

    Romero, Roberto; Conde-Agudelo, Agustin; Da Fonseca, Eduardo; O'Brien, John M; Cetingoz, Elcin; Creasy, George W; Hassan, Sonia S; Nicolaides, Kypros H

    2018-02-01

    The efficacy of vaginal progesterone for preventing preterm birth and adverse perinatal outcomes in singleton gestations with a short cervix has been questioned after publication of the OPPTIMUM study. To determine whether vaginal progesterone prevents preterm birth and improves perinatal outcomes in asymptomatic women with a singleton gestation and a midtrimester sonographic short cervix. We searched MEDLINE, EMBASE, LILACS, and CINAHL (from their inception to September 2017); Cochrane databases; bibliographies; and conference proceedings for randomized controlled trials comparing vaginal progesterone vs placebo/no treatment in women with a singleton gestation and a midtrimester sonographic cervical length ≤25 mm. This was a systematic review and meta-analysis of individual patient data. The primary outcome was preterm birth preterm birth preterm birth preterm birth preterm birth and improves perinatal outcomes in singleton gestations with a midtrimester sonographic short cervix, without any demonstrable deleterious effects on childhood neurodevelopment. Published by Elsevier Inc.

  8. The Colombo Twin and Singleton Follow-up Study: a population based twin study of psychiatric disorders and metabolic syndrome in Sri Lanka.

    Science.gov (United States)

    Jayaweera, Kaushalya; Aschan, Lisa; Pannala, Gayani; Adikari, Anushka; Glozier, Nicholas; Ismail, Khalida; Pariante, Carmine M; Rijsdijk, Fruhling; Siribaddana, Sisira; Zavos, Helena M S; Zunszain, Patricia A; Sumathipala, Athula; Hotopf, Matthew

    2018-01-17

    The disease burden related to mental disorders and metabolic syndrome is growing in low-and middle-income countries (LMIC). The Colombo Twin and Singleton Study (COTASS) is a population-based sample of twins and singletons in Colombo, Sri Lanka. Here we present prevalence estimates for metabolic syndrome (metS) and mental disorders from a follow-up (COTASS-2) of the original study (COTASS-1), which was a mental health survey. In COTASS-2, participants completed structured interviews, anthropometric measures and provided fasting blood and urine samples. Depressive disorder, depressive symptoms, anxiety symptoms, post-traumatic stress disorder (PTSD) and hazardous alcohol use were ascertained with structured psychiatric screens (Composite International Diagnostic Interview (CIDI), Beck Depression Inventory (BDI-II), Generalised Anxiety Disorder Questionnaire (GAD-7), PTSD Checklist - Civilian Version (PCL-C), and Alcohol Use Disorders Identification Test (AUDIT)). We defined metS according to the International Diabetes Federation (IDF) criteria and the revised National Cholesterol Education Programme Adult Treatment Panel (NCEP ATP III) criteria. We estimated the prevalence of psychiatric disorders and metS and metS components, and associations with gender, education and age. Two thousand nine hundred thirty-four twins and 1035 singletons were followed up from COTASS-1 (83.4 and 61.8% participation rate, respectively). Prevalence estimates for depressive disorder (CIDI), depressive symptoms (BDI ≥ 16), anxiety symptoms (GAD-7 ≥ 10) and PTSD (PCL-C DSM criteria) were 3.8, 5.9, 3.6, and 4.5% respectively for twins and 3.9, 9.8, 5.1 and 5.4% for singletons. 28.1 and 30.9% of male twins and singletons respectively reported hazardous alcohol use. Approximately one third met the metS criteria (IDF: 27.4% twins, 44.6% singletons; NCEP ATP III: 30.6% twins, 48.6% singletons). The most prevalent components were central obesity (59.2% twins, 71.2% singletons) and

  9. Subfertility factors rather than assisted conception factors affect cognitive and behavioural development of 4-year-old singletons.

    Science.gov (United States)

    Schendelaar, Pamela; La Bastide-Van Gemert, Sacha; Heineman, Maas Jan; Middelburg, Karin J; Seggers, Jorien; Van den Heuvel, Edwin R; Hadders-Algra, Mijna

    2016-12-01

    Research on cognitive and behavioural development of children born after assisted conception is inconsistent. This prospective study aimed to explore underlying causal relationships between ovarian stimulation, in-vitro procedures, subfertility components and child cognition and behaviour. Participants were singletons born to subfertile couples after ovarian stimulation IVF (n = 63), modified natural cycle IVF (n = 53), natural conception (n = 79) and singletons born to fertile couples (reference group) (n = 98). At 4 years, cognition (Kaufmann-ABC-II; total IQ) and behaviour (Child Behavior Checklist; total problem T-score) were assessed. Causal inference search algorithms and structural equation modelling was applied to unravel causal mechanisms. Most children had typical cognitive and behavioural scores. No underlying causal effect was found between ovarian stimulation and the in-vitro procedure and outcome. Direct negative causal effects were found between severity of subfertility (time to pregnancy) and cognition and presence of subfertility and behaviour. Maternal age and maternal education acted as confounders. The study concludes that no causal effects were found between ovarian stimulation or in-vitro procedures and cognition and behaviour in childrenaged 4 years born to subfertile couples. Subfertility, especially severe subfertility, however, was associated with worse cognition and behaviour. Copyright © 2016 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  10. The effect of gestational diabetes, pre-gravid maternal obesity, and their combination ('diabesity') on outcomes of singleton gestations.

    Science.gov (United States)

    Blickstein, Isaac; Doyev, Reut; Trojner Bregar, Andreja; Bržan Šimenc, Gabrijela; Verdenik, Ivan; Tul, Natasa

    2018-03-01

    To assess the effect of the combination of gestational diabetes mellitus (GDM) and pre-gravid obesity ('diabesity') in singleton gestations. We compared perinatal outcomes of singleton gestations in mothers with GDM and pre-gravid obesity, with GDM but with normal pre-gravid BMI, and obese mothers without GDM. We compared diabesity mothers (n = 1525, 24.4% of mothers with GDM, 9.9% of all obese women) to mothers with GDM but with normal BMI (n = 4704, 75.6% of mothers with GDM) and to obese mothers without GDM (n = 13,937, 90.1% of all obese mothers). Obesity, with and without GDM, increased the odds of having chronic hypertension whereas preeclampsia appears to be influenced by obesity only, as were the risk of births at 4000 g, low 5-min Apgar scores and NICU admissions. Obesity (without diabetes) is more frequently associated with adverse perinatal outcomes than diabesity or GDM in non-obese mothers. A campaign to decrease pre-gravid obesity should have at least the same priority as any campaign to control GDM.

  11. Obstetric and perinatal outcomes of singletons after single blastocyst transfer: is there any difference according to blastocyst morphology?

    Science.gov (United States)

    Bouillon, Céline; Celton, Noémie; Kassem, Sandra; Frapsauce, Cynthia; Guérif, Fabrice

    2017-08-01

    A strong correlation between blastocyst morphology and implantation has been shown by many studies. The consequences and effects of assisted reproductive techniques on children's short and long-term health have always been a source of discussion. The obstetric and perinatal outcome of singletons according to blastocyst morphology has rarely been evaluated. The aim of this observational study is to determine whether a relationship exists between blastocyst morphology and obstetric and perinatal outcomes. A total of 799 singleton clinical pregnancies were analysed after transfer of a single fresh blastocyst on day 5 between 2006 and 2013. Blastocysts were divided into four groups based on their morphology on day 5: group 1 = good morphology blastocysts; group 2 = fair morphology blastocysts; group 3 = poor morphology blastocysts and group 4 = early (B1/B2) blastocysts. Obstetric and perinatal outcomes were compared between the four groups. After adjustment for some confounding variables, main obstetric and perinatal outcomes after transfer of blastocysts with poor morphological characteristics were not associated with increased adverse obstetric and perinatal events. Sex ratio was significantly higher in group 1 compared with groups 2, 3 and 4, and in Group 2 compared with Group 3 (P < 0.001) even after adjustment (P < 0.05). Copyright © 2017 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  12. New population-based references for birth weight, length, and head circumference in singletons and twins from 23 to 43 gestation weeks.

    Science.gov (United States)

    Sankilampi, Ulla; Hannila, Marja-Leena; Saari, Antti; Gissler, Mika; Dunkel, Leo

    2013-09-01

    Birth size curves are needed for clinical and epidemiological purposes. We constructed birth weight (BW), length (BL), and head circumference (BHC) references, assessed effects of twinness and parity, and defined cut-off points for small, appropriate, and large for gestational age. Birth register data of all 753,036 infants born in 1996-2008 in Finland were cleaned to create references reflecting optimal intrauterine growth. The final data included 533,666 singletons and 15,033 twins (median gestation weeks (gws) 40.0 and 37.1, respectively, 41.6% primiparous). Sex-specific BW, BL, and BHC references were constructed from 23 to 43 gws separately for singletons and twins born to primiparous or multiparous mothers. GAMLSS method was used for modelling. In singletons from 36 gws onwards, increased BW and BL were observed in comparison to previous reference from 1979-1983. Twins diverged from singletons from 30 gws onwards. At 37.0 gws, mean BW was 400 g lower and mean BL 1.2 cm shorter than in singletons. From 30 gws onwards, birth size was larger in infants of multiparous than primiparous mothers. Population-based birth size references are available for the evaluation of birth size. Accounting for plurality and parity improves the accuracy of birth size evaluation.

  13. Non-singleton colors are not attended faster than categories, but they are encoded faster: A combined approach of behavior, modeling and ERPs.

    Science.gov (United States)

    Callahan-Flintoft, Chloe; Wyble, Brad

    2017-11-01

    The visual system is able to detect targets according to a variety of criteria, such as by categorical (letter vs digit) or featural attributes (color). These criteria are often used interchangeably in rapid serial visual presentation (RSVP) studies but little is known about how rapidly they are processed. The aim of this work was to compare the time course of attentional selection and memory encoding for different types of target criteria. We conducted two experiments where participants reported one or two targets (T1, T2) presented in lateral RSVP streams. Targets were marked either by being a singleton color (red letter among black letters), being categorically distinct (digits among letters) or non-singleton color (target color letter among heterogeneously colored letters). Using event related potential (ERPs) associated with attention and memory encoding (the N2pc and the P3 respectively), we compared the relative latency of these two processing stages for these three kinds of targets. In addition to these ERP measures, we obtained convergent behavioral measures for attention and memory encoding by presenting two targets in immediate sequence and comparing their relative accuracy and proportion of temporal order errors. Both behavioral and EEG measures revealed that singleton color targets were attended much more quickly than either non-singleton color or categorical targets, and there was very little difference between attention latencies to non-singleton color and categorical targets. There was however a difference in the speed of memory encoding for non-singleton color and category latencies in both behavioral and EEG measures, which shows that encoding latency differences do not always mirror attention latency differences. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Prenatal screening at 11-13+6 weeks in assisted reproductive technology singleton pregnancies and those conceived naturally.

    Science.gov (United States)

    Gong, Meng; Shi, Hua; Zhang, Yu-guo; Ming, Lei

    2015-10-01

    To investigate whether assisted reproductive technology (ART) increases the risk of fetal chromosomal abnormalities. A total of 2034 singleton pregnant women were included in this retrospective study. They were divided into ART (574 fetuses) and control groups (1460 fetuses conceived naturally). All pregnant women received screening according to the Fetal Medicine Foundation, London 2004 Kypros H. Nicolaides guidelines at 11-13+6 weeks of gestation. Accordingly, women with value at risk of chromosomal abnormalities >1:250 underwent chorionic villus sampling or amniocentesis. Mean body mass index was 22.83 ± 3.27 versus 21.29 ± 2.81 kg/m(2) in the ART and control groups, respectively (P fetal chromosomal abnormalities. Additionally, fetus size in the ART group was bigger than that in the natural conception group. © 2015 Japan Society of Obstetrics and Gynecology.

  15. Velamentous Cord Insertion in a Singleton Pregnancy: An Obscure Cause of Emergency Cesarean—A Case Report

    Directory of Open Access Journals (Sweden)

    Juliana Rocha

    2012-01-01

    Full Text Available Approximately 2% of low-risk pregnant women still require an emergency Cesarean section after the onset of labor. Because it is likely that half of these cases are associated with placental and umbilical cord abnormalities, it is thought that prenatal detection of such abnormalities would reduce the number of emergency cesarean sections in low-risk women. Velamentous cord insertion is an abnormal cord insertion in which the umbilical vessels diverge as they traverse between the amnion and chorion before reaching the placenta. With a reported incidence of 1% in singleton pregnancies, it has been associated with several obstetric complications. This condition has been diagnosed by ultrasonography with a sensitivity of 67% and specificity of 100% in the second trimester. The present case highlights the importance of the systematic assessment of the placental cord insertion site at routine obstetric ultrasound and the potential of identifying pregnancies with velamentous insertion and, therefore, those at risk for obstetric complications.

  16. The influence of maternal glucose metabolism on fetal growth, development and morbidity in 917 singleton pregnancies in nondiabetic women.

    Science.gov (United States)

    Farmer, G; Russell, G; Hamilton-Nicol, D R; Ogenbede, H O; Ross, I S; Pearson, D W; Thom, H; Kerridge, D F; Sutherland, H W

    1988-03-01

    To study the effects on the fetus of variations in maternal glucose tolerance, a 25 g rapid intravenous glucose tolerance test was performed at or about 32 weeks gestation in 917 randomly selected nondiabetic women with singleton pregnancies. The results were withheld from the patients and their obstetricians and paediatricians, and no treatment or advice was offered. Fasting plasma glucose and indices of glucose disposal (including a new index which we have termed "summed glucose") were distributed unimodally, with no evidence of a separate pathological group towards the diabetic end of the distributions. Significant associations were found between maternal glucose metabolism and various measures of neonatal nutrition and morbidity, including the incidence of congenital malformations and morbidity related to asphyxia, suggesting that variations within the normal range in maternal glucose metabolism can influence growth and development in the fetus. These relationships were continuous throughout the range of maternal glucose tolerance and were not of predictive value in individual cases.

  17. Risk factors associated with preterm birth among singletons following assisted reproductive technology in Australia 2007–2009–a population-based retrospective study

    OpenAIRE

    Xu, Xu K; Wang, Yueping A; Li, Zhuoyang; Lui, Kei; Sullivan, Elizabeth A

    2014-01-01

    Background Preterm birth, a leading cause of neonatal death, is more common in multiple births and thus there has being an increasing call for reducing multiple births in ART. However, few studies have compared risk factors for preterm births amongst ART and non-ART singleton birth mothers. Methods A population-based study of 393,450 mothers, including 12,105 (3.1%) ART mothers, with singleton gestations born between 2007 and 2009 in 5 of the 8 jurisdictions in Australia. Univariable and mult...

  18. Hospitalization in adolescence and young adulthood among twins and singletons: a Swedish cohort study of subjects born between 1973 and 1983.

    Science.gov (United States)

    Bladh, Marie; Carstensen, John; Josefsson, Ann; Finnström, Orvar; Sydsjö, Gunilla

    2013-06-01

    Children born with non-optimal birth characteristics - that is, are small for gestational age and/or preterm - have an increased risk for several long-term effects such as neurological sequelae and chronic disease. The purpose of this study was to examine whether twins exhibited a different outcome, compared with singletons, in terms of hospitalization during adolescence and early adulthood, and to what extent differences remain when considering the divergence in birth characteristics between singletons and twins. Persons born between 1973 and 1983 in Sweden and surviving until age 13 were included and followed until the end of 2006. Data on birth characteristics, parental socio-demographic factors, and hospitalizations were collected from national registers. Adjusting for parental socio-demographic factors, twins had a higher risk of being hospitalized than singletons (odds ratio, OR = 1.17, 95% confidence interval, CI = 1.10-1.25) and more often due to 'Congenital anomalies' (OR = 1.18, 95% CI = 1.06-1.28), 'Infections' (OR = 1.14; 95% CI = 1.08-1.20), 'External causes of illness' (OR = 1.10, 95% CI = 1.06-1.15), and 'Diseases of the nervous system' (OR = 1.18, 95% CI = 1.10-1.26). Stratifying for birth characteristics, this difference diminishes, and for some diagnoses non-optimal twins seem to do slightly better than non-optimal singletons. Thus, twins with non-optimal birth characteristics had a lower risk of hospitalization than non-optimal singletons on, for example, 'Congenital anomalies' and 'Diseases of the nervous system' (OR = 0.86, 95% CI = 0.77-0.96; OR = 0.88, 95% CI = 0.81-0.97, respectively) and Total (any) hospitalization (OR = 0.87, 95% CI = 0.83-0.92). Among those with optimal birth characteristics, twins had an increased hospitalization due to 'External causes of illness' (OR = 1.07, 95% CI = 1.02-1.13) compared with optimal singletons. Twins have higher hospitalization rates than singletons. In stratifying for birth characteristics, this

  19. "If you thought this story sour, sweeten it with your own telling" - a feminist poetics of rewriting in Susan Price's Ghost dance

    Directory of Open Access Journals (Sweden)

    Sanna Lehtonen

    2010-01-01

    Full Text Available The attempts to challenge conventional gendered discourses in children's fantasy have often resulted in feminist rewritings of earlier stories. Ghost dance (1994 by the English author Susan Price is a novel that reflects a specific feminist poetics of rewriting: metafictional passages highlight the constructedness of the narrative and at the end readers are invited to tell their own versions of the story. Moreover, the rewriting freely combines and recontextualises elements from different source texts and reformulates them to create a narrative that challenges conventional discourses of gender. While this poetics has an appeal from a feminist perspective, the play with cross-cultural intertexts and gender becomes more complex when the novel is examined in a postcolonialist framework in relation to ethnicity and the issue of cultural appropriation. Ghost dance is situated in a setting that has a real-world equivalent (Russia, involves characters that are identified with names of real-world ethnic groups (Lapps (Sámi, Russian, and mixes elements from Russian wonder tales, Nordic mythology and an Ojibwe legend. The novel does not aim at historical accuracy in its representations nor is it a direct retelling of any of the pre-texts but combines motifs, themes, names, characters and settings freely from each source. In this textual melting pot, the protagonist Shingebiss is, on one level, a revision of the witch Baba Yaga, but also described as a Lappish shaman with an Ojibwe name. To rewrite gendered discourses, certain elements from the pretexts are chosen and others left out – the question is, then, what effects does this recontextualisation have on the representation of ethnicity? Or, are the feminist rewriting strategies actually a form of cultural appropriation?

  20. A comparison of perinatal outcomes in singletons and multiples born after in vitro fertilization or intracytoplasmic sperm injection stratified for neonatal risk criteria

    NARCIS (Netherlands)

    van Heesch, M.M.J.; Evers, J.L.H.; Dumoulin, J.C.M.; van der Hoeven, M.A.H.B.; van Beijsterveldt, C.E.M.; Bonsel, G.J.; Dykgraaf, R.H.M.; van Goudoever, J.B.; Koopman-Esseboom, C.; Nelen, W.L.D.M.; Steiner, K.; Tamminga, P.; Tonch, N.; van Zonneveld, P.; Dirksen, C.D.

    2014-01-01

    Objective To compare perinatal singleton and multiple outcomes in a large Dutch in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) population and within risk subgroups. Newborns were assigned to a risk category based on gestational age, birthweight, Apgar score and congenital

  1. A comparison of perinatal outcomes in singletons and multiples born after in vitro fertilization or intracytoplasmic sperm injection stratified for neonatal risk criteria

    NARCIS (Netherlands)

    Heesch, M.M. van; Evers, J.L.H.; Dumoulin, J.C.; Hoeven, M.A. van der; Beijsterveldt, C.E. van; Bonsel, G.J.; Dykgraaf, R.H.; Goudoever, J.B. van; Koopman-Esseboom, C.; Nelen, W.L.D.M.; Steiner, K.; Tamminga, P.; Tonch, N.; Zonneveld, P. van; Dirksen, C.D.

    2014-01-01

    OBJECTIVE: To compare perinatal singleton and multiple outcomes in a large Dutch in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) population and within risk subgroups. Newborns were assigned to a risk category based on gestational age, birthweight, Apgar score and congenital

  2. Clinical Significance of Preterm Singleton Pregnancies Complicated by Placental Abruption following Preterm Premature Rupture of Membranes Compared with Those without p-PROM

    Science.gov (United States)

    Suzuki, Shunji

    2012-01-01

    The purpose of this paper was to examine the obstetric and neonatal outcomes of preterm singleton pregnancies complicated by placental abruption following preterm premature rupture of membranes (p-PROM) compared with those without p-PROM. We reviewed the obstetric records of 95 singleton deliveries complicated by placental abruption at 22–36 weeks' gestation. The incidence of placental abruption in singleton pregnancies with p-PROM was 4.7%, and the crude odds ratio of placental abruption for women following p-PROM was 6.50 (P < 0.01). Of the 95 cases of placental abruption in preterm singleton deliveries, 64 cases (67.4%) occurred without p-PROM and 31 cases (32.6%) occurred following p-PROM. The incidence of histological chorioamnionitis stage III in the patients following p-PROM was significantly higher than that in the patients without p-PROM (P = 0.02). The rate of emergency Cesarean deliveries associated with nonreassuring fetal status (NRFS) in the patients following p-PROM was significantly lower than that in the patients without p-PROM. However, there were no significant differences in the maternal and neonatal outcomes between the patients with and without p-PROM. Although p-PROM may be one of important risk factors for placental abruption associated with chorioamnionitis, it may not influence the perinatal outcomes in preterm placental abruption. PMID:22690341

  3. Neonatal and maternal outcomes comparing women undergoing two in vitro fertilization (IVF) singleton pregnancies and women undergoing one IVF twin pregnancy.

    Science.gov (United States)

    Sazonova, Antonina; Källen, Karin; Thurin-Kjellberg, Ann; Wennerholm, Ulla-Britt; Bergh, Christina

    2013-03-01

    To compare outcomes for women undergoing two in vitro fertilization (IVF) pregnancies with singletons and women undergoing one IVF twin pregnancy. The concept of single-embryo transfer in IVF has reduced the risks of both maternal and neonatal complications, but there is still a discussion of whether or not twins are a desired outcome of IVF. Registry study. Not applicable. All reported twins after IVF with double-embryo transfer (n = 1,982) and their mothers (n = 991) and all mothers (n = 921) who gave birth to two IVF singletons (n = 1,842). None. Maternal and neonatal outcomes including severe neonatal morbidity. Preterm birth, very preterm birth, low birth weight, very low birth weight, and small for gestational age were dramatically increased for IVF twins compared with two IVF singletons with the same mother, with adjusted odds ratios from 4 to 16. Significantly higher rates of respiratory complications, sepsis, and jaundice were detected among the IVF twins. Significantly higher rates of preeclampsia, preterm premature rupture of the membranes, and cesarean section were observed for IVF twin pregnancies. The neonatal and maternal outcomes were dramatically better for women undergoing two IVF singleton pregnancies compared with one IVF twin pregnancy after double-embryo transfer. These results support single-embryo transfer to minimize the risks associated with twin pregnancies. Copyright © 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  4. Outcome of Multifetal Pregnancy Reduction in Women with a Dichorionic Triamniotic Triplet Pregnancy to a Singleton Pregnancy : A Retrospective Nationwide Cohort Study

    NARCIS (Netherlands)

    Van De Mheen, L.; Everwijn, S. M P; Haak, M. C.; Manten, G. T R; Zondervan, H. A.; Knapen, M. F C M; Engels, M. A J; Erwich, J. J H M; Coumans, A. B.; Van Vugt, J. M G; Bilardo, C. M.; Van Pampus, M. G.; De Groot, C. J M; Mol, B. W J; Pajkrt, E.

    2016-01-01

    Objective: To study the pregnancy outcomes of women with a dichorionic triamniotic triplet pregnancy that was reduced to a singleton pregnancy and to review the literature. Methods: We performed a nationwide retrospective cohort study. We compared time to delivery and perinatal mortality in

  5. Outcome of Multifetal Pregnancy Reduction in Women with a Dichorionic Triamniotic Triplet Pregnancy to a Singleton Pregnancy: A Retrospective Nationwide Cohort Study

    NARCIS (Netherlands)

    van de Mheen, L.; Everwijn, S. M. P.; Haak, M. C.; Manten, G. T. R.; Zondervan, H. A.; Knapen, M. F. C. M.; Engels, M. A. J.; Erwich, J. J. H. M.; Coumans, A. B.; van Vugt, J. M. G.; Bilardo, C. M.; van Pampus, M. G.; de Groot, C. J. M.; Mol, B. W. J.; Pajkrt, E.

    2016-01-01

    To study the pregnancy outcomes of women with a dichorionic triamniotic triplet pregnancy that was reduced to a singleton pregnancy and to review the literature. We performed a nationwide retrospective cohort study. We compared time to delivery and perinatal mortality in dichorionic triplet

  6. Outcome of Multifetal Pregnancy Reduction in Women with a Dichorionic Triamniotic Triplet Pregnancy to a Singleton Pregnancy : A Retrospective Nationwide Cohort Study

    NARCIS (Netherlands)

    van de Mheen, L.; Everwijn, S. M. P.; Haak, M. C.; Manten, G. T. R.; Zondervan, H. A.; Knapen, M. F. C. M.; Engels, M. A. J.; Erwich, J. J. H. M.; Coumans, A. B.; van Vugt, J. M. G.; Bilardo, C. M.; van Pampus, M. G.; de Groot, C. J. M.; Mol, B. W. J.; Pajkrt, E.

    2016-01-01

    Objective:To study the pregnancy outcomes of women with a dichorionic triamniotic triplet pregnancy that was reduced to a singleton pregnancy and to review the literature. Methods: We performed a nationwide retrospective cohort study. We compared time to delivery and perinatal mortality in

  7. Increased time to pregnancy is associated with less optimal neurological condition in 4-year-old singletons, in vitro fertilization itself is not

    NARCIS (Netherlands)

    Schendelaar, P.; van den Heuvel, Edwin; Heineman, M. J.; La Bastide-Van Gemert, S.; Middelburg, K. J.; Seggers, Jorien; Hadders-Algra, M.

    2014-01-01

    STUDY QUESTION: Does ovarian hyperstimulation, the in vitro procedures required for in vitro fertilization (IVF)/intracytoplasmic sperm injection or the combination of both, affect the neurological outcome of 4-year-old singletons? SUMMARY ANSWER: Ovarian hyperstimulation, the in vitro procedure and

  8. Increased time to pregnancy is associated with less optimal neurological condition in 4-year-old singletons, in vitro fertilization itself is not

    NARCIS (Netherlands)

    Schendelaar, P.; van den Heuvel, E. R.; Heineman, M. J.; La Bastide-van Gemert, S.; Middelburg, K. J.; Seggers, J.; Hadders-Algra, M.

    2014-01-01

    Does ovarian hyperstimulation, the in vitro procedures required for in vitro fertilization (IVF)/ intracytoplasmic sperm injection or the combination of both, affect the neurological outcome of 4-year-old singletons? Ovarian hyperstimulation, the in vitro procedure and the combination of both, were

  9. Loop electrosurgical excision of the cervix and subsequent risk for spontaneous preterm delivery: a population-based study of singleton deliveries during a 9-year period

    DEFF Research Database (Denmark)

    Noehr, Bugge; Jensen, Allan; Frederiksen, Kirsten

    2009-01-01

    OBJECTIVE: Our aim was to assess the association between loop electrosurgical excision procedure (LEEP) and the subsequent risk for spontaneous preterm delivery, with the use of population-based data from various nationwide registries. STUDY DESIGN: The study population consisted of all singleton...

  10. Mortality among twins and singletons in sub-Saharan Africa between 1995 and 2014: a pooled analysis of data from 90 Demographic and Health Surveys in 30 countries.

    Science.gov (United States)

    Monden, Christiaan W S; Smits, Jeroen

    2017-07-01

    Sub-Saharan Africa has the world's highest under-5 and neonatal mortality rates as well as the highest naturally occurring twin rates. Twin pregnancies carry high risk for children and mothers. Under-5 mortality has declined in sub-Saharan Africa over the last decades. It is unknown whether twins have shared in this reduction. We pooled data from 90 Demographic and Health Surveys for 30 sub-Saharan Africa countries on births reported between 1995 and 2014. We used information on 1 685 110 singleton and 56 597 twin livebirths to compute trends in mortality rates for singletons and twins. We examined whether the twin-singleton rate ratio can be attributed to biological, socioeconomic, care-related factors, or birth size, and estimated the mortality burden among sub-Saharan African twins. Under-5 mortality among twins has declined from 327·7 (95% CI 312·0-343·5) per 1000 livebirths in 1995-2001 to 213·0 (196·7-229·2) in 2009-14. This decline of 35·0% was much less steep than the 50·6% reduction among singletons (from 128·6 [95% CI 126·4-130·8] per 1000 livebirths in 1995-2001 to 63·5 [61·6-65·3] in 2009-14). Twins account for an increasing share of under-5 deaths in sub-Saharan Africa: currently 10·7% of under-5 mortality and 15·1% of neonatal mortality. We estimated that about 315 000 twins (uncertainty interval 289 000-343 000) die in sub-Saharan African each year. Excess twin mortality cannot be explained by common risk factors for under-5 mortality, including birthweight. The difference with singletons was especially stark for neonatal mortality (rate ratio 5·0, 95% CI 4·5-5·6). 51·7% of women pregnant with twins reported receiving medical assistance at birth. The fate of twins in sub-Saharan Africa is lagging behind that of singletons. An alarming one-fifth of twins in the region dies before age 5 years, three times the mortality rate among singletons. Twins account for a substantial and growing share of under-5 and neonatal

  11. Idufirma Silicon Valleyta / Susan Adams

    Index Scriptorium Estoniae

    Adams, Susan

    2014-01-01

    Tarkvarafirma Apprenda toodab teenindusplatvormi tarkvara, mis võimaldab klientidel luua ja hoida käigus uusi mobiilseid ja pilvetehnoloogiapõhiseid rakendusi. Oma töötajatele pakub odavaid elamispindu ja madalaid makse

  12. Delivery of double singleton pregnancies in a woman with a double uterus, double cervix, and complete septate vagina.

    Science.gov (United States)

    Yang, Ming-Jie; Tseng, Jen-Yu; Chen, Chih-Yao; Li, Hsin-Yang

    2015-12-01

    Uterine anomalies involving a double uterus, double cervix, also known as didelphys uterus, and complete septate vagina are rarely seen and have an associated fertility problem. However, artificial reproductive technology with embryo transfers can help solve this fertility challenge. Conception in the uterus in just one side is commonly seen for embryos, which are always transferred through the usually used (dilated) vagina. We here present a patient with the above uterine anomaly who conceived with the aid of in vitro fertilization and embryo transfer to both uterine cavities under general anesthesia, which resulted in successful double singleton pregnancies with one fetus in each uterus. With intensive prenatal care, the pregnancy course for each fetus was rather uneventful. Although both fetuses were in cephalic presentation, cesarean section was performed at the 39(th) week of gestation with good outcomes in order to preclude anticipated difficulties if the baby had been delivered through the rarely dilated vagina. However, order of birth between the two fetuses was a crucial decision during the operation. Copyright © 2015. Published by Elsevier Taiwan.

  13. Maternal and fetal arterial blood gas data in normotensive, singleton, isoflurane anesthetized sheep at 124-126 days of gestation.

    Science.gov (United States)

    Loughran, Claire M; Kemp, Matthew W; Musk, Gabrielle C

    2017-07-01

    The aim of this case series was to describe the differences between maternal and fetal blood-gas results during anesthesia. Sixteen singleton adult merino ewes weighing 60.1 ± 5.1 kg at 125.7 d (124 to 126 d) gestation were anesthetized. Maternal (radial) and fetal (umbilical) arterial blood gas samples were collected 79 ± 6 min after the start of anesthesia if maternal mean arterial pressure (MAP) was stable and > 65 mmHg. Fetal pH, partial arterial pressure of oxygen ( P aO 2 ), glucose, arterial hemoglobin oxygen saturation (SaO 2 ), sodium, and chloride were significantly lower and fetal partial arterial pressure of carbon dioxide ( P aCO 2 ), lactate, hematocrit, total hemoglobin, potassium, and calcium were significantly higher than maternal blood-gas values. Fetal pH, P aO 2 , and BE were lower and fetal lactate was higher than fetal umbilical arterial samples previously reported, which may indicate a non-reassuring fetal status. Further refinement of the ovine experimental model is warranted with fetal monitoring during maternal anesthesia.

  14. References of birth weights for gestational age and sex from a large cohort of singleton births in cameroon.

    Science.gov (United States)

    Kemfang Ngowa, Jean Dupont; Domkam, Irénée; Ngassam, Anny; Nguefack-Tsague, Georges; Dobgima Pisoh, Walter; Noa, Cyrille; Kasia, Jean Marie

    2014-01-01

    Objective. To establish the percentile charts of birth weights for gestational age and sex within the Cameroonian population. Methods. A review of medical records of infants born between January 2007 and December 2011 at the maternities of two hospitals in Cameroon, Central Africa. Multiple pregnancies, births of HIV infected women, stillbirths, and births with major fetal malformations were excluded. The smooth curves of birth weight for gestational age and sex were created using the Gamlss package under R.3.0.1 software. Results. The birth weights of 12837 live birth singleton infants born to HIV negative women between 28 and 42 weeks of gestation were analyzed to construct the birth weight curves for gestational age and sex. The smoothed percentile curves of birth weights for gestational age and sex of Cameroonian infants have demonstrated an increasing slope until 40 weeks and then a plateau. There was a varied difference of distribution in birth weights for gestational age between Cameroonian, Botswanan, American, and French infants. Conclusion. We established the reference curves of birth weights for gestational age and sex for Cameroonians. The difference in birth weight curves noted between Cameroonian, Botswanan, American, and French infants suggests the importance of establishing the regional birth weight norms.

  15. References of Birth Weights for Gestational Age and Sex from a Large Cohort of Singleton Births in Cameroon

    Directory of Open Access Journals (Sweden)

    Jean Dupont Kemfang Ngowa

    2014-01-01

    Full Text Available Objective. To establish the percentile charts of birth weights for gestational age and sex within the Cameroonian population. Methods. A review of medical records of infants born between January 2007 and December 2011 at the maternities of two hospitals in Cameroon, Central Africa. Multiple pregnancies, births of HIV infected women, stillbirths, and births with major fetal malformations were excluded. The smooth curves of birth weight for gestational age and sex were created using the Gamlss package under R.3.0.1 software. Results. The birth weights of 12837 live birth singleton infants born to HIV negative women between 28 and 42 weeks of gestation were analyzed to construct the birth weight curves for gestational age and sex. The smoothed percentile curves of birth weights for gestational age and sex of Cameroonian infants have demonstrated an increasing slope until 40 weeks and then a plateau. There was a varied difference of distribution in birth weights for gestational age between Cameroonian, Botswanan, American, and French infants. Conclusion. We established the reference curves of birth weights for gestational age and sex for Cameroonians. The difference in birth weight curves noted between Cameroonian, Botswanan, American, and French infants suggests the importance of establishing the regional birth weight norms.

  16. Perinatal outcome of singleton siblings born after assisted reproductive technology and spontaneous conception: Danish national sibling-cohort study.

    Science.gov (United States)

    Henningsen, Anna-Karina Aaris; Pinborg, Anja; Lidegaard, Øjvind; Vestergaard, Christina; Forman, Julie Lyng; Andersen, Anders Nyboe

    2011-03-01

    To compare the perinatal outcome of singleton siblings conceived differently. National population-based registry study. Denmark, from 1994 to 2008. Pairs of siblings (13,692 pairs; n = 27,384 children) conceived after IVF, intracytoplasmatic sperm injection (ICSI), frozen embryo replacement (FER), or spontaneous conception subcategorized into five groups according to succession: [1] IVF-ICSI vs. spontaneous conception (n = 7,758), [2] IVF-ICSI vs. FER (n = 716), [3] FER vs. FER (n = 34), [4] IVF-ICSI vs. IVF-ICSI (n = 2,876), and [5] spontaneous conception vs. spontaneous conception (n = 16,000). Observations were obtained from national registries. Birth weight, gestational age, low birth weight (conception method. Higher risk of low birth weight with (odds ratio [OR], 1.4; 95%CI, 1.1-1.7] and preterm birth (OR, 1.3; 95% CI, 1.1-1.6] was observed in IVF/ICSI compared with spontaneous conception. When differentiating between order and mode of conception, it seems that assisted reproductive technology plays a role in mean birth weight and risk of low birth weight and preterm birth. Birth weight was higher in siblings born after FER compared with fresh embryos replacement. Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  17. Amnioinfusion for women with a singleton breech presentation and a previous failed external cephalic version: a randomized controlled trial.

