Effect of immediate and continuous mother–infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: A randomised control trial

ObjectiveTo evaluate the effect of mother–infant immediate skin-to-skin contact on primiparous mother's breastfeeding self-efficacy.Study designA randomised control trial.SettingsThe study was conducted in Omolbanin obstetrics hospital (large tertiary hospital), Mashhad, Iran.Participants114 18–35 year-old primiparous, Iranian, healthy and full term mothers who anticipated normal vaginal delivery and intended to breastfeed their babies.InterventionSkin-to-skin contact immediately after birth and then controlling breastfeeding self-efficacy at 28 days postpartum.Main outcome measureMaternal breastfeeding self-efficacy at 28 days postpartum and success in first breastfeeding and mean time of first breastfeeding initiation.ResultsA total of 92 mother–infant dyads (47 dyads in skin-to-skin care skin-to-skin contact group and 45 dyads in routine care group) were monitored and analysed. In skin-to-skin contact group, breastfeeding self-efficacy was 53.42 ± 8.57 SD as compared to 49.85 ± 5.50 SD in routine care group which is significantly higher in skin-to-skin contact group (p = 0.0003).Successful breastfeeding initiation rate was 56.6% in skin-to-skin contact group as compared to 35.6% in routine care group (p = 0.02).Time to initiate first feed was 21.98 ± 9.10 SD min in SSC group vs. 66.55 ± 20.76 min in routine care group (p < 0.001).ConclusionMother–infant immediate skin-to-skin contact is an easy and available method of enhancing maternal breastfeeding self-efficacy. High breastfeeding self-efficacy increases exclusive breastfeeding duration.     

Estimation of the parameter of a dynamically selected population for two subclasses of the exponential family

We introduce the problem of estimation of the parameters of a dynamically selected population in an infinite sequence of random variables and provide its application in the statistical inference based on record values from a non stationary scheme. We develop unbiased estimation of the parameters of the dynamically selected population and evaluate the risk of the estimators. We provide comparisons with natural estimators and obtain asymptotic results. Finally, we illustrate the applicability of the results using real data.     

Is there any polynomial upper bound for the universal labeling of graphs?

A universal labeling of a graph G is a labeling of the edge set in G such that in every orientation \(\ell \) of G for every two adjacent vertices v and u, the sum of incoming edges of v and u in the oriented graph are different from each other. The universal labeling number of a graph G is the minimum number k such that G has universal labeling from \(\{1,2,\ldots , k\}\) denoted it by \(\overrightarrow{\chi _{u}}(G) \). We have \(2\Delta (G)-2 \le \overrightarrow{\chi _{u}} (G)\le 2^{\Delta (G)}\), where \(\Delta (G)\) denotes the maximum degree of G. In this work, we offer a provocative question that is: “Is there any polynomial function f such that for every graph G, \(\overrightarrow{\chi _{u}} (G)\le f(\Delta (G))\)?”. Towards this question, we introduce some lower and upper bounds on their parameter of interest. Also, we prove that for every tree T, \(\overrightarrow{\chi _{u}}(T)={\mathcal {O}}(\Delta ^3) \). Next, we show that for a given 3-regular graph G, the universal labeling number of G is 4 if and only if G belongs to Class 1. Therefore, for a given 3-regular graph G, it is an \( {{\mathbf {N}}}{{\mathbf {P}}} \)-complete to determine whether the universal labeling number of G is 4. Finally, using probabilistic methods, we almost confirm a weaker version of the problem.     

Exponentiated power Lindley power series class of distributions: Theory and applications

ABSTRACT

We introduce a new four-parameter generalization of the exponentiated power Lindley (EPL) distribution, called the exponentiated power Lindley power series (EPLPS) distribution. The new distribution arises on a latent complementary risks scenario, in which the lifetime associated with a particular risk is not observable; rather, we observe only the minimum lifetime value among all risks. The distribution exhibits a variety of bathtub-shaped hazard rate functions. It contains as particular cases several lifetime distributions. Various properties of the distribution are investigated including closed-form expressions for the density function, cumulative distribution function, survival function, hazard rate function, the rth raw moment, and also the moments of order statistics. Expressions for the Rényi and Shannon entropies are also given. Moreover, we discuss maximum likelihood estimation and provide formulas for the elements of the Fisher information matrix. Finally, two data applications are given showing flexibility and potentiality of the EPLPS distribution.     

The prevalence of elder abuse and neglect in Iran: a systematic review and meta-analysis

ABSTRACT

Objective: The aim of this study was to estimate the prevalence of elder abuse and neglect in Iran.

Methods: We searched PubMed, Embase, Scopus, and PsycINFO by the end of 2017. The prevalence was calculated based on the percentage or the amount reported in the studies. Heterogeneity was assessed by the I² statistic, and the data were combined using random effects model. The results were reported as the pooled estimates and the 95% confidence intervals (CIs). The review protocol was registered in PROSPERO (CRD42017070744).

