36 research outputs found
Allaitement à la sortie d’hospitalisation des enfants nés prématurément et politiques d’unité : données de la cohorte EPIPAGE 2
No full textDespite acknowledged benefits of human milk, breast milk feeding rates for preterm infants vary between countries and neonatal units. Maternal and infant characteristics have been extensively studied and do not explain all part of this variability. With data from the french national cohort EPIPAGE 2 and the French Perinatal Survey, we showed that: 1) rates of initiation of lactation for term infants (69%) were almost equal to those of very preterm (<32 weeks’ gestation) and moderate preterm infants (32-34 weeks) (68% and 72%, respectively); 2) 47% of very preterm infants and 59% of moderate preterm infants received breast milk feeding at discharge; 3) Some measures, known to support breast milk feeding, were widely available in France (use of donor milk, protocols for breast milk feeding, and breast pumps); 4) Despite this “friendly environment”, there was a great variability of breast milk feeding rates between units, ranging from 30% to 80%; 5) Unit policies associated with breast milk feeding at discharge - early skin to skin, early involvement of parents in feeding support for the infant, policies supporting breast milk feeding initiation and maintenance - partly explained this variability; 6) High breast milk feeding initiation rates in the general population were associated with breast milk feeding at discharge only in moderate preterm infants. These results highlight the need for an in-depth approach to breast milk feeding support. Adopting policies of higher performing units offers an effective strategy and realistic potential for neonatal units to increase breast milk feeding rates at discharge in this high-risk population of preterm infants.Malgré les bénéfices reconnus du lait maternel, les taux d’allaitement chez les enfants nés prématurément sont variables selon les pays et les unités d’hospitalisation. Les caractéristiques maternelles et néonatales ont largement été étudiées et n’expliquent pas l’ensemble de cette variabilité. À partir des données de la cohorte nationale française EPIPAGE 2 et de l’Enquête Nationale Périnatale, nous avons montré que : 1) les taux d’initiation de la lactation étaient comparables chez les nouveau-nés à terme (69%) et ceux nés avant 32 semaines d’aménorrhée (SA) (68%) et nés entre 32 et 34 SA (72%) ; 2) 47% des enfants nés avant 32 SA et 59% des enfants nés entre 32 et 34 SA recevaient du lait maternel à la sortie d’hospitalisation ; 3) Certaines mesures, connues pour soutenir l’allaitement, étaient largement répandues en France (utilisation du lait de donneuses, protocoles pour l’allaitement et disponibilité des tire-lait) ; 4) Malgré cet environnement favorable, il existait une variabilité inter unités des taux d’allaitement à la sortie de 30 à 80% ; 5) Les politiques d’unité associées à l’allaitement, en particulier le peau à peau précoce, la participation des parents à l’alimentation de leur enfant, expliquaient en partie cette variabilité ; 6) Des taux élevés d’initiation de l’allaitement dans la population générale étaient associés à l’allaitement à la sortie uniquement chez les enfants nés entre 32 et 34 SA. Ces résultats soulignent la complexité et l’importance d’une vision globale du soutien à l’allaitement. Il apparaît possible d’augmenter les taux d’allaitement chez les enfants nés prématurément, en adoptant les politiques des unités les plus performantes
Breast milk feeding at discharge of preterm infants and unit policies : EPIPAGE-2 cohort study