    Science.gov (United States)

    Diguisto, Caroline; Winer, Norbert; Descriaud, Celine; Tavernier, Elsa; Weymuller, Victoire; Giraudeau, Bruno; Perrotin, Franck

    2018-04-01

    Our trial aimed to assess the effectiveness of amnioinfusion for a second attempt at external cephalic version (ECV). This open randomized controlled trial was planned with a sequential design. Women at a term ≥36 weeks of gestation with a singleton fetus in breech presentation and a first unsuccessful ECV were recruited in two level-3 maternity units. They were randomly allocated to transabdominal amnioinfusion with a 500-mL saline solution under ultrasound surveillance or no amnioinfusion before the second ECV attempt. Trained senior obstetricians performed all procedures. The primary outcome was the cephalic presentation rate at delivery. Analyses were conducted according to intention to treat (NCT00465712). Recruitment difficulties led to stopping the trial after a 57-month period, 119 women were randomized: 59 allocated to amnioinfusion + ECV and 60 to ECV only. Data were analyzed without applying the sequential feature of the design. The rate of cephalic presentation at delivery did not differ significantly according to whether the second version attempt was or was not preceded by amnioinfusion (20 versus 12%, p = .20). Premature rupture of the membranes occurred for 15% of the women in the amnioinfusion group. Amnioinfusion before a second attempt to external version does not significantly increase the rate of cephalic presentation at delivery.

  18. Limitations of the equivalence between spatial and ensemble estimators in the case of a single-tone excitation.

    Science.gov (United States)

    Monsef, Florian; Cozza, Andrea

    2011-10-01

    The ensemble-average value of the mean-square pressure is often assessed by using the spatial-average technique, underlying an equivalence principle between spatial and ensemble estimators. Using the ideal-diffuse-field model, the accuracy of the spatial-average method has been studied theoretically forty years ago in the case of a single-tone excitation. This study is revisited in the present work on the basis of a more realistic description of the sound field accounting for a finite number of plane waves. The analysis of the spatial-average estimator is based on the study of its convergence rate. Using experimental data from practical examples, it is shown that the classical expression underestimates the estimator uncertainty even for frequencies greater than Schroeder's frequency, and that the number of plane waves may act as lower bound on the spatial-average estimator accuracy. The comparison of the convergence rate with an ensemble-estimator shows that the two statistics cannot be regarded as equivalent in a general case. © 2011 Acoustical Society of America

  19. Total and differential leukocyte count percentiles in healthy singleton term women during the first stage of labor.

    Science.gov (United States)

    Lurie, Samuel; Weiner, Eran; Golan, Abraham; Sadan, Oscar

    2014-01-01

    To establish leukocyte count and differential percentiles in healthy singleton term laboring women during spontaneous normal vaginal labor following an uncomplicated pregnancy. An analysis of the records of all women (n = 762) who delivered at our delivery ward during a 2-month period was performed. After exclusion for cesarean delivery, induction of labor, pregnancy complications, preterm labor, multiple pregnancy, fever on admission, and lack of full blood count on admission, 365 parturient women during the 1st stage of labor were included in the final analysis. The total and differential leukocyte counts were determined by standard procedure by an automated cell counter. The leukocyte count range on admission to the delivery ward during the 1st stage of labor in healthy parturient women was between 4.4 × and 21.7 × 10(3)/µl and the 99th percentile limit was 20.06 × 10(3)/µl. The total leukocyte count was not influenced by cervical dilatation, ruptured membranes, or the presence and regularity of uterine contractions. An observed leukocyte count within the 99th percentile limit (20.06 × 10(3)/µl) in an otherwise normal parturient woman is reassuring in the absence of other clinical evidence. © 2014 S. Karger AG, Basel.

  20. Costs and effects of screening and treating low risk women with a singleton pregnancy for asymptomatic bacteriuria, the ASB study

    Directory of Open Access Journals (Sweden)

    Kazemier Brenda M

    2012-06-01

    Full Text Available Abstract Background The prevalence of asymptomatic bacteriuria (ASB in pregnancy is 2-10% and is associated with both maternal and neonatal adverse outcomes as pyelonephritis and preterm delivery. Antibiotic treatment is reported to decrease these adverse outcomes although the existing evidence is of poor quality. Methods/Design We plan a combined screen and treat study in women with a singleton pregnancy. We will screen women between 16 and 22 weeks of gestation for ASB using the urine dipslide technique. The dipslide is considered positive when colony concentration ≥105 colony forming units (CFU/mL of a single microorganism or two different colonies but one ≥105 CFU/mL is found, or when Group B Streptococcus bacteriuria is found in any colony concentration. Women with a positive dipslide will be randomly allocated to receive nitrofurantoin or placebo 100 mg twice a day for 5 consecutive days (double blind. Primary outcomes of this trial are maternal pyelonephritis and/or preterm delivery before 34 weeks. Secondary outcomes are neonatal and maternal morbidity, neonatal weight, time to delivery, preterm delivery rate before 32 and 37 weeks, days of admission in neonatal intensive care unit, maternal admission days and costs. Discussion This trial will provide evidence for the benefit and cost-effectiveness of dipslide screening for ASB among low risk women at 16–22 weeks of pregnancy and subsequent nitrofurantoin treatment. Trial registration Dutch trial registry: NTR-3068

  1. Effect of frozen/thawed embryo transfer on birthweight, macrosomia, and low birthweight rates in US singleton infants.

    Science.gov (United States)

    Litzky, Julia F; Boulet, Sheree L; Esfandiari, Navid; Zhang, Yujia; Kissin, Dmitry M; Theiler, Regan N; Marsit, Carmen J

    2017-12-29

    Singleton infants conceived using assisted reproductive technology have lower average birthweights than naturally conceived infants and are more likely to be born low birthweight (macrosomia (>4000 g) and low birthweight (macrosomia and low birthweight were evaluated using multivariable predicted marginal proportions from logistic regression models. In total, 180,184 singleton, term infants were included, with 55,898 (31.02%) having been conceived from frozen/thawed embryos. Frozen/thawed embryo transfer was associated with, on average, a 142 g increase in birthweight compared with infants born after fresh embryo transfer (P macrosomia following frozen/thawed embryo transfer was greater than that following fresh embryo transfer, but the risk of low birthweight among frozen/thawed embryo transfer infants was significantly decreased in comparison with fresh embryo transfer infants. Copyright © 2018 Elsevier Inc. All rights reserved.

  2. Use of multiple linear regression and logistic regression models to investigate changes in birthweight for term singleton infants in Scotland.

    Science.gov (United States)

    Bonellie, Sandra R

    2012-10-01

    To illustrate the use of regression and logistic regression models to investigate changes over time in size of babies particularly in relation to social deprivation, age of the mother and smoking. Mean birthweight has been found to be increasing in many countries in recent years, but there are still a group of babies who are born with low birthweights. Population-based retrospective cohort study. Multiple linear regression and logistic regression models are used to analyse data on term 'singleton births' from Scottish hospitals between 1994-2003. Mothers who smoke are shown to give birth to lighter babies on average, a difference of approximately 0.57 Standard deviations lower (95% confidence interval. 0.55-0.58) when adjusted for sex and parity. These mothers are also more likely to have babies that are low birthweight (odds ratio 3.46, 95% confidence interval 3.30-3.63) compared with non-smokers. Low birthweight is 30% more likely where the mother lives in the most deprived areas compared with the least deprived, (odds ratio 1.30, 95% confidence interval 1.21-1.40). Smoking during pregnancy is shown to have a detrimental effect on the size of infants at birth. This effect explains some, though not all, of the observed socioeconomic birthweight. It also explains much of the observed birthweight differences by the age of the mother.   Identifying mothers at greater risk of having a low birthweight baby as important implications for the care and advice this group receives. © 2012 Blackwell Publishing Ltd.

  3. The impact of gestational diabetes mellitus on postpartum urinary incontinence: a longitudinal cohort study on singleton pregnancies.

    Science.gov (United States)

    Chuang, C-M; Lin, I-F; Horng, H-C; Hsiao, Y-H; Shyu, I-L; Chou, P

    2012-10-01

    To determine whether gestational diabetes mellitus (GDM) is an independent risk factor for postpartum urinary incontinence in singleton pregnancies. A longitudinal cohort study. A single tertiary-care hospital in Taiwan. Pregnant women with term deliveries between 2002 and 2007 (n = 6653) were consecutively recruited. Logistic regression models were fitted based on generalised estimating equation methods to derive odds ratios for occurrences of type-specific urinary incontinence in the third trimester and at four time-points over 2 years during the postpartum period. Evaluation of whether GDM is an independent risk factor for postpartum urinary incontinence. The full model analysis revealed that GDM was an independent risk factor for all type-specific urinary incontinence (odds ratio [95% confidence interval]: 1.97 [1.56-2.51], 3.11 [2.18-4.43] and 2.73 [1.70-4.40] for stress, urge and mixed incontinence, respectively]. Compared with women without GDM, women with GDM tended to exhibit more severe symptoms of stress incontinence for up to 2 years postpartum, whereas for urge or mixed incontinence, more severe symptoms were found only for 6 months postpartum. Evaluation of quality of life using the Incontinence Impact Questionnaire 7 suggested that women with GDM requiring insulin treatment had a higher likelihood of functional impairment than women with GDM requiring conservative treatment only or women without GDM (P risk factor for postpartum urinary incontinence and had a significant impact on quality of life. Women with GDM should be provided with timely consultation and support once urinary incontinence occurs. © 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.

  4. Fear of childbirth predicts postpartum depression: a population-based analysis of 511 422 singleton births in Finland.

    Science.gov (United States)

    Räisänen, Sari; Lehto, Soili M; Nielsen, Henriette Svarre; Gissler, Mika; Kramer, Michael R; Heinonen, Seppo

    2013-11-28

    To study how reproductive risks and perinatal outcomes are associated with postpartum depression treated in specialised healthcare defined according to the International Classification of Diseases (ICD)-10 codes, separately among women with and without a history of depression. A retrospective population-based case-control study. Data gathered from three national health registers for the years 2002-2010. All singleton births (n=511 422) in Finland. Prevalence of postpartum depression and the risk factors associated with it. In total, 0.3% (1438 of 511 422) of women experienced postpartum depression, the prevalence being 0.1% (431 of 511 422) in women without and 5.3% (1007 of 18 888) in women with a history of depression. After adjustment for possible covariates, a history of depression was found to be the strongest risk factor for postpartum depression. Other strong predisposing factors for postpartum depression were fear of childbirth, caesarean birth, nulliparity and major congenital anomaly. Specifically, among the 30% of women with postpartum depression but without a history of depression, postpartum depression was shown to be associated with fear of childbirth (adjusted OR (aOR 2.71, 95% CI 1.98 to 3.71), caesarean birth (aOR 1.38, 95% CI 1.08 to 1.77), preterm birth (aOR 1.65, 95% CI 1.08 to 2.56) and major congenital anomaly (aOR 1.67, 95% CI 1.15 to 2.42), compared with women with no postpartum depression and no history of depression. A history of depression was found to be the most important predisposing factor of postpartum depression. Women without previous episodes of depression were at an increased risk of postpartum depression if adverse events occurred during the course of pregnancy, especially if they showed physician-diagnosed fear of childbirth.

  5. Singleton Sequence Type 382, an Emerging Clonal Group of Listeria monocytogenes Associated with Three Multistate Outbreaks Linked to Contaminated Stone Fruit, Caramel Apples, and Leafy Green Salad

    OpenAIRE

    Chen, Yi; Luo, Yan; Pettengill, James; Timme, Ruth; Melka, David; Doyle, Matthew; Jackson, Alikeh; Parish, Mickey; Hammack, Thomas S.; Allard, Marc W.; Brown, Eric W.; Strain, Errol A.

    2017-01-01

    ABSTRACT Three multistate outbreaks between 2014 and 2016, involving case patients in and outside the United States, were linked to stone fruit, caramel apples, and packaged leafy green salad contaminated with Listeria monocytogenes singleton sequence type 382 (ST382), a serotype IVb-v1 clone with limited genomic divergence. Isolates from these outbreaks and other ST382 isolates not associated with these outbreaks were analyzed by whole-genome sequencing (WGS) analysis. The primary difference...

  6. Periconceptional undernutrition programs changes in insulin-signaling molecules and microRNAs in skeletal muscle in singleton and twin fetal sheep.

    Science.gov (United States)

    Lie, Shervi; Morrison, Janna L; Williams-Wyss, Olivia; Suter, Catherine M; Humphreys, David T; Ozanne, Susan E; Zhang, Song; Maclaughlin, Severence M; Kleemann, David O; Walker, Simon K; Roberts, Claire T; McMillen, I Caroline

    2014-01-01

    Maternal undernutrition around the time of conception is associated with an increased risk of insulin resistance in adulthood. We determined the effect of maternal undernutrition in the periconceptional period (PCUN, i.e., 60 days prior to 6 days after conception) and the preimplantation period (PIUN, i.e., 0-6 days after conception) on mRNA expression and protein abundance of key insulin-signaling molecules as well as the global microRNA expression in quadriceps muscle of singleton and twin fetal sheep in late gestation. In singleton fetuses, exposure to PCUN resulted in lower protein abundance of PIK3CB (P < 0.01), PRKCZ (P < 0.05), and pPRKCZ (Thr410) (P < 0.05) in skeletal muscle compared to controls. In PIUN singletons, there was a higher protein abundance of IRS1 (P < 0.05), PDPK1 (P < 0.05), and SLC2A4 (P < 0.05) compared to controls. In twins, PCUN resulted in higher protein abundance of IRS1 (P < 0.05), AKT2 (P < 0.05), PDPK1 (P < 0.05), and PRKCZ (P < 0.001), while PIUN also resulted in higher protein abundance of IRS1 (P < 0.05), PRKCZ (P < 0.001), and SLC2A4 (P < 0.05) in fetal muscle compared to controls. There were specific patterns of the types and direction of changes in the expression of 22 microRNAs in skeletal muscle after exposure to PCUN or PIUN and clear differences in these patterns between singleton and twin pregnancies. These findings provide evidence that maternal undernutrition around the time of conception induces changes in the expression of microRNAs, which may play a role in altering the abundance of the key insulin-signaling molecules in skeletal muscle and in the association between PCUN undernutrition and insulin resistance in adult life.

  7. Risk factors associated with preterm birth among singletons following assisted reproductive technology in Australia 2007-2009--a population-based retrospective study.

    Science.gov (United States)

    Xu, Xu K; Wang, Yueping A; Li, Zhuoyang; Lui, Kei; Sullivan, Elizabeth A

    2014-12-07

    Preterm birth, a leading cause of neonatal death, is more common in multiple births and thus there has being an increasing call for reducing multiple births in ART. However, few studies have compared risk factors for preterm births amongst ART and non-ART singleton birth mothers. A population-based study of 393,450 mothers, including 12,105 (3.1%) ART mothers, with singleton gestations born between 2007 and 2009 in 5 of the 8 jurisdictions in Australia. Univariable and multivariable logistic regression models were conducted to evaluate socio-demographic, medical and pregnancy factors associated with preterm births in contrasting ART and non-ART mothers. Ten percent of singleton births to ART mothers were preterm compared to 6.8% for non-ART mothers (P disadvantaged (12.4% in the lowest quintile vs 20.7%), less likely to be smokers (3.8% vs 19.4%), more likely to be first time mothers (primiparous 62.4% vs 40.5%), had more preexisting hypertension and complications during pregnancy. Irrespective of the mode of conception, preexisting medical and pregnancy complications of hypertension, diabetes and antepartum hemorrhages were consistently associated with preterm birth. In contrast, socio-demographic variables, namely young and old maternal age (34), socioeconomic disadvantage (most disadvantaged quintile Odds Ratio (OR) 0.95, 95% Confidence Interval (CI): 0.77-1.17), smoking (OR 1.12, 95%CI: 0.79-1.61) and priminarity (OR 1.19, 95% CI: 1.05-1.35, AOR not significant) shown to be associated with elevated risk of preterm birth for non-ART mothers were not demonstrated for ART mothers, even after adjusting for potential confounders. Nonetheless, in multivariable analysis, the association between ART and the elevated risk for singleton preterm birth persisted after controlling for all included confounding medical, pregnancy and socio-economic factors (AOR 1.51, 95% CI: 1.42-1.61). Preterm birth rate is approximately one-and-a-half-fold higher in ART mothers than non

  8. Fertility treatment and child intelligence, attention, and executive functions in 5-year-old singletons: a cohort study.

    Science.gov (United States)

    Bay, B; Mortensen, E L; Kesmodel, U S

    2014-12-01

    To assess the association of fertility treatment and subfertility with offspring intelligence, attention, and executive functions in 5-year-old singletons. Follow-up study. Denmark 2003-2008. A cohort of 1782 children sampled from the Danish National Birth Cohort. The children were tested with a neuropsychological battery at age five. In addition to tests of intelligence, attention and executive functions, the follow up included extensive information on important covariates. The analyses were conducted using multiple linear regression and adjusted for parental educational level, maternal intelligence, age, parity, body mass index, smoking in pregnancy, alcohol consumption in pregnancy and child gender, child age, and examiner. Wechsler Preschool and Primary Scale of Intelligence-Revised, the Test of Everyday Attention for Children at Five, and the Behavior Rating Inventory of Executive Functions scores. A consistent pattern of nonsignificantly lower scores were only observed for intelligence and executive functions in children born after fertility treatment or by subfertile parents when the results were unadjusted for maternal intelligence and parental educational level. When adjusted for these and other covariates, there were no significant mean differences in intelligence (mean difference -2.8, 95% CI -7.8, 2.2), overall attention (-0.1, 95% CI -0.6, 0.3), or parent-rated executive functions (-0.1, 95% CI -3.0, 2.9) between children born after spontaneous conception and children born to parents conceiving after fertility treatment. Similarly, there were no significant mean differences in intelligence (mean difference 0.6, 95% CI -2.2, 3.4), overall attention (0.1, 95% CI -0.2, 0.4), or parent-rated executive functions (1.0, 95% CI -1.8, 3.7) between children born after spontaneous conception and children born to subfertile parents waiting more than 12 months before conceiving naturally. This study suggests that parental subfertility and fertility treatment are

  9. EFFECT OF EARLY PREGNANCY BODY MASS INDEX ON PREGNANCY OUTCOMES IN WOMEN DELIVERING SINGLETON BABIES- AN OBSERVATIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Divya Vishnu

    2017-02-01

    Full Text Available BACKGROUND Maternal overweight/obesity causes many complications during pregnancy and delivery. It can also increase neonatal and infant morbidity and mortality. BMI is an important measure of under/overweight. This observational study examines the correlation between maternal Body Mass Index (BMI with maternal outcome in women. MATERIALS AND METHODS This study was conducted at Department of Obstetrics and Gynaecology, Government Medical College, Kottayam, Kerala, for a period of one year. A sample of 300 pregnant women with intrauterine pregnancy of gestational age <12 weeks at first visit was taken for this study with an age between 18 and 35 years with singleton pregnancy. BMI of these women were calculated and they were classified into two categories (BMI <23 kg/m2 and BMI ≥23 kg/m2 . The Chi-square test was done to find the association of BMI and various maternal outcomes. RESULTS In the sample of 300 pregnant women, 39% were having BMI <23 kg/m2 and 61% were having BMI ≥23 kg/m2 . Pregnant women with BMI ≥23 kg/m2 were found to have significantly increased risk of developing gestational hypertension, gestational diabetes and macrosomia. We found that a significantly increased need of induction and increased risk of developing intrapartum and postpartum complications in those with BMI ≥23 kg/m2 . Our study also found out that an increased incidence of elective as well as emergency caesareans and increased risk of neonatal complications in women whose BMI ≥23 kg/m2 . CONCLUSION Adverse maternal and perinatal outcomes are significantly related to extremes of BMI categories and least complications were seen in normal BMI group. Therefore, it is ideal to reduce the body weight to an optimal level so that the complications, which are attributed to overweight and obesity can be reduced. We recommended future research on the association of BMI and maternal outcomes involving large samples comparable to those done in developed countries.

  10. Contribution of risk factors to extremely, very and moderately preterm births - register-based analysis of 1,390,742 singleton births.

    Directory of Open Access Journals (Sweden)

    Sari Räisänen

    Full Text Available Preterm birth, defined as birth occurring before 37 weeks gestation, is one of the most significant contributors to neonatal mortality and morbidity, with long-term adverse consequences for health, and cognitive outcome.The aim of the present study was to identify risk factors of preterm birth (≤36+6 weeks gestation among singleton births and to quantify the contribution of risk factors to socioeconomic disparities in preterm birth.A retrospective population-based case-control study using data derived from the Finnish Medical Birth Register. A total population of singleton births in Finland from 1987-2010 (n = 1,390,742 was reviewed.Among all singleton births (n = 1,390,742, 4.6% (n = 63,340 were preterm (<37 weeks, of which 0.3% (n = 4,452 were classed as extremely preterm, 0.4% (n = 6,213 very preterm and 3.8% (n = 54,177 moderately preterm. Smoking alone explained up to 33% of the variation in extremely, very and moderately preterm birth incidence between high and the low socioeconomic status (SES groups. Reproductive risk factors (placental abruption, placenta previa, major congenital anomaly, amniocentesis, chorionic villus biopsy, anemia, stillbirth, small for gestational age (SGA and fetal sex altogether explained 7.7-25.0% of the variation in preterm birth between SES groups.Smoking explained about one third of the variation in preterm birth groups between SES groups whereas the contribution of reproductive risk factors including placental abruption, placenta previa, major congenital anomaly, amniocentesis, chorionic villus biopsy, anemia, stillbirth, SGA and fetal sex was up to one fourth.

  11. Association of Maternal Obesity With Longitudinal Ultrasonographic Measures of Fetal Growth: Findings From the NICHD Fetal Growth Studies-Singletons.

    Science.gov (United States)

    Zhang, Cuilin; Hediger, Mary L; Albert, Paul S; Grewal, Jagteshwar; Sciscione, Anthony; Grobman, William A; Wing, Deborah A; Newman, Roger B; Wapner, Ronald; D'Alton, Mary E; Skupski, Daniel; Nageotte, Michael P; Ranzini, Angela C; Owen, John; Chien, Edward K; Craigo, Sabrina; Kim, Sungduk; Grantz, Katherine L; Louis, Germaine M Buck

    2018-01-01

    Despite the increasing prevalence of pregravid obesity, systematic evaluation of the association of maternal obesity with fetal growth trajectories is lacking. To characterize differences in fetal growth trajectories between obese and nonobese pregnant women, and to identify the timing of any observed differences. The Eunice Kennedy Shriver National Institute of Child Health and Human Development Fetal Growth Studies-Singletons study enrolled cohorts of pregnant women at 12 US health care institutions. Obese women (with prepregnancy body mass index > 30) and nonobese women (prepregnancy body mass indexes, 19-29.9) without major chronic diseases were recruited between 8 weeks and 0 days' gestation and 13 weeks and 6 days' gestation. A mixed longitudinal randomization scheme randomized participants into 1 of 4 schedules for 2-dimensional and 3-dimensional ultrasonograms to capture weekly fetal growth data throughout the remainder of their pregnancies. On each ultrasonogram, fetal humerus length, femur length, biparietal diameter, head circumference, and abdominal circumference were measured. Fetal growth curves were estimated using linear mixed models with cubic splines. Median differences in the fetal measures at each gestational week of the obese and nonobese participants were examined using the likelihood ratio and Wald tests after adjustment for maternal characteristics. The study enrolled 468 obese and 2334 nonobese women between 8 weeks and 0 days' gestation and 13 weeks and 6 days' gestation. After a priori exclusion criteria, 443 obese and 2320 nonobese women composed the final cohort. Commencing at 21 weeks' gestation, femur length and humerus length were significantly longer for fetuses of obese woman than those of nonobese women. Differences persisted in obese and nonobese groups through 38 weeks' gestation (median femur length, 71.0 vs 70.2 mm; P = .01; median humerus length, 62.2 vs 61.6 mm; P = .03). Averaged across gestation, head circumference

  12. Fetal fibronectin testing for prevention of preterm birth in singleton pregnancies with threatened preterm labor: a systematic review and metaanalysis of randomized controlled trials.

    Science.gov (United States)

    Berghella, Vincenzo; Saccone, Gabriele

    2016-10-01

    Fetal fibronectin is an extracellular matrix glycoprotein that is produced by amniocytes and cytotrophoblasts and has been shown to predict spontaneous preterm birth. The aim of this systematic review and metaanalysis of randomized clinical trials was to evaluate the effect of the use of fetal fibronectin in the prevention of preterm birth in singleton pregnancies with threatened preterm labor. The research was conducted with the use of MEDLINE, EMBASE, Web of Sciences, Scopus, ClinicalTrial.gov, OVID, and Cochrane Library as electronic databases from the inception of each database to February 2016. Selection criteria included randomized clinical trials of singleton gestations with threatened preterm labor that were assigned randomly to management based on fetal fibronectin results (ie, intervention group) or not (ie, comparison group). Types of participants included women with singleton gestations at 23 0/7 to 34 6/7 weeks with threatened preterm labor. Studies that included management that was also based on the use of sonographic cervical length were excluded. The primary outcome was preterm birth at birth at control group. No differences were found in the number of women who delivered within 7 days (12.8% vs 14.5%; relative risk, 0.76; 95% confidence interval, 0.47-1.21), in the mean of gestational age at delivery (mean difference, 0.20 week; 95% confidence interval, -0.26 to 0.67), in the rate of maternal hospitalization (27.4% vs 26.9%; relative risk, 1.07; 95% confidence interval, 0.80-1.44), in the use of tocolysis (25.3% vs 28.2%; relative risk, 0.97; 95% confidence interval, 0.75-1.24), antenatal steroids (29.2% vs 29.2%; relative risk, 1.05; 95% confidence interval, 0.79-1.39), in the mean time in the triage unit (mean difference, 0.60 hour; 95% confidence interval, -0.03 to 1.23) and in neonatal outcomes that included respiratory distress syndrome (1.3% vs 1.5%; relative risk, 0.91; 95% confidence interval, 0.06-14.06), and admission to the neonatal

  13. Hyperthyroidism is associated with work disability and loss of labour market income. A Danish register-based study in singletons and disease-discordant twin pairs.

    Science.gov (United States)

    Brandt, Frans; Thvilum, Marianne; Hegedüs, Laszlo; Brix, Thomas Heiberg

    2015-11-01

    To examine the risk of disability pension and changes in labour market income in patients with hyperthyroidism. From a 5% random sample of the Danish population and twins from the Danish Twin Registry we identified 1942 hyperthyroid singletons and 7768 non-hyperthyroid (matched 1:4) controls as well as 584 same-sex twin pairs discordant for hyperthyroidism. Singletons and twins were followed for a mean of 9 years (range 1-20). Cox regression analysis was used to examine the risk of disability pension and a difference-in-differences model was used to evaluate changes in labour market income. Hyperthyroid individuals had an increased risk of receiving disability pension: hazard ratio (HR) was 1.88, (95% CI: 1.57-2.24). Subdividing as to the cause of hyperthyroidism did not change this finding: Graves' disease (GD) HR was 1.51 (95% CI: 0.87-2.63) and toxic nodular goitre (TNG) HR was 2.10 (95% CI: 1.02-4.36). With respect to labour market income, the income of hyperthyroid individuals increased on average 1189 € less than their controls (Pmarket income, were seen within monozygotic twin pairs discordant for hyperthyroidism. Hyperthyroidism is associated with severe work disability as reflected by an 88% increased risk of receiving disability pension and a significant loss of labour market income. Similar results in monozygotic twins discordant for hyperthyroidism suggest that genetic confounding is unlikely. © 2015 European Society of Endocrinology.

  14. Outcome of singleton preterm small for gestational age infants born to mothers with pregnancy-induced hypertension. A population-based study.

    Science.gov (United States)

    Regev, Rivka H; Arnon, Shmuel; Litmanovitz, Ita; Bauer-Rusek, Sofia; Boyko, Valentina; Lerner-Geva, Liat; Reichman, Brian

    2015-04-01

    Pregnancy-induced hypertension (PIH) has been associated with a decreased risk of infant mortality in small for gestational age (SGA) preterm infants. To evaluate the influence of PIH on mortality and major neonatal morbidities in singleton preterm SGA infants, in the presence and absence of acute pregnancy complications. Population-based observational study of singleton SGA infants, born at 24 to 32 weeks gestation in the period 1995-2010 (n = 2139). Multivariable logistic regression analyses were used to assess the independent effect of PIH on mortality and neonatal morbidities. Acute pregnancy complications comprised premature labor, premature rupture of membranes >6 h, antepartum hemorrhage and clinical chorioamnionitis. In the absence of pregnancy complications, the odds ratio (95% confidence interval) for mortality (0.77; 0.50-1.16), survival without severe neurological morbidity (1.14; 0.79-1.65) and survival without bronchopulmonary dysplasia (BPD) (0.85; 0.59-1.21) were similar in the PIH versus no-PIH groups. In the presence of pregnancy complications, mortality (0.76; 0.40-1.44), survival without severe neurological morbidity (1.16; 0.64-2.12) and survival without BPD (1.04; 0.58-1.86) were also similar in the PIH versus no-PIH groups. PIH was not associated with improved outcome in preterm SGA infants, both in the presence and absence of acute pregnancy complications.

  15. Medical outcome of 8-year-old singleton ICSI children (born >or=32 weeks' gestation) and a spontaneously conceived comparison group.

    Science.gov (United States)

    Belva, F; Henriet, S; Liebaers, I; Van Steirteghem, A; Celestin-Westreich, S; Bonduelle, M

    2007-02-01

    There is little information about the long-term outcome of children born after ICSI. In this study, the eldest cohort of ICSI children worldwide, reaching the age of 8 years, was investigated at the prepubertal stage to monitor subsequent puberty and future fertility. To investigate possible health problems, a thorough medical and neurological examination was performed. Medical outcome of 8-year-old singletons (n=150) born through ICSI (>or=32 weeks) was compared with that of 147 singletons of the same age born after spontaneous conception (SC). Information about their general health was obtained from the parents by means of a questionnaire. Fifteen of 150 ICSI children experienced a major congenital malformation compared with 5/147 SC children (P Neurological examination did not show important differences between ICSI and SC children. ICSI children did not require more remedial therapy or surgery or hospitalization than SC children. Physical examination including a thorough neurological examination did not reveal important differences between the two groups. Major congenital malformations were significantly more frequent in the ICSI group. However, most of them were corrected by minor surgery. Further monitoring of these children at an older age is recommended.

  16. Assisted reproductive technology and the risk of pregnancy-related complications and adverse pregnancy outcomes in singleton pregnancies: a meta-analysis of cohort studies.

    Science.gov (United States)

    Qin, Jiabi; Liu, Xiaoying; Sheng, Xiaoqi; Wang, Hua; Gao, Shiyou

    2016-01-01

    To determine whether there are any increases in pregnancy-related complications and adverse pregnancy outcomes in singleton pregnancies after assisted reproductive technology (ART) compared with those conceived naturally. Meta-analysis. University-affiliated teaching hospital. Singleton pregnancies conceived with ART and naturally. PubMed, Google Scholar, Cochrane Libraries and Chinese database were searched through March 2015 to identify studies that met pre-stated inclusion criteria. Either a fixed- or a random-effects model was used to calculate the overall combined risk estimates. Subgroup analysis was performed to explore potential heterogeneity moderators. Pregnancy-related complications and adverse pregnancy outcomes. Fifty cohort studies comprising 161,370 ART and 2,280,241 spontaneously conceived singleton pregnancies were identified. The ART singleton pregnancies had a significantly increased risk of pregnancy-induced hypertension (relative risk [RR] 1.30, 95% confidence interval [CI] 1.04-1.62; I(2) = 79%), gestational diabetes mellitus (RR 1.31, 95% CI 1.13-1.53; I(2) = 6%), placenta previa (RR 3.71, 95% CI 2.67-5.16; I(2) = 72%), placental abruption (RR 1.83, 95% CI 1.49-2.24; I(2) = 22%), antepartum hemorrhage (RR 2.11, 95% CI 1.86-2.38; I(2) = 47%), postpartum hemorrhage (RR 1.29, 95% CI 1.06-1.57; I(2) = 65%), polyhydramnios (RR 1.74, 95% CI 1.24-2.45; I(2) = 0%), oligohydramnios (RR 2.14, 95% CI 1.53-3.01; I(2) = 0%), cesarean sections (RR 1.58, 95% CI 1.48-1.70; I(2) = 92%), preterm birth (RR 1.71, 95% CI 1.59-1.83; I(2)=80%), very preterm birth (RR 2.12, 95% CI 1.73-2.59; I(2) = 90%), low birth weight (RR 1.61, 95% CI 1.49-1.75; I(2) = 80%), very low birth weight (RR 2.12, 95% CI 1.84-2.43; I(2) = 67%), small for gestational age (RR 1.35, 95% CI 1.20-1.52; I(2) = 82%), perinatal mortality (RR 1.64, 95% CI 1.41-1.90; I(2)=45%), and congenital malformation (RR 1.37, 95% CI 1.29-1.45; I(2)=41%). Relevant heterogeneity moderators have been identified

  17. Effect of Cervical Pessary on Spontaneous Preterm Birth in Women With Singleton Pregnancies and Short Cervical Length: A Randomized Clinical Trial.

    Science.gov (United States)

    Saccone, Gabriele; Maruotti, Giuseppe Maria; Giudicepietro, Antonia; Martinelli, Pasquale

    2017-12-19

    Spontaneous preterm birth is a major cause of perinatal morbidity and mortality. It is unclear if a cervical pessary can reduce the risk of spontaneous preterm delivery. To test whether in asymptomatic women with singleton pregnancies and no prior spontaneous preterm birth but with short cervical length on transvaginal ultrasound, use of a cervical pessary would reduce the rate of spontaneous preterm birth at less than 34 weeks of gestation. Parallel-group, nonblinded, randomized clinical trial conducted from March 1, 2016, to May 25, 2017, at a single center in Italy. Asymptomatic women with singleton gestations, no previous spontaneous preterm births, and cervical lengths of 25 mm or less at 18 weeks 0 days to 23 weeks 6 days of gestation were eligible. Patients were randomized 1:1 to receive either cervical pessary (n = 150) or no pessary (n = 150). The pessary was removed between 37 weeks 0 days and 37 weeks 6 days of gestation or earlier if clinically indicated. The control group received standard care. For cervical length of 20 mm or shorter, women in both groups were prescribed vaginal progesterone, 200 mg/d, until 36 weeks 6 days of gestation. No bed rest or activity restriction was recommended. The primary end point was spontaneous preterm birth at less than 34 weeks of gestation. Secondary outcomes were adverse events. Among 300 women who were randomized (mean age, 29 [SD, 6.3] years; mean gestational age, 22 [SD, 1.3] weeks), 100% completed the trial. The primary end point occurred in 11 women (7.3%) in the pessary group and 23 women (15.3%) in the control group (between-group difference, -8.0% [95% CI, -15.7% to -0.4]; relative risk, 0.48 [95% CI, 0.24-0.95]). During follow-up, the pessary group had a higher rate of increased or new vaginal discharge (86.7% vs 46.0%; between-group difference, +40.7% [95% CI, +30.1%-+50.3%]; relative risk, 1.88 [95% CI, 1.57-2.27]). Among women without prior spontaneous preterm birth who had asymptomatic

  18. [Impact of prepregnancy body mass index on pregnancy outcome in women with a singleton conceived by assisted reproductive technology and spontaneously conceived pregnancy: a case-control study].

    Science.gov (United States)

    Kim, Ju Hee; Shin, Hye Sook; Park, Bo Kyung; Yang, Kwang Moon; Lee, Young Ho; Ryu, Hyun Mee

    2012-08-01

    To compare and confirm the impact of prepregnancy body mass index on pregnancy outcome in women with a singleton conceived by assisted reproductive technology and spontaneously conceived pregnancy. A sample of 165 and 247 pregnant women with and without assisted reproductive technology were retrospectively recruited from electronic medical charts of C hospital. There were significant differences between the two groups for maternal age, paternal age, length of marriage, prepregnancy body mass index, parity, spontaneous abortion experience, and preterm delivery. A prepregnancy body mass index of ≥25 was associated with higher risk for maternal and neonatal complication in the assisted reproductive technology group. The results indicate that a higher prepregnancy body mass index is associated with increased risks for adverse pregnancy outcomes for women using assisted reproductive technology. So these women need appropriate care to compensate for the risk.

  19. Elemental content of the placenta: A comparison between two high-risk obstetrical populations, adult women carrying multiples and adolescents carrying singletons.

    Science.gov (United States)

    de Angelis, Paolo; Miller, Richard K; Darrah, Thomas H; Katzman, Philip J; Pressman, Eva K; Kent, Tera R; O'Brien, Kimberly O

    2017-10-01

    The placenta is responsible for the exchange of nutrients and for preventing harmful compounds from entering the fetal circulation. With increasing industrialization, exposures to commercial and toxic metals become a concern for both pregnant women and those planning a pregnancy. The understanding of transport mechanisms and pharmacokinetics for most inorganic elements is incomplete and limited to normal term deliveries. To obtain novel data on 46 inorganic elements in placentae from two high-risk obstetric populations, women carrying multiples and adolescents carrying singletons, evaluating differences, if present, and identifying predictors of placental content. Placental tissue was collected from adolescents carrying singletons and adults carrying multiples. Elemental content was analyzed using inductively coupled plasma-mass spectrometry (ICP-MS). Multivariate regression and factor analyses were used. With the exception of Au and Pt, almost all placentae contained quantifiable concentrations of each element analyzed. All placentae contained the essential elements Ca, Fe, Mg, Se and Zn, which clustered together onto the same factor. Most elements were higher in placentae from women carrying multiples. Differences in placental content disappeared after adjusting for maternal age. Rare earth elements (REEs) clustered together and remained higher in the multiples even after adjusting for maternal age. Human placentae contain a wide range of elements, including REEs. Ranges differed considerably between cohorts. Elements with similar chemical properties, like REEs or nutritionally essential elements, clustered together. Maternal age, and therefore longer environmental exposure, was significantly associated with elevated element concentrations in the placenta. Placental concentrations of several metals that are known to be nutritionally essential (e.g., Fe, Ca, Mg, and Zn) did not differ significantly between cohorts, suggesting tight regulation, whereas

  20. Risk of placenta praevia is linked to endometrial thickness in a retrospective cohort study of 4537 singleton assisted reproduction technology births.

