scholarly journals Are the recommendations of pediatricians about complementary feeding aligned with current guidelines in Uruguay?

2021 ◽  
pp. 1-24
Author(s):  
Leticia Vidal ◽  
Isabel Bove ◽  
Gerónimo Brunet ◽  
Alejandra Girona ◽  
Florencia Alcaire ◽  
...  
Keyword(s):  
Latin America ◽  
Complementary Feeding ◽  
Scientific Evidence ◽  
Capital City ◽  
Ministry Of Health ◽  
Early Introduction ◽  
Food Diversity ◽  
Vegetables And Fruits ◽  
Current Guidelines ◽  
Parents And Caregivers

Abstract Objective: To explore Uruguayan pediatricians’ personal recommendations about complementary feeding and to assess if they are aligned with current guidelines and scientific evidence. Design: A questionnaire composed of open-ended questions was used to explore foods recommended to start complementary feeding, foods regarded as the most important during the first meals, recommendations for delayed introduction of foods, and foods that should be avoided. Reasons underlying the recommendations were also explored. Setting: Montevideo, the capital city of Uruguay (Latin America). Participants: A total of 212 pediatricians were recruited during a National Pediatrics Conference, organized by the Uruguayan Society of Pediatrics. Results: The recommendations about complementary feeding provided by pediatricians to parents and caregivers in Uruguay seemed not to be fully aligned with the guidelines provided by the Ministry of Health. Pediatricians recommend a rigid food introduction sequence, characterized by the early introduction of soft pureed vegetables and fruits, followed by meat and the delayed introduction of allergenic foods. Food diversity and the concept of ultra-processed were not frequently identified in the responses. Conclusions: Results stress the importance of developing educational and communication approaches targeted at pediatricians to contribute to the uptake of updated recommendations regarding complementary feeding.

scholarly journals Complementary feeding practices in Wakiso District of Uganda

2014 ◽  
Vol 14 (64) ◽  
pp. 9085-9103
Author(s):  
EL Ssemukasa ◽  
◽  
J Kearney ◽  
Keyword(s):  
Exclusive Breastfeeding ◽  
Complementary Feeding ◽  
Health Centre ◽  
Feeding Practices ◽  
Capital City ◽  
Cow Milk ◽  
First Year ◽  
Complementary Foods ◽  
Early Introduction ◽  
Solid Foods

The first 2 years of life provide a critical window of opportunity for ensuring children’s appropriate growth and development through optimal feeding. The objective of this study was to evaluate the prevalence of weaning practices in Wakiso district. Wakiso is a district in central Uganda that encircles Kampala, Uganda's capital city. The district is named after the town of Wakiso, where the district headquarters are located. A descriptive survey to evaluate infant weaning practices was conducted at Nsanji Health Centre III, Wakiso district from July through October 2011. Mothers with no established HIV/AIDS positive status aged 15 years and above, with last born-child aged 1-23 months, willing to provide data on the infant´s feeding practices and regular attendants for infant vaccination schedules on Tuesday at the same facility were targeted. The motherinfant pairs were systematically selected for participation in the study based on the number of mothers together with their infants present every Tuesday morning of each week, for vaccinations at the health centre since the health centre had no database for the breastfeeding mothers. A structured questionnaire focusing on breastfeeding practices, complementary feeding practices, mineral supplementation and fluids administration, child’s state of wellbeing in first year of life, mothers’ age and parity was administered. A total of 204 mother-infant pairs were analysed. Overall, 94% of 204 infants who participated in the study had not been exclusively breastfed for 6 months. Only one of the 124 infants between 0- 6 months of age and 5.9% of the 80 infants over 6 months of age were still exclusively breastfeeding at the time of the survey. Complementary foods were introduced earlier than recommended with 22% of the mothers introducing solid foods before 1 month, 14% at 1-3 months and 6% at 4-6 months. Family members (p = 0.001) were a significant source of information on when to start feeding infants solid foods. In conclusion, the low exclusive breastfeeding rates, the early introduction of complementary foods and cow milk and the late introduction of red meat into the infant diets may well be responsible for the high level of infant infections recorded in the first year of infancy. Therefore, a nutritional education intervention, promoting exclusive breastfeeding, highlighting the health and food safety risks associated with the early introduction of cow milk into the infant diets could help reduce the high levels of infant infections and mortality in Uganda.

scholarly journals Determinants of urban sprawl in Latin America: evidence from Santiago de Chile

2021 ◽  
Vol 1 (8) ◽  
Author(s):  
Cristian Silva ◽  
Francisco Vergara-Perucich
Keyword(s):  
Latin America ◽  
Urban Sprawl ◽  
Capital City ◽  
Design And Implementation ◽  
Policy Context ◽  
Santiago De Chile ◽  
City Regions ◽  
Policy Frameworks ◽  
Social And Environmental Impacts