No full textMalgré les bénéfices reconnus du lait maternel, les taux d’allaitement chez les enfants nés prématurément sont variables selon les pays et les unités d’hospitalisation. Les caractéristiques maternelles et néonatales ont largement été étudiées et n’expliquent pas l’ensemble de cette variabilité. À partir des données de la cohorte nationale française EPIPAGE 2 et de l’Enquête Nationale Périnatale, nous avons montré que : 1) les taux d’initiation de la lactation étaient comparables chez les nouveau-nés à terme (69%) et ceux nés avant 32 semaines d’aménorrhée (SA) (68%) et nés entre 32 et 34 SA (72%) ; 2) 47% des enfants nés avant 32 SA et 59% des enfants nés entre 32 et 34 SA recevaient du lait maternel à la sortie d’hospitalisation ; 3) Certaines mesures, connues pour soutenir l’allaitement, étaient largement répandues en France (utilisation du lait de donneuses, protocoles pour l’allaitement et disponibilité des tire-lait) ; 4) Malgré cet environnement favorable, il existait une variabilité inter unités des taux d’allaitement à la sortie de 30 à 80% ; 5) Les politiques d’unité associées à l’allaitement, en particulier le peau à peau précoce, la participation des parents à l’alimentation de leur enfant, expliquaient en partie cette variabilité ; 6) Des taux élevés d’initiation de l’allaitement dans la population générale étaient associés à l’allaitement à la sortie uniquement chez les enfants nés entre 32 et 34 SA. Ces résultats soulignent la complexité et l’importance d’une vision globale du soutien à l’allaitement. Il apparaît possible d’augmenter les taux d’allaitement chez les enfants nés prématurément, en adoptant les politiques des unités les plus performantes.Despite acknowledged benefits of human milk, breast milk feeding rates for preterm infants vary between countries and neonatal units. Maternal and infant characteristics have been extensively studied and do not explain all part of this variability. With data from the french national cohort EPIPAGE 2 and the French Perinatal Survey, we showed that: 1) rates of initiation of lactation for term infants (69%) were almost equal to those of very preterm (<32 weeks’ gestation) and moderate preterm infants (32-34 weeks) (68% and 72%, respectively); 2) 47% of very preterm infants and 59% of moderate preterm infants received breast milk feeding at discharge; 3) Some measures, known to support breast milk feeding, were widely available in France (use of donor milk, protocols for breast milk feeding, and breast pumps); 4) Despite this “friendly environment”, there was a great variability of breast milk feeding rates between units, ranging from 30% to 80%; 5) Unit policies associated with breast milk feeding at discharge - early skin to skin, early involvement of parents in feeding support for the infant, policies supporting breast milk feeding initiation and maintenance - partly explained this variability; 6) High breast milk feeding initiation rates in the general population were associated with breast milk feeding at discharge only in moderate preterm infants. These results highlight the need for an in-depth approach to breast milk feeding support. Adopting policies of higher performing units offers an effective strategy and realistic potential for neonatal units to increase breast milk feeding rates at discharge in this high-risk population of preterm infants
Early skin-to-skin contact and risk of late-onset-sepsis in very and extremely preterm infants
No full textthe Epipage 2 Neurodevelopmental care writing Group: Catherine Arnaud, Antoine Burguet, Gilles Cambonie, Laurence Caeymaex, Olivier Claris, Catherine Gire, Isabelle Glorieux, Bernard Guillois, Pierre Kuhn, Bénédicte Lecomte, Ayoub Mitha, Hugues Patural, Jean-Charles Picaud, Véronique Pierrat, Jean-Christophe Roze & Jacques Sizun. /// the EPIPAGE-2 Infectious diseases writing group: Pascal Boileau, Marine Butin, Laurence Foix-L’Hélias, Christèle Gras-Le Guen, Gilles Kayem, Pierre Kuhn, Mathilde Letouzey, Elsa Lorthe, Emeline Maisonneuve, Ayoub Mitha, Jeanne Sibiude & Héloïse Torchin.International audienceTo evaluate the association between exposure to early skin-to-skin contact (SSC) and incidence of late-onset sepsis (LOS) in extremely and very preterm infants. Methods Observational study using the national population-based EPIPAGE-2 cohort in 2011. A propensity score for SSC exposure was used to match infants with and without exposure to SSC before day 4 of life and binomial log regression used to estimate risk ratios and CIs in the matched cohort. The primary outcome was at least one episode of LOS during hospitalization. Secondary outcomes were the occurrence of any late-onset neonatal infection (LONI), LOS with Staphylococcus or Staphylococcus aureus, incidence of LOS and LONI per 1000 central venous catheter days. Results