    Science.gov (United States)

    Rombauts, L; Motteram, C; Berkowitz, E; Fernando, S

    2014-12-01

    Is endometrial thickness measured prior to embryo transfer associated with placenta praevia? Following IVF, the risk of placenta praevia is increased 4-fold in women with an endometrial thickness of >12 mm compared with women with an endometrial thickness of women who had 4537 singleton assisted reproduction technology (ART) births occurring between January 2006 and June 2012 with no loss to follow-up. The primary outcome measure was the diagnosis of placenta praevia, made by the treating obstetrician on a transvaginal ultrasound in the third trimester. Women who had singleton births following single embryo transfer performed at Monash IVF in Melbourne, Australia were included. Of the 4537 cycles leading to a singleton ART birth, 2951 were stimulated cycles with fresh embryo transfers; 355 were hormone replacement therapy frozen embryo transfers and 1231 were natural cycles with frozen embryo transfers. The dataset was analysed using binary logistic general estimating equations to calculate odds ratios for placenta praevia adjusted (aOR) for known confounders. The study groups did not differ significantly in age, BMI and aetiologies of infertility prior to IVF treatment. When compared with stimulated cycles, placenta praevia was less common in women undergoing natural cycles with frozen embryo transfers (OR 0.44, 95% confidence interval (CI) 0.27-0.70, P women with an endometrial thickness of women with an endometrial thickness of 9-12 mm had an aOR of 2.02 (95% CI 1.12-3.65, P = 0.02) and women with an endometrial thickness >12 mm had an aOR of 3.74 (95% CI 1.90-7.34, P women with no previous births. The study is retrospective in nature, not all confounders may have been accounted for and details on previous intrauterine surgery, a known risk factor, were not available. In addition, ultrasound assessments were carried out by several highly trained operators measuring the endometrial thickness, the main independent variable, in a two-dimensional plane and some

  1. The effects of embryo culture media on the birthweight of singletons via fresh or frozen-thawed embryo transfer: a large-scale retrospective study.

    Science.gov (United States)

    Gu, Fang; Deng, Mingfen; Gao, Jun; Wang, Zilian; Ding, Chenhui; Xu, Yanwen; Zhou, Canquan

    2016-09-19

    Embryo culture media used for IVF treatment might affect fetal growth and thus birthweight of the newborns. A retrospective study was conducted in South China using data from 2370 singleton neonates born after IVF/ICSI between 2009 and 2012. Two culture media, i.e., either Vitrolife or SAGE were used as embryo culture media during the study period. Neonates' birthweights were compared between the two embryo culture media groups. Among the 2370 singletons, 1755 cases came from fresh cleavage embryo transfer while 615 were from frozen-thawed cleavage embryo transfer. Within the fresh embryo transfer newborns, no statistical difference was observed in either birthweight (mean ± SD: 3196.0 ± 468.9 versus 3168.4 ± 462.0g, p > 0.05) or adjusted birthweight controlled for gestational age and gender (z-score mean ± SD: 0.11 ± 1.02 versus 0.11 ± 0.99 g, P > 0.05) between the Vitrolife (n = 419) and the SAGE group (n = 1336). Likewise within frozen embryo transfer neotates, no statistical difference of the birthweight (3300.6 ± 441.3 vs.3256.0 ± 466.7 g, P > 0.05) and adjusted birthweight (0.30 ± 0.99 g versus 0.29 ± 0.97 g, P > 0.05) was found between the Vitrolife (n = 202) and the SAGE group (n = 413). The sex ratio [OR1.17, 95 % CI (0.94-1.46)/OR1.1, 95 % CI (0.78-1.54)], rate of small for gestational age [OR1.14, 95 % CI (0.82-1.59)/OR1.06, 95 % CI (0.56-2.02)] and large for gestational age [OR1.07, 95 % CI (0.64-1.76)/OR0.98, 95 % CI (0.47-2.02)] in fresh and frozen-thawed subgourps are all comparable respectively between the two culture media. No group differences were found in the rate of low birthweight and macosomia. Multiple linear regression analysis demonstrated that maternal weight, gestational age, frozen-thawed embryo transfer and infant gender were significantly related to neonatal birthweight (P cultured in SAGE or Vitrolife media after fresh or frozen-thawed cleavage

  2. Effect of Smoking Behavior before and during Pregnancy on Selected Birth Outcomes among Singleton Full-Term Pregnancy: A Murmansk County Birth Registry Study.

    Science.gov (United States)

    Kharkova, Olga A; Grjibovski, Andrej M; Krettek, Alexandra; Nieboer, Evert; Odland, Jon Ø

    2017-08-02

    The aim of our study was to assess associations between smoking behavior before and during pregnancy and selected adverse birth outcomes. This study is based on the Murmansk County Birth Registry (MCBR). Our study includes women who delivered a singleton pregnancy after 37 weeks of gestation (N = 44,486). Smoking information was self-reported and assessed at the first antenatal visit during pregnancy. We adjusted for potential confounders using logistic regression. The highest proportion of infants with low values of birth weight, birth length, head circumference, ponderal index and of the Apgar score at 5 min was observed for women who smoked both before and during pregnancy. We observed a dose-response relationship between the number of cigarettes smoked per day during pregnancy and the odds of the aforementioned adverse birth outcomes; neither were there significant differences in their occurrences among non-smokers and those who smoked before but not during pregnancy. Moreover, smoking reduction during pregnancy relative to its pre-gestation level did not influence the odds of the adverse birth outcomes. Our findings emphasize a continued need for action against tobacco smoking during pregnancy.

  3. Perinatal Outcomes in Cephalic Compared With Noncephalic Singleton Presentation in the Setting of Preterm Premature Rupture of Membranes Before 32 Weeks of Gestation.

    Science.gov (United States)

    Yee, Lynn M; Grobman, William A

    2016-10-01

    To investigate the relationship between fetal presentation at the time of admission for preterm premature rupture of membranes (PROM) and perinatal outcomes, including gestational latency, among women in a large and well-characterized population with preterm PROM at less than 32 weeks of gestation. This was a secondary analysis of data from women randomized to receive magnesium sulfate compared with placebo in the previously reported Maternal-Fetal Medicine Units Network Beneficial Effects of Antenatal Magnesium Sulfate (1997-2004) trial. Women with a singleton gestation and preterm PROM were included. Fetal presentation at the time of randomization was recorded. Associations of fetal position (cephalic compared with noncephalic) with perinatal outcomes were compared using χ, Fisher exact, and Wilcoxon rank-sum tests. Perinatal outcomes included gestational latency, abruption, and neonatal morbidity and mortality. Multivariable regression (logistic, linear, and Cox) analyses were used to adjust for potential confounding factors. Of the 1,767 eligible women, 439 (24.5%) had a noncephalic presentation. Noncephalic presentation was associated with an earlier median gestational age at the time of preterm PROM (26.6 compared with 28.4 weeks of gestation, Ppreterm PROM are at greater risk of neonatal death.

  4. Singleton Sequence Type 382, an Emerging Clonal Group of Listeria monocytogenes Associated with Three Multistate Outbreaks Linked to Contaminated Stone Fruit, Caramel Apples, and Leafy Green Salad.

    Science.gov (United States)

    Chen, Yi; Luo, Yan; Pettengill, James; Timme, Ruth; Melka, David; Doyle, Matthew; Jackson, Alikeh; Parish, Mickey; Hammack, Thomas S; Allard, Marc W; Brown, Eric W; Strain, Errol A

    2017-03-01

    Three multistate outbreaks between 2014 and 2016, involving case patients in and outside the United States, were linked to stone fruit, caramel apples, and packaged leafy green salad contaminated with Listeria monocytogenes singleton sequence type 382 (ST382), a serotype IVb-v1 clone with limited genomic divergence. Isolates from these outbreaks and other ST382 isolates not associated with these outbreaks were analyzed by whole-genome sequencing (WGS) analysis. The primary differences among ST382 strains were single nucleotide polymorphisms (SNPs). WGS analysis differentiated ST382 from a clonal complex 1 outbreak strain co-contaminating the caramel apples. WGS clustered food, environmental, and clinical isolates within each outbreak, and also differentiated among the three outbreak strains and epidemiologically unrelated ST382 isolates, which were indistinguishable by pulsed-field gel electrophoresis. ST382 appeared to be an emerging clone that began to diverge from its ancestor approximately 32 years before 2016. We estimated that there was 1.29 nucleotide substitution per genome (2.94 Mbp) per year for this clone. Copyright © 2017 Chen et al.

  5. Outcomes following intra-amniotic instillation with indigo carmine to diagnose prelabor rupture of membranes in singleton pregnancies: a single center experience.

    Science.gov (United States)

    Adekola, Henry; Gill, Navleen; Sakr, Sharif; Hobson, Deslyn; Bryant, David; Abramowicz, Jacques S; Soto, Eleazar

    2016-01-01

    To evaluate clinical outcomes of women with singleton pregnancies that underwent intra-amniotic dye instillation (amniodye test) following equivocal diagnosis of prelabor rupture of membranes (PROM). Records of 34 pregnant women who underwent amniodye test for equivocal PROM were reviewed. Comparisons of characteristics, amniotic fluid (AF) cultures, AF interleukin (IL)-6 concentrations, and placenta pathology results between women who tested positive and those who tested negative were performed. A sub-analysis of women who were amniodye test-negative was also performed. (1) Commonest indication for amniodye test was a typical history of PROM with positive conventional tests and persistently normal AF volume, (2) amniodye test-positive women had a shorter procedure-to-delivery interval (p = 0.008), and a greater proportion of histologic acute chorioamnionitis (p = 0.04) and funisitis (p = 0.01) than amniodye-negative women, and (3) in addition to similarities to women with amniodye-positive test, amniodye test-negative women who delivered <34 weeks, had a greater proportion of women with risk for preterm birth (p = 0.04), than their counterparts who delivered between 34 0/7 and 36 6/7 weeks. Equivocal diagnosis of PPROM should warrant an amniodye test to avoid iatrogenic intervention in women with intact amniotic membranes. AF analysis should be performed in amniodye test-negative women.

  6. Entretien avec Susan Holtz | IDRC - International Development ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    26 nov. 2010 ... Au seuil du prochain millénaire, le développement planétaire durable pose des défis complexes et d'envergure. Partout dans le monde, on cherche à relever ces défis en intégrant les politiques environnementales, sociales et économiques.

  7. Susan G. Komen for the Cure

    Science.gov (United States)

    ... Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma ... com About Us Corporate Partners Grants Central Komen en Español FAQs Newsroom Contact Us Message Boards Site ...

  8. Susan Isaacs and the Malting House School

    Science.gov (United States)

    Graham, Philip

    2008-01-01

    It is well known that psychoanalysis has over the years had a significant impact on the education of children with mental health problems. Its contribution to the theory and practice of mainstream education is less well documented. This paper gives an account of the five-year (1924-1929) history of the Malting House School in Cambridge. The school…

  9. Roberts, Dennis C. & Komives, Susan R.

    African Journals Online (AJOL)

    term study-abroad experience between the Universities of Maryland and San Diego with the Qatar Foundation's Education City in Doha in 2010. This partnership challenged the way in which higher education internalisation was viewed – in such ...

  10. Are risk factors for preterm and early-term live singleton birth the same? A population-based study in France.

    Science.gov (United States)

    Delnord, Marie; Blondel, Béatrice; Prunet, Caroline; Zeitlin, Jennifer

    2018-01-24

    To investigate whether risk factors for preterm (term birth (37 and 38 weeks gestation) are similar. Nationally representative cross-sectional study of births. France in 2010. Live singleton births (n=14 326). Preterm and early-term birth rates overall and by mode of delivery (spontaneous and indicated). Risk factors were maternal sociodemographic characteristics, previous preterm birth, height, prepregnancy body mass index (BMI) and smoking, assessed using multinomial regression models with full-term births 39 weeks and over as the reference group. There were 5.5% preterm and 22.5% early-term births. Common risk factors were: a previous preterm delivery (adjusted relative risk ratio (aRRR) 8.2 (95% CI 6.2 to 10.7) and aRRR 2.4 (95% CI 2.0 to 3.0), respectively), short stature, underweight (overall and in spontaneous deliveries), obesity (in indicated deliveries only), a low educational level and Sub-Saharan African origin. In contrast, primiparity was a risk factor only for preterm birth, aRRR 1.8 (95% CI 1.5 to 2.2), while higher parity was associated with greater risk of early-term birth. Most population-level risk factors were common to both preterm and early-term birth with the exception of primiparity, and BMI which differed by mode of onset of delivery. Our results suggest that preterm and early-term birth share similar aetiologies and thus potentially common strategies for prevention. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  11. Longitudinal growth of French singleton children born after in vitro fertilization and intracytoplasmic sperm injection. Body mass index up to 5 years of age.

    Science.gov (United States)

    Meddeb, L; Pauly, V; Boyer, P; Montjean, D; Devictor, B; Curel, L; Seng, P; Sambuc, R; Gervoise Boyer, M

    2017-06-01

    The literature presents conflicting results on the epigenetic effect of in vitro fertilization (IVF) on the short-term and mid-term growth of children. These contradictory results may be related to the use of heterogeneous methodologies and non-longitudinal data. The goal of this study was to compare the body mass index (BMI) of children conceived via IVF and spontaneous conception (SC) children, using longitudinal data from birth to 5 years. This study compared 118 singleton children born after in vitro fertilization, with or without intracytoplasmic sperm injection (ICSI), selected from a pre-existing single-center cohort to 320 SC children from the same geographic area. BMI and its evolution were analyzed using the mixed-effect model during three periods: before standing acquisition (from birth to 1 year of age), during standing acquisition, and the following period from 2 to 5 years of age. BMI means were not significantly different between groups regardless of the period, when adjusting for confounding factors related to parents, pregnancy, and children's characteristics and lifestyle. Nevertheless, during the standing acquisition period, children born after IVF-ICSI presented a less significant decrease in BMI (P<0.05). In addition, for each period we identified influencing factors (maternal BMI, level of wealth indicator) associated with BMI. In the study population, the suspected epigenetic influence of IVF reported in the literature was not observed for BMI from birth to 5 years of age. Further investigations need to be conducted to determine if the suspected influence of IVF on adiposity could be expressed through other parameters. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  12. Fear of childbirth in nulliparous and multiparous women: a population-based analysis of all singleton births in Finland in 1997-2010.

    Science.gov (United States)

    Räisänen, S; Lehto, S M; Nielsen, H S; Gissler, M; Kramer, M R; Heinonen, S

    2014-07-01

    To identify risk factors for fear of childbirth (FOC) according to parity and socioeconomic status, and to evaluate associations between FOC and adverse perinatal outcomes. A cohort study. The Finnish Medical Birth Register. All 788 317 singleton births during 1997-2010 in Finland. Fear of childbirth was defined according to the International Classification of Diseases code O99.80, and its associations with several risk factors and perinatal outcomes were analysed by multivariable logistic regression. Prevalence of, risk factors for and outcomes of FOC. Fear of childbirth was experienced by 2.5% of nulliparous women and 4.5% of multiparous women. The strongest risk factors for FOC in nulliparous women were depression [adjusted odds ratio (aOR), 6.35; 95% confidence interval (CI), 5.25-7.68], advanced maternal age (aOR, 3.78; 95% CI, 3.23-4.42) and high or unspecified socioeconomic status. In multiparous women, the strongest risk factors for FOC were depression (aOR, 5.47; 95% CI, 4.67-6.41), previous caesarean section (CS) (aOR, 3.02; 95% CI, 2.93-3.11) and high or unspecified socioeconomic status. Among both nulliparous and multiparous women, FOC was associated with higher rates of CS (3.3-fold and 4.5-fold higher, respectively) and a lower incidence of low birthweight (depression are predisposing factors for FOC regardless of parity. Among multiparous women, a previous CS increases vulnerability to FOC. FOC is associated with increased rates of CS, but does not adversely affect other pregnancy outcomes. © 2014 Royal College of Obstetricians and Gynaecologists.

  13. Preconception and prenatal urinary concentrations of phenols and birth size of singleton infants born to mothers and fathers from the Environment and Reproductive Health (EARTH) study.

    Science.gov (United States)

    Messerlian, Carmen; Mustieles, Vicente; Minguez-Alarcon, Lidia; Ford, Jennifer B; Calafat, Antonia M; Souter, Irene; Williams, Paige L; Hauser, Russ

    2018-02-22

    Although pregnancy concentrations of some phenols have been associated with infant size at birth, there is limited data on the effect of preconception exposure. We aimed to examine paternal and maternal preconception and maternal prenatal urinary phenol concentrations in relation to birth weight and head circumference. We evaluated 346 singletons born to 346 mothers and 184 fathers (184 couples) from a prospective preconception cohort of subfertile couples from the Environment and Reproductive Health (EARTH) Study in Boston, USA. We used multiple urine samples collected before the index pregnancy in both men and women to estimate mean preconception urinary benzophenone-3, triclosan, butylparaben, propylparaben, methylparaben, or ethylparaben concentrations. We also estimated mean maternal prenatal urinary phenol concentrations by averaging trimester-specific urine samples. Birth weight and head circumference were abstracted from delivery records. We estimated the association of natural log-phenol concentrations with birth outcomes using multivariable linear regression models, adjusting for known confounders. In adjusted models, each log-unit increase in paternal preconception benzophenone-3 concentration was associated with a 137 g increase in birth weight (95% CI: 60, 214). Additional adjustment for prenatal benzophenone-3 concentration strengthened this association. None of the maternal preconception phenol concentrations were associated with birth weight. However, maternal prenatal triclosan concentrations were associated with a 38 g decrease in birth weight (95% CI: -76, 0). Few associations were observed between phenols and head circumference except for a decrease of 0.27 cm (95% CI: -54, 0) in relation to maternal preconception methylparaben concentration. Although our findings should be interpreted in light of inherent study limitations, these results suggest potential evidence of associations between some paternal or maternal phenol concentrations and

  14. Prevalence of macrosomia and its risk factors in china: a multicentre survey based on birth data involving 101,723 singleton term infants.

    Science.gov (United States)

    Li, Guanghui; Kong, Lijun; Li, Zhiwen; Zhang, Li; Fan, Ling; Zou, Liying; Chen, Yi; Ruan, Yan; Wang, Xiaorong; Zhang, Weiyuan

    2014-07-01

    Macrosomia, defined as a birthweight at least 4000 g, is a public health problem because of its adverse influences on maternal and neonatal outcomes. Studies show that there is an increasing prevalence of macrosomia births in developing countries. However, information on the epidemiology of macrosomia is limited in China. This study aimed to determine the prevalence and geographic variability of macrosomia in China and risk factors that can be targeted for intervention. A hospital-based, cross-sectional survey was conducted in 14 provinces in China, covering a wide range of geographic areas. The medical records of 101,723 singleton term infants born in 39 hospitals during 2011 were reviewed. Multiple logistic regression analysis was used to examine the associations between demographic characteristics and the risk of macrosomia. The total prevalence of macrosomia was 7.3%. The prevalence varied between provinces, ranging from 4.1% to 13.4%. The prevalence of macrosomia in northern China (8.5%) was significantly higher than that in southern China (5.6%). Logistic regression analyses showed that risk of macrosomia was positively associated with maternal age, pre-pregnant body mass index (BMI), gravidity, parity, maternal height, gestational weight gain (GWG), gestational diabetes mellitus (GDM), and male fetal sex. Maternal BMI, gestational week, and GWG were the three risk factors most strongly associated with macrosomia. The prevalence of macrosomia varied dramatically between different areas of China. High pre-pregnancy BMI and GWG represent main modifiable risk factors for macrosomia and need more attention from health care providers. © 2014 John Wiley & Sons Ltd.

  15. Inter-pregnancy Weight Change and Risks of Severe Birth-Asphyxia-Related Outcomes in Singleton Infants Born at Term: A Nationwide Swedish Cohort Study.

    Science.gov (United States)

    Persson, Martina; Johansson, Stefan; Cnattingius, Sven

    2016-06-01

    Maternal overweight and obesity are associated with increased risks of birth-asphyxia-related outcomes, but the mechanisms are unclear. If a change of exposure (i.e., maternal body mass index [BMI]) over time influences risks, this would be consistent with a causal relationship between maternal BMI and offspring risks. Our objective was to investigate associations between changes in maternal BMI between consecutive pregnancies and risks of birth-asphyxia-related outcomes in the second offspring born at term. This study was a prospective population-based cohort study that included 526,435 second-born term (≥37 wk) infants of mothers with two consecutive live singleton term births in Sweden between January 1992 and December 2012. We estimated associations between the difference in maternal BMI between the first and second pregnancy and risks of low Apgar score (0-6) at 5 min, neonatal seizures, and meconium aspiration in the second-born offspring. Odds ratios (ORs) were adjusted for BMI at first pregnancy, maternal height, maternal age at second delivery, smoking, education, mother´s country of birth, inter-pregnancy interval, and year of second delivery. Analyses were also stratified by BMI (neonatal seizures, and meconium aspiration increased with inter-pregnancy weight gain. Compared with offspring of mothers with stable weight (BMI change of -1 to neonatal seizures and meconium aspiration were 1.42 (95% CI 1.00-2.02) and 1.78 (95% CI 1.19-2.68), respectively. The increased risk of neonatal seizures related to weight gain appeared to be restricted to mothers with BMI neonatal resuscitation efforts. Risks of birth-asphyxia-related outcomes increased with maternal weight gain between pregnancies. Preventing weight gain before and in between pregnancies may improve neonatal health.

  16. The Prevalence and Impact of Substance Use Disorder and Treatment on Maternal Obstetric Experiences and Birth Outcomes Among Singleton Deliveries in Massachusetts.

    Science.gov (United States)

    Kotelchuck, Milton; Cheng, Erika R; Belanoff, Candice; Cabral, Howard J; Babakhanlou-Chase, Hermik; Derrington, Taletha M; Diop, Hafsatou; Evans, Stephen R; Bernstein, Judith

    2017-04-01

    Objectives Despite widely-known negative effects of substance use disorders (SUD) on women, children, and society, knowledge about population-based prevalence and impact of SUD and SUD treatment during the perinatal period is limited. Methods Population-based data from 375,851 singleton deliveries in Massachusetts 2003-2007 were drawn from a maternal-infant longitudinally-linked statewide dataset of vital statistics, hospital discharges (including emergency department (ED) visits), and SUD treatment records. Maternal SUD and SUD treatment were identified from 1-year pre-conception through delivery. We determined (1) the prevalence of SUD and SUD treatment; (2) the association of SUD with women's perinatal health service utilization, obstetric experiences, and birth outcomes; and (3) the association of SUD treatment with birth outcomes, using both bivariate and adjusted analyses. Results 5.5% of Massachusetts's deliveries between 2003 and 2007 occurred in mothers with SUD, but only 66% of them received SUD treatment pre-delivery. Women with SUD were poorer, less educated and had more health problems; utilized less prenatal care but more antenatal ED visits and hospitalizations, and had worse obstetric and birth outcomes. In adjusted analyses, SUD was associated with higher risk of prematurity (AOR 1.35, 95% CI 1.28-1.41) and low birth weight (LBW) (AOR 1.73, 95% CI 1.64-1.82). Women receiving SUD treatment had lower odds of prematurity (AOR 0.61, 95% CI 0.55-0.68) and LBW (AOR 0.54, 95% CI 0.49-0.61). Conclusions for Practice SUD treatment may improve perinatal outcomes among pregnant women with SUD, but many who need treatment don't receive it. Longitudinally-linked existing public health and programmatic records provide opportunities for states to monitor SUD identification and treatment.

  17. Preventing preterm birth with progesterone: costs and effects of screening low risk women with a singleton pregnancy for short cervical length, the Triple P study

    Directory of Open Access Journals (Sweden)

    Duvekot Johannes J

    2011-10-01

    Full Text Available Abstract Background Women with a short cervical length in mid-trimester pregnancy have a higher risk of preterm birth and therefore a higher rate of neonatal mortality and morbidity. Progesterone can potentially decrease the number of preterm births and lower neonatal mortality and morbidity. Previous studies showed good results of progesterone in women with either a history of preterm birth or a short cervix. However, it is unknown whether screening for a short cervix and subsequent treatment in mid trimester pregnancy is effective in low risk women. Methods/Design We plan a combined screen and treat study among women with a singleton pregnancy without a previous preterm birth. In these women, we will measure cervical length at the standard anomaly scan performed between 18 and 22 weeks. Women with cervical length ≤ 30 mm at two independent measurements will be randomly allocated to receive either vaginal progesterone tablets or placebo between 22 and 34 weeks. The primary outcome of this trial is adverse neonatal condition, defined as a composite outcome of neonatal mortality and severe morbidity. Secondary outcomes are time to delivery, preterm birth rate before 32, 34 and 37 weeks, days of admission in neonatal intensive care unit, maternal morbidity, maternal admission days for preterm labour and costs. We will assess growth, physical condition and neurodevelopmental outcome of the children at two years of age. Discussion This study will provide evidence for the usefulness and cost-effectiveness of screening for short cervical length at the 18-22 weeks and subsequent progesterone treatment among low risk women. Trial registration Netherlands Trial Register (NTR: NTR207

  18. Smoking cessation early in pregnancy and birth weight, length, head circumference, and endothelial nitric oxide synthase activity in umbilical and chorionic vessels: an observational study of healthy singleton pregnancies

    DEFF Research Database (Denmark)

    Andersen, Malene R; Simonsen, Ulf; Uldbjerg, Niels

    2009-01-01

    and chorionic vessels from nonsmokers, smokers, and ex-smokers and related the findings to the fetal outcome. METHODS AND RESULTS: Of 266 healthy, singleton pregnancies, 182 women were nonsmokers, 43 were smokers, and 41 stopped smoking early in pregnancy. eNOS activity and concentration were quantified...... were similar for nonsmokers, smokers, and ex-smokers. CONCLUSIONS: The findings suggest that maternal smoking reduces eNOS activity in the fetal vascular bed, contributing to retarded fetal growth caused by the reduction of vasodilatory capacity, and suggest that smoking cessation early in pregnancy...

  19. VAGINAL PROGESTERONE VERSUS CERVICAL CERCLAGE FOR THE PREVENTION OF PRETERM BIRTH IN WOMEN WITH A SONOGRAPHIC SHORT CERVIX, SINGLETON GESTATION, AND PREVIOUS PRETERM BIRTH: A SYSTEMATIC REVIEW AND INDIRECT COMPARISON META-ANALYSIS

    Science.gov (United States)

    CONDE-AGUDELO, Agustin; ROMERO, Roberto; NICOLAIDES, Kypros; CHAIWORAPONGSA, Tinnakorn; O'BRIEN, John M.; CETINGOZ, Elcin; DA FONSECA, Eduardo; CREASY, George; SOMA-PILLAY, Priya; FUSEY, Shalini; CAM, Cetin; ALFIREVIC, Zarko; HASSAN, Sonia S.

    2012-01-01

    OBJECTIVE No randomized controlled trial has directly compared vaginal progesterone and cervical cerclage for the prevention of preterm birth in women with a sonographic short cervix in the midtrimester, singleton gestation, and previous spontaneous preterm birth. We performed an indirect comparison of vaginal progesterone versus cerclage, using placebo/no cerclage as the common comparator. STUDY DESIGN Adjusted indirect meta-analysis of randomized controlled trials. RESULTS Four studies evaluating vaginal progesterone versus placebo (158 patients) and five evaluating cerclage versus no cerclage (504 patients) were included. Both interventions were associated with a statistically significant reduction in the risk of preterm birth <32 weeks of gestation and composite perinatal morbidity and mortality compared with placebo/no cerclage. Adjusted indirect meta-analyses did not show statistically significant differences between vaginal progesterone and cerclage in reducing preterm birth or adverse perinatal outcomes. CONCLUSION Based on state-of-the-art methodology for indirect comparisons, either vaginal progesterone or cerclage are equally efficacious in the prevention of preterm birth in women with a sonographic short cervix in the midtrimester, singleton gestation, and previous preterm birth. The selection of the optimal treatment may depend upon adverse events, cost and patient/clinician preferences. PMID:23157855

  20. Effect of maternal height and weight on risk of preterm birth in singleton and twin births resulting from in vitro fertilization: a retrospective cohort study using the Society for Assisted Reproductive Technology Clinic Outcome Reporting System.

    Science.gov (United States)

    Dickey, Richard P; Xiong, Xu; Gee, Rebekah E; Pridjian, Gabriella

    2012-02-01

    To examine the effect of height, weight, and body mass index (BMI) on the risk of preterm birth of singleton and twin pregnancies conceived by vitro fertilization (IVF). Retrospective cohort study using 2006-2008 data from the Society for Reproductive Technology Clinic Outcome Reporting System (SART CORS). SART-associated assisted reproductive technology programs. 56,556 singleton and 23,804 twin live births resulting from fresh nondonor IVF cycles. None. Rates of very early preterm (VEPTB; risk of preterm birth. Maternal overweight and obesity were associated with significantly increased risk of VEPTB and VPTB in twin pregnancies. For very obese women (BMI > 35 kg/m(2)) twins were associated with a threefold increased risk of VEPTB (6.1% vs. 2.0%) and a twofold increased risk of VPTB (11.5% vs. 5.9%) compared with women of normal weight (BMI 18.4-24.9 kg/m(2)). Obesity and short stature significantly increase the risk of VEPTB and VPTB in twins conceived by IVF. Copyright © 2012 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  1. No evidence of a higher 10 year period prevalence of diabetes among 77,885 twins compared with 215,264 singletons from the Danish birth cohorts 1910-1989

    DEFF Research Database (Denmark)

    Petersen, Inge; Nielsen, Morten Frost; Beck-Nielsen, Henning

    2011-01-01

    AIMS/HYPOTHESIS: Previous Danish twin studies have found a highly increased risk of precursors of type 2 diabetes as well as a higher prevalence of type 2 diabetes among twins compared with singletons. Likewise, small-scale studies of Danish twins have shown that monozygotic twins have a higher...... risk of developing precursors of type 2 diabetes compared with dizygotic twins. In the present register-based study, the 10 year period diabetes prevalence in Danish twins is compared with that in a random sample of Danish citizens. Furthermore, the 10 year period prevalence of diabetes in monozygotic...... twins is compared with that in dizygotic twins. METHODS: The study population consisted of twins (n = 77,885) identified in the Danish Twin Registry, and a 5% random sample (n = 215,264) from the birth cohorts 1910-1989. We identified diabetes patients by means of three nationwide Danish health...

  2. Maternal glycated haemoglobin, pre-gestational weight, pregnancy weight gain and risk of large-for-gestational-age babies: a Danish cohort study of 209 singleton Type 1 diabetic pregnacies

    DEFF Research Database (Denmark)

    Nielsen, G.L.; Dethlefsen, Claus; Møller, M.

    2007-01-01

    Aims To examine the association between maternal glycated haemoglobin in the second half of diabetic pregnancies and the relative risk of delivering large-for-gestational-age (LGA) babies, controlling for maternal body mass index (BMI) before pregnancy, weight gain, age, White class and smoking...... between glycated haemoglobin (HbA1c) and relative risk of delivering an LGA baby was quantified based on logistic regression models and stratified analysis controlling for the five covariates. Results We included 209 singleton pregnancies with assessable HbA1c values of which 59% [95% confidence interval...... habits. Methods We identified all pregnant diabetic women in North Jutland County, Denmark from 1985 to 2003. Data on HbA1c values from the 20th gestational week to term were collected from medical records and the babies were classified as large, normal or small for gestational age. The association...

  3. Obstetric and perinatal outcomes after either fresh or thawed frozen embryo transfer: an analysis of 112,432 singleton pregnancies recorded in the Human Fertilisation and Embryology Authority anonymized dataset.

    Science.gov (United States)

    Maheshwari, Abha; Raja, Edwin Amalraj; Bhattacharya, Siladitya

    2016-12-01

    To explore obstetric and perinatal outcomes in singleton pregnancies occurring as a result of fresh and thawed frozen embryo transfer using anonymized Human Fertilisation and Embryology Authority data. Retrospective cohort study. Not applicable. Singleton births after IVF/intracytoplasmic sperm injection cycles in the United Kingdom (1991-2011). A total of 112,432 cycles (95,911 fresh and 16,521 frozen) were analyzed using multivariate logistic regression to explore associations between type of embryo transferred (frozen vs. fresh) and obstetric and perinatal outcomes. Relative risks (RRs) and their 99.5% confidence intervals (CIs) were calculated using Stata 14 MP, adjusting for potential confounders. Birth weight. The adjusted RR (99.5% CI) of low birth weight [0.73 (0.66-0.80)] and very low birth weight [0.78 (0.63-0.96)] were all lower after frozen embryo transfer; however, RR of having a high birth weight baby was higher [1.64 (1.53-1.76)]. There was no difference in RR of preterm birth [0.96 (0.88-1.03)], very preterm birth [0.86 (0.70-1.05)], and congenital anomalies [0.86 (0.73-1.01)]. The findings of low birth and very low birth weight after thawed frozen embryo transfer are consistent with the literature and provide reassurance regarding the outcome of pregnancies after frozen embryo transfers. However, they highlight the possibility of high birth weight in these babies. Because these results are based on observational data, further evidence from randomized, controlled trials is needed before elective cryopreservation of all embryos is practiced in preference to the current practice of transfer of fresh embryos. Crown Copyright © 2016. Published by Elsevier Inc. All rights reserved.

  4. Vaginal progesterone vs intramuscular 17α-hydroxyprogesterone caproate for prevention of recurrent spontaneous preterm birth in singleton gestations: systematic review and meta-analysis of randomized controlled trials.

    Science.gov (United States)

    Saccone, G; Khalifeh, A; Elimian, A; Bahrami, E; Chaman-Ara, K; Bahrami, M A; Berghella, V

    2017-03-01

    Randomized controlled trials (RCTs) have recently compared intramuscular 17α-hydroxyprogesterone caproate (17-OHPC) with vaginal progesterone for reducing the risk of spontaneous preterm birth (SPTB) in singleton gestations with prior SPTB. The aim of this systematic review and meta-analysis was to evaluate the efficacy of vaginal progesterone compared with 17-OHPC in prevention of SPTB in singleton gestations with prior SPTB. Searches of electronic databases were performed to identify all RCTs of asymptomatic singleton gestations with prior SPTB that were randomized to prophylactic treatment with either vaginal progesterone (intervention group) or intramuscular 17-OHPC (comparison group). No restrictions for language or geographic location were applied. The primary outcome was SPTB EMBARAZOS CON FETO ÚNICO: REVISIÓN SISTEMÁTICA Y METAANÁLISIS DE ENSAYOS CONTROLADOS ALEATORIOS: RESUMEN OBJETIVO: Recientemente se han realizado varios ensayos controlados aleatorios (ECA) que comparaban el caproato de 17α-hidroxiprogesterona (17-OHPC, por sus siglas en inglés) por vía intramuscular con la progesterona por vía vaginal para la reducción del riesgo de parto pretérmino espontáneo (PPTE) en embarazos con feto único de gestantes con historial de PPTE. El objetivo de esta revisión sistemática y metaanálisis fue evaluar la eficacia de la progesterona vaginal en comparación con la 17-OHPC en la prevención de embarazos con feto único de gestantes con historial de PPTE. MÉTODOS: Se realizaron búsquedas en bases de datos electrónicas para identificar todos los ECA con embarazos de feto único asintomáticos con historial de PPTE antes de ser asignados al azar a un tratamiento profiláctico, ya fuera con progesterona vaginal (grupo de intervención) o con 17-OHPC intramuscular (grupo de control). No se aplicaron restricciones respecto al idioma o la ubicación geográfica. El resultado primario fue PPTE embarazos de feto único e historial de PPTE. Sin

  5. Cervical length screening for prevention of preterm birth in singleton pregnancy with threatened preterm labor: systematic review and meta-analysis of randomized controlled trials using individual patient-level data.

