Commentary: the coalition for improving maternity services:

A consumer advocate, two childbirth educators, and a certified nurse-midwife each provide commentary on the effectiveness of and potential uses for the Evidence Basis for the Ten Steps of Mother-Friendly Care.     

Research summaries for normal birth

In this column, the author presents summaries of four research studies that further support the benefits of normal birth. The topics of the studies address cord clamping of term infants, the association of multiple cesareans and placental abnormalities, induction of labor at 41 weeks, and the World Health Organization's recently released pediatric growth charts.     

Negation recognition in medical narrative reports

Substantial medical data, such as discharge summaries and operative reports are stored in electronic textual form. Databases containing free-text clinical narratives reports often need to be retrieved to find relevant information for clinical and research purposes. The context of negation, a negative finding, is of special importance, since many of the most frequently described findings are such. When searching free-text narratives for patients with a certain medical condition, if negation is not taken into account, many of the documents retrieved will be irrelevant. Hence, negation is a major source of poor precision in medical information retrieval systems. Previous research has shown that negated findings may be difficult to identify if the words implying negations (negation signals) are more than a few words away from them. We present a new pattern learning method for automatic identification of negative context in clinical narratives reports. We compare the new algorithm to previous methods proposed for the same task, and show its advantages: accuracy improvement compared to other machine learning methods, and much faster than manual knowledge engineering techniques with matching accuracy. The new algorithm can be applied also to further context identification and information extraction tasks.

Linked Data Metadata for Digital Clothing Collections

ABSTRACT

The historical clothing collections held by academic and other institutions serve as an important resource for scholars in fields ranging from fashion design to sociology. While metadata schemes have been created for individual clothing collections, no standard metadata scheme for clothing had been developed. This case study describes the creation of a linked data metadata scheme for clothing designed for the Oregon State University's College of Business Design Programs' Historical and Cultural Textile and Apparel Collection housed within the ScholarsArchive digital repository. In addition, the scheme can be used as a standard clothing metadata scheme which may be implemented by other organizations, or extended as needed.     

Memory, maternal representations, and internalizing symptomatology among abused, neglected, and nonmaltreated children

A depth-of-processing incidental recall task for maternal-referent stimuli was utilized to assess basic memory processes and the affective valence of maternal representations among abused ( N  = 63), neglected ( N  = 33), and nonmaltreated ( N  = 128) school-aged children (ages 8–13.5 years old). Self-reported and observer-rated indices of internalizing symptoms were also assessed. Abused children demonstrated impairments in recall compared to neglected and nonmaltreated children. Although abused, neglected, and nonmaltreated children did not differ in valence of maternal representations, positive and negative maternal schemas related to internalizing symptoms differently among subgroups of maltreated children. Valence of maternal schema was critical in differentiating those with high and low internalizing symptomatology among the neglected children only. Implications for clinical intervention and prevention efforts are underscored.     

First,Do No Harm: How Routine Interventions,Common Restrictions,and the Organization of Our Health-Care System Affect the Health of Mothers and Newborns

In this column, the author reprises recent selections from the Lamaze International research blog, Science & Sensibility. Each selection discusses a new study that demonstrates the “First, do no harm” principle in a different way. New research on the potentially harmful effects of intravenous lines demonstrates that refraining from routine interventions in labor protects the safety of women and babies. A new systematic review of movement and position changes in labor shows that eliminating unfounded restrictions also protects maternal and infant health and well-being. Finally, a study of patterns of use of neonatal intensive care units reveals how the organization of the maternity care system itself can affect the health outcomes of its beneficiaries.     

Using possible-selves theory to understand the identity development of new teachers

Questions about identity and future success often occupy the thinking of individuals during life transitions. Possible-selves theory describes how future-oriented thought provides identity-relevant information and motivation to pursue self-relevant goals. Expected and feared possible selves of beginning teachers (n = 221) were analyzed revealing four main categories (i.e., interpersonal relationships, classroom management, instruction, and professionalism). Differences between student and beginning inservice teachers suggest a transitional trajectory that could have implications for understanding the “how” of teacher identity development. Possible-selves theory may help bring a degree of unity across divergent frameworks and help link identity to broader issues of teacher development.     

Research summaries for normal birth

In this column, the author presents summaries of four research studies that further illuminate the physiology and benefits of normal birth. The topics of the studies are home birth, upright positions during the second stage of labor, delayed pushing in women using epidural analgesia, and the effect of exposure to familiar odors on newborns.