Breastfeeding decline in urban China: An exploratory study

Retrospective data collected in two urban neighborhoods of Tianjin, People's Republic of China, reveal a decline in the rate and duration of breastfeeding since the mid-1930's. There is no reason to suppose that this decline was stimulated by policies intended to discourage breastfeeding, or by pressures from commercial interests determined to expand the use of milk substitutes or supplements. The evidence indicates that breastfeeding declined as women became involved in work outside the home, as they adopted a form of postmarital residence that separated them from other relatives, as income increased, and as their rural origins decreased. No evidence was found to indicate a relationship between breastfeeding and parity or sex preferences.     

Contamination of equipment in emergency settings: An exploratory study with a targeted automated intervention

Introduction

Gastro-oesophageal reflux disease (GORD) is a common problem in the Western countries, and the interest in the minimal access surgical approaches to treat GORD is increasing. In this study, we would like to discuss the presentations and management of complications we encountered after Laparoscopic Nissen's fundoplication in our District General NHS Hospital. The aim is to recognise these complications at the earliest stage for effective management to minimise the morbidity and mortality.

Methods

301 patients underwent laparoscopic treatment for GORD by a single consultant surgeon in our NHS Trust from September 1999. The data was prospectively collected and entered into a database. The data was retrospectively analysed for presentations for complications and their management.

Results

Surgery was completed laparoscopically in all patients, except in five, where the operation was technically difficult due to pre-existing conditions. The complications we encountered during surgery and follow-up period were major intra-operative bleeding (n = 1, 0.33%), severe post-operative nausea and vomiting (n = 1, 0.33%), wound infection (n = 3, 1%), port-site herniation (n = 1, 0.33%), wrap-migration (n = 2, 0.66%), wrap-ischaemia (n = 1, 0.33%), recurrent regurgitation (n = 4, 1.32%), recurrent heartburn (n = 29, 9.63%), tension pneumothorax (n = 2, 0.66%), surgical emphysema (n = 8, 2.66%), and port-site pain (n = 4, 1.33%).

Conclusion

Minimal access approach to treat GORD has presented with some specific and unique complications. It is important to recognise these complications at the earliest possible stage as some of these patients may present in an acute setting requiring emergency surgery. All members of the department, and not just the members of the specialised team, should be aware about these complications to minimise the morbidity and mortality.     

Becoming a Christian in Fiji: an ethnographic study of ontogeny

By means of an ethnographic and developmental analysis, this article shows how everyday ritual practice is fundamental to people's constitution over time of ideas that, in this case, inform a specifically Fijian Christianity. Focusing on the developmental process that is the fixation of belief, and on the significance of ritual for this process, it explores transformations in ideas about God, Sunday school, and death ceremonies held by Sawaieke girls and boys between 7 years, 10 months and 13 years old. The broader objective is to demonstrate, first, how data obtained systematically from children can illuminate our understanding of ritual and its significance, and, secondly, how an analysis of the developmental process necessarily entails a concomitant analysis of the social relations that inform it.     

Becoming a Christian in Fiji: an ethnographic study of ontogeny

By means of an ethnographic and developmental analysis, this article shows how everyday ritual practice is fundamental to people's constitution over time of ideas that, in this case, inform a specifically Fijian Christianity. Focusing on the developmental process that is the fixation of belief, and on the significance of ritual for this process, it explores transformations in ideas about God, Sunday school, and death ceremonies held by Sawaieke girls and boys between 7 years, 10 months and 13 years old. The broader objective is to demonstrate, first, how data obtained systematically from children can illuminate our understanding of ritual and its significance, and, secondly, how an analysis of the developmental process necessarily entails a concomitant analysis of the social relations that inform it.     

An exploratory study on grapsid crab zonation in Kenyan mangroves

Despite earlier efforts to understand the role played by grapsid crabs inmangroves, their importance in the structuring and functioning of suchsystems is fully appreciated, particularly with regard to small-scalestudies. The present study provides some new data on the interaction between mangroves and crabs, namely the link between the distribution of particular mangrove tree species and the distribution of certain crab species at the assemblage level. Floristicand faunistic relevés were made in Gazi Bay (2 sites) and Mida Creek(3 sites), 140 km apart on the Kenyan coast, along five transects in aseries of quadrats covering the width of the mangrove belts. Zonation ofboth mangrove vegetation and brachyuran fauna was described and heightabove datum and distance to the mainland (limit of non-flooded area)measured. The relationship between the presence and the absence of crabs andtrees was analysed using detrended correspondence analysis.Summarized, the mangrove tree zonation pattern contains four assemblageswith a particular dominant species: first a landward Avicennia marinazone, followed by a mixed zone with Ceriops tagal, Rhizophoramucronata and Bruguiera gymnorrhiza, and finally a R.mucronata zone and a Sonneratia alba zone, both of which can mixwith seaward A. marina. Ordination results show that the distributionof Neosarmatium meinerti and Sesarma ortmanni is linked to thelandward A. marina zone, that of Neosarmatium smithii, Sesarma guttatum and Sesarma leptosoma corresponds to the R. mucronata zone and that of Metopograpsus thukuhar and Sesarma elongatum to the seaward A. marina and S. albazone. There appears to be one major underlying factor in the zonation of bothcrabs and trees, with most likely a complex multiple causality. In certaincases the association between crabs and trees are causal, whereas in othercases it can be the result of an independent restriction to the same zonesby a common cause.     