    Science.gov (United States)

    Berghella, V; Palacio, M; Ness, A; Alfirevic, Z; Nicolaides, K H; Saccone, G

    2017-03-01

    Cervical length screening by transvaginal sonography (TVS) has been shown to be a good predictive test for spontaneous preterm birth (PTB) in symptomatic singleton pregnancy with threatened preterm labor (PTL). The aim of this review and meta-analysis of individual participant data was to evaluate the effect of knowledge of the TVS cervical length (CL) in preventing PTB in singleton pregnancies presenting with threatened PTL. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register and the Cochrane Complementary Medicine Field's Trials Register (May 2016) and reference lists of retrieved studies. Selection criteria included randomized controlled trials of singleton gestations with threatened PTL randomized to management based mainly on CL screening (intervention group), or CL screening with no knowledge of results or no CL screening (control group). Participants included women with singleton gestations at 23 + 0 to 36 + 6 weeks with threatened PTL. We contacted corresponding authors of included trials to request access to the data and perform a meta-analysis of individual participant data. Data provided by the investigators were merged into a master database constructed specifically for the review. The primary outcome was PTB DE PARTO PREMATURO: REVISIÓN SISTEMÁTICA Y METAANÁLISIS DE ENSAYOS CONTROLADOS ALEATORIZADOS HACIENDO USO DE LOS DATOS INDIVIDUALES DE LAS PACIENTES: RESUMEN OBJETIVO: El cribado mediante la longitud cervical obtenida con ecografía transvaginal (ETV) ha demostrado ser una buena prueba para la predicción del parto pretérmino espontáneo (PPTE) en embarazos con feto único sintomáticos debido a la amenaza de parto pretérmino (PPT). El objetivo de esta revisión y metaanálisis de los datos de participantes individuales fue evaluar el efecto de medir la longitud cervical (LC) mediante ETV con el fin de prevenir el parto prematuro en embarazos únicos con amenaza de PPT. MÉTODOS: Se realizaron búsquedas en los ficheros

  6. Triplet to Singleton-A Successful Outcome

    Directory of Open Access Journals (Sweden)

    Priya Varshney

    2014-07-01

    Full Text Available We are presenting a case report of triplet pregnancy in a 25 years old lady, in whom single fetal reduction was done at 10 weeks. At 29 weeks, ultrasonography showed fetal demise of second twin. Conservative management was done, after evaluating the status of second twin. Maternal and fetal monitoring was done with PT INR, Ultrasound Doppler weekly till 33 weeks when an emergency cesarean was done due to preterm labour pains. A healthy baby of 1.8 kg was born along with a macerated IUD of 500 gms. Mother and baby are healthy on follow up till date. Hence conservative management should be followed in single fetus demise in twin pregnancy with proper monitoring.

  7. Kuwaiti Arabic: Acquisition of Singleton Consonants

    Science.gov (United States)

    Ayyad, Hadeel Salama; Bernhardt, B. May; Stemberger, Joseph P.

    2016-01-01

    Background: Arabic, a Semitic language of the Afro-Asiatic variety, has a rich consonant inventory. Previous studies on Arabic phonological acquisition have focused primarily on dialects in Jordan and Egypt. Because Arabic varies considerably across regions, information is also needed for other dialects. Aims: To determine acquisition benchmarks…

  8. Maternal Factors Associated With Early Spontaneous Singleton ...

    African Journals Online (AJOL)

    Background: Knowledge of the maternal factors predisposing to preterm deliveries should affect the anticipatory care of mothers at risk of delivering preterm babies and improve perinatal outcome. Objective: To determine the maternal socio-biological characteristics associated with the delivery of early spontaneous ...

  9. In Conversation with Susan Holtz | CRDI - Centre de recherches ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Canada has played a leading role in the institutional development of sustainable development thinking, starting with its strong financial and moral support of the Brundtland Commission and continuing with the Canadian contribution of policy round tables for sustainable development at all levels of governance, from local to ...

  10. Rene Valner ja Mikk Suursild - lihtsa elu tegelased / Susan Lahesalu

    Index Scriptorium Estoniae

    Lahesalu, Susan

    2007-01-01

    Arhitekt Rene Valner ja Mikk Suursild - tandem nimega UNITe - ehitavad ökonoomseid ja ökoloogilisi looduslikest materjalidest maju. Nende koostöös on valminud ka Peipsi ääres Nina külas 3 põhumaja. Ott Kadariku, Margit Mutso ja Kuido Kartau kommentaarid

  11. Contravene, write ... About the pain of others of Susan Sontag

    Directory of Open Access Journals (Sweden)

    Lucía Belén Couso

    2014-08-01

    Full Text Available Regarding the pain of others challenges our knowledge, challenges what is held as true. We appreciate this attitude condensed in the verb “to defy”. We analyze how Sontag develops her hypothesis and, from that point onward, which is the idea of criticism that emerges from the writing of Regarding the pain of others. Our analysis focuses on three of its topics: the reviewing of the ideas about the war that Virginia Woolf establishes on Three Guineas, the discussion of her own text On photography, and the criticism about Sebastião Salgado’s photography.

  12. Book Review Corpora in Applied Linguistics By Susan Hunston ...

    African Journals Online (AJOL)

    Cambridge University Press, Cambridge (2002( ISBN 0 521 80171 0 (hardback) 0 521 80583 X (paperback) Southern African Linguistics and. Applied Language Studies 2003, 21(4): 345–347. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.2989/ ...

  13. Interview with Pennsylvania PUC chairman Susan M. Shanaman

    International Nuclear Information System (INIS)

    Utroska, D.

    1981-01-01

    Chairman Shanaman notes that Pennsylvania law justifies the Public Utility Commission (PUC) refusal to charge ratepayers for the cost of Three Mile Island units 1 and 2, neither of which are providing service, because ratepayers are already paying the costs of replacement power. The PUC chairman points to other service territories around the country where rates are kept below national averages because the average income level is low. The Metropolitan Edison Company is seeking Federal relief as well as legislative permission to put TMI-1 back into the rate base in fairness to ratepayers, but the PUC does not see bankruptcy for the utility as an appropriate way to force Federal assistance. The Administration needs to understand the local impact of Federal policies, especially those which are incompatible with state situations. Appropriate involvement includes nuclear waste research and underwriting some of the cleanup costs of onsite accidents that are too large for a single utility to handle. Chairman Shanaman feels that ratepayers should contribute to the insurance premium for future accidents, but not retroactively to support TMI-2. Nuclear power plant construction in the US will not progress until the issues of TMI-2 are resolved

  14. From Estonian Exile to Executive Office / Susan Frith

    Index Scriptorium Estoniae

    Frith, Susan

    2008-01-01

    Eesti Vabariigi Presidendi Toomas Hendrik Ilvese elukäigust, haridusteest, poliitilistest vaadetest. T. H. Ilves lõpetas Pennsylvania ülikooli psühholoogia alal magistrikraadiga 1978. a. Artiklis on kasutatud telefoniintervjuud presidendiga. T. H. Ilvese kohta avaldavad arvamust ülikoolikaaslane Brian Wandell ja Eesti Rahvuskomitee Ühendriikides endine president Juhan Simonson. Ülevaade artiklist ilmunud ka: Vaba Eesti Sõna, 24. jaan. 2008, lk. 7, 10: Vaga, Airi. Eesti president Toomas H. Ilves Pennsylvania ülikooli ajakirjas

  15. Entretien avec Susan Holtz | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    26 nov. 2010 ... La production de rapports publics est importante, car pour produire des rapports qui veulent vraiment dire quelque chose, il faut préciser clairement les ... politiques et écologiques idéalistes avec ce que les êtres humains semblent vouloir en réalité comme croissance économique, automobiles et biens ...

  16. Psychosocial development of full term singletons, born after preimplantation genetic diagnosis (PGD) at preschool age and family functioning: a prospective case-controlled study and multi-informant approach.

    Science.gov (United States)

    Winter, C; Van Acker, F; Bonduelle, M; Desmyttere, S; Nekkebroeck, J

    2015-05-01

    Do full term singletons born after preimplantation genetic diagnosis (PGD) differ in their psychosocial functioning from children born after intracytoplasmic sperm injection (ICSI) and spontaneous conceived controls (SC)? The psychosocial maturation process of 5-6-year-old PGD children is comparable between the three conception groups (PGD, ICSI and SC). In general, a lot of research has been published regarding follow-up of children born after artificial reproductive technologies (ART), which mainly is reassuring. But the ART population itself is marked by broad diversity [IVF, ICSI, gamete donation, preimplantation genetic screening (PGS) or PGD] which complicates comparisons. Some literature concerning the socio-emotional development of PGD/PGS children is available and it suggests a normal maturation process. However, the complex reality of PGD families (e.g. safety of the technique and psychological burden of genetic histories) asks for an exclusive PGD sample with matched control groups and a multi-informant approach. Between April 2011 and May 2013, the psychosocial wellbeing of preschoolers and their families born after PGD was assessed in a prospective case-controlled, matched follow-up study, with a multi-informant approach. A group of 47 PGD, 50 ICSI and 55 SC 5-6-year-old children participated in a follow-up study performed at the Centre for Medical Genetics of the Universitair Ziekenhuis Brussel (UZ Brussel). Assessments took place in the hospital and in kindergartens. Children performed the Bene-Anthony family relations test (FRT), yielding their perceptions upon family relationships. Parents and teachers completed the child behaviour checklist (CBCL) and Caregiver Teacher Report Form (C-/TRF), respectively. Parental and family functioning were measured by the NEO-FFi, the parenting stress index (PSI), the Greenberger Work-Parenting Investment Questionnaire and the Marlowe-Crowne Social Desirability Scale (MCSDS). Statistical analysis was performed by

  17. Highlights from the 15th International Congress of Twin Studies/Twin Research: Differentiating MZ Co-twins Via SNPs; Mistaken Infant Twin-Singleton Hospital Registration; Narcolepsy With Cataplexy; Hearing Loss and Language Learning/Media Mentions: Broadway Musical Recalls Conjoined Hilton Twins; High Fashion Pair; Twins Turn 102; Insights From a Conjoined Twin Survivor.

    Science.gov (United States)

    Segal, Nancy L

    2015-02-01

    Highlights from the 15th International Congress of Twin Studies are presented. The congress was held November 16-19, 2014 in Budapest, Hungary. This report is followed by summaries of research addressing the differentiation of MZ co-twins by single nucleotide polymorphisms (SNPs), an unusual error in infant twin-singleton hospital registration, twins with childhood-onset narcolepsy with cataplexy, and the parenting effects of hearing loss in one co-twin. Media interest in twins covers a new Broadway musical based on the conjoined twins Violet and Daisy Hilton, male twins becoming famous in fashion, twins who turned 102 and unique insights from a conjoined twin survivor. This article is dedicated to the memory of Elizabeth (Liz) Hamel, DZA twin who met her co-twin for the first time at age seventy-eight years. Liz and her co-twin, Ann Hunt, are listed in the 2015 Guinness Book of Records as the longest separated twins in the world.

  18. Outcome of Term Singleton Breech Deliveries in a Tertiary Health ...

    African Journals Online (AJOL)

    Context: Breech delivery is generally associated with higher perinatal morbidity and mortality than cephalic presentation, and the optimal mode of delivery continues to be a source of debate. Objective:The aim of this study was to evaluate the perinatal and maternal morbidity and mortality associated with term breech ...

  19. Chiral boundary conditions for singletons and W-branes

    Czech Academy of Sciences Publication Activity Database

    Raeymaekers, Joris; Van den Bleeken, D.

    2017-01-01

    Roč. 2017, č. 7 (2017), s. 1-33, č. článku 049. ISSN 1029-8479 R&D Projects: GA MŠk EF15_003/0000437; GA ČR GA17-22899S Grant - others:OP VVV - CoGraDS(XE) CZ.02.1.01/0.0/0.0/15 003/0000437 Institutional support: RVO:68378271 Keywords : AdS-CFT correspondence * black holes in string theory Subject RIV: BE - Theoretical Physics OBOR OECD: Atomic, molecular and chemical physics (physics of atoms and molecules including collision, interaction with radiation, magnetic resonances, Mössbauer effect) Impact factor: 6.063, year: 2016

  20. Revisiting the mode of delivery and outcome of singleton breech ...

    African Journals Online (AJOL)

    There was an increased rate of special care baby unit admission in the group that had assisted vaginal breech delivery than in those that had elective caesarean section. There was no difference in terms of birth injury, neonatal death and maternal morbidities between those that had assisted vaginal breech delivery and ...

  1. A note on twin-singleton differences in asthma

    DEFF Research Database (Denmark)

    Thomsen, Simon Francis; Kyvik, Kirsten Ohm; Backer, Vibeke

    2008-01-01

    Twins constitute a valuable resource for genetic studies of asthma. However, critics argue that twins are 'special' in terms of prenatal environment and upbringing and therefore nonrepresentative. In respect to asthma a small range of studies report differential morbidity in twins compared with s...

  2. Primary tooth size asymmetry in twins and singletons.

    Science.gov (United States)

    Heikkinen, T; Harila, V; Ollikkala, A; Alvesalo, L

    2016-08-01

    To explore asymmetry values of antimeric deciduous tooth crown dimensions in three types of twins: monozygotic (MZ), dizygotic same-sex (DZ) and opposite-sex (OS) vs. single-born controls. Mesiodistal and labio-lingual crown dimensions of second deciduous molars and mesiodistal canine and first molar crown dimensions of 2159 children at 6-12 years of age were evaluated, originating from the US cross-sectional Collaborative Perinatal Study from the 1970s, including altogether MZ (n = 28), DZ same-sex (n = 33) and OS (n = 39) pairs. Single born (n = 1959) were used as controls. Dental casts were measured for comparison of variance relationships calculated from antimeric teeth, exhibiting fluctuating (FA), and directional (DA) asymmetry using anova. Significant differences appeared in MZ and OS girls in DA of deciduous canines, which gain size in the first and second trimester, and deciduous second molars, which finally stop crown growth during the early post-natal period. Significantly, increased FA values appeared for lower deciduous canines and second molars, indicating greatest environmental stress in OS girls, MZ girls and DZ boys. Twin girls had more fluctuating and directional crown asymmetry than twin boys, but in some dimensions, the twins were more symmetric than controls. Transmembrane hormonal influence between opposite-sex twins, and late gestational stress factors, caused by placental malfunction and/or monochorionicity, may be involved in asymmetric growth of antimers, during critical periods of crown size gain. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  3. Will this work for Susan? Challenges for Delivering Usable and Useful Generic Linked Data Browsers

    OpenAIRE

    schraefel, monica; Smith, Daniel Alexander; Popov, Igor; Van Kleek, Max; Shadbolt, Nigel

    2010-01-01

    While we witness an explosion of exploration tools for simple datasets on Web 2.0 designed for use by ordinary citizens, the goal of a usable interface for supporting navigation and sense-making over arbitrary linked data has remained elusive. The purpose of this paper is to analyse why - what makes exploring linked data so hard? Through a user-centered use case scenario, we work through requirements for sense making with data to extract functional requirements and to compare these against ou...

  4. Cracking the finger code: an interview with CCR’s Susan Mackem | Center for Cancer Research

    Science.gov (United States)

    The creation of the digits in our hand—the thumb, index-middle-ring fingers and pinky—begins early in development, but little is known about the exact programming that occurs to produce the different digit types. Investigators in the Cancer and Developmental Biology Laboratory, (CDBL), provide the first genetic evidence of how the tuning of signals sets digit identity by studying the effects of dysregulation (abnormal regulation) in several mutations. Read more…

  5. 77 FR 73663 - Susan F. Knott; Denial of Hearing; Final Debarment Order

    Science.gov (United States)

    2012-12-11

    ... Research International, Inc. (TRI). BOTOX is a biological product derived from botulinum toxin type A that... facial wrinkles in 1991. According to the records of the criminal proceedings, Knott, in following a... criminal proceedings, however, Knott pled guilty to misbranding and causing the misbranding of a drug in...

  6. Comment on "Revisiting the 1872 owens valley, California, earthquake" by Susan E. Hough and Kate Hutton

    Science.gov (United States)

    Bakun, W.H.

    2009-01-01

    Bakun (2009) argues that the conclusions of Hough and Hutton (2008) are wrong because the study failed to take into account the Sierra Nevada attenuation model of Bakun (2006). In particular, Bakun (2009) argues that propagation effects can explain the relatively high intensities generated by the 1872 Owens Valley earthquake. Using an intensity attenuation model that attempts to account for attenuation through the Sierra Nevada, Bakun (2006) infers the magnitude estimate (Mw 7.4–7.5) that is currently accepted by National Earthquake Information Center (NEIC).

  7. Diasporic Reconciliations of Politics, Love and Trauma: Susan Abulhawa's Quest for Identity in "Mornings in Jenin"

    Science.gov (United States)

    Abu-Shomar, Ayman M.

    2015-01-01

    Negotiating human conditions is an emblematic critical impetus of diaspora informed by multiple cultural possibilities practiced through the creation of multiple spaces that cross the realm of the "self" to that of the "other." It offers a locale to cross from the oppressed "self" to an understanding of an oppressor…

  8. In Appreciation of Claude Warren and Susan Rose's "William Pengelly's Techniques of Archaeological Excavation"

    Directory of Open Access Journals (Sweden)

    David L. Browman

    1997-11-01

    Full Text Available The short (40 pages pamphlet by Warren and Rose (1994 provides the answer to a complex question regarding credit for an important archaeological methodology, stratigraphic excavation. Let me set the stage for this appreciation. Continuing research on the beginnings of stratigraphic excavations in North America (Browman and Givens 1996, I sought the origins of the idea of actually excavating by strata, rather than post-facto interpretation, seen in North American as early as 1895 in the work of Henry Chapman Mercer, but not really introduced into the repertoire of American techniques until the work of Gamio, Kidder and Nelson between 1911 and 1914. The roots of the latter three seemed to lie with individuals such as Reisner, Boas, Uhle, who in turn seemed to rely on Hugo Obennaier, Gabriel de Mortillet, Marcellin Boule, and perhaps Pitt-Rivers, while Mercer's work could be traced to Boule and Albert Gaudry. Doggedly following back the roots, I found that Chapman (1989 could make a reasonable case that Pitt-Rivers had actually learned of the idea of strati­graphic excavation from Evans, Prestwich, and Lubbock, from the British scientists working with the Upper and Middle Paleolithic excavations during 1858-1868.

  9. Nõukogude "kaasaegne stiil" : sotsialistlik modernism = The Soviet "contemporary style" : a socialist modernism / Susan E. Reid

    Index Scriptorium Estoniae

    Reid, Susan E., 1959-

    2009-01-01

    Modernismile lähenemisest nõukogude kunstis. Nõukogude kunstikriitikast ja -praktikast. Kaasaegne stiil sünteesis arhitektuuriga. Nõukogude Palee teostamata projektist Moskvas. 1962. aastal valminud Moskva Pioneeride Paleest kui stalinistliku praktika hülgamise näitest

  10. 75 FR 22012 - Endangered and Threatened Wildlife and Plants; 12-Month Finding on a Petition to List Susan's...

    Science.gov (United States)

    2010-04-27

    ... the Hydroptilidae have been described as eating the cellular content of algae (Vieira and Kondratieff... that incidental dispersal via wind or adhesion to animals or humans could occur, but neither dispersal...

  11. Uncovering Our History, Teaching Primary Sources (Tarihimizi Keşfetme, Birincil Kaynaklarla Öğretim - Susan H. Veccia

    Directory of Open Access Journals (Sweden)

    Duygu Alphan Şentuna

    2014-05-01

    Full Text Available Okul yıllarından bahseden insanların büyük bir çoğunluğu için tarih dersi, not almak için isimlerin ve tarihlerin ezberlendiği, sınavdan sonra ise unutulduğu bir ders olarak hatıralarda yer alır. Günümüzde tarih öğretiminde önemli gelişmeler olmasına rağmen hala derslerde öğretmenlerin isim, tarih ve ders kitabı merkezli bir öğretim izledikleri görülmektedir. Öğrencilerin eleştirel ve tarihsel düşünme becerisi elde etmeleri için ilk önce bilgiye sahip olmaları gerektiği inancı, öğretmenlerin derslerde yenilikçi yöntemlere yeterli zaman ayırmalarını engellemektedir. Bu durum öğrencilerin tarih dersinden soğumalarına ve dersi zaman kaybı olarak görmelerine neden olmaktadır.

  12. Understanding Unlikeness, in John Chamberlain: Choices, Susan Davidson, ed. (New York: Solomon R. Guggenheim Museum, 2012), pp. 45–55

    OpenAIRE

    Adrian Kohn

    2017-01-01

    ere is just some of what we are given to understand John Chamberlain’s art as being like: car wrecks and dancers, artichokes and mummies and giant phalluses, drapery, a football player, ornaments for an immense Christmas tree and monstrous jungle-gyms, a sucked egg, and Titans beside themselves with rage. Next, a long list of the art-historical movements that his pieces have brought to mind: the baroque and rococo, neoclassicism, Cubism, Dada and Surrealism, both Abstract Expressionism and Po...

  13. The COlIStruction of the Self: A Developmental Perspective. Susan Harter. New York, NY: Guilford Press, 1999.

    Directory of Open Access Journals (Sweden)

    Sandra Leanne Bosacki

    1999-01-01

    Full Text Available Within the fields of educational and developmental psychology, interest has grown concerning the question of how cognitive and socioemotional processes work together to construct pathways for the self. In particular, researchers and educators have become increasingly interested in the role that the school plays in children's self-development. According to Jerome Bruner, "the single most universal thing about human experience is the phenomenon of the 'Self" (1996, p. 35 and advocates that education is crucial to its formation. However, despite the strong theoretical claims linking a child's sense of self to school experience, there has been a lack of systematic research on the self within the school context.

  14. Verbal working memory predicts co-speech gesture: Evidence from individual differences

    Science.gov (United States)

    Gillespie, Maureen; James, Ariel N.; Federmeier, Kara D.; Watson, Duane G.

    2014-01-01

    Gesture facilitates language production, but there is debate surrounding its exact role. It has been argued that gestures lighten the load on verbal working memory (VWM; Goldin-Meadow et al., 2001), but gestures have also been argued to aid in lexical retrieval (Krauss, 1998). In the current study, 50 speakers completed an individual differences battery that included measures of VWM and lexical retrieval. To elicit gesture, each speaker described short cartoon clips immediately after viewing. Measures of lexical retrieval did not predict spontaneous gesture rates, but lower VWM was associated with higher gesture rates, suggesting that gestures can facilitate language production by supporting VWM when resources are taxed. These data also suggest that individual variability in the propensity to gesture is partly linked to cognitive capacities. PMID:24813571

  15. How early do children understand gesture-speech combinations with iconic gestures?

    Science.gov (United States)

    Stanfield, Carmen; Williamson, Rebecca; Ozçalişkan, Seyda

    2014-03-01

    Children understand gesture+speech combinations in which a deictic gesture adds new information to the accompanying speech by age 1;6 (Morford & Goldin-Meadow, 1992; 'push'+point at ball). This study explores how early children understand gesture+speech combinations in which an iconic gesture conveys additional information not found in the accompanying speech (e.g., 'read'+BOOK gesture). Our analysis of two- to four-year-old children's responses in a gesture+speech comprehension task showed that children grasp the meaning of iconic co-speech gestures by age three and continue to improve their understanding with age. Overall, our study highlights the important role gesture plays in language comprehension as children learn to unpack increasingly complex communications addressed to them at the early ages.

  16. Parents' Translations of Child Gesture Facilitate Word Learning in Children with Autism, Down Syndrome and Typical Development.

    Science.gov (United States)

    Dimitrova, Nevena; Özçalışkan, Şeyda; Adamson, Lauren B

    2016-01-01

    Typically-developing (TD) children frequently refer to objects uniquely in gesture. Parents translate these gestures into words, facilitating children's acquisition of these words (Goldin-Meadow et al. in Dev Sci 10(6):778-785, 2007). We ask whether this pattern holds for children with autism (AU) and with Down syndrome (DS) who show delayed vocabulary development. We observed 23 children with AU, 23 with DS, and 23 TD children with their parents over a year. Children used gestures to indicate objects before labeling them and parents translated their gestures into words. Importantly, children benefited from this input, acquiring more words for the translated gestures than the not translated ones. Results highlight the role contingent parental input to child gesture plays in language development of children with developmental disorders.

  17. Cardio-STIC Based Reference Ranges of Fetal Thymus Size in Singleton Pregnancies.

    Science.gov (United States)

    Pittyanont, Sirida; Luewan, Suchaya; Tongsong, Theera

    2017-06-01

    To establish the reference ranges of the fetal thymus size among Thai fetuses. The database of spatio-temporal image correlation (cardio-STIC) was assessed to obtain the volume data sets for offline analysis. The volume data sets acquired at 16 to 38 weeks were measured for the thymus transverse diameter (TD) and the thymus/thoracic (TT) ratio at the three-vessel view. The measured values were regressed to identify the best-fitted model. A total of 622 volumes were successfully measured and the reference ranges of TD and TT ratio were established. Although TT was relatively constant or increased minimally with gestational age (GA), TD was significantly increased with gestational age. The predicted mean TD (mm) =  -31.206 + 2.854 × GA - 0.028 × GA 2 (r = 0.891; P thymus-associated conditions. For clinical purposes, we recommend measurements of the TD rather than TT ratio or perimeter because of its reproducibility and simplicity. © 2017 by the American Institute of Ultrasound in Medicine.

  18. A danish national cohort study on neonatal outcome in singleton pregnancies with placenta previa

    DEFF Research Database (Denmark)

    Nørgaard, Lone N; Pinborg, Anja; Lidegaard, Ojvind

    2012-01-01

    . Main outcome measures. Gestational age, birthweight, Apgar score after 5min, stillbirth, neonatal mortality and admittance to neonatal intensive care unit. Results. The incidence of placenta previa in Denmark was 0.54% in 2006. Neonates born after pregnancies with placenta previa had a higher risk...... of being born at a gestational age below 37 weeks (OR 8.6; 95% CI 7.5-9.9), having Apgar score =7 at 5 min (OR 2.7; 95% CI 2.0-3.7), being transferred to neonatal intensive care unit (OR 4.3; 95% CI 3.8-4.9) and for stillbirth and neonatal mortality combined (OR 1.8; 95% CI 1.1-3.0), compared to neonates...... born in pregnancies without placenta previa. No increased risk of being small-for-gestational age was found (OR 1.0; 95% CI 1.0-1.2). Conclusion. When adjusting for confounders neonates born after pregnancies with placenta previa had a significantly higher risk of being born preterm, having a low Apgar...

  19. Evaluation of Phenolic Content of Turmeric hydroalcoholic Extract in Iran by Singleton Method

    Directory of Open Access Journals (Sweden)

    M Bahrami

    2013-08-01

    Full Text Available Introduction: Phenolic compounds have an important role as essential metabolites for plants growth and reproduction, as well as protecting agents against pathogens. These compounds are important sources of antioxidants which act as reducing agents and hydrogen donors. Consumption of fruits, vegetables and plants rich in poly phenols is associated with the reduced risk of certain cancer, cardiovascular, diabetes and Alzheimer’s diseases. Curcuma langa or Turmeric is a tropical plant that natively grows in South and Southeast Asia. This plant has been used as a spice as well as a herbal drug in traditional medicine in India. Recently, many studies have been conducted on the medical effects of this plant and still some researches are ongoing. Turmeric possesses a wide range of biological and pharmacological activities including antioxidant, anti-inflammatory and anti-carcinogenic effects. It seems that pharmacological activities of turmeric is related to poly phenolic compounds existing in this plant. Methods: This study was performed on the hydroalcoholic extract of the turmeric rhizome experimentally with a repetition of several times. Results of this study were presented via means±SD. In the present research poly phenolic contents of turmeric extract was evaluated using tannic acid standard. Results: The study findings demonstrated that 1µg hydroalcoholic extract contains 0.59±0.051µmoleTAE of poly phenolic compounds. Conclusion: This study revealed that phenolic contents of turmeric hydroalcoholic extraction is noticeable and it seems that phenolic contents are caused by curcuminoids compounds that exist in this plant.

  20. Automatic IQ Imbalance Compensation Technique for Quadrature Modulator by Single-Tone Testing

    Science.gov (United States)

    Kim, Minseok; Konishi, Yohei; Takada, Jun-Ichi; Gao, Boxin

    This letter proposes an automatic IQ imbalance compensation technique for quadrature modulators by means of spectrum measurement of RF signal using a spectrum analyzer. The analyzer feeds back only magnitude information of the frequency spectrum of the signal. To realize IQ imbalance compensation, the conventional method of steepest descent is modified; the descent direction is empirically determined and a variable step-size is introduced for accelerating convergence. The experimental results for a four-channel transmitter operating at 11GHz are presented for verification.

  1. Fertility treatment and child intelligence, attention, and executive functions in 5-year-old singletons

    DEFF Research Database (Denmark)

    Bay, B; Mortensen, E L; Kesmodel, U S

    2014-01-01

    Cohort. METHODS: The children were tested with a neuropsychological battery at age five. In addition to tests of intelligence, attention and executive functions, the follow up included extensive information on important covariates. The analyses were conducted using multiple linear regression and adjusted...... for parental educational level, maternal intelligence, age, parity, body mass index, smoking in pregnancy, alcohol consumption in pregnancy and child gender, child age, and examiner. MAIN OUTCOME MEASURES: Wechsler Preschool and Primary Scale of Intelligence-Revised, the Test of Everyday Attention for Children...

  2. Chromosomal Aberrations in Monozygotic and Dizygotic Twins Versus Singletons in Denmark During 1968-2009

    DEFF Research Database (Denmark)

    Kristensen, Lone Krøldrup; Larsen, Lisbeth A; Fagerberg, Christina

    2017-01-01

    BACKGROUND: Hall (Embryologic development and monozygotic twinning. Acta Geneticae Medicae et Gemellologiae, Vol. 45, 1996, pp. 53-57) hypothesized that chromosomal aberrations can lead to monozygotic (MZ) twinning. However, twinning and chromosomal aberrations increase prenatal mortality and could...

  3. External cephalic version for singleton breech presentation: proposal of a practical check-list for obstetricians.

    Science.gov (United States)

    Indraccolo, U; Graziani, C; Di Iorio, R; Corona, G; Bonito, M; Indraccolo, S R

    2015-07-01

    External cephalic version (ECV) for breech presentation is not routinely performed by obstetricians in many clinical settings. The aim of this work is to assess to what extent the factors involved in performing ECV are relevant for the success and safety of ECV, in order to propose a practical check-list for assessing the feasibility of ECV. Review of 214 references. Factors involved in the success and risks of ECV (feasibility of ECV) were extracted and were scored in a semi-quantitative way according to textual information, type of publication, year of publication, number of cases. Simple conjoint analysis was used to describe the relevance found for each factor. Parity has the pivotal role in ECV feasibility (relevance 16.6%), followed by tocolysis (10.8%), gestational age (10.6%), amniotic fluid volume (4.7%), breech variety (1.9%), and placenta location (1.7%). Other factors with estimated relevance around 0 (regional anesthesia, station, estimated fetal weight, fetal position, obesity/BMI, fetal birth weight, duration of manoeuvre/number of attempts) have some role in the feasibility of ECV. Yet other factors, with negative values of estimated relevance, have even less importance. From a logical interpretation of the relevance of each factor assessed, ECV should be proposed with utmost prudence if a stringent check-list is followed. Such a check-list should take into account: parity, tocolytic therapy, gestational age, amniotic fluid volume, breech variety, placenta location, regional anesthesia, breech engagement, fetal well-being, uterine relaxation, fetal size, fetal position, fetal head grasping capability and fetal turning capability.

  4. Delayed lactogenesis II secondary to gestational ovarian theca lutein cysts in two normal singleton pregnancies.

    Science.gov (United States)

    Hoover, Kathleen L; Barbalinardo, Laurie H; Platia, Maria Pia

    2002-08-01

    Hyperreactio luteinalis is an unusual condition in which, during pregnancy, both ovaries are enlarged by multiple theca lutein cysts that produce a high level of testosterone. Several weeks postpartum, the cysts resolve and testosterone level returns to normal. Two case studies are presented in which mothers with gestational ovarian theca lutein cysts experienced delayed lactogenesis II. The elevated testosterone at the time of birth suppressed milk production. Once the testosterone level dropped to approximately 300 ng/dL, milk production began. After the initial delay, both mothers breastfed their infants without supplementation.

  5. Rare species in communities of tropical insect herbivores: pondering the mystery of singletons

    Czech Academy of Sciences Publication Activity Database

    Novotný, Vojtěch; Basset, Y.

    2000-01-01

    Roč. 89, - (2000), s. 564-572 ISSN 0030-1299 R&D Projects: GA AV ČR IAC6007501; GA AV ČR IAA6007705; GA ČR GA206/99/1112; GA MŠk ME 041; GA AV ČR KSK2005601 Subject RIV: EH - Ecology, Behaviour Impact factor: 2.461, year: 2000

  6. Maternal Smoking During Pregnancy and the Risk of Psychiatric Morbidity in Singleton Sibling Pairs

    Science.gov (United States)

    Lehtonen, Liisa; Korkeila, Jyrki; Gissler, Mika

    2017-01-01

    Abstract Introduction: Maternal smoking during pregnancy has been associated with an increased risk for psychiatric morbidity. We further studied this with Finnish siblings to control for genetic/familial factors. Methods: From the Finnish Medical Birth Register, sibling pairs were selected as the first two children born 1987–1995 to the same mother (n = 150 168 pairs), along with information on maternal smoking (no smoking/smoking). Information on the children’s psychiatric diagnoses related to outpatient care visits (1998–2013) and inpatient care (1987–2013), and the mothers’ psychiatric morbidity (1969–2013) was derived from the Finnish Hospital Discharge Register. The first pair analysis compared siblings of mothers who only smoked in the first pregnancy (Quitters, 4.7%) and mothers who smoked in both pregnancies (Smokers, 9.6%); the second analysis included mothers who smoked only in the second pregnancy (Starters, 3.3%) and mothers who did not smoke in either pregnancy (Nonsmokers, 77.5%). Smoking information was missing for 5.0% of pairs. Psychiatric morbidity of the siblings and mother was included in the statistical analyses. Results: The risk of psychiatric diagnoses was significantly lower for the second child of quitters (adjusted OR 0.77, 95% CI 0.72–0.83) compared to the risk among smokers. A higher risk for psychiatric diagnoses was found for the second child of starters (1.39, 1.30–1.49) compared to the risk among nonsmokers. The effect of smoking was more robust for externalizing diagnoses. Conclusions: Maternal smoking was independently associated with a higher risk for psychiatric morbidity in children, even when controlling thoroughly for genetic and familial factors. Implications: Maternal smoking during pregnancy has an independent effect on the risk of psychiatric morbidity in children, even after controlling for non-measurable genetic/familial factors by using a sibling pair design. The effect of maternal smoking was robust for externalizing diagnoses. Maternal smoking during pregnancy had an effect on diagnoses both in outpatient and inpatient care. PMID:28403473

  7. Review of the Recent Literature on the Mode of Delivery for Singleton Vertex Preterm Babies

    Directory of Open Access Journals (Sweden)

    Smriti Ray Chaudhuri Bhatta

    2011-01-01

    Full Text Available Choosing the safest method of delivery and preventing preterm labour are obstetric challenges in reducing the number of preterm births and improving outcomes for mother and baby. Optimal route of delivery for preterm vertex neonates has been a controversial topic in the obstetric and neonatal community for decades and continues to be debated. We reviewed 22 studies, most of which have been published over the last five years with an aim to find answers to the clinical questions relevant to deciding the mode of delivery. Findings suggested that the neonatal outcome does not depend on the mode of delivery. Though Caesarean section rates are increasing for preterm births, it does not prevent neurodisability and cannot be recommended unless there are other obstetric indications to justify it. Therefore, clinical judgement of the obstetrician depending on the individual case still remains important in deciding the mode of delivery.

  8. Evaluation of Phenolic Content of Turmeric hydroalcoholic Extract in Iran by Singleton Method

    OpenAIRE

    M Bahrami; Z Afshari; F Ahmadi; MJ Mohiti; BA Jalali-Khanabadi; A Moradi

    2013-01-01

    Introduction: Phenolic compounds have an important role as essential metabolites for plants growth and reproduction, as well as protecting agents against pathogens. These compounds are important sources of antioxidants which act as reducing agents and hydrogen donors. Consumption of fruits, vegetables and plants rich in poly phenols is associated with the reduced risk of certain cancer, cardiovascular, diabetes and Alzheimer’s diseases. Curcuma langa or Turmeric is a tropical plant that nativ...

  9. High singleton live birth rate following classical ovulation induction in normogonadotrophic anovulatory infertility (WHO 2)

    NARCIS (Netherlands)

    M.J.C. Eijkemans (René); B. Imani (Babak); A.G.M.G.J. Mulders (Annemarie); J.D.F. Habbema (Dik); B.C.J.M. Fauser (Bart)

    2003-01-01

    textabstractBACKGROUND: Medical induction of ovulation using clomiphene citrate (CC) as first line and exogenous gonadotrophins as second line forms the classical treatment algorithm in normogonadotrophic anovulatory infertility. Because the chances of success following

  10. Short-term outcome for term and near-term singleton infants with intrapartum polyhydramnios.

    Science.gov (United States)

    Leibovitch, Leah; Schushan-Eisen, Irit; Kuint, Jacob; Weissmann-Brenner, Alina; Maayan-Metzger, Ayala

    2012-01-01

    To evaluate rates of early short-term neonatal complications among term and near-term newborn infants with polyhydramnios. Retrospective data were collected on 788 term infants with prenatal diagnosis of polyhydramnios and 1,576 matched controls, including information on maternal condition and on infant perinatal complications. The total rate of major congenital malformations among infants born to mothers with polyhydramnios was 2.3% compared to 0.13% for those with normal amniotic fluid index (p polyhydramnios, but no major congenital malformations, are at increased risk for minor congenital malformations (4.2%) as well as for postnatal complications, such as respiratory distress (5.7%), cardiovascular manifestations (mainly delayed closure of the ductus arteriosus; 3.1%) and hypoglycemia (7%) compared to controls. Multivariate logistic regression revealed that polyhydramnios was associated only with postnatal respiratory distress and hypoglycemia. The severity of polyhydramnios was not associated with an increased rate of neonatal complications. Although infants with polyhydramnios, but no major congenital malformations, were found to have increased rates of respiratory distress and hypoglycemia, these clinical manifestations were mild and had little effect on the babies' well-being and length of hospital stay. Copyright © 2011 S. Karger AG, Basel.

