Associated factors of depression in primiparas with hypothyroidism during pregnancy.

This cross-sectional study aimed to explore the associated factors of depression in primiparas with hypothyroidism during pregnancy. The research subjects were 200 primiparas with hypothyroidism during pregnancy who were admitted to our hospital between December 2016 and December 2019. Self-rating depression scale scores were used to evaluate the depression, and the incidence of depression were examined. The data from all the subjects were collected to compare the differences between primiparas with hypothyroidism during pregnancy with and without depression. A logistic regression equation was used to analyze the influencing factors of depression in these patients. Of the 200 primiparas who took part in this study, 27 suffered from depression, accounting for 13.50%. There were differences in age, education level, economic income, sleep quality, and conjugal relations between the depressed and the nondepressed participants. When the above factors were included in the logistic regression equation, it was found that the odds ratio values for these factors were all >1, which indicated that they had an influence on maternal depression in primiparas with hypothyroidism during pregnancy. This study demonstrated that pregnancy-associated hypothyroidism in primiparas is affected by age, education level, economic income, sleep quality, and conjugal relations, all of which increase the incidence of depression. Relevant preventive measures should be provided in clinical practice to avoid the occurrence of depression.

Global Model Selection for Semi-Supervised Support Vector Machine via Solution Paths.

Semi-supervised support vector machine (S 3 VM) is important because it can use plentiful unlabeled data to improve the generalization accuracy of traditional SVMs. In order to achieve good performance, it is necessary for S 3 VM to take some effective measures to select hyperparameters. However, model selection for semi-supervised models is still a key open problem. Existing methods for semi-supervised models to search for the optimal parameter values are usually computationally demanding, especially those ones with grid search. To address this challenging problem, in this article, we first propose solution paths of S 3 VM (SPS 3 VM), which can track the solutions of the nonconvex S 3 VM with respect to the hyperparameters. Specifically, we apply incremental and decremental learning methods to update the solution and let it satisfy the Karush-Kuhn-Tucker (KKT) conditions. Based on the SPS 3 VM and the piecewise linearity of model function, we can find the model with the minimum cross-validation (CV) error for the entire range of candidate hyperparameters by computing the error path of S 3 VM. Our SPS 3 VM is the first solution path algorithm for nonconvex optimization problem of semi-supervised learning models. We also provide the finite convergence analysis and computational complexity of SPS 3 VM. Experimental results on a variety of benchmark datasets not only verify that our SPS 3 VM can globally search the hyperparameters (regularization and ramp loss parameters) but also show a huge reduction of computational time while retaining similar or slightly better generalization performance compared with the grid search approach.

Hydration deactivation mechanism of the 〈100〉 oriented cuprous oxide photocathodes in solar water splitting and the regenerated three-dimensional structure.

Photocorrosion is the most ticklish problem of cuprous oxide (Cu2O), and it is widely assumed that the deactivation of Cu2O photocathodes in solar water splitting is caused by spontaneous oxidation-reduction (REDOX) reactions. However, this work shows that 〈100〉-oriented Cu2O photocathodes undergo a non-REDOX hydration deactivation mechanism. Briefly, water molecules are embedded in the Cu2O crystals at low potential under illumination and produce amorphous CuOH, which can be dehydrated at high potential to heal the Cu-O-Cu bonds and regenerate foamed Cu2O films with a three-dimensional skeleton structure. This study provides a new insight towards the protection and application of Cu2O photocathodes.

The Prevalence and Influencing Factors of Postpartum Depression Between Primiparous and Secundiparous.

ABSTRACT: Since the implementation of "two-child policy" in China, the prevalence and influencing factors of postpartum depression (PPD) between women at first childbirth and second childbirth remains unclear. We aimed to compare the prevalence and the influencing factors of PPD between the two groups. Postpartum women were recruited at their 6-week postpartum checkups and invited to complete questionnaires. The prevalence rate of PPD was 42.1%. There was no statistical difference found regarding the prevalence of PPD and the total score on the Edinburgh Postnatal Depression Scale between the two groups. The median of the item "self-injury" was significantly higher among women at first childbirth. Women with gestational diabetes in pregnancy, antenatal anxiety and depression, abortion, having babies getting sick occasionally, and deteriorated relationships with partner in pregnancy had much higher risks for PPD. Both primiparous and secundiparous had a high prevalence of PPD. It provides scientific evidence for clinical preventive and nursing care for PPD.