Second trimester extracellular microRNAs in maternal blood and fetal growth: An exploratory study

Healthy feto-maternal communication is critical during pregnancy and is orchestrated by the placenta. Dysfunction of the placenta leads to fetal growth complications; however, the underlying biological mechanisms have yet to be fully elucidated. Circulating extracellular microRNAs (exmiRNAs) in the blood have been implicated in cell-to-cell communication. Therefore, exmiRNAs may provide useful biological information about communication between the mother, the fetus, and the placenta during pregnancy. We used logistic regression to determine the association of exmiRNAs with abnormal fetal growth by comparing mothers of infants classified as small-for-gestational age (SGA) (n = 36) and large-for-gestational age (LGA) (n = 13) to appropriate-for-gestational age (AGA), matched by gestational age at delivery and infant sex. In addition, we used linear regression to determine associations between exmiRNAs and birth weight-for-gestational age (BWGA) z-score (n = 100), adjusting for maternal age, body mass index, and parity. We found that higher levels of miR-20b-5p, miR-942-5p, miR-324-3p, miR-223-5p, and miR-127-3p in maternal serum were associated with lower odds for having a SGA vs. AGA infant, and higher levels of miR-661, miR-212-3p, and miR-197-3p were associated with higher odds for having a LGA vs. AGA infant. We also found associations between miR-483-5p, miR-10a-5p, miR-204-5p, miR-202-3p, miR-345-5p, miR-885-5p, miR-127-3p, miR-148b-3p, miR-324-3p, miR-1290, miR-597-5p, miR-139-5p, miR-215-5p, and miR-99b-5p and BWGA z-score. We also found sex-specific associations with exmiRNAs and fetal growth. Our findings suggest that exmiRNAs circulating in maternal blood at second trimester are associated with fetal growth. Validation of our findings may lead to the development of minimally-invasive biomarkers of fetal growth during pregnancy.     

An eight-month study of a population of verocytotoxigenic Escherichia coli (VTEC) in a Scottish cattle herd

AIMS: Strains of Verocytotoxin-producing Escherichia coli (VTEC) from Scottish beef cattle on the same farm were isolated during four visits over a period of eight months. Characteristics of these strains were examined to allow comparisons with strains of VTEC associated with human infection. METHODS AND RESULTS: Strains were characterized to investigate the relationship between these bovine isolates with respect to serotype, Verocytotoxin (VT) type, intimin-type, and presence or absence of the enterohaemolysin genes. VT genes were detected in 176 of 710 (25%) faecal samples tested using PCR, although only 94 (13%) VTEC strains were isolated using DNA probes on cultures. Forty-five different serotypes were detected. Commonly isolated serotypes included O128ab:H8, O26:H11 and O113:H21. VTEC O26:H11 and O113:H21 have been associated with human disease. Strains harbouring the VT2 genes were most frequently isolated during the first three visits to the farm and those with both VT1 and VT2 genes were the major type during the final visit. Of the 94 strains of non-O157 VTEC isolated, 16 (17%) had the intimin gene; nine had the gene encoding beta-intimin and seven strains had an eta/zeta-intimin gene. Forty-one (44%) of 94 strains carried enterohaemolysin genes. CONCLUSIONS: Different serotypes and certain transmissible characteristics, such as VT-type and the enterohaemolysin phenotype, appeared to be common throughout the VTEC population at different times. SIGNIFICANCE AND IMPACT OF THE STUDY: Detailed typing and subtyping strains of VTEC as described in this study may improve our understanding of the relationship between bovine VTEC and those found in the human population.     

Animal rights activists' representations of animals and animal rights: An exploratory study

Abstract

During the last 30 years, supporters of the animal rights movement have questioned the use of animals for human benefit and have campaigned for improvements in their welfare. In the present study, activists' representations of animals and animal rights were investigated by interviewing 23 participants (from three animal welfare and animal rights organizations) during four focus-group discussions. Results show that the activists' representations were generated from the love/pain thema, which on the one hand showed the compassion and love the activists have for animals, and on the other hand the suffering that animals can endure. Moreover, differences were found in this study in the way that members of the three animal welfare and rights organizations constructed their views of animals. While members of two out of the three organizations aimed to protect abandoned animals, members of the Anti-Vivisection League faced the contradictions within the human–animal relationship and endorsed a more coherent approach to animals. These findings are interpreted in light of previous studies conducted on the animal rights movement and of recent developments in social representation theory.     

Crosscultural differences in frontalis muscle tension levels: An exploratory study comparing Japanese and Westerners

This paper describes a comparison between Japanese (N=20) and Westerners (N=20) in their respective frontal EMG levels and their ability to relax during one 5-minute biofeedback training session. The data indicated a significantly lower baseline muscle tension level in Japanese than in Westerners. After EMG biofeedback, however, no significant difference was found between the two groups. Japanese females showed significantly higher tension levels both during baseline and biofeedback phases than did Japanese males.     

Filifactor alocis and Dialister pneumosintes in a Mexican population affected by periodontitis and rheumatoid arthritis: An exploratory study

Filifactor alocis and Dialister pneumosintes have been associated with the initiation and progression of periodontitis (PE). We determined and compared the frequency of both bacteria in patients with PE, rheumatoid arthritis (RA), and PE/RA simultaneously. Detection was performed by polymerase chain reaction in the subgingival biofilm. Bacteria were more frequent in patients with PE, and clinical periodontal parameters such as pocket depth (PD) and clinical attachment loss (CAL) were significantly higher in patients with PE/RA. F. alocis and D. pneumosintes could influence PD and CAL, hence participating in the initiation and progression of PE in patients with RA.