Results: A total of 16 studies involving 6,461 participants aged 60 years and over were included. The pooled prevalence for overall elder abuse was 45.7% (95% CI: 27.3–64.1, p < .001).

Discussion: The prevalence of elder abuse and neglect is substantial in the Iranian population aged 60 years and over. More research is needed to investigate the actual prevalence of elder abuse at the national level.     

An analysis of major social obstacles affecting human resource development in Iran

ABSTRACT

This study aimed to analyze the major social obstacles affecting the human resource development (HRD) in Iran. The study population included faculty members in Yazd province, Iran (N = 280, n = 162). A survey and a researcher-made questionnaire were used to collect data. The reliability of the questionnaire was confirmed by using Cronbach’s alpha (0.88) and its validity was approved by a panel of experts. The results indicated that the major social obstacles affecting HRD are ‘an increase in the share of foreigners in the labor market’, ‘frustration of native graduates’ and ‘local brain drain’, respectively. Furthermore, the results of exploratory factor analysis indicated that the most important social obstacles affecting HRD can be summarized into six factors including migration, lack of nativism, inclination towards foreigners, gender imbalance, lack of justice in distribution of resources, and lack of meritocracy. These factors altogether could explain 65.45% of the total variance. In the end, some applied recommendations (such as paying more attention to rural youth, fair distribution of facilities towards urban and rural balance, supporting native elites, preference for employment, and applying indigenous peoples based on meritocracy, creating favorable balance at different levels of academic education, avoiding gender inequality) have been presented.     

Bayesian prediction of minimal repair times of a series system based on hybrid censored sample of components’ lifetimes under Rayleigh distribution

In this paper, we develop Bayesian predictive inferential procedures for prediction of repair times of a series system, applying a minimal repair strategy, using the information contained in an independent observed hybrid censored sample of the lifetimes of the components of the system, assuming the underlying distribution of the lifetimes to be Rayleigh distribution. An illustrative real data example and a simulation study are presented for the purpose of illustration and comparison of the proposed predictors.     

The Dyadic Effects of Controlling Emotional Abuse on Subjective Emotional Experience in Iranian Older Married Couples

This randomised control trial study examines the impact of an emotional‐focused intervention on emotional abuse and subjective emotional experience in Iranian older married couples. In the study, 57 older couples were randomly assigned into control and experimental groups with the latter taking part in an intervention program over 4 weeks, twice a week, with sessions lasting 90 minutes. In the experimental group, significant improvements were found for reducing emotional abuse behaviours and increasing subjective emotional experience. Dyadic analysis revealed that a partner's ability to control their own emotional abuse significantly effects both his/her subjective emotional experience and that of their spouse.     

A new four-parameter lifetime distribution

Generalizing lifetime distributions is always precious for applied statisticians. In this paper, we introduce a new four-parameter generalization of the exponentiated power Lindley (EPL) distribution, called the exponentiated power Lindley geometric (EPLG) distribution, obtained by compounding EPL and geometric distributions. The new distribution arises in a latent complementary risks scenario, in which the lifetime associated with a particular risk is not observable; rather, we observe only the maximum lifetime value among all risks. The distribution exhibits decreasing, increasing, unimodal and bathtub-shaped hazard rate functions, depending on its parameters. It contains several lifetime distributions as particular cases: EPL, new generalized Lindley, generalized Lindley, power Lindley and Lindley geometric distributions. We derive several properties of the new distribution such as closed-form expressions for the density, cumulative distribution function, survival function, hazard rate function, the rth raw moment, and also the moments of order statistics. Moreover, we discuss maximum likelihood estimation and provide formulas for the elements of the Fisher information matrix. Simulation studies are also provided. Finally, two real data applications are given for showing the flexibility and potentiality of the new distribution.     

Iranian obstetricians’ views about the factors that influence pregnant women's choice of delivery method: A qualitative study

BackgroundCaesarean section is a commonly performed childbirth procedure. While caesarean section is undeniably a lifesaving procedure for some mothers and babies, it can also be an unnecessary procedure for others. Different factors may be involved in the rate of birth by caesarean section.QuestionThis qualitative study was conducted in Kashan city, Iran, to explore obstetrician's views of what might influence pregnant women's choice of delivery method.MethodsObstetricians’ views and experiences were collected using semi-structured interviews. Interviews were conducted in a clinic or hospital, based on the preference of the 18 physicians who agreed to participate in the study. All interviews were recorded and transcribed. Participants were asked key questions, including: “Why do some women prefer caesarean section?”; “What kind of delivery did you have and why?”; “What kind of delivery would you recommend to pregnant women and why?” Inductive qualitative content analysis was undertaken using the method described by Morreti with 120 initial codes categorized into six categories.FindingsThe six categories developed from the initial codes were: factors relating to women, obstetricians, delivery conditions, complications, society's beliefs and the health system.ConclusionA qualitative study conducted in Iran showed that most of the factors identified by participants facilitated the choice of caesarean section. Vaginal birth was anticipated as a painful and lengthy process, with low cultural acceptance and resulting in less income for obstetricians.