Perceptions of Mothers with Preterm Babies towards Donor Breast Milk at Women and Newborn Hospital,Lusaka Zambia

Breast milk offers essential nutrients crucial for the development of the preterm immune system, thus reducing the incidence of infection and mortality often associated with prematurity. In the absence of breast milk, the preferred option is donated breast milk, the best alternative for hospitalized neonates whose mothers have insufficient breast milk or are unavailable. In Zambia, donor breast milk is unavailable. Instead, the protocol recommends the administration of formula milk. However, the use of formula milk in preterm babies is associated with an increased risk of necrotizing enterocolitis and sepsis. Zambia needs to establish a donor milk bank, hence the need to understand the perception of mothers towards donated breast milk. A qualitative descriptive case study utilized 10 focus group discussions with in-depth interviews, purposively selected using a variation strategy. Data was thematically analysed. Participants demonstrated potential acceptance to donor breast milk utilization, as more nutritional compared to formula despite lack of awareness. Concerns related to safety, quality, fear of disease transmission and discomfort feeding from a different bloodline were identified as hinderance to possible utilisation. These perceptions underscore the importance of educational initiatives aimed at dispelling myths and misconceptions surrounding donor breast milk and establishing donor breast milk programs. Therefore, the study recommends educational initiatives tailored to raise awareness to mothers about donor breast milk.

Acceptability of Kangaroo Mother Care (KMC) by Mothers with Low-Birth-Weight Babies at Arthur Davison Children’s Hospital, in Ndola, Zambia

Background: Kangaroo Mother Care is a simple safe method used to care for low-birth-weight babies. Low-birth-weight is a global public health issue that pose significant challenge to perinatal care systems. Globally, complications due to low-birth-weight are the leading cause of neonatal mortality, resulting in an estimated 1 million deaths annually. Kangaroo Mother Care (KMC) is a low-cost method of care for low-birth-weight infants in areas with inadequate incubators and power outages with positive outcomes. Objectives: To assess factors influencing acceptability of Kangaroo Mother Care (KMC) in NICU at Arthur Davison Children’s Hospital in Ndola, Zambia. Methodology: A cross sectional quantitative analytical study design was used. The study was conducted at Arthur Davison Children’s Hospital (ADCH) in Ndola, Zambia. The purposive sampling method was used to select the study participants and a total of 129 mothers with Low Weight Babies A were selected to participate structured closed ended questionnaire was used to collect data from the participants using an interview. Data was analyzed using a Statistical Package for Social Scientists (SPSS) software version 26. Cross tabulations were done to determine association of variables using a Chi square (x2) test at 95% confidence interval and were assumptions where not met, fishers exact test was used. Multivariate binary logistic regression analysis was used to quantify the relationship between the dependent and independent variables. Results: Most of the respondents had male babies 77%, 69% of the babies weighed 1000 g - 1400 g, majority 79% had normal delivery, 71% of the respondents were multigravida and most of the respondents 79% were married. The study reviewed that 85% of those who attained secondary education accepted KMC, 74% of the respondents without monthly income accepted KMC, 80% of the respondents had positive attitude and accepted KMC. 82% of the respondents who had positive perception accepted KMC. Conclusion: Acceptance of Kangaroo Mother Care (KMC) among 75% of the mothers underscores its widespread favourability as a beneficial method for infant care.

Preparation of carbon fiber cloth supported porous CdS nanorods with excellent photocatalytic activity for Cr(Ⅵ)reduction

The use of visible-light responsive photocatalysts for removing heavy metal ions in wastewater has received great attention.However,the development of photocatalysts with high activity and recyclability remains a huge challenge.Herein,a recyclable carbon fiber cloth-supported porous CdS nanorod photocatalyst was fabricated by a two-step hydrothermal treatment using AgVO_(3) nanowires as templates.The results indicated that under visible-light illumination,the carbon cloth-supported porous CdS nanorods showed improved photocatalytic activity for the reduction of Cr(Ⅵ),with an apparent rate constant exceeding that of carbon cloth-supported CdS nanospheres by a factor of 1.65 times.Moreover,the carbon cloth-supported porous CdS nanorods can be easily separated and be reused.This brings a new perspective for developing photocatalysts with high efficiency and recyclability for wastewater treatment.