Knowledge and attitude on donation of breast milk in hospitalized mothers / Conocimiento y actitud sobre la donación de leche materna en madres hospitalizadas

Objective: To understand the knowledge and attitude of breast milk donation among hospitalized mothers, and provide data to support the establishment and development of breast milk bank in China. Methods: By convenient sampling method, 200 hospitalized mothers were interviewed by ‘The Questionnaire on Knowledge and Attitude toward Breast Milk Donation in Hospitalized Mothers’ in Shanghai Sixth People's Hospital from September 2015 to November 2018. Results: The overall correct answer rate about the knowledge on breast milk donation was not high (29.23%). The average score of breast milk donation attitude was relatively low, with a score of 32.97 ± 4.30. Conclusion: The average correct answer rate for breast milk donation knowledge was relatively low, and the attitude on breast milk donation was not positive. The scope and intensity of breast milk donation are suggested to be expanded to promote the construction of breast milk banks. (AU)

Objetivo: Investigar el conocimiento y la actitud sobre la donación de leche materna entre las madres hospitalizadas, y aportar datos para respaldar el establecimiento y desarrollo del banco de leche materna en China. Métodos: Mediante el método de muestreo conveniente, se entrevistó a 200 madres hospitalizadas utilizando el Cuestionario de conocimiento y actitud sobre la donación de leche materna en madres hospitalizadas en el Hospital Popular Sixth de Shanghai desde septiembre de 2015 hasta noviembre de 2018. Resultados: Lasa de respuesta correcta global acerca del conocimiento de la donación de leche materna no fue alta (29,23%). La puntuación media de la actitud sobre la donación de leche materna fue relativamente baja: 32,97 ± 4,30. Conclusión: La tasa de respuesta correcta media para el conocimiento sobre la donación de leche materna fue relativamente baja, y la actitud sobre la donación de leche materna no fue positiva. El alcance y la intensidad de la donación de leche materna deben expandirse, para promover la construcción de bancos de leche materna. (AU)

Clinical effects of different anesthesia methods in lateral episiotomy.

OBJECTIVES: To investigate the clinical effects of different anesthesia methods in lateral episiotomy. Providing the guidance of choosing the appropriate anesthesia method in clinical operation. METHODS: A total of 300 primiparas with vaginal delivery were enrolled into this study. These primiparas were divided into three groups (n=100, each), according to the different methods of anesthesia: group A (pudendal nerve block anesthesia + stepwise dissection and incisional local anesthesia), group B (bilateral pudendal nerve block anesthesia), and group C (pudendal nerve block anesthesia + local infiltration anesthesia). The pain score of these primiparas at the time of perineal dissection and suturing, as well as suturing time and bleeding volume, were observed and compared among these three groups. RESULTS: In respect of pain scores at the time of suturing in lateral episiotomy, maternal pain score was significantly lower in group A than in groups B and C; and the difference was statistically significant (P<0.05). In respect of the time required for suturing in lateral episiotomy, suturing time was shorter in group A than in groups B and C; and the difference was statistically significant (P<0.05). In respect of the bleeding volume in lateral episiotomy, maternal bleeding volume was lesser in group A than in groups B and C; and the difference was statistically significant (P<0.05). CONCLUSIONS: Among these three commonly used methods of anesthesia in lateral episiotomy, the pudendal nerve block anesthesia + stepwise dissection and incisional local anesthesia method used in group A had the best analgesic effect, the shortest suturing time, and the lowest wound blood loss. KEY WORDS: Lateral episiotomy, Pudendal nerve block anesthesia, Local anesthesia, Pain score.

Knowledge and attitude on donation of breast milk in hospitalized mothers.

OBJECTIVE: To understand the knowledge and attitude of breast milk donation among hospitalized mothers, and provide data to support the establishment and development of breast milk bank in China. METHODS: By convenient sampling method, 200 hospitalized mothers were interviewed by 'The Questionnaire on Knowledge and Attitude toward Breast Milk Donation in Hospitalized Mothers' in Shanghai Sixth People's Hospital from September 2015 to November 2018. RESULTS: The overall correct answer rate about the knowledge on breast milk donation was not high (29.23%). The average score of breast milk donation attitude was relatively low, with a score of 32.97 ± 4.30. CONCLUSION: The average correct answer rate for breast milk donation knowledge was relatively low, and the attitude on breast milk donation was not positive. The scope and intensity of breast milk donation are suggested to be expanded to promote the construction of breast milk banks.

