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

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Open Journal of Pediatrics 2024年第4期14卷 669-685页

作者： Monde Muyangana maureen Masumo Mutinke Zulu Department of Paediatrics and Neonatal Nursing Lusaka College of Nursing Lusaka Zambia School of Nursing Sciences University of Zambia 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.

关键词： Perception Donor Breast Milk Preterm Baby

Acceptability of Caesarean Section among Pregnant Women Seeking Antenatal Care at Women and Newborn Hospital-University Teaching Hospitals, Lusaka Zambia

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Open Journal of Obstetrics and Gynecology 2024年第5期14卷 721-743页

作者： Huhenya Sharon Chongo maureen Masumo Namayipo Nankamba Lusaka College of Nursing and Midwifery University Teaching Hospital Lusaka Zambia Department of Midwifery Women and Child Health School of Nursing Sciences University of Zambia Lusaka Zambia

Caesarean section remains one of the most common obstetric and major operations performed on women during pregnancy and has contributed to improving maternal and foetal health. Consequently, significant mortality and morbidity from pregnancy and labour-related causes can be eliminated by a timely caesarean section. The acceptance of the life-saving procedure remains unsatisfactory in most sub-Saharan nations. The study aimed to assess the acceptability of caesarean section and associated factors among pregnant women seeking antenatal care at Women and Newborn Hospital-University Teaching Hospitals in Lusaka Zambia. The study utilised a quantitative cross-sectional analytical study design involving 420 pregnant women selected using systematic random sampling at Women and Newborn Hospital-University Teaching Hospitals Lusaka Zambia. Data was obtained using an Interview schedule and analysed using R software version 4.3.2. Chi-square, Fisher’s exact test, Wilcoxon rank sum test and binary logistic regression for statistical analysis at a 5% level of significance. The study found that the acceptability of Caesarean section as a mode of delivery was low (29%) among respondents at Women and Newborn Hospital-University Teaching Hospitals. This was influenced by marital status (P = 0.002), socioeconomic status (P = 0.050), parity (P = 0.004), gestation age (P = 0.008), previous history of caesarean section (P = 0.003), knowledge (P < 0.001), attitude (P < 0.001), and sociocultural beliefs (P = 0.045). Low acceptability of Caesarean section delivery is common among women at Women and Newborn Hospital-University Teaching Hospitals, despite its potential benefits for maternal and neonatal health. Socio-demographic and maternal characteristics, knowledge, attitude, perception, and socio-cultural beliefs play a major role in determining acceptability. Therefore, efforts to enhance acceptability should focus on improving knowledge, enhancing positive perceptions and attitudes, an

关键词： Caesareans Section Acceptability Knowledge Attitude Perception

Human-animal interactions and bat coronavirus spillover potential among rural residents in Southern China

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Biosafety and Health 2019年第2期1卷 84-90页

作者： Li Hongying Mendelsohn Emma Zong Chen Zhang Wei Hagan Emily Wang Ning Li Shiyue Yan Hong Huang Huimin Zhu Guangjian Ross Noam Chmura Aleksei Terry Philip Fielder Mark miller maureen Shi Zhengli Daszak Peter EcoHealth Alliance New YorkNYUSA School of Education and Human Development University of Colorado DenverDenverCOUSA Key Laboratory of Special Pathogens and Biosafety Wuhan Institute of VirologyChinese Academy of SciencesWuhan 430071China School of Health Sciences Wuhan UniversityWuhan 430071China Directorate of Research Business and InnovationKingston UniversityLondonUK School of Life Science Engineering and ComputingKingston UniversityLondonUK Mailman School of Public Health Columbia UniversityNew YorkNYUSA

Human interaction with animals has been implicated as a primary risk factor for several high impact zoonoses,including many bat-origin viral *** the animal-to-human spillover events that lead to emerging diseases are rarely observed or clinically examined,and the link between specific interactions and spillover risk is poorly *** investigate this phenomenon,we conducted biological-behavioral surveillance among rural residents in Yunnan,Guangxi,and Guangdong districts of Southern China,where we have identified a number of SARS-related coronaviruses in *** samples were tested for four bat-borne coronaviruses using newly developed enzyme-linked immunosorbent assays(ELISA).Survey data were used to characterize associations between human-animal contact and bat coronavirus spillover risk.A total of 1,596 residents were enrolled in the study from 2015 to *** participants(0.6%)tested positive for bat coronaviruses.265(17%)participants reported severe acute respiratory infections(SARI)and/or influenza-like illness(ILI)symptoms in the past year,which were associated with poultry,carnivore,rodent/shrew,or bat contact,with variability by family income and district of *** study provides serological evidence of bat coronavirus spillover in rural communities in Southern *** low seroprevalence observed in this study suggests that bat coronavirus spillover is a rare ***,this study highlights associations between human-animal interaction and zoonotic spillover *** findings can be used to support targeted biological behavioral surveillance in high-risk geographic areas in order to reduce the risk of zoonotic disease emergence.