Transfusion related morbidity in premature babies: Possible mechanisms and implications for practice

Many premature babies, especially those with a low birth weight are given multiple transfusions during their first few weeks of life. The major serious complications of prematurity include bronchopulmonary dysplasia, with lesser incidences of retinopathy of prematurity, intraventricular haemorrhage, and necrotising enterocolitis. Many studies have shown correlations between the receipt of blood transfusions and the development of these conditions, but little is known of the underlying pathophysiology of this relationship. Recent studies are beginning to provide some answers. This review examines recent findings with regard to the influence of preparation and storage of paediatric packed red blood cell units on heme, iron, and oxidative status of the units and relates these to the ability of the premature baby to deal with these changes following the receipt of blood transfusions. Paediatric packed red blood cell units are a potential source of heme, redox active iron and free radicals, and this increases with storage age. Haemolysis of transfused red blood cells may add further iron and cell free haemoglobin to the recipient baby. Premature babies, particularly those with low birth weight and gestational age appear to have littlereserve to cope with any additional iron, heme and/or oxidative load. The consequences of these events are discussed with regard to their contribution to the major complications of prematurity and a novel hypothesis regarding transfusion-related morbidity in premature babies is presented. The review concludes with a discussion of potential means of limiting transfusion related iron/heme and oxidative load through the preparation and storage of packed red blood cell units and through modifications in clinical practice.

Evaluation of the Babies At Risk Surveillance System in Rushinga District, Mashonaland Central Province, Zimbabwe, 2015

Background: About 15% of world’s population lives with some disability. Zimbabwe’s prevalence of disability was at 7% in 2013. ARSS is a paper-based system to monitor and detect neuro-developmental conditions and childhood disability early. Indicators for registering a baby into ARSS include: low Apgar score, low birth weight and birth asphyxia. Active case finding in Rushinga District in July 2015 identified nine cerebral palsy cases that were missed by the system out of 14 randomly chosen babies delivered at Chimhanda District Hospital. We evaluated the performance of the ARSS in Rushinga District. Methods: We evaluated the system using CDC guidelines for surveillance systems evaluation. All 12 health facilities in Rushinga were included. Health workers involved in ARSS were purposively recruited. Interviewer administered questionnaire, key informant interview guide, checklists and records review were used for data collection. Knowledge of participants on the system was assessed using five-point Likert scale. Data were analyzed using Epi Info 7. Results: Fifty-one participants were recruited for the study. Median years in service for all participants was 7 (Q1 = 6;Q3 = 12). Average knowledge score was 3. Majority participants (82.4%) were not trained on ARSS and cited lack of: knowledge, reporting guidelines, induction and focal persons as reasons for missing AR cases. Currently, ARSS is able to detect only 12.5% of cases. Prevalence of AR babies in Rushinga for period November 2014 to November 2015 was 21.1%. Monthly cost of detecting and registering a case was USD$52.46. Conclusions: ARSS was found to be useful, simple, acceptable and affordable, however was found to be unstable and not sensitive. Training of health workers particularly village health workers and integrating ARSS with the DHIS2 could improve system performance. As a result of the evidence from this evaluation, it has been agreed to include ARSS data on the monthly return form (T5) beginning June 2016.

The new antifrictional epoxidographitofluoroplastic materials, reinforced by clothes

The antifrictional polymeric compounds on the base of epoxy binder are received. There are tribotechnical, mechanical, physico-chemical and thermal compounds properties have been researched. The production methods of epoxidographitofluoroplastic materials, rienforced by clothes from tribotechnical goods are proposed.

Application of Patchwork Art Form in Traditional Costumes:A Case Study of Baijia Clothes

Patchwork art culture has a long history and is also a kind of aestheticism fashion popular in the internet.Patchwork art of Baijia clothes is taken as the research object,and various application of patchwork art in Chinese traditional costumes in past thousand years is explained.As cultural identity of the Chinese nation,patchwork continuously nourishes and enriches world cultural relics.Its application research not only could bring rich inspiration for modern costume art but also has important actual significance and higher historical value.

