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18, -0.01), positive parenting behaviors by 0.14 SDs (-0.21, -0.01), and increased parenting stress by 0.07 SDs (0.02, 0.12). The impact on home-based stimulation was most pronounced when the mother herself had a COVID-19 infection (-0.16; -0.29, -0.04). Parenting stress responded most strongly to mother or child COVID-19 infections. Effects were relatively short-lived, only children's infections' on parental stress was still detectable 2weeks after initial infection.
Our findings suggest that COVID-19 infections cause substantial disruptions in children's home environments - additional short-term support for families with acute infections could attenuate the negative impact on children's home environment during the pandemic.
Our findings suggest that COVID-19 infections cause substantial disruptions in children's home environments - additional short-term support for families with acute infections could attenuate the negative impact on children's home environment during the pandemic.
Childhood maltreatment (CM) is connected with a large number of maladaptive long-term outcomes. Effective prevention and intervention hinges partly on our understanding of the key mediating mechanisms that help account for the relationship between child maltreatment and its long-term consequences. Fludarabine cell line We know the consequences of CM can extend into adulthood, including the intergenerational transmission of violence, re-victimization, high-risk behavior, and persisting mental health problems. We argue that CM also likely affects decision-making autonomy in adulthood, limiting their independence and exaggerating their risk for other poor outcomes. We suggest that the effects of CM on self-esteem and access to social support mediate this relationship, helping to explain how and why CM impacts autonomy in the long term.
This study aimed to examine these relationships using a cross-sectional sample of currently married women of Bangladesh aged 15-49years (N=426).
A multi-stage random sampling technique was employsectional design. Finally, our findings suggest that the influence of CM on autonomy could be augmented by self-esteem recovery through social support from family, friends, and peers.
To present the experience on prenatal diagnosis of Miller-Dieker syndrome (MDS)/PAFAH1B1-related lissencephaly to further determine fetal phenotypes of this syndrome.
This was a retrospective study of ten pregnancies with fetal MDS/PAFAH1B1-related lissencephaly identified by chromosomal microarray (CMA)/exome sequencing (ES). Clinical and laboratory data were collected and reviewed for these cases, including maternal demographics, prenatal sonographic findings, CMA or ES results and pregnancy outcomes.
Two cases were diagnosed in the first trimester because of an increased nuchal translucency. The remaining eight cases were identified at late gestation, including four in the second trimester because of fetal cardiac anomalies or ventriculomegaly, and four in the third trimester because of ventriculomegaly. CMA revealed 17p13.3 deletions in nine cases, and ES detected a de novo PAFAH1B1 missense mutation in one case.
The prenatal presentation of MDS/PAFAH1B1-related lissencephaly depended on the gestational age when the diagnosis was made. Mild ventriculomegaly was the most common prenatal sonographic sign identified in cases of MDS/PAFAH1B1-related lissencephaly. It is important that fetal MRI and invasive testing with CMA should be considered in fetuses with apparently 'isolated' mild ventriculomegaly.
The prenatal presentation of MDS/PAFAH1B1-related lissencephaly depended on the gestational age when the diagnosis was made. Mild ventriculomegaly was the most common prenatal sonographic sign identified in cases of MDS/PAFAH1B1-related lissencephaly. It is important that fetal MRI and invasive testing with CMA should be considered in fetuses with apparently 'isolated' mild ventriculomegaly.
A rise in the rate of cesarean delivery (CD) has been found to be associated with a higher length of hospital stay, making it a public health concern. We aimed to evaluate risk factors for prolonged hospitalization following CD.
A retrospective cohort study, in a single tertiary medical center, was conducted (2011-2019). Cesarean deliveries were categorized into three groups according to the postpartum length of stay (a) up to 3days (the routine post cesarean hospital stay in our center, reference group) (b) 4-9days, and (c) 10days or above (prolonged hospitalization). Risk factors were examined using univariate analysis as well as multivariate logistic regression. A specific risk prediction score was developed to predict the need for prolonged hospitalization and ROC curve was assessed utilizing the performance of our model.
Overall, 87,424 deliveries occurred during the study period. Of them, 19,732 (22.5%) were cesarean deliveries. Hospitalization period was distributed as follows 10,971 (55.6%) women were hospitalized for up to 3days, 7,576 (38.4%) stayed for 4-9days and 1,185 (6%) had a prolonged hospitalization period (≥10days). Using multivariate analysis, multiple pregnancy (OR=1.29, 95%CI 1.05-1.58), preterm delivery<37weeks (OR=8.32, 95%CI 6.7-10.2), Apgar score<7 (OR=1.41, 95%CI 1.11-1.78) and non-elective CD (OR=1.44, 95%CI 1.15-1.8) were identified as independent risk factors for prolonged hospitalization. Antenatal thrombocytopenia (PLT<100K) was found to be a protective factor (OR=0.51, 95%CI 0.28-0.92). Our score model included antenatal risk factors and was found to be predicting the outcome, with an AUC of 0.845 (95%CI 0.83-0.86, p-value<0.001).
A prediction score model for prolonged hospitalization after CD may be beneficial for risk assessment and post-partum management.