Among the 3422 included infants, 919 were exposed to early SSC. The risk ratio (RR) for LOS was 0.86 (95% CI, 0.67-1.10), for LONI was 1.00 (95% CI, 0.83-1.21), and for LOS with Coagulase-negative Staphylococcus or Staphylococcus aureus infection was 0.91 (95% CI, 0.68-1.21) and 0.77 (95% CI, 0.31-1.87). The incidence RR for LOS per-catheter day was 0.87 (95% CI, 0.64-1.18). Conclusion Early SSC exposure was not associated with LOS or LONI risk. Thus, their prevention should not be a barrier to a wider use of SSC. Impact Kangaroo Mother Care decreased neonatal infection rates in middle-income countries. Skin-to-skin contact is beneficial for vulnerable preterm infants but barriers exist to its implementation. In a large population-based study using a propensity score methods, we found that skin-to-skin contact before day 4 of life was not associated with a decreased risk of late-onset-sepsis in very and extremely preterm infants. Early skin-to-skin contact was not associated with an increased risk of any late-onset-neonatal-infection, in particular with staphylococcus. The fear of neonatal infection should not be a barrier to a wider use of early skin-to-skin contact in this population
Comment on “Trends and disparities in breastfeeding initiation in France between 2010 and 2016: Results from the French National Perinatal Surveys”
No full textEvaluation prospective de l'épidémiologie et de la prise en charge des infections ostéo-articulaires de l'enfant dans la région Nord-Pas-de-Calais
No full textLILLE2-BU Santé-Recherche (593502101) / SudocSudocFranceF
IDENTIFIKASI PENANGANAN MUATAN LPG MENGGUNAKAN RELIQUEFIED SYSTEM DI KAPAL MT. GAS WIDURI
No full textABSTRACT
Mitha Rahmania Pratiwi, 2018, 5145127.N, “Identification cargo handling of LPG utilized reliquefied system on MT. Gas Widuri”, thesis Nautical Study Program, Diploma IV Program, Merchant Marine Polytechnic Semarang, Supervisor I: Dr. Capt. M Suwiyadi, S. Pd., M.Pd., M.Mar. Supervisor II: Sri Murdiwati, S. Sos, M.Si.
As one source of reliable foreign exchange the result is export oil and natural gas. Thus, smooth the implementation of the discharge operation can affect productivity ships in function as a means of transport. Therefore author’s want to know how to identification cargo handling of LPG, and find solutions of obstacles occurs.
The methodology which I used in my observation is qualitative and descriptive method. With the data analysis are fishbone and fault tree, to determine the cause of the problems and find solutions.
In this research terms of collecting data, through observation, interview, and documentation of researchers above a ship during the period on january 2018 until july 2018. Then were analysed into a discovery that should be given the solution of the problem and became a research observation can be useful for those who read it.
The research results show: traits and characteristics of LPG contain, knowing how the way to identification cargo handling use reliquefied system, knows all that must be considered during their work above the ship with LPG cargo, knowing how the way to handling this cargo contain so well, the obstacle that find during, and efforts must be done good between teminals and ships or ships and mother ship .
In the end of the research, the author conclusions and suggestions that can be used as a reference in the handling of the LPG cargo. Advice of the author is improving the awareness of the self for the entire crew a vessel that figure out the characteristics of the cargo and their environment work is important. So that events on a voyage and the cargo operations of a ship are going good condition and the obstacles occurs can try to get it repaired.
Keyword: Identification cargo handling of LP
The Tale of a Choreographer, Her student, River and an endangered Heritage: Indu Mitha’s Qaseeda-i-Ilm of Jamal/ “An Ode to Wisdom and Beauty”
No full textChoreographing in Pakistan since the 50’s, the country’s senior most 90+ years young classical dance maestro Indu Mitha has made trailblazing contributions within the Kalakshtera Bharata Natyam using North Indian music, interesting and contemporary content, while also producing more tableau forms of dance.