Maternal and Neonatal Factors Associated with Mortality of Preterm Babies Admitted in Newborn Unit of Kenyatta National Hospital, Kenya

Background: Preterm birth is a primary cause of neonatal morbidity and mortality especially in low-income countries. Although understanding the preventable factors of neonatal deaths in preterm infants is required for timely interventions, data on those factors is lacking in Kenya. We attempted to determine mortality and its associated factors in preterm babies in Kenya. Methods and Materials: A hospital-based, prospective study was implemented from July 2019 to October 2019 involving 163 preterm neonates and their mothers admitted at Kenyatta National Hospital. A systematic random sampling method was used to recruit the study participants. Data on mortality and the associated factors in preterm neonates were collected using a pretested questionnaire for mothers and neonatal medical records. Data was analyzed using descriptive and inferential statistics. Results: The mortality rate was 18.4%. Of the neonates who died, respiratory distress syndrome (63.3%) and neonatal sepsis (20.0%) were documented as the primary causes. Neonates born of single mother (AOR = 8.006, 95% CI 2.267 to 28.272, p = 0.001), unemployed (6.960, 1.059 - 45.757, p = 0.043), self-employed (4.040, 1.067 - 15.302, p = 0.040), anemic (7.465, 2.530 - 22.023, p < 0.001) and with history of bleeding during pregnancy were more likely to have died. The neonates born before 28 weeks of gestation (126.188, 14.554 - 1094.060, p < 0.001), those who did not cry immediately at birth (54.271, 5.970 - 493.395, p < 0.001) and the resuscitated at birth (54.406, 6.807 - 434.851, p < 0.001) were likely to die. Conclusion: High mortality rates of preterm neonates are attributed to both maternal and neonatal factors. Focused antenatal care should aim at early identification of high-risk mothers for early management of bleeding during pregnancy, close monitoring of nutritional status for mothers and health education.

Assessing gestational age of babies: Performance of obstetric ultrasound scan compared to that from the combination of Naegle’s rule and Dubowitz score in the 21st century

Background: Some researchers have suggested that when Naegle’s rule (NR) and Dubowitz score (DS) are combined, it could out-perform obstetric ultrasound scan (USS). Others still believe that obstetric USS alone is still effective relative to the combination of NR rule and DS in assessing the gestational age (GA) of babies. Objectives: To determine and compare the GA of babies using obstetric USS, NR and DS;and to provide relevant public health information on obstetric USS in the 21st century. Methods: Subjects were selected using systematic random sampling and the GA of babies was determined using obstetric USS, NR, and DS. Statistical package for social science (SPSS) statistical software version 16, Illinois, Chicago USA was used for all data analysis. Results: Eightyfive mother-baby pairs were studied. Forty-four babies (52%) were males and 41 (48%) females. Sixty four (75%) were term with a mean (SD) BW of 3.02 (0.59) at 95%CI (2.89 -?3.14) kg. The overall mean GA of the babies was 38.49 (2.89) at 95%CI (38.14 -?38.85) weeks. The mean GA using obstetric USS, NR and DS were 38.52 (1.98) at 95%CI (38.14 -?38.99), 38.09 (4.13) at 95%CI (37.20-?38.99) and 38.82 (2.02) at 95%CI (38.39 -?39.26), but comparison of these means was not significant (p = 0.256). Combined mean GA by NR and DS was 38.46 (3.26) at 95%CI (37.96 -?38.95). Comparing this mean with mean GA obtained by obstetric USS was also not significant (p = 0.885). Conclusion: The GA assessments by Obstetric USS, NR and DS were all reliable, and Obstetric USS performed effectively relative to combined NR and DS.