A prediction score model for prolonged hospitalization after CD may be beneficial for risk assessment and post-partum management.Despite successful viral suppression with antiretroviral therapy, chronic HIV-1 infection is associated with ongoing immune dysfunction. Investigation of the complex immune response in treated and untreated individuals with chronic HIV-1 infection is warranted. Immune alterations such as monocyte phenotype and Th-17/Treg ratios often persist years after the reduction in viraemia and predispose many individuals to long-term comorbidities such as cardiovascular disease or cancer. Furthermore, while there has been extensive research on the latent reservoir of treated patients with chronic HIV-1, which prevents the discontinuation of treatment, the mechanism behind this remains elusive and needs further investigation. In this review, we assist in navigating the recent research on these groups of individuals and provide a basis for further investigation.In view of the increasing threat of overuse of broad-spectrum antibiotics to water environment, here, a series of small molecular intercalated bismuth oxychloride (SBC-X) composite photocatalysts were successfully constructed by a simple stirring synthesis at room temperature. Among them, SBC-0.5 showed excellent photocatalytic performance against the three target broad-spectrum antibiotics in visible light, which was 3.06 times, 5.93 times and 11.64 times higher than that of monomer for degrading tetracycline, norfloxacin and ciprofloxacin, respectively. Through analysis, it was found that the excellent photocatalytic degradation performance of SBC-0.5 was mainly attributed to the greatly improved specific surface area, which increased to 14 times of monomer, providing a large number of reaction sites for the subsequent photocatalytic degradation. Besides, intercalated molecules as charge transfer bridges between nanosheets greatly accelerated the efficiency of photogenerated charge transfer between layers. Free radical trapping experiments and electron spin resonance indicated that superoxide anion radicals played a major role in the photocatalytic degradation, followed by singlet oxygen. Furthermore, nine potential degradation intermediates were identified, and the toxicity was greatly reduced confirmed by ECOSAR software prediction and soybean seed germination and seeding growth experiment. Our work will provide useful information for the purification of wastewater containing antibiotics.Traditional liquid lithium-ion batteries are not applicable for extreme temperatures, due to the shrinkage of separators and volatility of electrolytes. It is necessary to develop advanced electrolytes with desirable characteristics in terms of thermal stability, electrochemical stability and mechanical properties. Solid-state electrolytes, such as polyethylene oxide (PEO), outperform other types and bring the opportunity to realize the high-temperature lithium-ion batteries. However, the softness of PEO at elevated temperatures leads to battery failure. In this work, a three-dimensional fiber-network-reinforced PEO-based composite polymer electrolyte is prepared. The introduced polyimide (PI) framework and trimethyl phosphate (TMP) plasticizer decrease the crystallinity of PEO and increase the ionic conductivity at 30 °C from 8.79 × 10-6 S cm-1 to 4.70 × 10-5 S cm-1. In addition, the PEO bonds tightly with PI fiber network, improving both the mechanical strength and thermal stability of the prepared electrolyte. With the above strategies, the working temperature range of the PEO-based electrolytes is greatly expanded. The LiFePO4/Li cell assembled with the PI-PEO-TMP electrolyte stably performs over 300 cycles at 120 °C. Even at 140 °C, the cell still survives 80 cycles. These excellent performances demonstrate the potential application of the PI-PEO-TMP electrolyte in developing safe and high-temperature lithium batteries.For micron-sized nickel-based hydroxides sheets, the reaction and migration of anions/water molecules in the inner region tends to lag behind those along the edge, which can cause structure mismatch and capacity degradation during cycles. Nanosizing and structure design is a feasible solution to shorten the ion/electron path and improve the reaction homogeneity. Herein, this study reports a novel three-stage strategy (self-assembly of NiMn-LDH/ppy-C - reduction to NiMn/ppy-C - in situ phase transformation into NiMn/NiMn-LDH/ppy-C) to reduce the sheet size of NiMn-LDH to nanometer. Triggered by electrochemical activation, NiMn-LDH nanosheets can hereby easily and orderly grow on the exposed active (111) crystal plane of Ni to establish NiMn-LDH/NiMn heterostructure around ppy-C. Importantly, nanosizing and hierarchical structure play a synergistic role to maintain structural integrity and to promote the electron/mass transfer kinetics. The NiMn/NiMn-LDH/ppy-C composite delivers superior cycling stability with almost no decay of capacity retention after 40,000 cycles at 5 A g-1. Our hierarchical morphology modulation provides an ingenious, efficient way to boost the performance of Ni-based layered hydroxide materials.The spent adsorbent loaded by toxic metals is a solid hazardous waste which could cause significant secondary pollution due to potential possible additional release of metal ions. Therefore, the main subject is direct reutilization of spent adsorbents which can further economically and realistically offer new features, like recycling metal adsorbed, or formation of functional SiO2-based nanocomposites. The nanoporous structure and negative surface charges enable steel slag-derived amorphous calcium silicate hydrate (CSH) to retain effectively the incoming metal ions (e. g. Au3+, Ag+, Pd2+, Fe3+, Co2+, Ni2+, Cu2+, Zn2+, Ce3+, Y3+, and Gd3+) by chemisorption. Sparked by natural carbonation 'weathering', which ultimately sequestrates atmospheric CO2 by alkaline silicate minerals to leach calcium from mineral matrix, the decalcification reactions of metal-bearing CSH results in successful recovery of noble metals (Ag, Au, Pd) upon NaOH etching the resultant SiO2 support. Further, SiO2-based heterostructures, containing nanocrystalline metals (e.