  11. The vanishing twin: a major determinant of infant outcome in IVF singleton births

    DEFF Research Database (Denmark)

    Pinborg, Anja; Lidegaard, Ojvind; Andersen, Anders Nyboe

    2006-01-01

    This article attempts to assess the frequency of vanishing twins in assisted reproductive and spontaneously conceived pregnancies, including in-vitro fertilization (IVF), and its impact on the live-born surviving twin....

  12. MZ twin pairs or MZ singletons in population family-based GWAS? More power in pairs

    NARCIS (Netherlands)

    Minica, C.C.; Boomsma, D.I.; Vink, J.M.; Dolan, C.V.

    2014-01-01

    Family-based genome-wide association studies (GWAS) involve testing the genetic association of (many) genetic variants with the phenotype of interest, while taking into account the relatedness among family members. Occasionally in family-based GWAS, including monozygotic (MZ) twins, the data from

  13. Toward a Singleton Undergraduate Computer Graphics Course in Small and Medium-Sized Colleges

    Science.gov (United States)

    Shesh, Amit

    2013-01-01

    This article discusses the evolution of a single undergraduate computer graphics course over five semesters, driven by a primary question: if one could offer only one undergraduate course in graphics, what would it include? This constraint is relevant to many small and medium-sized colleges that lack resources, adequate expertise, and enrollment…

  14. On control of singleton attractors in multiple Boolean networks: integer programming-based method.

    Science.gov (United States)

    Qiu, Yushan; Tamura, Takeyuki; Ching, Wai-Ki; Akutsu, Tatsuya

    2014-01-01

    Boolean network (BN) is a mathematical model for genetic network and control of genetic networks has become an important issue owing to their potential application in the field of drug discovery and treatment of intractable diseases. Early researches have focused primarily on the analysis of attractor control for a randomly generated BN. However, one may also consider how anti-cancer drugs act in both normal and cancer cells. Thus, the development of controls for multiple BNs is an important and interesting challenge. In this article, we formulate three novel problems about attractor control for two BNs (i.e., normal cell and cancer cell). The first is about finding a control that can significantly damage cancer cells but has a limited damage to normal cells. The second is about finding a control for normal cells with a guaranteed damaging effect on cancer cells. Finally, we formulate a definition for finding a control for cancer cells with limited damaging effect on normal cells. We propose integer programming-based methods for solving these problems in a unified manner, and we conduct computational experiments to illustrate the efficiency and the effectiveness of our method for our multiple-BN control problems. We present three novel control problems for multiple BNs that are realistic control models for gene regulation networks and adopt an integer programming approach to address these problems. Experimental results indicate that our proposed method is useful and effective for moderate size BNs.

  15. Integer programming-based method for observability of singleton attractors in Boolean networks.

    Science.gov (United States)

    Cheng, Xiaoqing; Qiu, Yushan; Hou, Wenpin; Ching, Wai-Ki

    2017-02-01

    Boolean network (BN) is a popular mathematical model for revealing the behaviour of a genetic regulatory network. Furthermore, observability, an important network feature, plays a significant role in understanding the underlying network. Several studies have been done on analysis of observability of BNs and complex networks. However, the observability of attractor cycles, which can serve as biomarker detection, has not yet been addressed in the literature. This is an important, interesting and challenging problem that deserves a detailed study. In this study, a novel problem was first proposed on attractor observability in BNs. Identification of the minimum set of consecutive nodes can be used to discriminate different attractors. Furthermore, it can serve as a biomarker for different disease types (represented as different attractor cycles). Then a novel integer programming method was developed to identify the desired set of nodes. The proposed approach is demonstrated and verified by numerical examples. The computational results further illustrates that the proposed model is effective and efficient.

  16. Finding the Walls of Troy: Frank Calvert and Heinrich Schliemann at Hisarlik. Susan Heuck Allen. Uni­versity of California Press, Berkeley, 1999

    Directory of Open Access Journals (Sweden)

    Andrew L. Christenson

    2000-05-01

    Full Text Available As a teenager my parents received through the Book-of-the-Month Club a volume that could easily have led me to want to become an archaeologist if I had not already made that decision. Gods, Graves. and Scholars by C. W. Cerarn (pseudonym of German journalist Kurt W. Marek had been first published in Germany in 1949 and translated and published in the U.S. in 1951 (Ceram 1951. This book, still in print, was one of the few written in the first half of the century to bring the history of archaeology to a general audience.

  17. Birthweight distribution in ART singletons resulting from embryo culture in two different culture media compared with the national population

    DEFF Research Database (Denmark)

    Lemmen, Josephine Gabriela; Pinborg, Anja; Rasmussen, S

    2014-01-01

    and calculated the mean birthweight for the Cook-d2, Medicult-d2 and Medicult-d3 groups and found no significant differences. LIMITATIONS, REASONS FOR CAUTION: The retrospective design and the inherent risk of confounding factors is a limitation. Selection bias cannot be excluded as the embryos cultured in Cook...

  18. Universal cervical length screening for singleton pregnancies with no history of preterm delivery, or the inverse of the Pareto principle.

    Science.gov (United States)

    Rozenberg, P

    2017-06-01

    Ultrasound measurement of cervical length in the general population enables the identification of women at risk for spontaneous preterm delivery. Vaginal progesterone is effective in reducing the risk of preterm delivery in this population. This screening associated with treatment by vaginal progesterone is cost-effective. Universal screening of cervical length can therefore be considered justified. Nonetheless, this screening will not appreciably reduce the preterm birth prevalence: in France or UK, where the preterm delivery rate is around 7.4%, this strategy would make it possible to reduce it only to 7.0%. This small benefit must be set against the considerable effort required in terms of screening ultrasound scans. Universal ultrasound screening of cervical length is the inverse of Pareto's principle: a small benefit against a considerable effort. © 2016 Royal College of Obstetricians and Gynaecologists.

  19. [Relationship between air pollution exposure during pregnancy and birth weight of term singleton live-birth newborns].

    Science.gov (United States)

    Guo, L Q; Zhang, Q; Zhao, D D; Wang, L L; Chen, Y; Mi, B B; Dang, S N; Yan, H

    2017-10-10

    Objective: This study explored the association between air pollution exposure and birth weight by using the multilevel linear model, after controlling related meteorological factors and individual differences of both mothers and babies. Methods: Women of childbearing age who were pregnant in Xi'an from 2010 to 2013, were selected as objects of this study. Multistage random sampling method was used to select 4 631 subjects followed by a self-designed questionnaire survey. Data related to quality of air and meteorology were gathered from routine monitoring system. Gestational age and date of birth, together with the average levels of air pollution were calculated for each trimester on each mother, and then the impact of air pollution on birth weight was assessed. A multilevel linear model was employed to investigate the association between the levels of exposure to air pollution by birth weight. Confounding factors were under control. We established three models in this study: Model 1 which involving the variable of air pollution exposure. Model 2 was adjusted for variables in Model 1 plus some other individual differences of both mother and baby. Model 3 was adjusted for variables in Model 2 plus meteorological factors. Results: There were significant differences seen in birth weight within the subgroups of gender, gestational age, mother's reproductive age, maternal education, residential areas and family incomes ( P 0.05). Data from Model 3 indicated that a decrease of 13.3 g(10.9 g in Model 2) and 6.6 g (5.9 g in Model 2) in birth weight that were associated with an increase of 10 μg/m(3) in the average level of NO(2) and PM(10) during the second trimester; A decrease of 13.7 g (9.8 g in Model 2) in birth weight was associated with an increase of 10 μg/m(3) in the average level of NO(2) during the third trimester. Conclusion: After controlling for meteorological factors, the levels of exposure to NO(2) and PM(10) during the second trimester and NO(2) during the third trimester were negatively associated with birth weight.

  20. Parenting Stress, Social Support, and Mother-Child Interactions in Families of Multiple and Singleton Preterm Toddlers

    Science.gov (United States)

    Lutz, Kristin F.; Burnson, Cynthia; Hane, Amanda; Samuelson, Anne; Maleck, Sarah; Poehlmann, Julie

    2012-01-01

    The study investigated family support as a buffer of stress in 153 mothers and preterm toddlers. Data were collected regarding maternal depressive symptoms, parenting stress, and family support; infant health; and videotaped mother-child interactions. Although more parenting stress related to less optimal child play, only information support…

  1. Subfertility factors rather than assisted conception factors affect cognitive and behavioural development of 4-year-old singletons

    NARCIS (Netherlands)

    Schendelaar, Pamela; La Bastide-Van Gemert, Sacha; Heineman, Maas Jan; Middelburg, Karin J.; Seggers, Jorien; Van den Heuvel, Edwin R.; Hadders-Algra, Mijna

    2016-01-01

    Research on cognitive and behavioural development of children born after assisted conception is inconsistent. This prospective study aimed to explore underlying causal relationships between ovarian stimulation, in-vitro procedures, subfertility components and child cognition and behaviour.

  2. ALS-FUS pathology revisited: singleton FUS mutations and an unusual case with both a FUS and TARDBP mutation.

    Science.gov (United States)

    King, Andrew; Troakes, Claire; Smith, Bradley; Nolan, Matthew; Curran, Olimpia; Vance, Caroline; Shaw, Christopher E; Al-Sarraj, Safa

    2015-10-09

    Mutations in the FUS gene have been shown to be a rare cause of amyotrophic lateral sclerosis (ALS-FUS) and whilst well documented clinically and genetically there have been relatively few neuropathological studies.Recent work suggested a possible correlation between pathological features such as frequency of basophilic inclusions in neurons and rate of clinical decline, other studies have revealed a discrepancy between the upper motor neuron features detected clinically and the associated pathology. The purpose of this study was to describe the pathological features associated with more recently discovered FUS mutations and reinvestigate those with well recognised mutations in an attempt to correlate the pathology with mutation and/or clinical phenotype. The brains and spinal cords of seven cases of ALS-FUS were examined neuropathologically, including cases with the newly described p.K510E mutation and a case with both a known p.P525L mutation in the FUS gene and a truncating p.Y374X mutation in the TARDBP gene. The neuropathology in all cases revealed basophilic and FUS inclusions in the cord. The density and type of inclusions varied markedly between cases, but did not allow a clear correlation with clinical progression. Only one case showed significant motor cortical pathology despite the upper motor neuron clinical features being evident in 4 patients. The case with both a FUS and TARDBP mutation revealed FUS positive inclusions but no TDP-43 pathology. Instead there were unusual p62 positive, FUS negative neuronal and glial inclusions as well as dot-like neurites. The study confirms cases of ALS-FUS to be mainly a lower motor neuron disease and to have pathology that does not appear to neatly correlate with clinical features or genetics. Furthermore, the case with both a FUS and TARDBP mutation reveals an intriguing pathological profile which at least in part involves a very unusual staining pattern for the ubiquitin-binding protein p62.

  3. Polycystic ovary syndrome, hyperandrogenemia, sex hormone-binding globulin, and risks of pregnancy complications in singleton pregnancies after assisted reproduction

    DEFF Research Database (Denmark)

    Naver, Klara

    2014-01-01

    Et klinisk prospektivt multicenterstudie. Projektet består af prægravid karakteristik af kvinder med og uden polycystisk ovariesyndrom (PCOS) før de opstarter fertilitetsbehandling. Når deltagerne er blevet gravide følges de i graviditeten med ultralydskanninger og målinger af insulin resistens, ...

  4. Maternal obesity is not associated with increased crown-rump length in first-trimester ultrasounds of singleton gestations.

    Science.gov (United States)

    Gordon, Geoffrey H; Antony, Kathleen M; Sampene, Emmanuel; Iruretagoyena, Jesus Igor

    2018-02-20

    To evaluate whether or not obesity affects fetal growth in the first trimester of pregnancy. A retrospective cohort study of obese versus non-obese women in our ultrasound database was performed to compare crown-rump length (CRL), a surrogate of fetal growth, at the first-trimester genetic screening. A total of 50 obese and 50 non-obese women were included. CRL for both groups was performed at an average of 12wk5d ± 3 d. A linear regression analysis demonstrated that there was no difference between the cohorts in respect to CRL in the first trimester (p = .482). However, the estimated fetal weight at second-trimester anatomy ultrasound and the neonatal birth weight were increased in obese women (p < .001 for both analyses). Maternal obesity does not significantly alter the fetal CRL. However, maternal obesity appears to be associated with increased fetal growth as early as the second trimester.

  5. Vacuum Assisted Vaginal Delivery in Singleton Term Pregnancies: Short Term Maternal and Neonatal Outcome in a Tertiary Hospital of Nepal

    Directory of Open Access Journals (Sweden)

    Buddhi Shrestha

    2016-12-01

    Full Text Available Introduction: Other than cesarean delivery, assisted vaginal delivery is an alternative procedure for delivery in emergency obstetrics. Presently, vacuum delivery has gained more popularity than forceps for operative/ assisted vaginal delivery, when and where indicated, with success as well as lesser neonatal and maternal complications. This study was done to estimate the short term maternal and fetal morbidity/mortality due to vacuum assisted vaginal delivery. Methods:  A prospective observational study was conducted at Lumbini Medical College Teaching Hospital from January 2015 to May 2016. One hundred and four pregnant women who had successful vacuum assisted vaginal deliveries were enrolled. Fetal and maternal outcome were assessed. Results: One hundred and four successful vacuum deliveries (2.9% were conducted among 3457 deliveries during our study period. Sixty seven (64.4% were primigravida and most (n=59, 56.7% parturients were of age group 20-30 years. The commonest (n=65, 62.5% indication for vacuum application was prolonged second stage of labor. The maternal morbidity variables were: 6.7% (n=7 had genital tract injury, 3.8% (n=4 had primary post-partum hemorrhage, 3.8% (n=4 had urinary retention, 2.8% (n=3 needed blood transfusion. Among neonatal morbidity indicators, 19.2% (n=20 neonates had birth asphyxia, 4.8% (n=5 neonates had cephalohematoma, 0.96% (n=1 had brachial plexus injury. There was one early neonatal death due to meconium aspiration syndrome. Conclusion: A successful vacuum assisted delivery can be achieved with lesser maternal and neonatal morbidity with timely assessment of labor, skilled operator, and availability of neonatal team.

  6. Idiosyncratic gesture use in atypical language development, and its interaction with speech rhythm, word juncture, syntax, pragmatics and discourse: a case study.

    Science.gov (United States)

    Howard, Sara J; Perkins, Michael R; Sowden, Hannah

    2012-10-01

    Very little is known about the use of gesture by children with developmental language disorders (DLDs). This case study of 'Lucy', a child aged 4;10 with a DLD, expands on what is known and in particular focuses on a type of idiosyncratic "rhythmic gesture" (RG) not previously reported. A fine-grained qualitative analysis was carried out of video recordings of Lucy in conversation with the first author. This revealed that Lucy's RG was closely integrated in complex ways with her use of other gesture types, speech rhythm, word juncture, syntax, pragmatics, discourse, visual processing and processing demands generally. Indeed, the only satisfactory way to explain it was as a partial byproduct of such interactions. These findings support the theoretical accounts of gesture which see it as just one component of a multimodal, integrated signalling system (e.g. Goldin-Meadow, S. (2000). Beyond words: The importance of gesture to researchers and learners. Child Development, 71(1), 231-239), and emergentist accounts of communication impairment which regard compensatory adaptation as integral (e.g. Perkins, M. R. (2007). Pragmatic Impairment. Cambridge: Cambridge University Press.).

  7. Do iconic gestures pave the way for children’s early verbs?

    Science.gov (United States)

    Özçalışkan, Şeyda; Gentner, Dedre; Goldin-Meadow, Susan

    2013-01-01

    Children produce a deictic gesture for a particular object (point at dog) approximately three months before they produce the verbal label for that object (“dog”) (Iverson & Goldin-Meadow, 2005). Gesture thus paves the way for children’s early nouns. We ask here whether the same pattern—gesture preceding and predicting speech—holds for iconic gestures—that is, do gestures that depict actions precede and predict early verbs? We observed spontaneous speech and gestures produced by 40 children (22 girls, 18 boys) from age 14 to 34 months. Children produced their first iconic gestures 6 months later than they produced their first verbs. Thus, unlike the onset of deictic gestures, the onset of iconic gestures conveying action meanings followed, rather than preceded, children’s first verbs. However, iconic gestures increased in frequency at the same time as verbs did and, at that time, began to convey meanings not yet expressed in speech. Our findings suggest that children can use gesture to expand their repertoire of action meanings, but only after they have begun to acquire the verb system underlying their language. PMID:25309008

  8. Do iconic gestures pave the way for children's early verbs?

    Science.gov (United States)

    Ozçalışkan, Seyda; Gentner, Dedre; Goldin-Meadow, Susan

    2014-11-01

    Children produce a deictic gesture for a particular object (point at dog) approximately three months before they produce the verbal label for that object ("dog") (Iverson & Goldin-Meadow, 2005). Gesture thus paves the way for children's early nouns. We ask here whether the same pattern-gesture preceding and predicting speech-holds for iconic gestures-that is, do gestures that depict actions precede and predict early verbs? We observed spontaneous speech and gestures produced by 40 children (22 girls, 18 boys) from age 14 to 34 months. Children produced their first iconic gestures 6 months later than they produced their first verbs. Thus, unlike the onset of deictic gestures, the onset of iconic gestures conveying action meanings followed, rather than preceded, children's first verbs. However, iconic gestures increased in frequency at the same time as verbs did and, at that time, began to convey meanings not yet expressed in speech. Our findings suggest that children can use gesture to expand their repertoire of action meanings, but only after they have begun to acquire the verb system underlying their language.

  9. Descriptive Metaphysics, Natural Language Metaphysics, Sapir-Whorf, and All That Stuff: Evidence from the Mass-Count Distinction

    Directory of Open Access Journals (Sweden)

    Francis Jeffry Pelletier

    2010-12-01

    Full Text Available Strawson (1959 described ‘descriptive metaphysics’, Bach (1986a described ‘natural language metaphysics’, Sapir (1929 and Whorf (1940a,b, 1941 describe, well, Sapir-Whorfianism. And there are other views concerning the relation between correct semantic analysis of linguistic phenomena and the “reality” that is supposed to be thereby described. I think some considerations from the analyses of the mass-count distinction can shed some light on that very dark topic.ReferencesBach, Emmon. 1986a. ‘Natural Language Metaphysics’. In Ruth Barcan Marcus, G.J.W. Dorn & Paul Weingartner (eds. ‘Logic, Methodology, and Philosophy of Science, VII’, 573–595. Amsterdam: North Holland.Bach, Emmon. 1986b. ‘The Algebra of Events’. Linguistics and Philosophy 9: 5–16.Berger, Peter & Luckmann, Thomas. 1966. The Social Construction of Reality: A Treatise in the Sociology of Knowledge. New York: Doubleday.Boroditsky, Lera, Schmidt, Lauren & Phillips, Webb. 2003. ‘Sex, Syntax, and Semantics’. In Dedre Gentner & Susan Goldin-Meadow (eds. ‘Language in Mind: Advances in the Study of Language and Cognition’, 59–80. Cambridge, MA: MIT Press.Cheng, L. & Sybesma, R. 1999. ‘Bare and Not-So-Bare Nouns and the structure of NP’. Linguistic Inquiry 30: 509–542.http://dx.doi.org/10.1162/002438999554192Chierchia, Gennaro. 1998a. ‘Reference to Kinds across Languages’. Natural Language Semantics 6: 339–405.http://dx.doi.org/10.1023/A:1008324218506Chierchia, Gennaro. 1998b. ‘Plurality of Mass Nouns and the Notion of ‘Semantic Parameter’ ’. In S. Rothstein (ed. ‘Events and Grammar’, 53–103. Dordrecht: Kluwer.Chierchia, Gennaro. 2010. ‘Mass Nouns, Vagueness and Semantic Variation’. Synthèse 174: 99–149.http://dx.doi.org/10.1007/s11229-009-9686-6Doetjes, Jenny. 1997. Quantifiers and Selection: On the Distribution of Quantifying Expressions in French, Dutch and English. Ph.D. thesis, University of Leiden, Holland

  10. Mortality among twins and singletons in sub-Saharan Africa between 1995 and 2014: a pooled analysis of data from 90 Demographic and Health Surveys in 30 countries

    NARCIS (Netherlands)

    Monden, C.W.S.; Smits, J.P.J.M.; Monden, C.

    2017-01-01

    BACKGROUND - Sub-Saharan Africa has the world's highest under-5 and neonatal mortality rates as well as the highest naturally occurring twin rates. Twin pregnancies carry high risk for children and mothers. Under-5 mortality has declined in sub-Saharan Africa over the last decades. It is unknown

  11. Risk of major congenital malformations in relation to maternal overweight and obesity severity: cohort study of 1.2 million singletons.

    Science.gov (United States)

    Persson, Martina; Cnattingius, Sven; Villamor, Eduardo; Söderling, Jonas; Pasternak, Björn; Stephansson, Olof; Neovius, Martin

    2017-06-14

    Objective  To estimate the risks of major congenital malformations in the offspring of mothers who are underweight (body mass index (BMI) overweight (BMI 25 to overweight, 3.5% and 1.05 (95% confidence interval 1.02 to 1.07); obesity class I, 3.8% and 1.12 (1.08 to 1.15), obesity class II, 4.2% and 1.23 (1.17 to 1.30), and obesity class III, 4.7% and 1.37 (1.26 to 1.49). The risks of congenital heart defects, malformations of the nervous system, and limb defects also progressively increased with BMI from overweight to obesity class III. The largest organ specific relative risks related to maternal overweight and increasing obesity were observed for malformations of the nervous system. Malformations of the genital and digestive systems were also increased in offspring of obese mothers. Conclusions  Risks of any major congenital malformation and several subgroups of organ specific malformations progressively increased with maternal overweight and increasing severity of obesity. For women who are planning pregnancy, efforts should be encouraged to reduce adiposity in those with a BMI above the normal range. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  12. Preventing preterm birth with progesterone: costs and effects of screening low risk women with a singleton pregnancy for short cervical length, the Triple P study

    NARCIS (Netherlands)

    van Os, M.A.; van Ven, J.A.; Kleinrouweler, E.C.; Pajkrt, E.; de Miranda, E.; van Wassenaer, A.; Porath, M.; Bossuyt, P.M.; Bloemenkamp, K.W.M.; Willekes, C.; Woiski, M.; Oudijk, M.A.; Bilardo, K.M.; Sikkema, M.J.; Duvekot, J.J.; Veersema, D.; Laudy, J.; Kuiper, P.; de Groot, C.J.M.; Mol, B.W.J.; Haak, M.C.

    2011-01-01

    ABSTRACT: BACKGROUND: Women with a short cervical length in mid-trimester pregnancy have a higher risk of preterm birth and therefore a higher rate of neonatal mortality and morbidity. Progesterone can potentially decrease the number of preterm births and lower neonatal mortality and morbidity.

  13. Preventing preterm birth with progesterone: costs and effects of screening low risk women with a singleton pregnancy for short cervical length, the Triple P study.

    NARCIS (Netherlands)

    Os, M.A. van; Ven, J.A. van der; Kleinrouweler, C.E.; Pajkrt, E.; Miranda, E. de; Wassenaer, A. van; Porath, M.; Bossuyt, P.M.; Bloemenkamp, K.W.; Willekes, C.; Woiski, M.D.; Oudijk, M.A.; Bilardo, K.M.; Sikkema, M.J.; Duvekot, J.J.; Veersema, D.; Laudy, J.; Kuiper, P.; Groot, C.J. de; Mol, B.W.; Haak, M.C.

    2011-01-01

    BACKGROUND: Women with a short cervical length in mid-trimester pregnancy have a higher risk of preterm birth and therefore a higher rate of neonatal mortality and morbidity. Progesterone can potentially decrease the number of preterm births and lower neonatal mortality and morbidity. Previous

  14. Preventing preterm birth with progesterone: costs and effects of screening low risk women with a singleton pregnancy for short cervical length, the Triple P study

    NARCIS (Netherlands)

    van Os, Melanie A.; van der Ven, Jeanine A.; Kleinrouweler, C. Emily; Pajkrt, Eva; de Miranda, Esteriek; van Wassenaer, Aleid; Porath, Martina; Bossuyt, Patrick M.; Bloemenkamp, Kitty W. M.; Willekes, Christine; Woiski, Mallory; Oudijk, Martijn A.; Bilardo, Katia M.; Sikkema, Marko J.; Duvekot, Johannes J.; Veersema, Diederik; Laudy, Jacqueline; Kuiper, Petra; de Groot, Christianne J. M.; Mol, Ben Willem J.; Haak, Monique C.

    2011-01-01

    Women with a short cervical length in mid-trimester pregnancy have a higher risk of preterm birth and therefore a higher rate of neonatal mortality and morbidity. Progesterone can potentially decrease the number of preterm births and lower neonatal mortality and morbidity. Previous studies showed

  15. Preventing preterm birth with progesterone: Costs and effects of screening low risk women with a singleton pregnancy for short cervical length, the Triple P study

    NARCIS (Netherlands)

    M.A. van Os; J.A. van der Ven (Jeanine); C.E. Kleinrouweler; E. Pajkrt (Eva); E. de Miranda (Esteriek); A.G. van Wassenaer (Aleid); M. Porath (Martina); P.M.M. Bossuyt (Patrick); K.W.M. Bloemenkamp (Kitty); C. Willekes (Christine); M.D. Woiski (Mallory); M.A. Oudijk (Martijn); K.M. Bilardo (Katia); M.J. Sikkema (Marko); J.J. Duvekot (Hans); D. Veersema (Diederik); J. Laudy (Jacqueline); P. Kuiper (Petra); C.J.M. de Groot (Christianne); B.W.J. Mol (Ben); M.C. Haak (Monique)

    2011-01-01

    textabstractBackground: Women with a short cervical length in mid-trimester pregnancy have a higher risk of preterm birth and therefore a higher rate of neonatal mortality and morbidity. Progesterone can potentially decrease the number of preterm births and lower neonatal mortality and morbidity.

  16. Preventing preterm birth with progesterone : costs and effects of screening low risk women with a singleton pregnancy for short cervical length, the Triple P study

    NARCIS (Netherlands)

    van Os, Melanie A.; van der Ven, Jeanine A.; Kleinrouweler, C. Emily; Pajkrt, Eva; de Miranda, Esteriek; van Wassenaer, Aleid; Porath, Martina; Bossuyt, Patrick M.; Bloemenkamp, Kitty W. M.; Willekes, Christine; Woiski, Mallory; Oudijk, Martijn A.; Bilardo, Katia M.; Sikkema, Marko J.; Duvekot, Johannes J.; Veersema, Diederik; Laudy, Jacqueline; Kuiper, Petra; de Groot, Christianne J. M.; Mol, Ben Willem J.; Haak, Monique C.

    2011-01-01

    Background: Women with a short cervical length in mid-trimester pregnancy have a higher risk of preterm birth and therefore a higher rate of neonatal mortality and morbidity. Progesterone can potentially decrease the number of preterm births and lower neonatal mortality and morbidity. Previous

  17. Guide to advanced empirical software engineering

    National Research Council Canada - National Science Library

    Shull, Forrest; Singer, Janice; Sjøberg, Dag I. K

    2008-01-01

    ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Janice Singer, Susan E. Sim, and Timothy C. Lethbridge 9 Chapter 2 Qualitative Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Carolyn B...

  18. The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence - Seventh edition Grove Susan K The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence - Seventh edition 752pp Elsevier 9781455707362 1455707368 [Formula: see text].

    Science.gov (United States)

    2013-04-03

    This classic research text has been updated for nursing students and those in nursing practice. Though a substantial book, it is easy to dip in and out of, covering a wide range of topics from the research process and analysing data to sampling and seeking funding.

  19. Serum insulin-like growth factor (IGF)-I and IGF binding protein-3 in relation to terminal duct lobular unit involution of the normal breast in Caucasian and African American women: The Susan G. Komen Tissue Bank.

    Science.gov (United States)

    Oh, Hannah; Pfeiffer, Ruth M; Falk, Roni T; Horne, Hisani N; Xiang, Jackie; Pollak, Michael; Brinton, Louise A; Storniolo, Anna Maria V; Sherman, Mark E; Gierach, Gretchen L; Figueroa, Jonine D

    2018-02-22

    Lesser degrees of terminal duct lobular unit (TDLU) involution, as reflected by higher numbers of TDLUs and acini/TDLU, are associated with elevated breast cancer risk. In rodent models, the insulin-like growth factor (IGF) system regulates involution of the mammary gland. We examined associations of circulating IGF measures with TDLU involution in normal breast tissues among women without precancerous lesions. Among 715 Caucasian and 283 African American (AA) women who donated normal breast tissue samples to the Komen Tissue Bank between 2009 and 2012 (75% premenopausal), serum concentrations of IGF-I and binding protein (IGFBP)-3 were quantified using enzyme-linked immunosorbent assay. Hematoxilyn and eosin-stained tissue sections were assessed for numbers of TDLUs ("TDLU count"). Zero-inflated Poisson regression models with a robust variance estimator were used to estimate relative risks (RRs) for association of IGF measures (tertiles) with TDLU count by race and menopausal status, adjusting for potential confounders. AA (vs. Caucasian) women had higher age-adjusted mean levels of serum IGF-I (137 vs. 131 ng/mL, p = 0.07) and lower levels of IGFBP-3 (4165 vs. 4684 ng/mL, p < 0.0001). Postmenopausal IGFBP-3 was inversely associated with TDLU count among AA (RR T3vs.T1  = 0.49, 95% CI = 0.28-0.84, p-trend = 0.04) and Caucasian (RR T3vs.T1 =0.64, 95% CI = 0.42-0.98, p-trend = 0.04) women. In premenopausal women, higher IGF-I:IGFBP-3 ratios were associated with higher TDLU count in Caucasian (RR T3vs.T1 =1.33, 95% CI = 1.02-1.75, p-trend = 0.04), but not in AA (RR T3vs.T1 =0.65, 95% CI = 0.42-1.00, p-trend = 0.05), women. Our data suggest a role of the IGF system, particularly IGFBP-3, in TDLU involution of the normal breast, a breast cancer risk factor, among Caucasian and AA women. © 2018 UICC.

  20. Shoot winter injury and nut cold tolerance: Possible limitations for American chestnut restoration in cold environments? In: Sniezko, Richard A.; Yanchuk, Alvin D.; Kliejunas, John T.; Palmieri, Katharine M.; Alexander, Janice M.; Frankel, Susan J., tech

    Science.gov (United States)

    Thomas M. Saielli; Paul G. Schaberg; Gary J. Hawley; Joshua M. Halman; Kendra M. Gurney

    2012-01-01

    Approximately 100 years ago, American chestnut (Castanea dentata (Marsh.) Borkh.) was rapidly removed as an overstory tree by the fungal pathogen Cryphonectria parasitica (the causal agent of chestnut blight). Currently, the most effective method of restoration involves the hybridization of American chestnut with the...

  1. Cross-linguistic gestures reflect typological universals: a subject-initial, verb-final bias in speakers of diverse languages.

    Science.gov (United States)

    Futrell, Richard; Hickey, Tina; Lee, Aldrin; Lim, Eunice; Luchkina, Elena; Gibson, Edward

    2015-03-01

    In communicating events by gesture, participants create codes that recapitulate the patterns of word order in the world's vocal languages (Gibson et al., 2013; Goldin-Meadow, So, Ozyurek, & Mylander, 2008; Hall, Mayberry, & Ferreria, 2013; Hall, Ferreira, & Mayberry, 2014; Langus & Nespor, 2010; and others). Participants most often convey simple transitive events using gestures in the order Subject-Object-Verb (SOV), the most common word order in human languages. When there is a possibility of confusion between subject and object, participants use the order Subject-Verb-Object (SVO). This overall pattern has been explained by positing an underlying cognitive preference for subject-initial, verb-final orders, with the verb-medial order SVO order emerging to facilitate robust communication in a noisy channel (Gibson et al., 2013). However, whether the subject-initial and verb-final biases are innate or the result of languages that the participants already know has been unclear, because participants in previous studies all spoke either SVO or SOV languages, which could induce a subject-initial, verb-late bias. Furthermore, the exact manner in which known languages influence gestural orders has been unclear. In this paper we demonstrate that there is a subject-initial and verb-final gesturing bias cross-linguistically by comparing gestures of speakers of SVO languages English and Russian to those of speakers of VSO languages Irish and Tagalog. The findings show that subject-initial and verb-final order emerges even in speakers of verb-initial languages, and that interference from these languages takes the form of occasionally gesturing in VSO order, without an additional bias toward other orders. The results provides further support for the idea that improvised gesture is a window into the pressures shaping language formation, independently of the languages that participants already know. Copyright © 2014 Elsevier B.V. All rights reserved.

  2. Extreme Scalability: Designing Interfaces and Algorithms for Soldier-Robotic Swarm Interaction, Year 2

    Science.gov (United States)

    2010-06-01

    Christopher Stachowiak , Susan Hill, and Krishna Pillalamarri ARL-TR-5222 June 2010 Approved for...Interfaces and Algorithms for Soldier-Robotic Swarm Interaction, Year 2 Ellen C. Haas, Christopher Stachowiak , Susan Hill, and Krishna Pillalamarri Human...Haas, Susan Hill, Christopher Stachowiak , Krishna Pillalamarri, and MaryAnne Fields 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER

  3. Linkage of Maternity Hospital Episode Statistics data to birth registration and notification records for births in England 2005-2014: Quality assurance of linkage of routine data for singleton and multiple births.

    Science.gov (United States)

    Harper, Gillian

    2018-03-01

    To quality assure a Trusted Third Party linked data set to prepare it for analysis. Birth registration and notification records from the Office for National Statistics for all births in England 2005-2014 linked to Maternity Hospital Episode Statistics (HES) delivery records by NHS Digital using mothers' identifiers. All 6 676 912 births that occurred in England from 1 January 2005 to 31 December 2014. Every link between a registered birth and an HES delivery record for the study period was categorised as either the same baby or a different baby to the same mother, or as a wrong link, by comparing common baby data items and valid values in key fields with stepwise deterministic rules. Rates of preserved and discarded links were calculated and which features were more common in each group were assessed. Ninety-eight per cent of births originally linked to HES were left with one preserved link. The majority of discarded links were due to duplicate HES delivery records. Of the 4854 discarded links categorised as wrong links, clerical checks found 85% were false-positives links, 13% were quality assurance false negatives and 2% were undeterminable. Births linked using a less reliable stage of the linkage algorithm, births at home and in the London region, and with birth weight or gestational age values missing in HES were more likely to have all links discarded. Linkage error, data quality issues, and false negatives in the quality assurance procedure were uncovered. The procedure could be improved by allowing for transposition in date fields, and more discrimination between missing and differing values. The availability of identifiers in the datasets supported clerical checking. Other research using Trusted Third Party linkage should not assume the linked dataset is error-free or optimised for their analysis, and allow sufficient resources for this. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  4. An analysis of TA-Student Interaction and the Development of Concepts in 3-d Space Through Language, Objects, and Gesture in a College-level Geoscience Laboratory

    Science.gov (United States)

    King, S. L.

    2015-12-01

    The purpose of this study is twofold: 1) to describe how a teaching assistant (TA) in an undergraduate geology laboratory employs a multimodal system in order to mediate the students' understanding of scientific knowledge and develop a contextualization of a concept in three-dimensional space and 2) to describe how a linguistic awareness of gestural patterns can be used to inform TA training assessment of students' conceptual understanding in situ. During the study the TA aided students in developing the conceptual understanding and reconstruction of a meteoric impact, which produces shatter cone formations. The concurrent use of speech, gesture, and physical manipulation of objects is employed by the TA in order to aid the conceptual understanding of this particular phenomenon. Using the methods of gestural analysis in works by Goldin-Meadow, 2000 and McNeill, 1992, this study describes the gestures of the TA and the students as well as the purpose and motivation of the meditational strategies employed by TA in order to build the geological concept in the constructed 3-dimensional space. Through a series of increasingly complex gestures, the TA assists the students to construct the forensic concept of the imagined 3-D space, which can then be applied to a larger context. As the TA becomes more familiar with the students' meditational needs, the TA adapts teaching and gestural styles to meet their respective ZPDs (Vygotsky 1978). This study shows that in the laboratory setting language, gesture, and physical manipulation of the experimental object are all integral to the learning and demonstration of scientific concepts. Recognition of the gestural patterns of the students allows the TA the ability to dynamically assess the students understanding of a concept. Using the information from this example of student-TA interaction, a brief short course has been created to assist TAs in recognizing the mediational power as well as the assessment potential of gestural

  5. Staffing an Academic Reference Desk with Librarians is not Cost-effective. A Review of: Ryan, Susan M. “Reference Transactions Analysis: The Cost-effectiveness of Staffing a Traditional Academic Reference Desk.” Journal of Academic Librarianship 34.5 (2008: 389-99.