In one of her recent solo pieces in the later style, titled “Qaseeda-i-Ilm of Jamal” or “An Ode to Wisdom and Beauty” Indu engages with symbolisms of a Hindu goddess of knowledge and Aesthetics_Saraswati and pays tribute to a forgotten dried up river of the same name. Indu Mitha allows the author, for whom and on whose body the dance is made, to bring in the forgotten river in her engagement with people’s histories of the land of present-day Pakistan and eventually facilitates her accessing of and embodying a pluralistic space of inter faith harmony which was occluded
Effect of fluid flow, pH and tobacco extracts concentration as organic inhibitors to corrosion characteristics of AISI 1045 steel in 3.5% NaCl environment containing CO2 gas
No full textIdentifying Verbs And Adverbs In The Indonesian Heroes Book
No full textThis study examines the use of verbs and adverbs in the "Indonesian Heroes" book to understand their roles and patterns in the narrative. By identifying and analyzing these parts of speech, The Author highlight how actions and descriptions are conveyed in the text. The findings show specific trends in verb and adverb usage that reflect the storytelling style and cultural context of Indonesian literature
Produksi Majalah Digital "Pariwisata Toraja"
No full textSalah satu daerah di Indonesia yang memiliki kekayaan alam dan cerita adat serta budaya yang unik nan khas, berada di dataran tinggi provinsi Sulawesi Selatan yakni Toraja. Toraja, yang memiliki sejuta keindahan negeri di atas awan, bangunan rumah adat dengan arsitektur ikonik serta keunikan budaya dan tradisi yang masih hidup berdampingan dengan masyarakat Toraja sampai saat ini. Kemegahan dataran tinggi menyimpan beragam keindahan wisata yang sangat menarik untuk dijelajahi. Namun dibalik kekayaan alam serta budaya yang dimiliki Toraja, terdapat masalah yang cukup krusial. Penulis menyimpulkan masalah bahwa, minim ditemukan adanya sebuah media yang membahas secara keseluruhan potensi pariwisata di Toraja dengan sajian informasi yang bersifat informatif. Melihat masalah yang ditemukan, kemudian penulis mengaitkan masalah ini dengan pandangan Jurnalistik. Sehingga dirancang sebuah majalah yang berbasis digital, tanpa menghilangkan karakter sebuah majalah cetak dengan judul majalah edisi pertama “Toraja Utara Tourism Magazine”. Produksi Tugas Akhir ini merupakan Majalah digital pertama yang ada di Toraja. Perancangan produksi Tugas Akhir dilakukan riset mendalam, observasi, liputan langsung di lapangan serta melakukan wawancara. Konsep majalah secara keseluruhan dibagi kedalam 12 rubrik dengan sajian narasi berbentuk penulisan feature berdampingan dengan beragam foto untuk menghidupkan alur cerita dari setiap rubrik. Media publikasi majalah yang pilih adalah platform media sosial Instagram dan memanfaatkan fitur Instagram untuk memperluas publikasi majalah digital Toraja.One of the regions in Indonesia that has natural wealth and unique and distinctive customary stories and cultures, is in the highlands of the province of South Sulawesi, namely Toraja. Toraja, which has a million beauties of the country above the clouds, traditional house buildings with iconic architecture and unique cultures and traditions that still coexist with the Toraja people to this day. The splendor of the plateau holds a variety of tourist beauties that are very interesting to explore. But behind the natural and cultural wealth of Toraja, there is a crucial problem. The author concludes that there is little media that discusses the overall tourism potential in Toraja with informative information. Looking at the problems found, then the author associates this problem with the Journalistic view. So that a digital-based magazine was designed, without removing the character of a print magazine with the title of the first issue of the magazine "Toraja Utara Tourism Magazine". This Final Project production is the first digital magazine in Toraja. The production design of the Final Project was carried out in-depth research, observation, direct coverage in the field and conducted interviews. The concept of the magazine as a whole is divided into 12 rubrics with narrative presentations in the form of feature writing side by side with various photos to bring the storyline of each rubric to life. The chosen magazine publication media is the Instagram social media platform and utilizes the Instagram feature to expand the publication of Toraja digital magazines