Automated Speech Recognition System to Detect Babies’ Feelings through Feature Analysis

Diagnosing a baby’s feelings poses a challenge for both doctors and parents because babies cannot explain their feelings through expression or speech.Understanding the emotions of babies and their associated expressions during different sensations such as hunger,pain,etc.,is a complicated task.In infancy,all communication and feelings are propagated through cryspeech,which is a natural phenomenon.Several clinical methods can be used to diagnose a baby’s diseases,but nonclinical methods of diagnosing a baby’s feelings are lacking.As such,in this study,we aimed to identify babies’feelings and emotions through their cry using a nonclinical method.Changes in the cry sound can be identified using our method and used to assess the baby’s feelings.We considered the frequency of the cries from the energy of the sound.The feelings represented by the infant’s cry are judged to represent certain sensations expressed by the child using the optimal frequency of the recognition of a real-world audio sound.We used machine learning and artificial intelligence to distinguish cry tones in real time through feature analysis.The experimental group consisted of 50%each male and female babies,and we determined the relevancy of the results against different parameters.This application produced real-time results after recognizing a child’s cry sounds.The novelty of our work is that we,for the first time,successfully derived the feelings of young children through the cry-speech of the child,showing promise for end-user applications.

Effect of Cellulose Enzymes on Some Properties of Fibre Clothes

This study examined the effects of the enzyme cellulose on a few single jersey and interlock 100% flax t-shirts, two different styles of knit children’s clothes that differ in both their chemical and mechanical characteristics. Clothing samples were dyed using reactive colours and then subjected to normal acid cellulose enzyme treatment procedures. We evaluated some physical and mechanical features before and after cellulose treatments, then compared these characteristics. Its cellulose enzymatic processing enhances some mechanical properties of fibre knitwear, such as pilling resistance and retention of water. Some characteristics of fibre-knitted clothing, such as fabric weight, fabric thickness, fabric burst resistance, and seam tensile strength of T-shirt side seams, are reduced by cellulose enzyme treatment at a manageable rate. Compared to single-jersey all-fiber children’s T-shirts, interlocking 100% flax children’s T-shirts have a better effect of the enzyme cellulose treatment on the majority of physical and mechanical attributes.

Analysis on the Colour Scheme of Brand Ready-Made Clothes in China

The colour scheme of brand ready-made clothes, as an integral part of brand culture, is playing a more and more omportant role in modem brand ready-made clothes designing. The cultural background of Chinese clothing brands was explored, the features of the interaction of colour, the design concept of colouring of the local Chinese brano clothes were discussed. International fashion trend was analysed, and both the psychological and social infuences on the colours of a certain season were discussed. In addition, we ought to investigate and study the late essential colours and the salable colours of our own brands, and summarize the clout systems that are practicable.

Distortion product otoacoustic emissions in newborn babies with and without late-term maternal iron deficiency anaemia

Background:Studies on animals have demonstrated that maternal iron deficiency anaemia(IDA)could result in decreased cochlear sensory hair cells and reduced amplitudes of distortion-product otoacoustic emissions(DPOAEs)of young guinea pigs.Thus,it is essential to study the functioning of cochlear hair cells using DPOAEs in human newborn babies with maternal IDA.The current study explores maternal IDA’s effect on DPOAEs in newborn babies.Method:A total of 110 newborn babies with gestational age≥34 weeks were considered and a‘betweensubjects’design was used.The participants were divided into 3 groups-“Normal”(61 babies without maternal IDA),“Mild”(28 babies with mild maternal IDA)and“Moderate”(21 babies with moderate maternal IDA).The cord blood was collected and the DPOAEs were recorded for each baby for a range of frequencies(1 k 8 kHz)and a range of intensities(7040 dB SPL in 10 dB steps).Results:The analysis of both DP-gram and DP input-output(I/O)function showed that there was no significant difference(p>0.05)across the normal,mild,and moderate groups in the overall presence of DPOAEs as well as the amplitude across frequencies or intensities(7040 dB SPL).Also,the overall correlation of RBC indices with DPOAE amplitude across frequencies as well as the slope of the I/O function showed no relationship.Conclusion:The current study concludes that there is no effect of late-term maternal IDA on the DPOAEs of newborn babies.