    Directory of Open Access Journals (Sweden)

    Cari Merkley

    2009-06-01

    Full Text Available Objective – To determine whether it is cost effective to staff an academic reference desk with librarians through an examination of the types of reference questions being asked and the qualifications required to answer them.Design – Content analysis of reference transaction logs and activity-based costing for reference services based on quantitative data derived from the logs.Setting – Stetson University, a private institution in the United States with an FTE of approximately 2500.Subjects – 6959 phone, email, and in-person reference transactions logged at the reference desk by four full-time and two part-time librarians.Methods – This study repurposes data originally collected to determine the frequency with which librarians turned to online versus print sources when responding to questions at the reference desk. Librarians working at the Stetson University library reference desk recorded all reference queries received in person, by phone, or by email for a total of eight months between 2002 and 2006. Data collection took place in two month intervals in fall 2002, spring 2003, spring 2006, and fall 2006. Each question and the sources used to address it were logged by the librarian. Directional questions that were not related to the library’s collections and technical questions dealing with printer or copier mechanical problems were counted, but the specifics of these questions were not recorded. It was felt that these queries would not yield data relevant to the original research question on sources used as they “did not directly relate to an information need” (391. A total of 6959 questions were logged by librarians during the four collection periods. Questions were recorded for only 4431 transactions; the remaining 2528 queries related to printer/copier problems or non-library specific directions and were described as “direction and machine: non- informational” (394. The 4431 recorded questions were then divided into four categories derived by the researcher: look-up (a search for a known item, directional (library-specific orientation to the space and collections, technology (assistance with using library technology and electronic resources, and reference. The category of reference was further subdivided into eight additional categories: catalogue search, citation help, database help, “guide to correct databases,” “personal knowledge or referral,” “quick internet search,” research, and Serials Solutions (392. “Guide to correct databases” referred to advice on the appropriate database to answer a question and serials solutions included questions that could be answered using the Serials Solutions product, such as the availability of a particular journal or article in the collection (392. Questions were assigned to the single most appropriate category by the researcher. Question categories were then mapped to “suggested staffing levels” (396. This determination was made by the researcher, and no details were given as to how the decision was made for each category. The three levels of staffing discussed were librarian, “trained student or staff,” and “well-trained staff/occasional librarian referral” (396. The cost of staffing the reference desk during the eight months captured in this study was calculated by multiplying the hours worked by each librarian by his/her individual average rate of pay across the four data collection periods. Indirect staff costs such as benefits were not included in this calculation. The average cost per reference transaction was determined by dividing the total salary costs by the total number of reference queries during the periods of study. Costs for those categories of questions best addressed by a librarian could then be determined. The actual number of librarians who participated in the study is unclear. The methodology refers to four full-time and two part-time librarians (391. However, later in the article there is reference to five full-time and three part-time librarians rather than the numbers initially stated (396

  6. Online Programs and Geographic Proximity are Key Determinants of Information Professionals’ Interest in Pursuing Post-Master’s Education at the Doctoral Level. A Review of: Powell, Ronald R. and Susan E. Boling. “Post-Master’s Educational Needs of Information Professionals.” Journal of Access Services 3.4 (2005: 29-43.

    Directory of Open Access Journals (Sweden)

    Martha Ingrid Preddie

    2009-03-01

    Full Text Available Objective – To investigate post-master’s educational needs and interests of information professionals.Design – Survey research using print and electronic questionnaires.Setting – The geographic area surrounding Wayne State University in Michigan, United States of America.Subjects – Members of the library associations of Michigan, Ohio, Indiana, and Southwestern Ontario, Canada.Methods – Systematic random samples were derived from the membership lists of the library associations in Ohio, Indiana, and Southwestern Ontario. Paper questionnaires were mailed to those selected. Michigan Library Association’s official policy barred the release of its membership list to researchers. Consequently, announcements of the survey were placed in three successive issues of the Association’s electronic newsletter. Interested members were directed to a website to complete an electronic version of the questionnaire. This option was also extended to members of the other three library associations. The overall research question was investigated through specific questions that sought to ascertain the overall level of interest in professional library and information studies (LIS education, levels of interest in specific types of programs, factors that favoured or deterred enrolment in doctoral programs, as well as the fields of study that were preferred for combination with LIS in doctoral programs. With the exception of demographic type questions (e.g., place of residence and educational qualifications and two questions that required open ended responses, the questionnaire design encompassed questions with Likert scale type responses. Analysis of the responses included descriptive statistics, the use of Pearson chi square to determine statistically significant relationships, and, to a lesser extent, content analysis.Main Results – A total of 270 questionnaires(33% were returned from three populations: Ohio, Indiana, and Ontario. A self-selected sample of 101 members (6% of the Michigan Library Association responded. In general, almost 80% of the respondents admitted some importance to adding to their LIS qualification. However, only 41% felt that this was important or extremely important. From a choice of six educational offerings, namely, continuing education activities, non-degree master’s coursework, a second master’s degree, post-master’s certification, doctoral programs, and other, continuing education activities was the most valued, by 65.5% of the respondents. Participants were asked about their reasons, and the importance of these, for considering or deciding to enrol in an LIS doctoral program. The yearning to acquire knowledge was reported by 69.7% as the major reason, followed by 45.8% of the respondents who cited the wish to increase their income potential. In terms of major factors, prestige received the lowest rating, 21.1%. The time involved (73.8%, cost(66.3%, and distance from the program (63.2% were cited as the major deterrents to enrolling in doctoral programs. When asked about the likelihood of pursuing a doctoral LIS program in combination with business administration, computer science, or without any combination, “not likely” was the most popular choice. Those who were very likely or likely to pursue a joint program totalled approximately 30% of the respondents, while 37% indicated an interest in undertaking a doctorate in LIS only. The most frequent reasons proffered by those who selected “not likely” or “definitely not” for any of the three doctoral offerings included lack of interest, mitigating factors (e.g. time, cost, age, and program location, unfavourable cost/benefit analysis, preference for another area of knowledge,and the view that Ph.D.s were only useful for university faculty. Given the option to name subject areas that they desired to see combined with LIS in a doctoral program, 23 of 101 respondents proposed education, while 19 opted for public administration. A question inviting any other comments on the issue of post-master’s education yielded a predominant desire for “non traditional instruction,” particularly online courses as well as classes held in convenient locations. In terms of relationships between geographic location and factors that influenced interest in enrolling in a doctoral program, the desire “to become a more effective manager,” and “other” were statistically significant. The analysis also revealed a strong positive relationship between willingness to pursue an LIS-only doctoral program and the availability of such a program in geographic proximity. Similarly, there was a strong relationship between willingness to pursue an LIS program in close vicinity and the importance that was given to further LIS education.Conclusion – Online instruction and geographic proximity are key determinants of information professionals’ interest in pursuing post-master’s education at the doctoral level. Continuing education activities, non-degree coursework, and certificate programs are preferred over doctoral LIS programs, despite the finding that the major reason for enrolling in doctoral LIS programs is to fulfill the desire for knowledge acquisition. Schools offering Library and Information Science studies need to explore options for providing distance-education doctoral LIS programs as a means of reversing the current shortage of LIS faculty.

  7. Reply to “Comment on ‘Ground motions from the 2015 Mw 7.8 Gorkha, Nepal, earthquake constrained by a detailed assessment of macroseismic data’ by Stacey S. Martin, Susan E. Hough, and Charleen Hung” by Andrea Tertulliani, Laura Graziani, Corrado Castellano, Alessandra Maramai, and Antonio Rossi

    Science.gov (United States)

    Martin, Stacey S.; Hough, Susan E.

    2016-01-01

    We thank Andrea Tertulliani and his colleagues for their interest in our article on the 2015 Gorkha earthquake (Martin, Hough, et al., 2015), and for their comments pertaining to our study (Tertulliani et al., 2016). Indeed, as they note, a comprehensive assessment of macroseismic effects for an earthquake with far‐reaching effects as that of Gorkha is not only critically important but is also an extremely difficult undertaking. In the absence of a widely known web‐based system, employing a well‐calibrated algorithm with which to collect and systematically assess macroseismic information (e.g., Wald et al., 1999; Coppola et al., 2010; Bossu et al., 2015) in the Indian subcontinent, one is left with two approaches to characterize effects of an event such as the Gorkha earthquake: a comprehensive ground‐based survey such as the one undertaken in India following the 2001 Bhuj earthquake (Pande and Kayal, 2003), or an assessment such as Martin, Hough, et al. (2015) akin to other contemporary studies (e.g., Nuttli, 1973; Sieh, 1978; Meltzner and Wald, 1998; Martin and Szeliga, 2010; Ambraseys and Bilham, 2012; Mahajan et al., 2012; Gupta et al., 2013; Singh et al., 2013; Hough and Martin, 2015; Martin and Hough, 2015; Martin, Bradley, et al., 2015; Ribeiro et al., 2015), based primarily upon media reports and other available documentary accounts.

  8. Breaking the Bathsheba Syndrome: Building a Performance Evaluation System that Promotes Mission Command

    Science.gov (United States)

    2015-10-01

    use of 360-degree feedback in either promotion or selection boards. Allan Mohrman, Susan Resnick -West, and Edward Lawler conducted a detailed review...The War for Talent. Boston, MA: Harvard Business School Press, 2007. Mohrman, Allan M., Susan M. Resnick -West, and Edward E. Lawler. Designing...12, 2013. 90. Ibid., 2c(2)(c). 91. Allan M. Mohrman, Susan M. Resnick -West, and Edward E. Lawler, Designing Performance Appraisal Systems: Aligning

  9. 77 FR 24491 - Change in Bank Control Notices; Acquisitions of Shares of a Bank or Bank Holding Company

    Science.gov (United States)

    2012-04-24

    ... Smyrna, Tennessee; James A. Campbell, Nashville, Tennessee; William Kent Coleman, Murfreesboro, Tennessee... River Hills, Wisconsin; David J. Lubar, Fox Point, Wisconsin; Susan Lubar Solvang, and Joan P. Lubar...

  10. Investigating Relationships Among Macrocognitive Processes

    Science.gov (United States)

    2011-12-30

    Donahue, A. K., Helms, S. J., Livingstone, S. M., O’Leary, R., & Wegner , W. (2005). Annex A.2: Observations by Dr. Dan L. Crippen, Dr. Charles C...Daniel, Dr. Amy K. Donahue, Col. Susan J. Helms, Ms. Susan Morrisey Livingstone, Dr. Rosemary O’Leary, and Mr. William Wegner . In Return to Flight Task

  11. Representing Evil

    DEFF Research Database (Denmark)

    Holm, Henrik

    2008-01-01

    Analyse af billedmateriale, der forholder sig til krig, især krigen mod terror, med afsæt i Alain Badiou, Jürgen Habermas og Susan Sontag.......Analyse af billedmateriale, der forholder sig til krig, især krigen mod terror, med afsæt i Alain Badiou, Jürgen Habermas og Susan Sontag....

  12. New Class of Excimer-Pumped Atomic Lasers (XPALS)

    Science.gov (United States)

    2017-01-27

    for Susan Ecker Contractor Support Tech Marine Business (TMB) Senior Program Analyst Code 333 Office of Naval Research Susan.Ecker.ctr...emitted photons was higher than the energy of the pump photons. This fact implies the extraction of thermal energy from the gain medium to compensate for

  13. Comparing rat and rabbit embryo-fetal developmental toxicity data for 379 pharmaceuticals: on systemic dose and developmental effects

    NARCIS (Netherlands)

    Peter T. Theunissen; Bruce Beyer; Sonia Beken

    2016-01-01

    And co-authors William J. Breslin, Gregg D. Cappon, Connie L. Chen, Gary Chmielewski, Luc de Schaepdrijver, Brian Enright, Jennifer E. Foreman, Wafa Harrouk, Kok-Wah Hew, Alan M. Hoberman, Julia Y. Hui, Thomas B. Knudsen, Susan B. Laffan, Susan L. Makris, Matthew Martin, Mary Ellen McNerney,

  14. Comparison of rat and rabbit embryo-fetal developmental toxicity data for 379 pharmaceuticals: on the nature and severity of developmental effects

    NARCIS (Netherlands)

    Sonja Beken; Peter T. Theunissen; Bruce K. Beyer

    2016-01-01

    nd co-authors , William J. Breslin, Gregg D. Cappon, Connie L. Chen, Gary Chmielewski, Luc De Schaepdrijver, Brian Enright, Jennifer E. Foreman, Wafa Harrouk, Kok-Wah Hew, Alan M. Hoberman, Julia Y. Hui, Thomas B. Knudsen, Susan B. Laffan, Susan L. Makris, Matt Martin, Mary Ellen McNerney, Christine

  15. Sadhana | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Sadhana. SEBA SUSAN. Articles written in Sadhana. Volume 41 Issue 12 December 2016 pp 1393-1406. Image coding based on maximum entropy partitioning for identifying improbable intensities related to facial expressions · SEBA SUSAN NANDINI AGGARWAL SHEFALI CHAND AYUSH GUPTA.

  16. Big Data for Education: Data Mining, Data Analytics, and Web Dashboards. Governance Studies at Brookings

    Science.gov (United States)

    West, Darrell M.

    2012-01-01

    Twelve-year-old Susan took a course designed to improve her reading skills. She read short stories and the teacher would give her and her fellow students a written test every other week measuring vocabulary and reading comprehension. A few days later, Susan's instructor graded the paper and returned her exam. The test showed that she did well on…

  17. The Mary Ingraham Bunting Institute of Radcliffe College Technical Report. Science Scholars Program

    Science.gov (United States)

    1993-08-31

    include: Rama Bansil (Physics) Boston University "Biophysical Studies of Mucin" Susan Circone (Geology) Harvard University "Compressibility of Titanium...Culture in a French Textile Without Ice Azes Community of HopeTown. Troye~s. 1880-1939 DEBRA C. MINKOFF AMY C. TISHELMAN SUSAN CIRCONE Fellow (Sociology

  18. 76 FR 17474 - Commercial Space Transportation Advisory Committee-Open Meeting

    Science.gov (United States)

    2011-03-29

    ... p.m.-3 p.m.) --Risk Management (3 p.m.-5 p.m.) The proposed agenda for May 11 features: --Speakers.... Interested parties wishing to submit written statements should contact Susan Lender, DFO, (the Contact Person... in advance of the meeting. FOR FURTHER INFORMATION CONTACT: Susan Lender (AST-5), Office of...

  19. 76 FR 51461 - Commercial Space Transportation Advisory Committee-Open Meeting

    Science.gov (United States)

    2011-08-18

    ... Launch Vehicles (1 p.m.-3 p.m.) --Risk Management (3 p.m.-5 p.m.) The proposed agenda for October 14... contact Susan Lender, DFO, (the Contact Person listed below) in writing (mail or e-mail) by October 5... the meeting. FOR FURTHER INFORMATION CONTACT: Susan Lender (AST-5), Office of Commercial Space...

  20. The Development of the C3 Framework

    Science.gov (United States)

    Social Education, 2013

    2013-01-01

    Susan Griffin, executive director of NCSS, was chair of the Task Force of Professional Organizations that initiated and guided the development of "The College, Career, and Civic Life (C3) Framework for Social Studies State Standards", which will soon be released. In this interview with "Social Education", Susan explains how the…

  1. The Utilization of Wireless Handheld Computers with MEDLINE is an Effective Mechanism for Answering Clinical Questions at the Point of Care. A Review of: Hauser, Susan E., Dina Demner-Fushman, Joshua L. Jacobs, Susanne M. Humphrey, Glenn Ford, and George R. Thoma. “Using Wireless Handheld Computers to Seek Information at the Point of Care: An Evaluation by Clinicians.” Journal of the American Medical Informatics Association 14.6 (Nov./Dec. 2007: 807-15.

    Directory of Open Access Journals (Sweden)

    Martha Ingrid Preddie

    2008-09-01

    Full Text Available Objective – To assess the effectiveness of wireless handheld computers (HHCs for information retrieval in clinical environments and the role of MEDLINE in answering clinical questions at the point of care. Design – A prospective single-cohort study.Setting – Teaching rounds in the intensive care units and general medicine wards in two hospitals associated with a university’s school of medicine in the United States. Subjects – Five internal medicine residents with training in evidence-based practice.Methods – While accompanying medical teams on teaching rounds for approximately four consecutive weeks, each resident used MD on Tap (an application for handheld computers on a TreoTM 650 PDA/cell phone to find answers in real time, to questions that were raised by members of the medical teams. Using a special version of MD on Tap, each resident initialized a UserID. Serving as evaluators, the residents described and categorized clinical scenarios and recognized questions. They also formulated search terms, searched MEDLINE and identified citations determined to be useful for answering the questions. An intermediate server collected details of all MEDLINE search query transactions, including system response time, the user (based on UserIDs, citations selected for viewing, the saving of citations to HHC memory, as well as use of the Linkout and Notes features. In addition evaluators submitted daily summaries. These summaries included information on the scenarios, clinical questions, evidence-based methodology (EBM category, the team member who was the source of the question, the PubMed Identifiers (PMIDs of relevant citations, and comments. At the end of the data collection period, each evaluator submitted a summary report consisting of a qualitative and quantitative evaluation of his experience using MEDLINE via the handheld device to find relevant evidence based information at the point of care. The report also focused on the usefulness of MD on Tap features, along with suggestions for additional features. Data analysis encompassed matching the text of daily summaries to transaction records in order to identify sessions (containing a scenario, clinical question, oneor more search queries, citation fetches and selected PMIDs. A senior medical librarian/expert indexer reviewed all thecitations selected by evaluators and graded each citation as A (useful for answering the question, B (provided a partial answer or C (not useful for answering the question. Only those graded A were regarded as “relevant.” For the purpose of analysis asession was deemed to be successful “if at least one of the citations selected by the evaluator as relevant was also classified as Relevant” (810 by the expert indexer. Similarly, an individual query was successful “if at least one of the citations among the results of the query was Relevant, that citation was viewed by the evaluator during rounds, and it addressed the clinical question as recorded in the daily summary” (810. Various types of relationships were analyzed including the characteristics of clinical questions vis-a-vis successful sessions, search strategies in relation to successful queries, and the association between MD on Tap features and successful queries. SAS/SUDAAN version 9.1 was used for statistical analysis.Main Results – Evaluators answered 68% (246 of 363 clinical questions during rounding sessions. They identified 478 “relevant” citations, an average of 1.9 per successful session and 1.3 for each successful question. Session lengths averaged 3 minutes and 41 seconds. Characteristics of the evaluator (training, interest, experience and expertise were a significant predictor of a session’s success. The significant determinants of query success were “the number of search terms that could be mapped to Medical Subject Headings (MeSH” (812, the number of citations that were found for a query, and the use of MD on Tap’s auto-spellcheck feature. Narrative comments from the evaluators indicated that using MEDLINE on a HHC at the

  2. Socioeconomic status affects the prevalence, but not the perinatal outcomes, of in vitro fertilization pregnancies

    DEFF Research Database (Denmark)

    Räisänen, Sari; Randell, Kaisa; Nielsen, Henriette Svarre

    2013-01-01

    Does maternal socioeconomic status (SES) confound or modify the association between IVF and perinatal outcome among singleton births?......Does maternal socioeconomic status (SES) confound or modify the association between IVF and perinatal outcome among singleton births?...

  3. Insulin requirements in type 1 diabetic pregnancy

    DEFF Research Database (Denmark)

    Callesen, Nicoline; Ringholm, Lene; Stage, Edna

    2012-01-01

    To evaluate the insulin requirements in women with type 1 diabetes during twin pregnancy compared with singleton pregnancy.......To evaluate the insulin requirements in women with type 1 diabetes during twin pregnancy compared with singleton pregnancy....

  4. 75 FR 69158 - Quarterly Publication of Individuals, Who Have Chosen To Expatriate, as Required by Section 6039G

    Science.gov (United States)

    2010-11-10

    ... Hayden Sandra Juliet Ferera Heider Andy Henderson Lisa Marie Hesseln Wolfgang Hill David Carson Hill... Jan F. Pacheco Kent Richard Padovano Susan Goldlust Palisetti Ramana Pan Hai-Yen Alice Parschau...

  5. Kui kapital veab alt, siis turvaliselt / Aleksander Tsapov

    Index Scriptorium Estoniae

    Tsapov, Aleksander

    2006-01-01

    Kuraatorinäitus "Kapital (see veab meid alt)" Tallinna Kunstihoones. Kuraator Simon Sheikh. Fia-Stina Sandlundi, Katya Sanderi, Oliver Ressleri, Ashley Hunti ja Susan Kelly&Stephen Mortoni töödest näitusel

  6. 78 FR 57675 - Notice of Passenger Facility Charge Approvals and Disapprovals

    Science.gov (United States)

    2013-09-19

    ... efficient off-road vehicle. DETERMINATION: Disapproved. Each project was determined to not meet the... credits. DECISION DATE: March 20, 2013. FOR FURTHER INFORMATION CONTACT: Susan Moore, Orlando Airports...

  7. Ämbliku jäljed kivimüüril / Sigrid Saarep

    Index Scriptorium Estoniae

    Saarep, Sigrid, 1963-

    2009-01-01

    Suurbritannia paviljonis 53. Veneetsia kunstibiennaalil esinevad kunstnikud Steve McQueen, John Cale (Wales), Martin Boyce (Šotimaa) ja Susan MacWilliam (Põhja-Iirimaa). Videokunstnik Steve McQueeni filmist "Giardini" (2009)

  8. 75 FR 36356 - Announcement of Changes to the Membership of the Performance Review Board

    Science.gov (United States)

    2010-06-25

    ..., ITA (new). 4. Edward C. Yang, Senior Director, China Non-Market Economy Compliance Unit, ITA. 5. Joel... Management, OS. Dated: June 18, 2010. Susan Boggs, Director, Office of Staffing, Recruitment and...

  9. 77 FR 59004 - Membership of the Senior Executive Service Standing Performance Review Boards

    Science.gov (United States)

    2012-09-25

    ... DIRECTOR. ROGERS, MARK W SENIOR TRIAL ATTORNEY, CONSTITUTIONAL SECTION. RUDY, SUSAN K SENIOR TRIAL ATTORNEY..., OFFICE OF OVERSEAS PROSECUTORIAL DEVELOPMENT ASSISTANCE AND TRAINING. ALEXANDRE, CARL DIRECTOR, OPDAT..., DAVID ASSISTANT DIRECTOR, INVESTIGATIVE OPERATIONS. CAULK, CARL ASSISTANT DIRECTOR FOR JUDICIAL SECURITY...

  10. Travelers' Health: Cruise Ship Travel

    Science.gov (United States)

    ... Travel Chapter 6 - Death during Travel Cruise Ship Travel Joanna J. Regan, Kara Tardivel, Susan A. Lippold, ... Insurance, & Medical Evacuation Insurance ). Box 6-01. Cruise travel health precautions ADVICE FOR CLINICIANS GIVING PRETRAVEL CRUISE ...

  11. Biographies of Eminent Women in Psychology: Models for Achievement.

    Science.gov (United States)

    Furumoto, Laurel; And Others

    1980-01-01

    In order to recognize women's contributions to the field of psychology, biographies of Margaret Floy Washburn, Mary Cover Jones, Karen Horney, Susan Grey, Edna Heidbreder, Ann Roe, and Mary Whitton Calkins are presented. (BEF)

  12. Foundations of health psychology

    National Research Council Canada - National Science Library

    Friedman, Howard S; Silver, Roxane Cohen

    2007-01-01

    ... and Effective Treatment 9 Adjustment to Chronic Disease: Progress and Promise in Research Annette L. Stanton and Tracey A. Revenson 203 10 Aging and Health 234 Karen S. Rook, Susan T. Charles, and...

  13. Investigation of manganese homeostasis in dogs with anaemia and ...

    African Journals Online (AJOL)

    Investigation of manganese homeostasis in dogs with anaemia and chronic enteropathy. Marisa da Fonseca Ferreira, Arielle Elizabeth Ann Aylor, Richard John Mellanby, Susan Mary Campbell, Adam George Gow ...

  14. American Pain Society

    Science.gov (United States)

    ... Edwards Susan Dorsey Beth Darnall Jill Fehrenbacher Ted Price Anna Long Jamie Rhudy Laura Frey Law Lisa ... pain-related news Avenues to meet and share knowledge Working to increase opportunities for research funding Developing ...

  15. 78 FR 67333 - Performance Review Board Membership

    Science.gov (United States)

    2013-11-12

    ... Administration's Senior Executive Service and Senior Professional Performance Management Systems: Kenneth A. Arnold William G. Bostic, Jr. Stephen B. Burke Joanne Buenzli Crane Susan R. Helper Ron S. Jarmin Enrique...

  16. 75 FR 78266 - Notice of Receipt of Complaint; Solicitation of Comments Relating to the Public Interest

    Science.gov (United States)

    2010-12-15

    ... accessing its Internet server http://www.usitc.gov . The public record for this investigation may be viewed..., Inc. of South El Monte, CA; Yongkang Boyu Auto Motor Company of Zhenjiang China; Wuxi Susan Auto Parts...

  17. Attentively listening to the speech

    CERN Multimedia

    CERN PhotoLab

    1975-01-01

    C.J. Zilverschoon, Peter Standley, Christian Roche, Jacques Blondel, Susan Neboux-Bland, Pierre Marti, Jurgen Knott; Roberto Cappi, Pierre Tetu, Charles Rufer, A. L'Aire, Patrick Lienard, Julienne de Winter

  18. Practice question.

    Science.gov (United States)

    2010-06-01

    Chris Beech, nurse consultant, Services for Older People, NHS Forth Valley and member of the nurses' and allied health professionals' special interest group, British Geriatrics Society; Susan Nixon, service manager, Services for Older People, Falkirk Council.

  19. Nofretete muumia võib olla leitud / Evelyn Kaldoja

    Index Scriptorium Estoniae

    Kaldoja, Evelyn, 1980-

    2001-01-01

    Briti uurija Susan Jamesi väitel võib Nofretete olla 1898. a. prantsuse arheoloogi Victor Lloret' poolt Kuningate orust leitud naisemuumia, mis meenutab hämmastavalt palju skulptuuridena kujutatud vaarao Ehnatoni naist

  20. The Tropenmuseum and the Colonial Heritage : Position paper

    NARCIS (Netherlands)

    Legêne, Susan

    1998-01-01

    Policy document outlining the Tropenmuseum's intention to work on the colonial past as an essential aspect of its contemporary policies. Author: Susan Legêne, at the time head of the Curatorial Department of the tropenmuseum.

  1. Eesti president Toomas H. Ilves Pennsylvania ülikooli ajakirjas / Airi Vaga

    Index Scriptorium Estoniae

    Vaga, Airi, 1940-

    2008-01-01

    University of Pennsylvania ajakirjas "The Pennsylvania Gazette" ilmunud artiklist "From Estonian Exile to Executive Office", autor Susan Frith - järjekordsest võimalusest tutvustada Eestit ja eestlasi USA ülikoolide kaudu

  2. Raamatututvustus / Rein Põder

    Index Scriptorium Estoniae

    Põder, Rein, 1943-

    1995-01-01

    Rousseau, Jean-Jacques. Üksildase uitaja mõtisklused; Hill, Susan. Proua de Winter; Kõrvemaast põhjarannani : Kuusalu kihelkonna kirjanduslik-kodulooline antoloogia / Koost. Helmut Elstrok; Tead.toim. Oskar Kuningas

  3. Do You Have Work-Related Asthma? A Guide for You and Your Doctor

    Science.gov (United States)

    ... also request a safety data sheet (SDS, formerly MSDS) for chemicals in the workplace from your patient’s ... Clinicians • Tarlo, Susan M., et al. “Diagnosis and Management of Work-Related Asthma: American College of Chest ...

  4. 78 FR 56720 - Government-Owned Inventions; Availability for Licensing

    Science.gov (United States)

    2013-09-13

    ... cytotoxicity better than any of the agents alone. Development Stage: Early-stage. Inventors: Susan E. Bates, et... (NIBIB), Seulki Lee (NIBIB), KiYoung Choi (NIBIB), Gang Liu (North Sichuan Medical College, China...

  5. African Journal of Reproductive Health - Vol 9, No 2 (2005)

    African Journals Online (AJOL)

    Urogenital complications among girls with genital mutilation: a hospital-based study in Khartoum. Lars Almroth, Hibba Bedri, Susan El Musharaf, Alia Satti, Tayseer Idris, M SIR K Hashim, Gaafar I Suliman, Staffan Bergström ...

  6. Resistance ja Rootsi turvaühiskond / Peeter Linnap

    Index Scriptorium Estoniae

    Linnap, Peeter, 1960-

    2001-01-01

    "Vastupanukunsti" näitus "The Path of Resistance : MoMa meets Moderna" Stockholmi Moodsa Kunsti Muuseumis, kuraatorid Susan Kismaric ja Joshua Siegel. Resistance'i kunsti raames käsitletakse ka nn. poliitilist kunsti

  7. Socio-demographic determinants of dengue infection during an ...

    African Journals Online (AJOL)

    Socio-demographic determinants of dengue infection during an outbreak in Dar es Salaam City, Tanzania. Neema Camara, Billy Ngasala, Germana Leyna, Ahmed Abade, Susan F. Rumisha, Ndekya M. Oriyo, Leonard E.G. Mboera ...

  8. Kui sulg ei jookse... / Jaanus Noormets

    Index Scriptorium Estoniae

    Noormets, Jaanus

    2003-01-01

    Kuidas stsenarist Charlie Kaufman kirjutas stsenaariumi oma loomevaevadest Susan Orleani raamatu filmiks kirjutamisel : mängufilm "Kuidas kirjutada kassafilmi" ("Adaptation") : režissöör Spike Jonze : Ameerika Ühendriigid 2002

  9. A Habitat-Based Approach to Management of Tallgrass Prairies at the Tewaukon National Wildlife Refuge

    Science.gov (United States)

    1999-11-01

    consuming. Problems often exist with invasive exotic vegetation [e.g., leafy spurge { Euphorbia esculd), smooth bromegrass {Bromus inermis), Kentucky...Pycnanthemum virginianum (common mountain mint) Rudbeckia hirta (black-eyed susan) Senecio plattensis (prairie ragwort) Sisyrinchium campestre (prairie

  10. Õnnelikud kodud kahel pool eesriiet / Triin Ojari

    Index Scriptorium Estoniae

    Ojari, Triin, 1974-

    2004-01-01

    Elukeskkonna konverents "Võistlevad õnned. Elukeskkond külma sõja perioodil" Eesti Kunstiakadeemias. Esinevad David Crowley, Jeremy Morris, Susan E. Reidi, Adrian Forty, Kirsi Saarikangas. Kodumaistel teemadel kõnelevad Liina Jänes ja etnoloog Anu Kannike

  11. 1. IV avati Tallinna Kunstihoone galeriis šoti videokunstinäitus "Nähtamatud väljad"

    Index Scriptorium Estoniae

    2004-01-01

    Kuraatorid Sarah Felton ja Su Grierson, osalevad kunstnikud Victoria Clare Bernie, Samantha Clark, Maria Doyle, S. Felton, S. Grierson, Belinda Guidi, Anne Bjerge Hansen, Metacorpus, Jane McInally, Rosalind Nashashibi, Susannah Silver ja Susan Sloan

  12. A Feminist Sophistic?

    Science.gov (United States)

    Vitanza, Victor J.

    1995-01-01

    Discusses Susan Jarratt's book "Rereading the Sophists," interrogating her notion of a "feminist sophistic." Discusses the author's own work in terms of a "third sophistic," and calls on writings by Gayatri, Spivak, J. Derrida, and Helene Cixous. (SR)

  13. HORMONAL CONTROL OF OVARIAN FUNCTION FOLLOWING CHLOROTRIAZINE EXPOSURE: EFFECT ON REPRODUCTIVE FUNCTION AND MAMMARY GLAND TUMOR DEVELOPMENT

    Science.gov (United States)

    Hormonal Control of Ovarian Function Following Chlorotriazine Exposure: Effect on Reproductive Function and Mammary Gland Tumor Development. Ralph L. Cooper, Susan C. Laws, Michael G. Narotsky, Jerome M. Goldman, and Tammy E. StokerAbstractThe studies review...

  14. 76 FR 72013 - Self-Regulatory Organizations; Municipal Securities Rulemaking Board; Notice of Filing of...

    Science.gov (United States)

    2011-11-21

    ...''); Colette J. Irwin-Knott, CIPFA, President, National Association of Independent Public Finance Advisors...''); and Susan Gaffney, Director, Federal Liaison Center, Government Finance Officers Association, dated... principles of trade, to foster cooperation and coordination with persons engaged in regulating, clearing...

  15. Echoes from the Past - Lessons for the Future: A Vietnam Oral History.

    Science.gov (United States)

    1988-03-30

    8217SUSTAINMENT ’STRESS Folkman , Susan; Lazarus , Richard S.; Dunkel-Schetter, Christine; Delongis, Anita; and Gruen, Rand J. "Dynamics of a Stress- ful...David A. Hamburg, and John E. Adams. New York: Basic Books, 1974. Lazarus , Richard S. and Folkman , Susan. Stress Appraisal and Coppng. New York...Roseman, Ray H. Type A Behavior and Your Heart. New York: Fawcett Crest, 1974. Lazarus , Richard S. Personality and Adiustment. Inglewood Cliffs

  16. Possible Regulatory Improvements of the American Housing Finance System

    DEFF Research Database (Denmark)

    Lunde, Jens

    2018-01-01

    Book review of: Susan M. Wachter and Joseph Tracy (eds.): Principles of Housing Finance Reform. PENN—University of Pennsylvania Press, Philadelphia, 282 pp, $65.00s, ISBN: 978-0-8122-4862-3......Book review of: Susan M. Wachter and Joseph Tracy (eds.): Principles of Housing Finance Reform. PENN—University of Pennsylvania Press, Philadelphia, 282 pp, $65.00s, ISBN: 978-0-8122-4862-3...

  17. Wanna play?

    DEFF Research Database (Denmark)

    Sanderhoff, Merete

    2015-01-01

    Part of the online publication series CODE | WORDS. Technology and Theory in the Museum, edited by Ed Rodley (Peabody Essex Museum), Robert Stein (Dallas Museum of Art) and Susan Cairns (Baltimore Museum of Art)......Part of the online publication series CODE | WORDS. Technology and Theory in the Museum, edited by Ed Rodley (Peabody Essex Museum), Robert Stein (Dallas Museum of Art) and Susan Cairns (Baltimore Museum of Art)...

  18. Empowering Globally Integrated Operations and Mission Command: Revisiting Key West

    Science.gov (United States)

    2013-03-01

    vol. 5 of Historical Statistics of the United States: Earliest Times to the Present, Millenial Edition, ed. Richard Sutch and Susan B. Carter...States: Earliest Times to the Present, Millenial Edition. The author states that DoD is the primary source of his data, so he may have contacted the...to the Present, Millenial Edition, ed. Richard Sutch and Susan B. Carter (Cambridge: Cambridge University Press, 2006) and personnel data published

  19. Risk of poor neonatal outcome at term after medically assisted reproduction: a propensity score-matched study

    NARCIS (Netherlands)

    Ensing, Sabine; Abu-Hanna, Ameen; Roseboom, Tessa J.; Repping, Sjoerd; van der Veen, Fulco; Mol, Ben Willem J.; Ravelli, Anita C. J.

    2015-01-01

    To study risk of birth asphyxia and related morbidity among term singletons born after medically assisted reproduction (MAR). Population cohort study. Not applicable. A total of 1,953,932 term singleton pregnancies selected from a national registry for 1999-2011. None. Primary outcome Apgar score

  20. Affordances Theory in Multilingualism Studies

    Science.gov (United States)

    Aronin, Larissa; Singleton, David

    2012-01-01

    The concept of affordances originating in Gibson's work (Gibson, 1977) is gaining ground in multilingualism studies (cf. Aronin and Singleton, 2010; Singleton and Aronin, 2007; Dewaele, 2010). Nevertheless, studies investigating affordances in respect of teaching, learning or using languages are still somewhat rare and tend to treat isolated…

  1. Risk of developmental dysplasia of the hip in breech presentation: the effect of successful external cephalic version

    NARCIS (Netherlands)

    Lambeek, A. F.; de Hundt, M.; Vlemmix, F.; Akerboom, B. M. C.; Bais, J. M. J.; Papatsonis, D. N. M.; Mol, B. W. J.; Kok, M. [=Marjolein

    2013-01-01

    To evaluate the effect of successful external cephalic version on the incidence of developmental dysplasia of the hip (DDH) requiring treatment in singleton breech presentation at term. Observational cohort study. Three large teaching hospitals in the Netherlands. Women with a singleton breech

  2. Motor development of triplets: a Japanese prospective cohort study.

    Science.gov (United States)

    Yokoyama, Yoshie; Sugimoto, Masako; Miyake, Yu; Sono, Jun; Mizukami, Kenge; Kaprio, Jaakko; Silventoinen, Karri

    2011-04-01

    We analyzed whether motor development in early life is different between singletons and triplets in Japan. The motor development was reported by mothers by postal questionnaire for 1,121 triplet children and in regular health check-ups for 13,906 singleton children. Children who were suspected of having neurological abnormality or disability were excluded from the analysis. The ages of milestone achievements were significantly higher in triplets for each outcome compared to singletons. Further, after adjustment for gestational age, birthweight, and birth length, the differences were significant for maintaining head, sitting alone and standing holding on. In children with birthweight of 2 kg or more, the ages of milestone achievements were significantly higher in triplets for each outcome compared to singletons, except walking holding on. Moreover, after adjustment for the confounding factors, the differences were significant for sitting alone and walking independently. On the contrary, singletons attained motor development facilitating crawling, walking holding on, and walking independently slower than triplets among those children with birthweight of 2 kg or less after adjustment for gestational age. In conclusion, triplets are overall at higher risk for the delay of gross motor milestones as compared to singletons independently of birth-related factors. In contrast, among children with a birthweight of less than 2 kg, singletons showed slower motor development than triplets after adjusting for gestational age. There is an obvious need to apply developmental standards that consider at least both multiple birth status (singleton, twin or triplet) and birthweight.

