The place of prenatal visits in pregnancy care: Should we reconsider the current approach?

A well-conducted prenatal visit remains of paramount importance because it allows the preservation of mother and child health by reducing the rates of morbidity and mortality for them. However, the quality of prenatal visits remains a serious problem in our environment, and a new approach is urgently needed to improve the quality of prenatal visits in our environment.

[High-risk needlestick injuries and virus transmission : A prospective observational study]. / Hochrisikonadelstichverletzungen und Virustransmission : Eine prospektive Beobachtungsstudie.

BACKGROUND: Needlestick injuries (NSI) of healthcare personnel (HCP) are work-related accidents with a risk of transmission of blood-borne human immunodeficiency virus (HIV), hepatitis B and C viruses (HBV, HCV). Along with preventive measures to avoid accidental NSI, preventing the risk and diagnosis of an infection from NSI are given a high priority. Thus, follow-up monitoring of NSI is of great interest. OBJECTIVE: Evaluation of the follow-up monitoring after NSI with respect to early recognition of transmission of HIV, HCV and HBV as well as adherence and psychological burden of HCP. METHODS: Clinical and serological investigations of the injured HCP including determining the individual risk of infection in the situation of NSI, analysis of accident protocols by the accident insurance consultant and use of a self-developed standardized questionnaire. RESULTS: No virus transmissions from NSI were found during the observation period (23 March 2014 until 31 October 2017). A total of 112 NSI with infectious index patients (HIV 35.7%, HCV 54.5%, HBV 2.7%, coinfection 7.1%) and 3 incidents from unknown index patients were analyzed. Of the index patients six received the first diagnosis of a blood-borne infection (2 HCV infections, 4 HIV infections) after NSI. In nearly all incidents (98.3%) the HCP took measures to disinfect and flush the injury and 85.1% of the HCP exposed to HIV or unknown infection risk undertook postexposure prophylaxis (HIV-PEP) within 2 h and another 12.8% within 10 h. Follow-up examination was attended by 97.4% of the HCP, three quarters of the HCP felt concerned following NSI and 12.2% were very concerned. CONCLUSION: Through adequate management and follow-up of NSI low transmission rates can be achieved after exposure to blood-borne viruses within the occupational environment.

Designing Push-Pull Porphyrins for Efficient Dye-Sensitized Solar Cells.

Over the past decade, tremendous effort has been made to improve the light-harvesting ability of push-pull porphyrin dyes. Despite notable success achieved in this direction, push-pull porphyrin dyes still suffer from a poor light-harvesting efficiency owing to the lack of absorption between the Soret and Q-bands. To tackle this issue, here we design a series of push-pull porphyrin dyes with anchoring groups either at meso- or ß-position using calculations based on first-principles time-dependent density functional theory. In contrast to the common perception, we find that porphyrin dyes bearing an electron-donor at the meso-position and an electron-acceptor at the ß-position produce an additional extended band between the Soret and Q-bands appearing at around 500 nm due to S0 → S3 excitation, leading to a much higher light-harvesting performances compared to meso- and ß-disubstituted ones. In addition, changing the π-conjugated linker at the acceptor site from ethylene linker (C═C) to acetylene linker (C≡C) further improves the light-harvesting ability of meso-ß-porphyrin dyes, making them promising candidates for dye-sensitized solar cell application.

Intra-molecular magnetic exchange interaction in the tripyridinium bis[tetrachloroferrate(iii)] chloride molecular magnet: a broken symmetry-DFT study.

The investigation of magnetic ordering in magnetic molecular conductors is the subject of ongoing research studies in the fields of condensed matter physics, chemistry and material sciences. Following the photo-magnetic behavior already observed in individual (FeCl4)2(py·H)3Cl molecules at room temperature, magnetic ordering is studied in this work. Calculations are performed using spin projected broken symmetry via density functional theory within the scheme of the B3LYP approximation. The value of the intra-molecular magnetic coupling constant is obtained as J = 13.2062 kJ mol(-1). A field dependent magnetization experiment is conducted to validate the magnitude and the sign of the exchange constant. Reasonable consistency of experimental and theoretical results confirms the presence of a positive intra-molecular indirect exchange interaction. This work paves the way for possible introduction of a new molecule in the development of advanced molecular electronic devices.

Incidence of Norwalk-like viruses, rotavirus and adenovirus infection in patients with acute gastroenteritis in Jakarta, Indonesia.

Norwalk-like viruses (NLVs), rotavirus and adenovirus are reportedly responsible from 4 to 42% of non-bacterial acute sporadic gastroenteritis. The incidence of NLVs, adenovirus and rotavirus infections in Indonesia is unclear. A total of 402 symptomatic cases from Indonesian patients with acute gastroenteritis and 102 asymptomatic controls that tested negative for bacteria and parasites were screened for the presence of NLVs, rotavirus and adenovirus using the reverse transcriptase-polymerase chain reaction (RT-PCR), Rotaclone kits and Adenoclone kits. Specific prototype probes were used to ascertain which NLV prototypes were present in the area. NLVs were detected in 45/218 (21%), rotavirus was detected in 170/402 (42%) and adenovirus was detected in 11/273 (4%) samples examined. Genetic analysis of the RT-PCR products using specific prototype probes for NLVs indicated that the prototypes were 42% Taunton agent and 58% Hawaii/Snow Mountain agent. Comparative data on patients showed that the incidence of rotavirus infections was two times greater than the NLVs infections, and that adenovirus infections were the least prevalent. All of the control samples tested were negative for NLVs and adenoviruses, however 8/70 (11%) of the samples were positive for rotaviruses. The high incidence of enteric viral-related infections is a threat among acute diarrheic patients in Jakarta, Indonesia.