Collaborating with obstetrical providers to promote infant safe sleep guidelines.

OBJECTIVES: To partner with obstetrical providers to increase promotion of the American Academy of Pediatrics guidelines for infant safe sleep. Specifically, this study evaluates the effectiveness of the Safe Sleep Toolkit during obstetrical visits. Secondary objectives include improving provider and maternal knowledge of safe sleep. METHODS: Obstetrical providers (n=11) and staff at an outpatient clinic were trained using the Safe Sleep Toolkit and encouraged to discuss infant safe sleep with pregnant women at their 28- or 36-week gestation appointment (n=111, 56 pre- and 55 post-intervention). Provider-reported time spent counseling women on safe sleep recommendations and safe sleep knowledge was measured before and after the intervention. Surveys were conducted with women assessing safe sleep knowledge, intention to follow guidelines, and whether safe sleep was discussed at the appointment. RESULTS: Significantly more post-intervention women reported their provider had discussed safe sleep (78% vs 32%) (P<.001). Similarly, provider-reported discussion with women increased significantly for all safe sleep guidelines (82%-90% vs 8%-12%) (all P<.001). Maternal knowledge, especially surrounding unsafe sleep practices, improved significantly post-intervention. CONCLUSION: Training obstetricians to use a toolkit to promote infant safe sleep guidelines increases the prenatal delivery of this information, and improves pregnant women's knowledge and intentions regarding safe infant sleep.

Aluminium localization in root tips of the aluminium-accumulating plant species buckwheat (Fagopyrum esculentum Moench).

Aluminium (Al) uptake and transport in the root tip of buckwheat is not yet completely understood. For localization of Al in root tips, fluorescent dyes and laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS) were compared. The staining of Al with morin is an appropriate means to study qualitatively the radial distribution along the root tip axis of Al which is complexed by oxalate and citrate in buckwheat roots. The results compare well with the distribution of total Al determined by LA-ICP-MS which could be reliably calibrated to compare with Al contents by conventional total Al determination using graphite furnace atomic absorption spectrometry. The Al localization in root cross-sections along the root tip showed that in buckwheat Al is highly mobile in the radial direction. The root apex predominantly accumulated Al in the cortex. The subapical root section showed a homogenous Al distribution across the whole section. In the following root section Al was located particularly in the pericycle and the xylem parenchyma cells. With further increasing distance from the root apex Al could be detected only in individual xylem vessels. The results support the view that the 10 mm apical root tip is the main site of Al uptake into the symplast of the cortex, while the subapical 10-20 mm zone is the main site of xylem loading through the pericycle and xylem parenchyma cells. Progress in the better molecular understanding of Al transport in buckwheat will depend on the consideration of the tissue specificity of Al transport and complexation.

Trafficking in persons and victim health in Australia.

This article explores the health problems experienced by victims of trafficking in persons in Australia and analyses the domestic support schemes established to assist these victims. It focuses specifically on the health of adult, female victims who constitute the majority of identified victims, and who are the principal recipients of government support services. Domestic experiences and support schemes are reviewed in the light of international law and best practice guidelines. Recommendations are made to improve the health services available to victims of trafficking in persons in Australia.

Oxalate exudation into the root-tip water free space confers protection from aluminum toxicity and allows aluminum accumulation in the symplast in buckwheat (Fagopyrum esculentum).

SUMMARY: A better understanding of aluminum (Al) uptake and transport is expected to contribute to unravel the apparent contradiction between Al exclusion and Al accumulation in buckwheat. *We studied the effect of Al supply on the root-tip Al and oxalate concentrations of the apoplastic water free space fluid (WFSF) and the symplast as affected by temperature, oxalate supply and the anion-channel blocker phenylglyoxal (PG). *Aluminum supply rapidly activated the release of oxalate to the WFSF to establish a 1 : 1 Al to oxalate ratio. In the symplast, the Al concentration was 100 times higher than in the external solution, and the Al to oxalate ratio was 1 : 2. Loading and unloading of Al, but not of oxalate, into and from the symplast were reduced at low temperature and are thus under metabolic control. Application of PG reduced the constitutive and the Al-enhanced WFSF oxalate concentrations and enhanced Al-induced root-growth inhibition. Unlike a 1 : 3 Al to oxalate ratio, a 1 : 1 ratio ameliorated only partly Al-induced root-growth inhibition without affecting root-tip Al contents or WFSF Al concentrations. *We present a hypothesis with an Al oxalate (Ox)(+) plasma-membrane transporter in the root cortex and a xylem-loading Al citrate (Cit)(n-) transporter in the xylem parenchyma cells as key elements of Al accumulation in buckwheat.

Spatial characteristics of aluminum uptake and translocation in roots of buckwheat (Fagopyrum esculentum).

The detoxification of aluminum (Al) in root tips of the Al accumulator buckwheat by exudation of oxalate leading to reduced Al uptake (Al resistance) is difficult to reconcile with the Al accumulation (Al tolerance). The objective of this study was to analyze resistance and tolerance mechanisms at the same time evaluating particularly possible stratification of Al uptake, Al transport and oxalate exudation along the root apex. The use of a minirhizotron made it possible to differentiate between spatial responses to Al along the root apex with regard to Al uptake and organic acid anion exudation, but also to measure at the same time Al and organic acid transport in the xylem. Al accumulates particularly in the 3-mm root apex. The study showed that Al taken up by the 10-mm root apex is rapidly transferred to the xylem which differentiates in the 10 to 15-mm root zone as revealed by a microscopic study. Al induces the release of oxalate from the root apex but particularly from the subapical 6-20 mm root zone even when Al was applied only to the 5-mm root apex suggesting a basipetal signal transduction. Citrate proved to be the most likely ligand for Al in the xylem because Al and citrate transport rates were positively correlated. In conclusion, the data presented show that the Al-induced release of oxalate, and Al uptake as well as Al accumulation are spatially not separated in the root apex.