  3. Placental thickness: A sonographic indicator of gestational age in ...

    African Journals Online (AJOL)

    The study is aimed to investigate placental thickness as a parameter for estimating gestational age in normal singleton pregnancies in. Nigerian women. 730 Nigerian women with normal singleton pregnancies who were attending antenatal clinic at Federal Medical Centre, Makurdi, Nigeria were studied by transabdominal ...

  4. Comparison of the complementary feeding practices between ...

    African Journals Online (AJOL)

    The aim of this study was to compare the complementary feeding practices between mothers with twins and mothers with singletons. Methods: mother-infant pairs (50 mother-twin pairs and 50 mother-singleton pairs) with children aged 6 to 23 months were recruited from two public health clinics and communities in Tema ...

  5. Perinatal and maternal complications related to postterm delivery

    DEFF Research Database (Denmark)

    Olesen, Annette Wind; Westergaard, Jes G; Olsen, Jorn

    2003-01-01

    prolonged pregnancy (n = 78022) and a 5% random sample of all women who gave birth (n = 47021) were linked to the Danish National Discharge Register. We established a postterm group of 77956 singleton deliveries and a term group of 34140 singleton spontaneous deliveries. Logistic regression models were used...

  6. Risk of poor neonatal outcome at term after medically assisted reproduction: a propensity score-matched study.

    Science.gov (United States)

    Ensing, Sabine; Abu-Hanna, Ameen; Roseboom, Tessa J; Repping, Sjoerd; van der Veen, Fulco; Mol, Ben Willem J; Ravelli, Anita C J

    2015-08-01

    To study risk of birth asphyxia and related morbidity among term singletons born after medically assisted reproduction (MAR). Population cohort study. Not applicable. A total of 1,953,932 term singleton pregnancies selected from a national registry for 1999-2011. None. Primary outcome Apgar score Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  7. The role of cueing in attentional capture

    NARCIS (Netherlands)

    Theeuwes, J.; van der Burg, E.

    2008-01-01

    In the present study, participants searched for an odd-man-out target within the shape dimension (either a diamond or a circle) while a colour distractor singleton could be present. In some conditions, the identity of the target singleton for the upcoming trial was cued in advance by either a word

  8. IVF culture medium affects post-natal weight in humans during the first 2 years of life

    NARCIS (Netherlands)

    Kleijkers, S.H.; Montfoort, A.P. van; Smits, L.J.; Viechtbauer, W.; Roseboom, T.J.; Nelissen, E.C.; Coonen, E.; Derhaag, J.G.; Bastings, L.; Schreurs, I.E.; Evers, J.L.H.; Dumoulin, J.C.

    2014-01-01

    STUDY QUESTION: Is post-natal growth during the first 2 years of life in IVF singletons affected by type of medium used for culturing human embryos during an IVF treatment? SUMMARY ANSWER: The in vitro culture of human embryos in medium from Cook resulted in singletons with a lower weight during the

  9. IVF culture medium affects post-natal weight in humans during the first 2 years of life

    NARCIS (Netherlands)

    Kleijkers, Sander H. M.; van Montfoort, Aafke P. A.; Smits, Luc J. M.; Viechtbauer, Wolfgang; Roseboom, Tessa J.; Nelissen, Ewka C. M.; Coonen, Edith; Derhaag, Josien G.; Bastings, Lobke; Schreurs, Inge E. L.; Evers, Johannes L. H.; Dumoulin, John C. M.

    2014-01-01

    Is post-natal growth during the first 2 years of life in IVF singletons affected by type of medium used for culturing human embryos during an IVF treatment? The in vitro culture of human embryos in medium from Cook resulted in singletons with a lower weight during the first 2 years of life compared

  10. Mode of delivery and subsequent reproductive patterns. A national follow-up study

    DEFF Research Database (Denmark)

    Fussing-Clausen, Caroline; Geirsson, Reynir T; Hansen, Thomas

    2014-01-01

    OBJECTIVE: To investigate associations between mode of delivery and subsequent reproductive outcomes. DESIGN: Cohort study. POPULATION: Women with term singleton live births from 1987 to 2009. SETTING: Denmark, birth registration data. METHODS: Women with a first singleton delivery after 37 weeks...

  11. What Future for the United Nations Security Council?

    Science.gov (United States)

    2011-03-24

    necessity. Like Ambassador Susan E. Rice said “the UN is imperfect but it is also indispensable”4. At the dawn of the twenty-first century, a lot of...membership (Antwerp, Intersentia, 2009), 12 4 Susan E. Rice , A new course in the world, a new approach at the UN, August 12 2009,http://www.state.gov/p...io/rm/2009/127927.htm 5 M. Bedjovi, La Charte des Nations Unies (Paris, PUF , 1990), 24 6 M. Benchikh, La Charte des Nations Unies, (Paris, 1990), 438

  12. Why the Combined Field Army?

    Science.gov (United States)

    1989-03-31

    COMBINED FIELD ARMY A September 1988 article in the Wall Street Journal points out the arenas of change underway on the Korean peninsula.16 Many important...with superior results. ENDNOTES 16. Susan Moffat, "Koreans Demanding Equality on Defense", The Wall Street Journal ., 28 September 1988,p20. 17. This...p46. 20. Roh Address, p6. 21. Susan Moffat, " In Korea, Reunification is a Family Matter", The Wall Street Journal , 23 January 1989, pAl0. 22. Bunge

  13. Fantastiske forbindelser relationer i undervisning og læringssamvær

    DEFF Research Database (Denmark)

    Antologiens artikler er lavet af en række anerkendte forskere og ide-folk fra Danmark, Norge, Holland, England og USA. Herunder Peter Lang, Daniel Stern, Maria Aarts, Thomas Armstrong, Maria Aarts, Jan Tønnesvang, Stein Bråten, Jesper Juul og Susan Hart......Antologiens artikler er lavet af en række anerkendte forskere og ide-folk fra Danmark, Norge, Holland, England og USA. Herunder Peter Lang, Daniel Stern, Maria Aarts, Thomas Armstrong, Maria Aarts, Jan Tønnesvang, Stein Bråten, Jesper Juul og Susan Hart...

  14. A multistate quality improvement program to decrease elective deliveries before 39 weeks of gestation.

    Science.gov (United States)

    Oshiro, Bryan T; Kowalewski, Leslie; Sappenfield, William; Alter, Caroline C; Bettegowda, Vani R; Russell, Rebecca; Curran, John; Reeves, Lori; Kacica, Marilyn; Andino, Nelson; Mason-Marti, Peyton; Crouse, Dennis; Knight, Susan; Littlejohn, Karen; Malatok, Sharyn; Dudley, Donald J; Berns, Scott D

    2013-05-01

    Nonmedically indicated (elective) deliveries before 39 weeks of gestation result in unnecessary neonatal morbidity. We sought to determine whether implementation of a process improvement program will decrease the rate of elective scheduled singleton early-term deliveries (37 0/7-38 6/7 weeks of gestation) in a group of diverse community and academic hospitals. Policies and procedures for scheduling inductions and cesarean deliveries were implemented and patient and health care provider education was provided. Outcomes for scheduled singleton deliveries at 34 weeks of gestation or higher were submitted through a web-based data entry system. The rate of scheduled singleton elective early-term deliveries as well as the rates of early-term medically indicated and unscheduled deliveries, neonatal intensive care unit admissions, and singleton term fetal mortality rate were evaluated. A total of 29,030 scheduled singletons at 34 weeks of gestation or higher were delivered in 26 participating hospitals between January 2011 and December 2011. Elective scheduled early-term deliveries decreased from 27.8% in the first month to 4.8% in the 12th month (Pscheduled singleton early-term inductions (72%, P=.029) and cesarean deliveries (84%; Pscheduled early-term singletons decreased nonsignificantly from 1.5% to 1.2% (P=.24). There was no increase in the term fetal mortality rate. A rapid-cycle process improvement program substantially decreased elective scheduled early-term deliveries to less than 5% in a group of diverse hospitals across multiple states. III.

  15. Comparing Adolescent Only Children with Those Who Have Siblings on Academic Related Outcomes and Psychosocial Adjustment

    Directory of Open Access Journals (Sweden)

    Zeng-yin Chen

    2014-01-01

    Full Text Available This study uses a large and representative sample of adolescents to test the theoretically informed hypotheses comparing adolescent singletons with those who have siblings. The results found that, for academic related outcomes (educational expectations, time spent on homework, and self-reported grades, there are no differences between singletons and firstborns who have any number of younger siblings. Singletons are also not different from laterborns from two-child families. In contrast, singletons are more advantageous compared to laterborns who have two or more siblings on educational expectations and grades. Singletons also spend more time on homework than laterborns who have three or more siblings. For psychosocial outcomes (psychological distress, susceptibility to negative peer pressure, and problem behaviors, singletons are not different from both firstborns and laterborns with any number of siblings. The findings suggest that singletons are not at any disadvantage compared to their peers who have siblings and they enjoy some advantages over laterborns from medium to large families on academic related outcomes.

  16. Environmental, Health, and Safety Research Needs for Engineered Nanoscale Materials

    Science.gov (United States)

    2006-09-01

    Canady Forest Service (FS/USDA) Christopher Risbrudt Theodore Wegner Intelligence Technology Innovation Center (ITIC) Susan Durham International...tumor. Injected particles may be intended to target specific organs, tumors, and diseases or may serve as imaging and diagnostic agents. The...studies to better understand the exposure levels or factors that caused an observed excess disease incidence. PUBLIC HEALTH AND ExPOSURE

  17. African Zoology - Vol 32, No 2 (1997)

    African Journals Online (AJOL)

    Metabolic rate and body temperature of an African sun bird, Nectarinia chalybea: daily rhythm and the effect of ambient temperature · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Belle Leon, Susan W Nicolson ...

  18. A guide to innovation in informal settings | CRDI - Centre de ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    6 nov. 2012 ... Innovation in Informal Settings: A Research Agenda by Susan Cozzens and Judith Sutz presents a framework that can be used by researchers, policymakers, and others to ... Document de travail 6: A Conceptual Framework to Guide Research on Private Sector Development in Developing Countries.

  19. The Technology of Unequal Rights for Women: Patent Drawings of a Voting Machine

    Science.gov (United States)

    Hussey, Michael

    2008-01-01

    In 1878, Senator Aaron A. Sargent of California introduced to the Senate an amendment to the Constitution "Conferring upon Women the Right of Suffrage." Drafted by Susan B. Anthony, this same amendment would be introduced on a near-yearly basis until its final passage by Congress on May 19, 1919. Varying degrees of voting rights presented an…

  20. Sadhana | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Sadhana. NANDINI AGGARWAL. Articles written in Sadhana. Volume 41 Issue 12 December 2016 pp 1393-1406. Image coding based on maximum entropy partitioning for identifying improbable intensities related to facial expressions · SEBA SUSAN NANDINI AGGARWAL SHEFALI CHAND AYUSH ...

  1. Medical Device Plug-and-Play (MD PnP) Interoperability Standardization Program Development

    Science.gov (United States)

    2009-08-01

    compliance testing (formal and/or informal). • Promotion (marketing, education, conferences, evangelists ). How to Participate One of the greatest... counsel from each of the institu- Patient Safety & Qual i ty Healthcare ■ January/February 200912 w w w . p s q h . c o m By Susan F. Whitehead

  2. Organization and Administration of Adult Education Programs: A Guide for Practitioners. Adult Education Special Topics: Theory, Research and Practice in LifeLong Learning

    Science.gov (United States)

    Schmidt, Steven W.; Biniecki, Susan M. Yelich

    2016-01-01

    Administrators of adult education programs work in dynamic and ever-changing environments. They are continually challenged with a myriad of issues related to program budgeting, marketing, strategic planning, funding, human resources, and other topics. With decades of real world experience in the field, Steven Schmidt and Susan Yelich Biniecki have…

  3. Protéger la biodiversité : Les lois nationales régissant l'accès aux ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Les directeurs. Susan Perkoff Bass est directrice du Programme interaméricain à l'Environmental Law Institute de Washington, D.C., aux États-Unis. Manuel Ruiz Muller est chercheur principal du Programme sur la biodiversité de la Sociedad Peruana de Derecho Ambiental ( SPDA ) à Lima, au Pérou.

  4. Writing Ourselves into the Story: Unheard Voices from Composition Studies.

    Science.gov (United States)

    Fontaine, Sheryl I., Ed.; Hunter, Susan, Ed.

    This book presents 23 essays, research studies, and personal narratives on topics that reflect the neglect and frustration experienced by the "silent majority" in the field of composition within academia. The essays and their authors are as follows: "Tosca Was a Woman" (Susan Pepper Robbins); "Invisible Diversity: Gay and Lesbian Students Writing…

  5. Women's business advocate to speak on successful entrepreneurship

    OpenAIRE

    Ho, Sookhan

    2006-01-01

    Women's business advocate Susan Phillips Bari will give a talk on successful entrepreneurship from 5:30 to 7 p.m., Wednesday, March 15, at 1670 Litton Reaves Hall at Virginia Tech. The event, which will include a question-and-answer session, is free and open to the public, no tickets required.

  6. Buy Our Spares Smart Annual Report, Fiscal Year 1987.

    Science.gov (United States)

    1988-01-19

    Wolfe Daniel R. Taylor William R. Wolfe effery E. Taylor Romona A. Williams Robert M. Tenta R.V. Yates Mary M. Thomas Richard V. Yates Jr. Pandora L...Cynthia Johnson Candice Bailey Christine McLaurin JoAnne Banks Charles McPherson Donna Barrineau Susan Medina Mildred Bates Jean Merritt * Willie Brame

  7. Editorial Team

    African Journals Online (AJOL)

    Editors. Siziwe S Khalatha, AJOL; Susan HL Murray, AJOL; Dr. Taddese Wondimu Godeto, South Africa; Mr Editorial Assistant, Ethiopia; Dr Zerihun Assefa, United States; Dr Gizachew Alemayehu, Lesotho; Dr Eduardo - Perez Velilla, Ethiopia; Dr. Shimelis Admassie, Ethiopia; Kate Snow, South Africa; Kim Barker, South ...

  8. Editorial Team

    African Journals Online (AJOL)

    Editors. Siziwe S Khalatha, AJOL; Susan HL Murray, AJOL; Mr. Gilbert Munyemana, National University of Rwanda, Rwanda; Kate Snow, South Africa; Kim Barker, South Africa; Alistair Barker, South Africa; Roza Carvalho, South Africa; Denise van Rensburg. ISSN: 2305-2678. AJOL African Journals Online. HOW TO USE ...

  9. Bodysuites and biodomes: The construction of the sonochronotopia ...

    African Journals Online (AJOL)

    I explore in this article the ways in which spatiotemporal construction through music plays a facilitating role in alleviating this perceived trauma. In circumscribing this process I have found the work of Susan Buck-Morss and Mikhail Bakhtin useful in approaching the overlapping 'symbolic' and 'material' discourses at play in ...

  10. Race, Feminine Power, and the Vietnam War in Philip Red Eagle's "Red Earth"

    Science.gov (United States)

    Andrews, Scott

    2004-01-01

    In her book "The Remasculinization of America," Susan Jeffords discusses the dynamics of how differences such as race and class are erased in filmic and literary representations of the Vietnam War. She asserts that one difference is not overcome by the battlefield: gender, a barrier that is depicted in the literature as natural and…

  11. Fulltext PDF

    Indian Academy of Sciences (India)

    philosophy to physics to biology and molecular genetics. "It was a small book by. Isaac Asimov entitled The Genetic Code that changed my life." This impels him to write popular science books to inspire future generations and newspaper articles to explain to laymen the impact science has on our lives. Susan Greenfield,p.1 ...

  12. Media Violence and Freedom of Speech : How to Use Empirical Data

    NARCIS (Netherlands)

    de Bruin, Boudewijn

    2008-01-01

    Susan Hurley has argued against a well known argument for freedom of speech, the argument from autonomy, on the basis of two hypotheses about violence in the media and aggressive behaviour. The first hypothesis says that exposure to media violence causes aggressive behaviour; the second, that humans

  13. Browse Author Index

    African Journals Online (AJOL)

    Items 1 - 50 of 61 ... Walker, L · Walker, Liz · Walraven, Gijs · Walsh, Corinna · Walwyn, David · Wamalwa, David · Wambua, MaryAnne · Wamoyi, Joyce · Wang'ombe, Joseph K · Wanyenze, Rhoda K · Wanzala, Peter N · Washington, Laura · Wathuta, Jane · Watkins, Susan Cotts · Wato, Samuel · Watson, Mada · Watson, Sharon

  14. Nime võimust : naine või artishokk / Leena Kurvet-Käosaar

    Index Scriptorium Estoniae

    Kurvet-Käosaar, Leena, 1969-

    2003-01-01

    Tagasivaade naisrežissööride filmifestivalile Helsingis. Lähemalt 4 mängufilmist : itaallanna Monica Stambrini "Benzina" (2001), inglanna Lynne Ramsay "Morvern Callar" (2002), prantslanna Sophie Tatscheffi "Baarilett" (1997) ja iraani päritolu rootsi režissööri Susan Taslimi "All Hell Let Loose" (2002)

  15. Exploring the world of human development and reproduction.

    Science.gov (United States)

    Red-Horse, Kristy; Drake, Penelope M; Fisher, Susan

    2014-01-01

    Susan Fisher has spent her career studying human development, proteomics, and the intersection between the two. When she began studying human placentation, there had been extensive descriptive studies of this fascinating organ that intertwines with the mother's vasculature during pregnancy. Susan can be credited with numerous major findings on the mechanisms that regulate placental cytotrophoblast invasion. These include the discovery that cytotrophoblasts undergo vascular mimicry to insert themselves into uterine arteries, the finding that oxygen tension greatly effects placentation, and identifying how these responses go awry in pregnancy complications such as preeclamsia. Other important work has focused on the effect of post-translational modifications such as glycosylation on bacterial adhesion and reproduction. Susan has also forayed into the world of proteomics to identify cancer biomarkers. Because her work is truly groundbreaking, many of these findings inspire research in other laboratories around the world resulting in numerous follow up papers. Likewise, her mentoring and support inspires young scientists to go on and make their own important discoveries. In this interview, Susan shares what drove her science, how she continued to do important research while balancing other aspects of life, and provides insights for the next generation.

  16. Kivirähk, muusika, kogupauk ja Nõud pealelõunal / Ülo Ignats ; fotod: Ülo Ignats

    Index Scriptorium Estoniae

    Ignats, Ülo, 1951-2011

    2005-01-01

    Eesti Kultuuri Koondise korraldatud kultuuripärastlõunast kus Andrus Kivirähk luges oma loomingut, Ireen Koop-Lind ja Susan Yondti esitasid Franz Schuberti, Robert Schumanni ja Johannes Brahmsi muusikat. Helga ja Enn Nõu esitlesid oma uusi romaane

  17. Browse Title Index

    African Journals Online (AJOL)

    Items 201 - 250 of 338 ... Vol 28, No 3 (2016), Neurocognitive considerations when assessing Theory of Mind in Autism Spectrum Disorder, Abstract. Katie Hamilton, Michelle Hoogenhout, Susan Malcolm-Smith. Vol 26, No 2 (2014), New developments in diagnosis and treatment update: Schizophrenia/first episode psychosis ...

  18. Spectacles in Children‑ Do's and Don'ts

    African Journals Online (AJOL)

    For correction of hypermetropia in preschool kids, Susan. J Leat has suggested that one should underprescribe so as to leave the uncorrected error just above the mean refractive error for the age, leaving enough stimulus for emmetropization.[8]. Guidelines for myopia. In infancy, only large amount of myopia needs to.

  19. Transgressions and Transcendence: Surpassing Disciplinary Boundaries.

    Science.gov (United States)

    Wughalter, Emily H.

    2002-01-01

    Discusses how women such as Amy Morris Homans, Susan B. Anthony, Elizabeth Cady Stanton, and Mary Wollstonecraft transgressed boundaries, allowing others to transcend old boundary limitations in physical education, examining the Boston Normal School of Gymnastics established for training women as directors of physical education over 100 years ago…

  20. 76 FR 57036 - Notice of Open Meeting of the Advisory Committee of the Export-Import Bank of the United States...

    Science.gov (United States)

    2011-09-15

    ... Place: Tuesday, September 27 from 11 a.m. to 3 p.m. A break for lunch will be at the expense of the... September 20, 2011, Susan Houser, Room 1273, 811 Vermont Avenue, NW., Washington, DC 20571, Voice: (202) 565...

  1. South African Journal for Research in Sport, Physical Education and ...

    African Journals Online (AJOL)

    Using a developmental movement programme to enhance academic skills in grade 1 learners · EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Claude R Fredericks, Shirley J Kokot, Susan Krog, 29-42. http://dx.doi.org/10.4314/sajrs.v28i1.25929 ...

  2. Remedial principles and meaningful engagement in education ...

    African Journals Online (AJOL)

    This article evaluates the meaningful engagement doctrine in the education rights jurisprudence of the Constitutional Court in the light of a set of normative principles developed by Susan Sturm for evaluating participatory public law remedies. It commences by identifying four principles for evaluating participatory remedies ...

  3. Bragg prism monochromator and analyser for super ultra-small ...

    Indian Academy of Sciences (India)

    With this optimized monochromator–analyser pair, we have attained the narrowest and sharpest neutron angular profile to date. At this facility, we have recorded the first SUSANS spectra spanning wave vector transfers ∼ 10−6 Å-1 to characterize samples containing agglomerates up to tens of micrometres in size.

  4. Bragg prism monochromator and analyser for super ultra-small ...

    Indian Academy of Sciences (India)

    At this facility, we have recorded the first SUSANS spectra spanning wave vector transfers Q ~ 10−6 Å−1 to characterize samples containing agglomerates up to tens of micrometres in size. Keywords. Neutron collimation; sub-arcsec collimation; Bragg prism; super ultra-small angle neutron scattering; dynamical diffraction.

  5. South African Medical Journal - Vol 87, No 9 (1997)

    African Journals Online (AJOL)

    A new model for the pathophysiology of Alzheimer's disease: Aluminium toxicity is exacerbated by hydrogen peroxide and attenuated by an amyloid protein fragment and melatonin · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Susan J. van Rensburg, Willie M.U. ...

  6. Fundamentals of Tribology Workshop Held at the University of Florida, Gainesville, Florida on 10-11 May 2010: Project Summary

    Science.gov (United States)

    2010-05-01

    lubrications schemes. DLP technology (digital micromirror device) The technology of digital light processing (DLP) at the heart of optical...Polytechnic Institute Tom Scharf University of North Texas Susan Sinnott University of Florida Izabela Szlufarska University of Wisconsin John Tichy Rensselaer Polytechnic Institute Oden Warren Hysitron

  7. Book Review | Dunn-Coetzee | Journal of Student Affairs in Africa

    African Journals Online (AJOL)

    Roberts, Dennis C. & Komives, Susan R. (Eds.) (2016). Enhancing Student Learning and Development in Cross- Border Higher Education. San Francisco: Jossey-Bass. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online.

  8. Start with Higher-Order Thinking

    Science.gov (United States)

    Brookhart, Susan M.

    2016-01-01

    "Memorizing facts is boring. Drill-and-practice is boring. But thinking, for most students most of the time, is actually fun," writes Susan M. Brookhart. The author recommends that teachers build interest and engagement into every lesson plan by creating opportunities for deep thinking. She describes three strategies to accomplish this.…

  9. Teenage Pregnancy Prevention Programs: What Have We Learned? Meeting Highlights and Background Briefing Report. Report of a Family Impact Seminar (Washington, D.C., May 26, 1989).

    Science.gov (United States)

    Ooms, Theodora; Herendeen, Lisa

    This report contains highlights from a seminar on teenage pregnancy prevention programs. Comments by these panelists are summarized: Kristin Moore, senior research associate, Child Trends, Inc.; Dennis McBride, consultant for the Adolescent Family Life Office; Susan Newcomer, consultant for the National Institute of Child Health and Development;…

  10. Accelerating progress in obesity prevention: solving the weight of the nation

    National Research Council Canada - National Science Library

    Glickman, Dan

    2012-01-01

    .... This study was supported by Grant No. 61747 between the National Academy of Sciences and the Robert Wood Johnson Foundation and a grant between the National Academy of Sciences and the Michael & Susan Dell Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s)...

  11. Editorial Team

    African Journals Online (AJOL)

    Editors. Siziwe S Khalatha, AJOL; Susan HL Murray, AJOL; Kate Snow, South Africa; Kim Barker, South Africa; Alistair Barker, South Africa; Roza Carvalho, South Africa; Denise van Rensburg. ISSN: 1021-6790. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More ...

  12. Editorial Team

    African Journals Online (AJOL)

    Editors. Siziwe S Khalatha, AJOL; Susan HL Murray, AJOL; Kate Snow, South Africa; Dr Sherran Clarence, South Africa; Kim Barker, South Africa; Alistair Barker, South Africa; Roza Carvalho, South Africa; Denise van Rensburg. ISSN: 2310-7103. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for ...

  13. Editorial Team

    African Journals Online (AJOL)

    Editors. Siziwe S Khalatha, AJOL; Susan HL Murray, AJOL; Kate Snow, South Africa; Kim Barker, South Africa; Alistair Barker, South Africa; Roza Carvalho, South Africa; Denise van Rensburg. ISSN: 1680-6905. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More ...

  14. Making the Most of Multiple Choice

    Science.gov (United States)

    Brookhart, Susan M.

    2015-01-01

    Multiple-choice questions draw criticism because many people perceive they test only recall or atomistic, surface-level objectives and do not require students to think. Although this can be the case, it does not have to be that way. Susan M. Brookhart suggests that multiple-choice questions are a useful part of any teacher's questioning repertoire…

  15. TB in Wild Asian Elephants

    Centers for Disease Control (CDC) Podcasts

    2017-05-10

    Dr. Susan Mikota, co-founder of Elephant Care International, discusses TB in wild Asian elephants.  Created: 5/10/2017 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 5/10/2017.

  16. Consequences of Inadequate Physical Activity

    Centers for Disease Control (CDC) Podcasts

    2018-03-27

    Listen as CDC Epidemiologist Susan Carlson, PhD, talks about her research, which estimates the percentage of US deaths attributed to inadequate levels of physical activity.  Created: 3/27/2018 by Preventing Chronic Disease (PCD), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 3/27/2018.

  17. Arctic Capabilities: DOD Addressed Many Specified Reporting Elements in Its 2011 Arctic Report but Should Take Steps to Meet Near- and Long-term Needs

    Science.gov (United States)

    2012-01-01

    gaps in particular have the potential to hamper Arctic operations across all time frames: (1) insufficient communications architecture , (2) degraded...contributors to this report were Suzanne Wren (Assistant Director), Susan Ditto, Nicole Harms, Timothy Persons, Steven Putansu, Frank Rusco, Jodie Sandel

  18. Persistent Patriarchy: Women Workers on Sri Lankan Plantations

    NARCIS (Netherlands)

    R. Kurian (Rachel); K. Jayawardena (Kumari)

    2014-01-01

    markdownabstract__Abstract__ The early suffragists in the United States had decried the “prolonged slavery of woman” as the “darkest page in human history” with one of the leaders, Susan B. Anthony, stating on Independence Day in 1876 that “Universal manhood suffrage, by establishing

  19. Action needed to help Cape Town adapt to climate change | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2016-06-09

    Jun 9, 2016 ... The impacts of climate change on the city of Cape Town, South Africa, are outlined in a new book, Climate Change at the City Scale. IDRC-supported researchers Anton Cartwright, Susan Parnell, Gregg Oelofse, and Sarah Ward argue that local governments and scientists need to work together to take ...

  20. MOLECULAR ANALYSIS OF HUMAN SPERMATOZOA: POTENTIAL FOR INFERTILITY RESEARCH AND SCREENING

    Science.gov (United States)

    Molecular Analysis of Human Spermatozoa: Potential for Infertility Research and ScreeningDavid Miller1, David Dix2, Robert Reid3, Susan Wykes3 and Stephen Krawetz3 1Reproductive Biology Group, University of Leeds, UK2Reproductive Toxicology Division, U.S. Environmenta...

  1. Native Avatars, Online Hubs, and Urban Indian Literature

    Science.gov (United States)

    Estrada, Gabriel S.

    2011-01-01

    Teaching American Indian literature with online resources can help diverse urban Indian and multicultural students connect with American Indian cultures, histories, and Nations. This online-enriched pedagogy adopts Susan Lobo's sense of the city as an "urban hub," or activist community center, an urban area linked to reservations in which Native…

  2. RESCUE OF BROMODICHLOROMETHANE-INDUCED PREGNANCY LOSS IN THE F344 RAT BY EXOGENOUS PROGESTERONE AND HCG

    Science.gov (United States)

    Rescue of bromodichloromethane-induced pregnancy loss in the F344 rat by exogenous progesterone and hCG.Susan R. Bielmeier1, Deborah S. Best2 and Michael G. Narotsky21 Curriculum in Toxicology, Univ. of North Carolina, Chapel Hill, NC, USA2 Reproductive Toxico...

  3. The structure of the nasal chemosensory system in squamate ...

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Biosciences; Volume 25; Issue 2. The structure of the nasal chemosensory system in squamate reptiles. 1. The olfactory organ, with special reference to olfaction in geckos. Susan J Rehorek Bruce T Firth Mark N Hutchinson. Articles Volume 25 Issue 2 June 2000 pp 173-179 ...

  4. Journal of Child and Adolescent Mental Health - Vol 22, No 2 (2010)

    African Journals Online (AJOL)

    Research Paper Bullying boys: the traumatic effects of bullying in male adolescent learners · EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Susan Louise Penning, Anil Bhagwanjee, Kaymarlin Govender. http://dx.doi.org/10.2989/17280583.2010.528580 ...

  5. Author Details

    African Journals Online (AJOL)

    Penning, Susan Louise. Vol 22, No 2 (2010) - Articles Research Paper Bullying boys: the traumatic effects of bullying in male adolescent learners. Abstract. ISSN: 1728-0591. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's Partners · Terms ...

  6. 75 FR 60781 - Announcement of Funding Awards for Fiscal Year 2010 Doctoral Dissertation Research Grant Program

    Science.gov (United States)

    2010-10-01

    ... Street, New York, NY 10011. Grant: $25,000 to Jamie Taylor. 17. Board of Trustee of the University of... INFORMATION CONTACT: Susan Brunson, Office of University Partnerships, U.S. Department of Housing and Urban... awarded for a two-year period. The Office of University Partnerships under the Assistant Secretary for...

  7. Forum: Cultural Identity and (Dis)Continuities of Children of Immigrant Communities

    Science.gov (United States)

    Obsiye, Mohamed; Cook, Rachel

    2016-01-01

    Susan Harper's study centres on "funds of knowledge" as a pedagogical resource for the development of a science curriculum, drawing on Karen refugee parents' cultural knowledge and identity. She argues that engagement in this process helps the parent generation of this community to "rebuild their cultural resilience" and cope…

  8. Jemaah Islamiyah: Reevaluating the Most Dangerous Terrorist Threat in Southeast Asia

    Science.gov (United States)

    2010-12-01

    Hambali’s arrest in 2003. Some reporting suggests leftover money from the 2003 attack funded the Australian embassy bombing in 2004. 105 lessened...Civil Society.” Perspectives on Politics. American Political Science Association, vol. 1, no. 2, June 2003. Blackburn, Susan. “Indonesian Women

  9. Browse Title Index

    African Journals Online (AJOL)

    Items 51 - 100 of 350 ... Susan W. Karanja, Rohen Harrichandparsad, Duncan Royston, Samson M. Motebejane, Ayesha Mitha. Vol 11, No 2 (2007), Comparison of barium and gastrograffin swallow for radiation therapy planning in carcinoma of the oesophagus, Abstract PDF. V Sharma, DN Gumbi, M Mbhele, B Donde.

  10. Appalachian Literature for Young Adults: The Contributions of Rebecca Caudill.

    Science.gov (United States)

    Warner, Mary

    1999-01-01

    Describes the life and work of Rebecca Caudill, an author of young adult and children's literature, and discusses how she captures major characteristics of Appalachian culture. Examines four young adult novels: (1) "Tree of Freedom"; (2) "The Far-Off Land"; (3) "Barrie and Daughter"; and (4) "Susan Cornish."…

  11. Assessment of diagnostic technology in health care: rationale, methods, problems, and directions

    National Research Council Canada - National Science Library

    Sox, Harold C

    1989-01-01

    ... Rationale, Methods, Problems, and Directions Harold Sox, Susan Stern, Douglas Owens, and Herbert L. Abrams Institute of Medicine NATIONAL ACADEMY PRESS WASHINGTON, D.C. 1989 Copyrightthe cannot be not from book, paper however, version for formatting, original authoritative the typesetting-specific the as from created publication files XML from...

  12. Enacted Realities in Teachers' Experiences: Bringing Materialism into Pragmatism

    Science.gov (United States)

    Sundström Sjödin, Elin; Wahlström, Ninni

    2017-01-01

    In this article we explore factors that constitute "the social" for the teacher Susan, which at the same time highlights ethical aspects of the exercise of her profession. We meet her in a situation where she is setting grades, and our interest focuses on the relations that become of concern for her in her professional task to give the…

  13. Economic Research Forum for the Arab Countries, Iran and Turkey ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Joekes, Susan. Total funding. CA$ 4,000,000. Country(s). Middle East, North of Sahara, South of Sahara, Central Asia, Far East Asia, South Asia, Iran, Turkey. Project Leader. Dina El Halaby. Project Leader. Ahmed Galal. Project Leader. Dina El Halaby. Project Leader. Ahmed Galal. Institution. Economic Research Forum.

  14. Keeping up Appearances before the "Other"? Interculturality and Occidentalism in the Educational TV-Program "Happy Chinese"

    Science.gov (United States)

    Dervin, Fred; Gao, Minghui

    2012-01-01

    "Happy Chinese" or kuaile hanyu is an educational melodrama produced by the Chinese TV channel CCTV in 2009. Aiming to improve foreign learners' Chinese language skills, the plot revolves around Susan, an American, staying with her former Chinese classmate's family. "Happy Chinese" proposes both language and cultural learning.…

  15. The Future of Statistics as a Discipline.

    Science.gov (United States)

    1981-09-01

    foundations of our discipline or investigation providing now insights on properties of kmm methodology - we must value both. Scum examples of perceived problem...215-273. Hotelling, Harold (1940), "The Teachlin of Statistics," Annats of Aftthematioat Statietics, 11, 457-470. Howrd, Niles ad Antilla, Susan

  16. Phenotype-gene: 72 [Arabidopsis Phenome Database[Archive

    Lifescience Database Archive (English)

    Full Text Available iency for trait of male fertility during process named fertilization for AT2G43790 Bush Susan M et al. 2007....fficiency for trait of male fertility during process named fertilization http://metadb.riken.jp/db/SciNetS_ria224i/cria224u1ria224u649i AT2G43790

  17. Rwandan Journal of Education - Vol 3, No 2 (2016)

    African Journals Online (AJOL)

    ... framework matrix to fix chal-lenges of unemployment and underemployment of higher education graduates in Rwanda, Kenya and Ghana · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Irénée Ndayambaje, Philothère Ntawiha, Susan Ngigi, Samuel Yaw Ampofo ...

  18. Browse Title Index

    African Journals Online (AJOL)

    Issue, Title. Vol 3, No 2 (2016), Usefulness of problem tree, objective tree and logical framework matrix to fix chal-lenges of unemployment and underemployment of higher education graduates in Rwanda, Kenya and Ghana, Abstract PDF. Irénée Ndayambaje, Philothère Ntawiha, Susan Ngigi, Samuel Yaw Ampofo.

  19. African Journal of Biotechnology - Vol 2, No 11 (2003)

    African Journals Online (AJOL)

    ... EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Segenet Kelemu, George Mahuku, Martin Fregene, Douglas Pachino, Nancy Johnson, Lee Calvert, Idupulapati Rao, Robin Buruchara, Tilahun Amede, Paul Kimani, Roger Kirkby, Susan Kaaria, Kwasi Ampofo, 394- ...