Correlation study between increased fetal movement during the third trimester and neonatal outcome.

BACKGROUND: We aimed to analyze the correlation between increased fetal movements in the third trimester and neonatal outcomes. METHODS: We enrolled pregnant women (n = 219) who reported increased/excessive fetal movements in the third trimester in our hospital. A control group of healthy women (n = 278) who had undergone regular childbirth and delivery in our hospital during the same period and did not report abnormal fetal movements were also recruited. All pregnant women underwent fetal non-stress test. We analyzed the neonatal weight, appearance, pulse, grimace, activity, and respiration score, degrees of amniotic fluid contamination, amniotic fluid volume, conditions of umbilical cord around the neck and cord length, and incidence of small for gestational age. In addition, the incidence of preterm delivery, cesarean section rate, postpartum hemorrhage, and other postpartum complications were also analyzed. We then analyzed the correlation between increased/excessive fetal activity and neonatal outcomes. RESULTS: Women with complaints of increased/excessive fetal movements exhibited increased fetal movements mainly around 31 and 39 weeks of gestation. Several pregnancy variables, including number of previous delivery, gestational age (less than 34 weeks and more than 37 weeks) and vaginal birth rate, were associated with increased/excessive fetal movements. In addition, women who reported increased/excessive fetal movements had higher odds of large for gestational age (LGA), particularly those with gestational age over 37 weeks. CONCLUSION: Increased/excessive fetal movements may be used to predict adverse neonatal outcome such as LGA.

Data on genome analysis of Bacillus velezensis LS69.

The data presented in this article are related to the published entitled "Whole-genome sequencing of Bacillus velezensis LS69, a strain with a broad inhibitory spectrum against pathogenic bacteria" (Liu et al., 2017) [1]. Genome analysis revealed B. velezensis LS69 has a good potential for biocontrol and plant growth promotion. This article provides an extended analysis of the genetic islands, core genes and amylolysin loci of B. velezensis LS69.

Whole-genome sequencing of Bacillus velezensis LS69, a strain with a broad inhibitory spectrum against pathogenic bacteria.

Bacillus velezensis LS69 was found to exhibit antagonistic activity against a diverse spectrum of pathogenic bacteria. It has one circular chromosome of 3,917,761bp with 3,643 open reading frames. Genome analysis identified ten gene clusters involved in nonribosomal synthesis of polyketides (macrolactin, bacillaene and difficidin), lipopeptides (surfactin, fengycin, bacilysin and iturin A) and bacteriocins (amylolysin and amylocyclicin). In addition, B. velezensis LS69 was found to contain a series of genes involved in enhancing plant growth and triggering plant immunity. Whole genome sequencing of Bacillus velezensis LS69 will provide a basis for elucidation of its biocontrol mechanisms and facilitate its applications in the future.

Vitamin D levels and other factors related to bone mineral density during pregnancy.

BACKGROUND: Multiple factors appear to affect bone mineral density (BMD) during pregnancy. AIMS: The aim of this study was to determine the relationships between BMD of the os calcaneus as measured by quantitative ultrasound (QUS) and levels of vitamin D3, parathyroid hormone (PTH), albumin (Alb), calcium (Ca), phosphorus (P) and alkaline phosphatase (ALP) in a group of Chinese women. METHODS: Multiple parameters, including density of the os calcaneus, were recorded for a group of 130 women in early (mean gestation, 16.09 ± 2.65 weeks) and late (mean gestation, 32.01 ± 3.45 weeks) stages of pregnancy; 139 nonpregnant women served as controls. RESULTS: Bone mineral density was lower in pregnant women than in controls at both early and late stages of pregnancy. Levels of Ca, P and ALP were significantly negatively correlated with BMD over the course of pregnancy. Levels of D3, PTH and Alb showed a falling trend from early to late pregnancy as with QUS BMD of the os calcaneus, but the correlations were not statistically significant. CONCLUSIONS: Many factors are correlated with BMD. We suggest that levels of Ca and ALP should be included in the routine examination of pregnant women.