Metric Learning for Semantic Metric Learning for Semantic⁃Based Clothes Retrieval

Existing clothes retrieval methods mostly adopt binary supervision in metric learning.For each iteration,only the clothes belonging to the same instance are positive samples,and all other clothes are“indistinguishable”negative samples,which causes the following problem.The relevance between the query and candidates is only treated as relevant or irrelevant,which makes the model difficult to learn the continu-ous semantic similarities between clothes.Clothes that do not belong to the same instance are completely considered irrelevant and are uni-formly pushed away from the query by an equal margin in the embedding space,which is not consistent with the ideal retrieval results.Moti-vated by this,we propose a novel method called semantic-based clothes retrieval(SCR).In SCR,we measure the semantic similarities be-tween clothes and design a new adaptive loss based on these similarities.The margin in the proposed adaptive loss can vary with different se-mantic similarities between the anchor and negative samples.In this way,more coherent embedding space can be learned,where candidates with higher semantic similarities are mapped closer to the query than those with lower ones.We use Recall@K and normalized Discounted Cu-mulative Gain(nDCG)as evaluation metrics to conduct experiments on the DeepFashion dataset and have achieved better performance.

The First Exhibition of NE·TIGER-APEC Leaders Clothes in Beijing

On December 23,2014,the first exhibition of clothes designed by NETIGER for APEC leaders opened in Beijing.As the first stop in a series of national exhibitions,there were 40 sets of clothes on display,including men’s and women’s clothes,and sleepwear.According to Mr.ZhangZhifeng,the founder and artistic director of NE·TIGER,the company contributed in

Importance of Nurses＇ Clothes Etiquette in Medical Education

Good clothes etiquette of nurses can meet the mental needs of patients, which can promote early recovery of patients. A nurse with a good clothes etiquette style conveys the information to the patients, which can produce a positive effect, so nurses＇ appropriate clothes appearance, proper manners, kind and amiable attitude and appropriate discourse and other good clothes etiquettes can achieve the effect that the medicine can not achieve.

Gorgeous Transformation Analysis on Influence of Doctors＇ Clothes on Patients

Doctors＇ clothes have bidden farewell to the historical limitation of only being used as the working clothes, which have become an important part of hospital image. In the eyes of patients, the appearance image of doctors is the image which is most concerned by patients. Doctors＇ clothes beauty reflects the inner beauty of doctors in working, giving the patients the warmth and comfort, which is of great importance to both the physical and mental therapy.

Cohesion Analysis inThe Water Babies --Based on Systemic-Functional Grammar

Under the guidance of Systemic-Functional Grammar(SFG),cohesion is applied to analyze the selected context.Cohesion plays a great role in organizing a whole context and it can be further divided into grammatical cohesion and lexical cohesion.Main ideas of cohesion are illustrated and made it for application,which employs British children's literature-The Water Babies as the object.The research method adopted here is mainly quantitative.Through analyzing selected sections,it is obvious that cohesion helps readers understand the contexts better.Besides,the use of cohesion makes the context more precise and compact.For context,the role of cohesion is irreplaceable.

从《The Emperor’s New Clothes》的改写想起的——在外语教学过程中要善于通过语言把深刻的思想阐发出来

(一)《The Emperor’s New Clothes》是 Hans Christian Andersen 的著名故事之一。课本采用的文章是经过改写的。因为是名著,改写本很多,人教社1984年第一版(1985年4月第一次印刷)高级中学课本(英语)第一册的第七、八课所使用的就是再改写1981年1月出版的高一试用本的文章。

Study on the Integration of Two-dimensional Series Patterns with Clothes

The two-dimensional series patterns have been greatly applied to the changes of clothing details and edges, and the clothes with series edges is able to fully embody the clothing structure, highlight clothing modeling features, and modify the beauty of bodily form, so that clothes looks simple, decent, and cool, and its structure is clear to all; a form of rotation is formed on the human body, making the beauty-appreciation perspective of the viewers greatly changed. However, there are unending changes in the modern clothes, and therefore it is particularly important to explore a new design way of thinking in the field of design. The two-dimensional series patterns are reflected in the clothing details by relying on different composition forms, and can show the essence of traditional Chinese culture and promote design to win in details.