关键词： Bat coronavirus Human-animal interaction Disease emergence Southern China Rural community

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

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Open Journal of Obstetrics and Gynecology 2024年第5期14卷 790-823页

作者： Julia D. Kalito maureen M. Masumo Chapima Fabian Department of Midwifery Women&#8217s and Child Health University of Zambia Lusaka 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 accep

关键词： Acceptability Kangaroo Mother Care Low Birth Weight Babies

Serological Evidence of Bat SARS-Related Coronavirus Infection in Humans,China

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Virologica Sinica 2018年第1期33卷 104-107页

作者： Ning Wang Shi-Yue Li Xing-Lou Yang Hui-Min Huang Yu-Ji Zhang Hua Guo ,Chu-Ming Luo maureen miller Guangjian Zhu Aleksei A. Chmura Emily Hagan Ji-Hua Zhou Yun-Zhi Zhang Lin-Fa Wang Peter Daszak Zheng-Li Shi CAS Key Laboratory of Special Pathogens and Biosafety Wuhan Institute of Virology Chinese Academy of Sciences Wuhan 430071 China University of Chinese Academy of Sciences Beijing 100049China School of Health Sciences Wuhan UniversityWuhan 430071 China Eco Health Alliance New York NY 10001 USA Yunnan Provincial Key Laboratory for Zoonosis Control and Prevention Yunnan Institute of Endemic Diseases Control and Prevention Dali 671000 China School of Public Health Dali University Dali 671000 China Programme in Emerging Infectious Diseases Duke-NUS Medical School Singapore 169857 Singapore

Dear Editor,Severe acute respiratory syndrome coronavirus(SARSCo V)is the causative agent of the 2002–2003 SARS pandemic,which resulted in more than 8000 human infections worldwide and an approximately 10%fatality rate(Ksiazek et al.2003;Peiris et al.2004).The virus infects both upper airway and alveolar epithelial cells,resulting in mild to severe lung injury in

关键词：病毒感染 SARS 血清学证据中国世界范围症候群代理人

拉斯维加斯史上最贵的“球”MSG Sphere版“楚门的世界”

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城市地理 2024年第3期 74-79页

作者： Da Wang 长城(图) maureen Peter(图) 道山靓妹(图) MoMo(图) 不详

MSG Sphere,即拉斯维加斯碗形剧场。这座球状建筑的外观类似一颗夜空中的繁星,由120万颗LED光源构成万象外观,再加上绚丽多彩的色彩和独特的形态,成为了拉斯维加斯最新的标志性建筑。不过,除了华丽的外观,该建筑的内在或许才是真正令人... 详细信息

MSG Sphere,即拉斯维加斯碗形剧场。这座球状建筑的外观类似一颗夜空中的繁星,由120万颗LED光源构成万象外观,再加上绚丽多彩的色彩和独特的形态,成为了拉斯维加斯最新的标志性建筑。不过,除了华丽的外观,该建筑的内在或许才是真正令人心动的所在。

关键词： LED光源标志性建筑拉斯维加斯 MSG

Supraclavicular lymph node transplant:a focus on technique

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Plastic and Aesthetic Research 2022年第1期9卷 77-83页

作者： maureen Beederman David W.Chang Section of Plastic and Reconstructive Surgery Department of SurgeryThe University of Chicago MedicineChicagoIL 60637USA

Physiologic surgical options,including vascularized lymph node transplant and lymphovenous bypass are becoming increasingly popular interventions for the treatment of lymphedema of both the upper and lower *** different lymph node donor sites have been described,including submental,lateral thoracic,superficial groin,supraclavicular,and various intraabdominal *** paper describes a step-by-step approach to the harvest of vascularized lymph nodes from the supraclavicular area,which is the preferred donor site for most patients with both upper and lower extremity lymphedema.

关键词： Lymphedema surgery lymph node transplant microsurgery

Anomaly Detection in Textured Images with a Convolutional Neural Network for Quality Control of Micrometric Woven Meshes

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Fluid Dynamics & Materials Processing 2022年第6期18卷 1639-1648页

作者： Pierre-Frédéric Villard maureen Boudart Ioana Ilea Fabien Pierre Universitéde Lorraine CNRS Inria LORIA Nancy54000France IUT de Saint-DiéUniversitéde Lorraine Saint-Dié-des-Vosges88100France Technical University of Cluj-Napoca Cluj-Napoca400114Romania

Industrial woven meshes are composed of metal materials and are often used in construction,industrial and residential activities or *** objective of this work is defect detection in industrial fabrics in the quality control *** order to overcome the limitations of manual methods,which are often tedious and time-consuming,we propose a strategy that can automatically detect defects in micrometric steel meshes by means of a Convolutional Neural *** database used for such a purpose comes from real problem data for anomaly detection in micrometric woven *** detection is performed through supervised classification with a Convolutional Neural Network using a VGG19 *** define a pipeline and a strategy to tackle the related small amount of *** includes i)augmenting the database with translation,rotation and symmetry,ii)using pre-trained weights and iii)checking the learning curve behaviour through *** obtained results show that,despite the small size of our databases,detection accuracy of 96%was reached.

关键词： Industrial fabrics defects detection deep learning convolutional neural network VGG19

A Rare Case of Late LAD Reimplantation after Arterial Switch Operation

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Congenital Heart Disease 2022年第1期17卷 99-106页

作者： Yannick Kabulo Kolela maureen Klepper Geoffroy de Beco Thierry Sluysmans Alain Poncelet Department of Cardiovascular and Thoracic Surgery Cliniques Universitaires Saint-LucBrusselsBelgium Pôle de Recherche Cardiovasculaire Institut de Recherche Expérimentale et Clinique(IREC)Universite Catholique de Louvain and Division of Cardiothoracic and Vascular SurgeryCliniques Universitaires Saint-LucBrusselsBelgium Department of Pediatric Cardiology University Hospital Saint-LucBrusselsBelgium

Arterial switch operation(ASO)is a complex neonatal operation in which transfer of the coronary arteries origins is the key to *** events after a successful ASO are not *** describe a rare case of a child who underwent an ASO in the neonatal period with one coronary(LAD)described as atretic left in *** age seven,he developed myocardial ischemia due to retrograde flow with a steal phenomenon from the LAD into the pulmonary *** patient underwent a late LAD *** case underscores that even very small ostia should be translocated at the time of ASO.

关键词： Late LAD reimplantation arterial switch operation transposition of the great arteries congenital surgery