  20. Paisaje, historia y arquitectura

    OpenAIRE

    Verdaguer, Carlos

    2014-01-01

    Jellicoe, Jeoffrey y Susan (1995) El paisaje del hombre. (Gustavo Gili, Barcelona. 408 páginas.)Steenbergen, Clemens y Reh, Wouter (1996) Architecture and Landscape. (Prestel, Múnich. 383 páginas) . Reseña publicada en versión resumida en la revista Arquitectura Viva, número 53 (marzo-abril 1997).

  1. Child Welfare and Juvenile Justice: Several Factors Influence the Placement of Children Solely To Obtain Mental Health Services.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    Recent reports have documented how some parents choose to place their children in the child welfare or juvenile justice systems in order to obtain the mental health services that their children need. Senators Susan Collins and Joseph Lieberman of the Senate Committee on Governmental Affairs asked the General Accounting Office (GAO) to testify on:…

  2. A VAR2CSA:CSP conjugate capable of inducing dual specificity ...

    African Journals Online (AJOL)

    A VAR2CSA:CSP conjugate capable of inducing dual specificity antibody responses. Matondo Sungwa1, Thrane Susan2, Janitzek Christoph Mikkel2, Kavishe Reginald Adolph1,. Mwakalinga Steven Boniface1, Theander Thor Grundtvig2, Salanti Ali2,. Nielsen Morten Agertoug2, Sander Adam Frederik2. 1. Kilimanjaro ...

  3. Effect of high dose thiamine therapy on activity and molecular ...

    African Journals Online (AJOL)

    ajl yemi

    2011-11-28

    Nov 28, 2011 ... response in multiple sclerosis (Lovato et al., 2008). In diabetes mellitus Type ... glucose metabolism which could probably add a new dimension to ..... Katzung BG, Susan B, Masters, Anthony J, Trevor (2009): Endocrine effects of insulin. Chapter-41, Pancreatic Hormones and Antidiabetic. Drugs. Basic and ...

  4. Käsk number üks - saavutada täiskontroll - on täidetud / Toomas Hendrik Ilves

    Index Scriptorium Estoniae

    Ilves, Toomas Hendrik, 1953-

    2006-01-01

    Raamatuarvustus: Baker, Peter; Glasser, Susan. Kremlin Rising: Vladimir Putin's Russia and the End of Revolution. New York: Scribner, 2005. Raamatu autorid on USA ajalehe Washington Post Moskva korrespondendid. Arvustus ilmunud ka: Sirp : Diplomaatia 7. okt. 2005 nr. 25, lk. 14-15

  5. Professional Books.

    Science.gov (United States)

    Gilstrap, Robert L.; And Others

    1994-01-01

    Reviews five books peace studies and conflict resolution: (1) "Voices from the Future" (Susan Goodwillie); (2) "War and Peace Literature for Children and Young Adults" (Virginia Walter); (3) "Teaching Young Children in Violent Times" (Diane Levin); (4) "Whose Language? What Power?" (Frank Smith); and (5)…

  6. Separation, Purification and Identification of Bacteria

    African Journals Online (AJOL)

    user

    2011-05-16

    May 16, 2011 ... biochemical characteristics of the bacteria (Joseph et al., 2001). The common standard strains such as .... Berger's Manual of. Determinative Bacteriology. The Williams and Wilkins CO., Baltimore. (USA). Bruce E, Susan (1988). Recent advances in the development of an improved human anthrax vaccine.

  7. 75 FR 1406 - National Mall and Memorial Parks, Washington, DC; Notice of Availability of an Environmental...

    Science.gov (United States)

    2010-01-11

    ... Washington, DC. The National Mall Plan is a long-range management plan that focuses on the use and... Spain, Project Executive. Before including your address, phone number, e-mail address, or other personal... Impact Statement. FOR FURTHER INFORMATION CONTACT: Susan Spain, Project Executive, National Mall Plan at...

  8. 75 FR 41483 - Environmental Impacts Statements; Notice of Availability

    Science.gov (United States)

    2010-07-16

    ..., Folsom South of U.S. 50 Specific Plan Project, Proposed land Use Development in the Specific Plan Area..., Contact: Susan Spain, 202-245-4692. EIS No. 20100258, Draft EIS, BLM, OR, North Steens 230-kV Transmission... River (OTR) Project, Propose to Install a Temporary Work of Art, Require the Use of Federal, Private and...

  9. 75 FR 39969 - National Mall and Memorial Parks, Washington, DC; Final Environmental Impact Statement and...

    Science.gov (United States)

    2010-07-13

    ... (FEIS) for the National Mall Plan (Plan). The Plan establishes a long-term vision for the use and... . FOR FURTHER INFORMATION CONTACT: Susan Spain, Project Executive, National Mall Plan at (202) 245-4692... resource conditions on the National Mall; better prepare it for the intense levels of use from First...

  10. Teaching Wide Sargasso Sea in New Jersey

    Science.gov (United States)

    Jolley, Susan Arpajian

    2005-01-01

    High school teacher Susan Arpajian Jolley emphasizes experience and understanding by using the related novels "Wide Sargasso Sea" and "Jane Eyre" to help her students travel into unfamiliar cultural territory. "Wide Sargasso Sea" relates to Caribbean history and culture, feminism, race relations, colonialism, and…

  11. Maakunst Rakveres / Anne Kokkov

    Index Scriptorium Estoniae

    Kokkov, Anne

    2001-01-01

    Rahvusvaheline kunstirühmitus "The Circle" korraldab 5. augustini Rakveres V maakunstisümpoosioni. Osalejad on Eestist, Rootsist, Saksamaalt ja Venemaalt, nende seas rahvusvaheliselt tuntud kunstnikud Susan Walke ja Hans "Limbus" Tjörneryd, kes loob Rakvere kohal õhuskulptuuri.

  12. 76 FR 65750 - Aerospace Safety Advisory Panel; Charter Renewal

    Science.gov (United States)

    2011-10-24

    ... public interest in connection with the performance of duties imposed on NASA by law. The renewed charter...: Ms. Susan M. Burch, Advisory Committee Management Division, Office of International and Interagency Relations, (202) 358-0550, National Aeronautics and Space Administration, Washington, DC 20546-0001. October...

  13. Steven Moffat and Sue Vertue visits CERN

    CERN Multimedia

    Caraban Gonzalez, Noemi

    2016-01-01

    Steven William Moffat, OBE is a Scottish television writer and producer, known for his work as showrunner, writer and producer of the British television series Doctor Who and Sherlock. Susan "Sue" Nicola Vertue is an English television producer, mainly of comedy shows, including Mr. Bean and Coupling.

  14. Hegel, Women, and Hegelian Women on Matters of Public and Private.

    Science.gov (United States)

    Rogers, Dorothy G.

    1999-01-01

    This article looks at three women who were among Hegel's first followers in America, paying particular attention to their views on matters related to women and the public/private distinction: Susan E. Blow (1843-1916), Anna C. Brackett (1836-1911), and Marietta Kies (1853-1899). By appropriating a number of his ideas in order to make Hegelianism…

  15. Author Details

    African Journals Online (AJOL)

    Krauss, Rosa. Vol 26, No 2 (2014) - Articles Book Review Therapeutic residential care for children and young people: An attachment and trauma-informed model for practice. By Susan Barton, Rudy Gonzalez and Patrick Tomlinson (2012) Abstract. ISSN: 1728-0583. AJOL African Journals Online. HOW TO USE AJOL.

  16. Temporal Progression of Visual Injury from Blast Exposure

    Science.gov (United States)

    2016-09-01

    Doctorate of Philosophy , Bioengineering May 2007 Advisor: Susan S. Margulies, Ph.D. Dissertation: Mechanics of Head Impact in Infants University of...Foundation 2016 SBIR Phase II: Biodegradable polymer film for sustained delivery of antibiotics to the surface of the eye Total Award: Role: co-PI

  17. Southeast Regional Conference of the Association for Business Communication Proceedings. (Tampa, Florida, February 25-27, 1988).

    Science.gov (United States)

    Peeples, Binford H., Ed.; Morse, Glynna E., Ed.

    These proceedings contain the following papers: "Corporate Conduct: The Importance of Proper Etiquette and Communication" (Glenna A. Dod and Susan L. Fay); "Establishing a System for Technical Editing" (Marlene A. Hobel and Kathy L. Urbach); "Office Technology in Business Communication Textbooks: Current Status, Future Recommendations" (Richard M.…

  18. Beyond the Border: Mexico’s Internal Conflict Is the United States’ Problem

    Science.gov (United States)

    2013-05-23

    need to educate , train, assist, and advise the students. The CARL staff—especially Ms. Susan Fowler for obtaining the necessary copyright approvals...Percent population that earns less than US$2 per day. ..................................................... 23 Table 2. Regional Education Rates...accessed July 23, 2012). 39Ibid. 40The Institutional Revolutionary Party (Spanish: Partido Revolucionario Institucional , PRI) is a Mexican

  19. Competition Law in Action: Experiences from Developing Countries ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2007-04-29

    Apr 29, 2007 ... Competition Law in Action: Experiences from Developing Countries. Editor(s):. Taimoon Stewart, Julian Clarke, and Susan ... This book distills the lessons arising from a body of IDRC-financed research for the effective implementation of competition law. It is structured as a guide for the staff of young, ...

  20. IJAJ 3(4), S/No 12, September, 2014

    African Journals Online (AJOL)

    matthew

    2014-09-12

    Sep 12, 2014 ... 1965, the play has received the attention of readers and critics. Simon Gikandi, Susan ..... days as a preacher (51), criticizes Church practices and music (52) and attempts to regain his lost state through ... argued that ideas connected to the Agemo “provide a background” to the play and serve as “a key to its ...

  1. What Clients of Couple Therapy Model Developers and Their Former Students Say about Change, Part I: Model-Dependent Common Factors across Three Models

    Science.gov (United States)

    Davis, Sean D.; Piercy, Fred P.

    2007-01-01

    Some researchers have hypothesized that factors common across therapy models are largely responsible for change. In this study we conducted semi-structured, open-ended qualitative interviews with three different MFT model developers (Dr. Susan M. Johnson, Emotionally Focused Therapy; Dr. Frank M. Dattilio, Cognitive-Behavioral Therapy; and Dr.…

  2. Connecting Disadvantaged Youth to Quality Employment using ICTs ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2008-10-31

    Start Date. October 31, 2008. End Date. July 31, 2011. Duration. 30 months. IDRC Officer. Smith, Matthew. Total funding. CA$ 726,900. Country(s). Colombia, South America, Ecuador, North and Central America. Project Leader. Susan Pezzullo. Institution. International Youth Foundation Inc. Institution Country. United States.

  3. Part four: The research dissertation: planning, producing and writing a thesis.

    Science.gov (United States)

    Quick, J; Hall, S

    2015-11-01

    Dissertations have become common inclusions to postgraduate degrees in healthcare. To the novice researcher, undertaking an extensive project of this kind can appear daunting. In this final article in the series 'Spotlight on Research', Julie Quick and Susan Hall advise perioperative practitioners on how to plan, produce and write a research dissertation. Guidance is also given on disseminating the results from research studies.

  4. Asthma Education and Intervention Program: Partnership for Asthma Trigger-Free Homes (PATH)

    Science.gov (United States)

    2010-02-01

    David \\\\’hit~, Michael Drurnic, Montserrat Ramiro, anu Jeanni~ Ramey of Synapse Energy b conmmcs With: Jonathan Levv, .Patrick Kumev, Susan Ore co, K1m...Community Center Community Canter Community Center 578 Mississippi Blvd 1395 Pennsylvania St 439 South Lauderdale Memphis, TN 38128 Memphis, TN 38108

  5. Tanzania Journal of Health Research - Vol 20, No 2 (2018)

    African Journals Online (AJOL)

    Socio-demographic determinants of dengue infection during an outbreak in Dar es Salaam City, Tanzania · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Neema Camara, Billy Ngasala, Germana Leyna, Ahmed Abade, Susan F. Rumisha, Ndekya M. Oriyo, Leonard ...

  6. Book Review.

    Science.gov (United States)

    Pecora, Peter J.; Cline, Stephanie

    1994-01-01

    Reviews two books: (1) "Advancing Family Preservation Practice" (E. Susan Morton and R. Kevin Brigsby, editors) which summarizes Intensive Family Preservation Services in the United States over the past decade; and (2) "Marketing Strategies for Nonprofit Organizations" (Siri Espy) which discusses marketing and its application…

  7. Editorial Team

    African Journals Online (AJOL)

    Editors. Leonard E.G. Mboera, National Institute for Medical Research, Tanzania, United Republic of; Siziwe S Khalatha, AJOL; Susan HL Murray, AJOL; Kate Snow, South Africa; Kim Barker, South Africa; Alistair Barker, South Africa; Roza Carvalho, South Africa; Denise van Rensburg. ISSN: 1821-9241. AJOL African ...

  8. 76 FR 63322 - Endangered and Threatened Species Permit Applications

    Science.gov (United States)

    2011-10-12

    ... and Wildlife Service, P.O. Box 1306, Room 6034, Albuquerque, NM at (505) 248-6920. Please refer to the...: Susan Jacobsen, Chief, Endangered Species Division, P.O. Box 1306, Albuquerque, NM 87103; (505) 248-6920... loggerhead (Caretta caretta) sea turtles within the Sea Life Center, Galveston, Texas. Permit TE-42739A...

  9. 76 FR 35235 - Endangered and Threatened Species Permit Applications

    Science.gov (United States)

    2011-06-16

    ..., Ecological Services, P.O. Box 1306, Room 6034, Albuquerque, NM 87103. Documents and other information.... FOR FURTHER INFORMATION CONTACT: Susan Jacobsen, Chief, Endangered Species Division, P.O. Box 1306... requests a new permit for husbandry and holding of green sea turtles (Chelonia mydas) and Kemps ridley sea...

  10. 76 FR 26313 - Endangered and Threatened Species Permit Applications

    Science.gov (United States)

    2011-05-06

    ..., Ecological Services, P.O. Box 1306, Room 6034, Albuquerque, NM 87103. Documents and other information.... FOR FURTHER INFORMATION CONTACT: Susan Jacobsen, Chief, Endangered Species Division, P.O. Box 1306.... Applicant requests a new permit for husbandry and holding of green sea turtles (Chelonia mydas), hawksbill...

  11. Editorial Team

    African Journals Online (AJOL)

    Editors. Administrator for NISC, NISC; Siziwe S Khalatha, AJOL; Susan HL Murray, AJOL; Kate Snow, South Africa; Kim Barker, South Africa; Alistair Barker, South Africa; Roza Carvalho, South Africa; Denise van Rensburg · Sarah Cohen, South Africa. ISSN: 1608-5906. AJOL African Journals Online. HOW TO USE AJOL.

  12. Review article: Ethnomusicology and music education: Continuing ...

    African Journals Online (AJOL)

    This review article further explores the nexus between music education and African music/(ethno)musicology that continues the dialogue between the disciplines of musicology and ethnomusicology initiated by Susan Harrop-Allin in SAMUS vol. 25 109-24). Although there has been an explosion of literature over the last five ...

  13. “Another Possibility at Life” | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... Medicine. “They have a much greater diversity of HLA (human leukocyte antigen) types, which are the blood proteins—or markers—used to genetically match patients and donors. We need many more African American donors.” Susan F. Leitman, M.D., Chief of the Blood Services ...

  14. A Narrative Model of Recovery | Kelland | South African Journal of ...

    African Journals Online (AJOL)

    In this paper I defend the suggestion that narratively understanding her experience of rape can help a survivor in her recovery from the harm that she has suffered. Susan Brison defends a similar suggestion, but, I argue, does not get all of the possible mileage out of narrative understanding because she does not explore ...

  15. First Facts: A Manual for Sexuality Educators.

    Science.gov (United States)

    Planned Parenthood Federation of America, Inc., New York, NY. Education Dept.

    This manual contains 10 chapters which provide basic concepts and information needed by family planning/sexuality educators in the areas of sexuality education, program evaluation, family planning, management, fund raising, public speaking, community organizing, public affairs, writing, and editing. "Sexuality Education" (Susan Newcomer) provides…

  16. Q & A with Ed Tech Leaders: Interview with David M. Monetti

    Science.gov (United States)

    Fulgham, Susan M.; Shaughnessy, Michael F.

    2014-01-01

    Contributing editors Susan Fulgham and Michael Shaughnessy present their interview with David M. Monetti, Professor in the Department of Psychology and Counseling at Valdosta State University. Monetti teaches courses in educational psychology, learning, and measurement and evaluation. He is actively involved with the public schools as a researcher…

  17. MaliSheep10R2 rev19JanAM

    International Development Research Centre (IDRC) Digital Library (Canada)

    funds research projects that aim to solve immediate and concrete food security challenges in the developing world. For more information on this project, contact innocent Butare. Dakar. Senegal (ibutare@idrc.org.sn) or Susan Robertson. Ottawa. Canada. (srobertson@idrc.ca). For more information on the Fund, visit ...

  18. A Study to Determine the Best Model and the Optimal Feasible Method for Reducing No-Show Behavior at a Military Social Work Clinic.

    Science.gov (United States)

    1983-05-01

    Patient-Initiated Phone Confirmation Strategies on Appointment Keeping dt a Hospital Dental Clinic." Journal of Public Health Dentistry 40 (Winter 1980...Susan A. "Attendance Failure at Paediatric Medical Outpatient Clinics." New Zealand Medical Journal 92 (July 1980): 15-17. Lawson, Walter R. "Children

  19. Are introverts better at partnership brokering? Exploring brokering skills across the introvert-extrovert continuum

    NARCIS (Netherlands)

    Brouwer, J.H.

    2013-01-01

    This article raises the question of whether it matters if a partnership broker is introverted or extroverted[1], [2]. A recent public discussion about Susan Cain’s book ‘Quiet: The power of introverts in a world that can’t stop talking’ has highlighted the importance of recognising one’s temperament

  20. Introverts Can Succeed with Cooperative Learning

    Science.gov (United States)

    Jacobs, George

    2014-01-01

    I was interested in reviewing Susan Cain's (2013) "Quiet: The Power of Introverts in a World That Can't Stop Talking" for two reasons. First, as an introvert I wanted to learn more about myself. Second, I wanted to explore Cain and others' criticism that group activities in the workplace and in education are unfair to introverts. This…

  1. Refining American Strategy in Africa

    Science.gov (United States)

    2000-02-01

    past. Uganda’s Yoweri Museveni, Rwanda’s Paul Kagame, and Angola’s Jose Dos Santos (among others) provided vital support to the rebels. During the...1999, reprinted at http://www. state.gov/www/regions/africa/990130_rice.html. 146. Susan Rice, “U.S.-Africa Relations,” Remarks at the Agostinho Neto

  2. Psychology

    Science.gov (United States)

    Blackmore, Susan; Fouad, Nadya; Kagan, Jerome; Kosslyn, Stephen; Posner, Michael; Sternburg, Robert; Driscoll, Marcy; Ge, Xun; Parrish, Patrick

    2013-01-01

    Scholars representing the field of psychology were asked to identify what they considered to be the most exciting and imaginative work currently being done in their field, as well as how that work might change our understanding. The scholars included Susan Blackmore, Nadya Fouad, Jerome Kagan, Stephen Kosslyn, Michael Posner, and Robert Sternberg.…

  3. Sadhana | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Sadhana. SHEFALI CHAND. Articles written in Sadhana. Volume 41 Issue 12 December 2016 pp 1393-1406. Image coding based on maximum entropy partitioning for identifying improbable intensities related to facial expressions · SEBA SUSAN NANDINI AGGARWAL SHEFALI CHAND AYUSH GUPTA.

  4. 78 FR 57916 - Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Order Approving...

    Science.gov (United States)

    2013-09-20

    ... School of Business, Baruch College, Member Deutsch Lipner, dated July 11, 2013 (``Lipner Letter''); Peter... Letter''); Jill I. Gross, Director, Crystal Green, Student Intern, Susan Papacostas, Student Intern... the documents enumerated in the Lists. It would also stress that the Customer Code provides a...

  5. Identification of Potential Sodium Iodide Symporter (NIS) Inhibitors in ToxCast Phase1_v2 Chemical Library Using in vitro Radioactive Iodide Uptake (RAIU) Assay

    Science.gov (United States)

    Identification of Potential Sodium Iodide Symporter (NIS) Inhibitors in ToxCast Phase1_v2 Chemical Library Using in vitro Radioactive Iodide Uptake (RAIU) Assay Jun Wang1,2, Daniel R. Hallinger2, Ashley S. Murr2, Angela R. Buckalew1, Tammy E. Stoker2, Susan C. Laws21Oak Ridge In...

  6. Uued ja vanad ruumimängud / Reet Varblane

    Index Scriptorium Estoniae

    Varblane, Reet, 1952-

    1998-01-01

    Inglise-eesti ühisnäitus 'Private views : taas/avastatud ruum Eesti ja Briti kaasaegses kunstis' Rotermanni soolalaos. Kuraatorid Mare Tralla, Pam Skelton. Feminismist kui tähenduslikust ruumist. Eve Kiileri, Mari Koorti, Liina Siibi, Susan Brindi, Ene-Liis Semperi, Anu Juuraku, Naomi Dinesi, rühmituse F.F.F.F., kuraatorite esinemisest.

  7. 77 FR 7968 - Semiannual Regulatory Agenda

    Science.gov (United States)

    2012-02-13

    ... African python, Southern African python, boa constrictor, yellow anaconda, DeSchauensee's anaconda, green... Analysis Required: Yes. Agency Contact: Art Roybal, Senior Fish and Wildlife Biologist, Department of the... 20th Street, Vero Beach, FL 32960, Phone: 772 562-3909, Email: art[email protected] . Susan Jewell, Fish...

  8. 75 FR 33817 - National Institute on Deafness and Other Communication Disorders; Notice of Closed Meeting

    Science.gov (United States)

    2010-06-15

    ... Deafness and Other Communication Disorders; Notice of Closed Meeting Pursuant to section 10(d) of the... Deafness and Other Communication Disorders Special Emphasis Panel, Translational PAR. Date: July 8, 2010...: Susan Sullivan, PhD, Scientific Review Officer, National Institute of Deafness and Other Communication...

  9. 78 FR 20619 - Customer Account Registration and Maintenance

    Science.gov (United States)

    2013-04-05

    ... DEPARTMENT OF COMMERCE United States Patent and Trademark Office Customer Account Registration and... Customer Account Registration and Maintenance'' in the subject line of the message. Mail: Susan K. Fawcett... States Patent and Trademark Office (USPTO) seeks to launch ``MyUSPTO,'' an optional customer portal that...

  10. The Refugee Crisis, Non-Citizens, Border Politics and Education

    Science.gov (United States)

    Gerrard, Jessica

    2017-01-01

    In the midst of the most serious refugee crisis since WWII, nation states are buttressing their borders. This paper explores the border politics of the nation state in response to the refugee crisis. Drawing on the work of Susan Sontag, Judith Butler and Imogen Tyler it considers the ways in which the imagery of the pain and suffering of Others is…

  11. Boosting capacity for health research in Africa | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2016-06-09

    Jun 9, 2016 ... Authors Caroline Kabiru, Chima Izugbara, Susan Wambugu, and Alex Ezeh share APHRC's reflections on its experiences implementing the ADDRF program — its successes and challenges. As attention focuses on health research capacity-strengthening in Africa and the need for African-led programs, ...

  12. Baden-Badenist kostab sokulaulu / Vahur Afanasjev

    Index Scriptorium Estoniae

    Afanasjev, Vahur, 1979-

    2005-01-01

    Arvustus: Vaginov, Konstantin. Sokulaul: [romaan] / vene keelest tõlkinud Rein Saluri. [Tallinn] : Kultuurileht, 2005 ; Tsõpkin, Leonid. Suvi Baden-Badenis / vene keelest tõlkinud Jüri Ojamaa ; Susan Sontagi järelsõna. Tallinn : Tänapäev, 2005

  13. Investigation of manganese homeostasis in dogs with anaemia and ...

    African Journals Online (AJOL)

    Ibrahim Eldaghayes

    2017-11-21

    Nov 21, 2017 ... Investigation of manganese homeostasis in dogs with anaemia and chronic enteropathy. Marisa da Fonseca Ferreira*, Arielle Elizabeth Ann Aylor, Richard John Mellanby, Susan Mary Campbell and. Adam George Gow. Hospital for Small Animals, The Royal (Dick) School of Veterinary Studies, The ...

  14. The Bayley-III accommodated for motor and/or visual impairment : “Low motor/vision version”

    NARCIS (Netherlands)

    Visser, Linda; van der Meulen, Bieuwe; Ruiter, Selma; Timmerman, Marieke; Ruijssenaars, Wied; Visser, Linda; van der Meulen, B.F.

    The Bayley-III has worldwide attention from researchers. We consider three examples of current research, which focus in some way on over- or underestimation. Susan Milne will make a strong case for the use of developmental quotient scores instead of the usual standardized scores. Linda Visser will

  15. Using and Evaluating Differential Modeling in Intelligent Tutoring and Apprentice Learning Systems.

    Science.gov (United States)

    1987-01-01

    University of South Carolina Training Command (N-5) Dr. Natalie Dehn Colombia , SC 29208 NAS Pensacola, FL 32508 Department of Computer and Information...DACS- DPM ) ’ 50 Moulton Street Washington, DC 20310 %A Cambridge, MA 02138 Dr. Gerald F. DeJong Artificial Intelligence Grou Dr. Susan Epstein Or. john

  16. The Australian Education Union's Response to Kevin Donnelly's "The Australian Education Union: A History of Opposing School Choice and School Autonomy Down-Under"

    Science.gov (United States)

    Hopgood, Susan

    2015-01-01

    This article is a response to Kevin Donnelly's article, "The Australian Education Union: A History of Opposing School Choice and School Autonomy Down-Under," and aims to correct specific errors and misrepresentations as found by Susan Hopgood, Federal Secretary of the Australian Education Union. She argues that the article is misleading…

  17. The Trauma-Sensitive Teacher

    Science.gov (United States)

    Craig, Susan E.

    2016-01-01

    According to the National Center for Mental Health Promotion and Youth Violence Prevention, about one quarter of children in the United States will witness or experience a traumatic event before the age of four. In this article, Susan E. Craig explains how these early trauma histories prime a child's brain to expect certain experiences,…

  18. School Nurse Perspectives

    Science.gov (United States)

    Borja, Mary C.; Amidon, Christine; Spellings, Diane; Franzetti, Susan; Nasuta, Mary

    2009-01-01

    This article features school nurses from across the country who are championing for school-located influenza immunization within their communities. These nurses are: (1) Mary C. Borja; (2) Christine Amidon; (3) Diane Spellings; (4) Susan Franzetti; and (5) Mary Nasuta. (Contains 6 figures.)

  19. Fulltext PDF

    Indian Academy of Sciences (India)

    professor of mathematics and the satisfaction arising out of nature doing an external, unbiased ... changed my life." This impels him to write popular science books to inspire future generations and newspaper articles to explain to laymen the impact science has on our lives. Susan Greenfield,p.1 01: At the school leaving.

  20. Strategies for Promoting Pluralism in Education and the Workplace.

    Science.gov (United States)

    Welch, Lynne Brodie, Ed.; Cleckley, Betty Jane, Ed.; McClure, Marilyn, Ed.

    The following papers are included: "Multiculturalism: A Matter of Essentiality" (Betty Jane Cleckley assisted by Boyd Evans and Jonathan Porter); "A Deconstructionist Approach to Multicultural Education" (Susan Marnell Weaver); "Intercultural Communication Competence: A Strategy for a Multicultural Campus" (Bertram W.…

  1. Is There a Sex in This Text? Gender and Value in the Rhetoric of Ethics.

    Science.gov (United States)

    Fish, Tamara Stanfield

    Issues of empowerment have led rhetoricians as professionals to reexamine the notion of rhetorical history and to recast what is thought to be known of the past as a collection of histories--each necessarily selective, ideologically biased, and incomplete, many potentially conflicting and all, to some degree, creative fictions. Susan Jarratt,…

  2. Evaluation of Plant Growth Regulators for Use in Grounds Maintenance at Military Installations

    Science.gov (United States)

    1992-07-01

    Milkweed - Asciep/as spp. Mimosa - Albizziajulibrissin Nightshade - Solanum spp. Oxeye daisy - Chrysanthemum leucanthemum L. Prostrate spurge - Euphorbia ...lanatus C. Broadleaf Weed Species: 1-5% Birdf oat Tefoil - Lotus corniculatus Black-eyed Susan - Rudbeckia hirta L. Black Medic - Medicago lupulina

  3. National Register Testing of 42 Prehistoric Archeological Sites on Fort Hood, Texas: The 1996 Season

    Science.gov (United States)

    1999-12-01

    identified at Paluxy sites during March, April, and May 1997 Family Species Common Names Acacia angustissima var. hirta Allium drummondii Ambrosia...Diospyros texana Eragrostis intermedia Eragrostis trichodes Erigeron tenuis Erioneuron pilosum Erodium texanum Euphorbia roemeriana Evax...Rudbeckia hirta brown-eyed susan Ruellia nudiflora ruellia Salvia texana sage Schizachyrium scoparium var. frequens litte bluestem (grass) Sisyrinchium

  4. Monograph: Young Adulthood and Middle Age, 1989.

    Science.gov (United States)

    Monograph: Young Adulthood and Middle Age, 1989

    1989-01-01

    The inaugural volume of this serial contains 12 articles that represent a diverse population of counselors: (1) "Issues in Counseling Immigrants" (Linda Sheppard); (2) "Family Support and Starting a Small Business" (Michael Cusack and Peter Emerson); (3) "Professional Disillusionment: Crisis or Catalyst" (Kay Miller, Susan Cooper-Shoup and…

  5. Modernismi tõlgendamine jätkub / Reet Varblane

    Index Scriptorium Estoniae

    Varblane, Reet, 1952-

    2007-01-01

    Rahvusvaheline kunstiajalookonverents "Erinevad modernismid, erinevad avangardid. Kesk- ja Ida-Euroopa kunstiprobleemid pärast Teist maailmasõda" Kumu Kunstimuuseumis 27. ja 28. IX. Esinejad: Irena Buzhinska, David Crowley, Branislav Dmitrijevic, Sirje Helme, Henry Meyric Hughes, Jaak Kangilaski, Liljana Kolesnik, Andres Kurg, Vojtech Lahoda, Steven Mansbach, Pjotr Piotrowski, Stefanie Reetz, Susan E. Reid, Skaidra Trilupaite, Borut Vogelnik

  6. Editorial Team

    African Journals Online (AJOL)

    Editors. Siziwe S Khalatha, AJOL; Susan HL Murray, AJOL; Prof. José Paula, University of Lisbon, Portugal, Portugal; Dr Julius Francis · Kate Snow, South Africa; Kim Barker, South Africa; Alistair Barker, South Africa; Roza Carvalho, South Africa; Denise van Rensburg ...

  7. Focusing on life beyond numers

    DEFF Research Database (Denmark)

    Prip, Anne; Christiansen, Anette Wendelboe; Zoffmann, Vibeke

    at home to clarify their difficulties. Shifting the focus from ‘numbers’ to the patients’ life with diabetes can increase attendance and release the potential for change. Conclusion Susan benefitted from this flexible intervention, breaking out of her isolation by focusing on what was personally important...

  8. Eating Disorders: The Impact on Children and Families. Hearing before the Select Committee on Children, Youth, and Families. House of Representatives, One Hundredth Congress, First Session (San Francisco, CA, July 31, 1987).

    Science.gov (United States)

    Congress of the U.S., Washington, DC. House Select Committee on Children, Youth, and Families.

    The text of a Congressional hearing to examine the impact of eating disorders on children and families is presented in this document. Testimony by the following witnesses is included: (1) Krista Brown, eating disorder victim, and her mother, Susan Brown; (2) Robert B. Duncan, a hospital president; (3) Patricia Fallon, a clinical psychogist; (4)…

  9. Ammoxidation of 2-methyl pyrazine to 2-cyano pyrazine on MoO3 ...

    Indian Academy of Sciences (India)

    tion that forms waste products, like pyrazine, CO and. CO2. The optimal active site composition near the cat- alyst surface is necessary for nitrile incorporation to ..... 12. Mehri S, Reine W, Andersson A, Susan J and Yanping. T 1991 J. Catal. 132 128. 13. Thomas R, de Beer V H J and Moulijn J A 1981 Bull. Chim. Belg. 12 90.

  10. 77 FR 67783 - National Oil and Hazardous Substance Pollution Contingency Plan National Priorities List...

    Science.gov (United States)

    2012-11-14

    ... Water supply. Dated: October 31, 2012. Susan Hedman, Regional Administrator, Region 5 [FR Doc. 2012... and Hazardous Substance Pollution Contingency Plan National Priorities List: Deletion of the Waste... and Hazardous Substances Pollution Contingency Plan (NCP). EPA and the State of Michigan, through the...

  11. Whither Educational Evaluation: Life, Death, and Reincarnation? Research into Practice Project.

    Science.gov (United States)

    Herman, Joan; And Others

    1984-01-01

    The current health and future well-being of educational evaluation is considered in terms of financial support, official mandate, evaluators' status, evaluation prevalence, and evaluation utility in these seven symposium papers. "Educational Evaluation--Indicators of Life, Death, or Reincarnation," by Susan Klein, assesses recent federal…

  12. 76 FR 62455 - Aerospace Safety Advisory Panel; Meeting

    Science.gov (United States)

    2011-10-07

    ... SPACE ADMINISTRATION Aerospace Safety Advisory Panel; Meeting AGENCY: National Aeronautics and Space... meeting of the Aerospace Safety Advisory Panel. DATES: Friday, October 21, 2011, 12:30 to 2 p.m. Central.... FOR FURTHER INFORMATION CONTACT: Ms. Susan Burch, Aerospace Safety Advisory Panel Administrative...

  13. 77 FR 1955 - Aerospace Safety Advisory Panel; Meeting

    Science.gov (United States)

    2012-01-12

    ... SPACE ADMINISTRATION Aerospace Safety Advisory Panel; Meeting AGENCY: National Aeronautics and Space... meeting of the Aerospace Safety Advisory Panel. DATES: Friday, January 27, 2012, Time 11 a.m.-12:30 p.m... CONTACT: Ms. Susan Burch, Aerospace Safety Advisory Panel Administrative Officer, National Aeronautics and...

  14. Isast, Pojast ja Pühast Arhitektuurist / Toivo Tammik

    Index Scriptorium Estoniae

    Tammik, Toivo

    2006-01-01

    Dokumentaalfilmist Saaremaalt pärit ameerika arhitektist Louis Kahnist "My Architect : A Son's Journey" (režissöör Nathaniel Kahn, produtsent Susan Behr, USA, 2003, 116 min.) ja viibimisest Philadelphias seoses Louis Kahni päevade ettevalmistamisega

  15. Journal of Earth System Science | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    pp 353-373. A media-based assessment of damage and ground motions from the January 26th, 2001 M7.6 Bhuj, India earthquake · Susan E Hough Stacey Martin Roger Bilham Gail M Atkinson · More Details Abstract Fulltext PDF. We compiled available news and internet accounts of damage and other effects from the 26th ...

  16. A New View of Walk-Throughs

    Science.gov (United States)

    Moss, Connie M.; Brookhart, Susan M.

    2013-01-01

    Traditionally, principals have used walk-throughs to determine whether teachers are implementing strategies that the principal believes define good teaching. In this model, the principal is the expert, and the teacher is the learner. Connie M. Moss and Susan M. Brookhart believe that this approach can cause the principal to disregard the classroom…

  17. African Journal of AIDS Research - Vol 13, No 4 (2014)

    African Journals Online (AJOL)

    Effects of an exercise programme with people living with HIV: research in a disadvantaged setting · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Clemens Ley, Lloyd Leach, María Rato Barrio, Susan Bassett. http://dx.doi.org/10.2989/16085906.2014.961937 ...

  18. 76 FR 53885 - Patent and Trademark Resource Centers Metrics

    Science.gov (United States)

    2011-08-30

    ... DEPARTMENT OF COMMERCE United States Patent and Trademark Office Patent and Trademark Resource Centers Metrics ACTION: Proposed collection; comment request. SUMMARY: The United States Patent and... ``Patent and Trademark Resource Centers Metrics comment'' in the subject line of the message. Mail: Susan K...

  19. 77 FR 269 - Matters Related to Patent Appeals

    Science.gov (United States)

    2012-01-04

    ... DEPARTMENT OF COMMERCE United States Patent and Trademark Office Matters Related to Patent Appeals ACTION: Proposed collection; comment request. SUMMARY: The United States Patent and Trademark Office... Matters Related to Patent Appeals comment'' in the subject line of the message. Mail: Susan K. Fawcett...

  20. Prevención de tabaquismo en mujeres adolescentes /

    OpenAIRE

    Calleja Bello, Nazira sustentante.

    2009-01-01

     tesis que para obtener el grado de Doctor en Psicología, presenta Nazira Calleja Bello ; asesor Susan Pick Steiner. 296 páginas : ilustraciones. Doctorado en Psicología UNAM, Facultad de Psicología, 2009