AbstractUrban sprawl has been widely discussed in regard of its economic, political, social and environmental impacts. Consequently, several planning policies have been placed to stop—or at least restrain—sprawling development. However, most of these policies have not been successful at all as anti-sprawl policies partially address only a few determinants of a multifaceted phenomenon. This includes processes of extended suburbanisation, peri-urbanisation and transformation of fringe/belt areas of city-regions. Using as a case study the capital city of Chile—Santiago—thirteen determinants of urban sprawl are identified as interlinked at the point of defining Santiago's sprawling geography as a distinctive space that deserves planning and policy approaches in its own right. Unpacking these determinants and the policy context within which they operate is important to better inform the design and implementation of more comprehensive policy frameworks to manage urban sprawl and its impacts.

scholarly journals The problems of increasing transparency on uncertainty

2017 ◽  
Vol 27 (2) ◽  
pp. 131-138 ◽  
Author(s):  
Magda Osman ◽  
Amanda J. Heath ◽  
Ragnar Löfstedt
Keyword(s):  
Decision Making ◽  
Disease Prevention ◽  
Prevention And Control ◽  
Scientific Evidence ◽  
European Medicines Agency ◽  
Scientific Process ◽  
The Public ◽  
And Control ◽  
Current Guidelines ◽  
Practical Implications

Public regulators (such as European Food Safety Authority, European Medicines Agency, and European Centre for Disease Prevention and Control) are placing increasing demands on scientists to make uncertainties about their evidence transparent to the public. The stated goal is utilitarian, to inform and empower the public and ensure the accountability of policy and decision-making around the use of scientific evidence. However, it is questionable what constitutes uncertainty around the evidence on any given topic, and, while the goal is laudable, we argue the drive to increase transparency on uncertainty of the scientific process specifically does more harm than good, and may not serve the interests of those intended. While highlighting some of the practical implications of making uncertainties transparent using current guidelines, the aim is to discuss what could be done to make it worthwhile for both public and scientists.

scholarly journals Democratic Values, Religiosity, and Support for Same-Sex Marriage in Latin America

2017 ◽  
Vol 59 (4) ◽  
pp. 75-98 ◽  
Author(s):  
Michelle L. Dion ◽  
Jordi Díez
Keyword(s):  
Human Rights ◽  
Latin America ◽  
Latin American ◽  
Capital City ◽  
Religious Values ◽  
Democratic Values ◽  
Same Sex ◽  
Same Sex Marriage ◽  
Same Sex Couples ◽  
Latin American Countries

AbstractLatin America has been at the forefront of the expansion of rights for same-sex couples. Proponents of same-sex marriage frame the issue as related to human rights and democratic deepening; opponents emphasize morality tied to religious values. Elite framing shapes public opinion when frames resonate with individuals’ values and the frame source is deemed credible. Using surveys in 18 Latin American countries in 2010 and 2012, this article demonstrates that democratic values are associated with support for same-sex marriage while religiosity reduces support, particularly among strong democrats. The tension between democratic and religious values is particularly salient for women, people who live outside the capital city, and people who came of age during or before democratization.

Is it possible to build an effective program to promote the health and well-being of employees in the workplace in the Russia?

2021 ◽  
pp. 46-56
Author(s):  
Ivan Aleksandrovich Rybakov
Keyword(s):  
Risk Factors ◽  
Russian Federation ◽  
Preventive Measures ◽  
Scientific Evidence ◽  
Well Being ◽  
Ministry Of Health ◽  
Comprehensive Health ◽  
Effective Program ◽  
The Russian Federation ◽  
Health And Well Being

In 2019 The Ministry of Health of the Russian Federation together with experts of the National Research Center of Therapy and Preventive Medicine of the Ministry of Health of the Russian Federation has developed programs to strengthen the health of employees, which include behavioral medicine practices aimed at changing lifestyle and correcting risk factors. Scientific evidence shows the effectiveness of such programs, and new components of programs aimed at improving the well-being of employees can increase the effectiveness of preventive measures. In this article, we will review the domestic and international experience of using comprehensive health and well-being promotion programs to improve the health of employees in Russia.

scholarly journals Optimal Timing of Introduction of Complementary feeding: Protocol for a systematic review and meta-analysis

2021 ◽  
Author(s):  
Zahra A. Padhani ◽  
Rehana A. Salam ◽  
Zohra S. Lassi ◽  
Faareha Siddiqui ◽  
Emily C. Keats ◽  
...  
Keyword(s):  
Systematic Review ◽  
Randomized Trials ◽  
Complementary Feeding ◽  
Optimal Time ◽  
Optimal Timing ◽  
Case Control Studies ◽  
Poor Growth ◽  
Developmental Potential ◽  
Early Introduction ◽  
The Impact

Abstract Background: The complementary feeding (CF) period accompanies a critical window of vulnerability. During this time, failure to consume adequate energy, protein, vitamins and minerals is a significant concern and can lead to poor growth outcomes, increased susceptibility to infections, allergies, and diseases, and lower developmental potential. It is therefore of utmost importance to determine the most optimal time to start CF. The objective of this review is to assess the impact of early and late of introduction of CF on infant health, nutrition and developmental outcomes.Methods: We will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We will search MEDLINE, Embase, CINAHL, CENTRAL, Web of Science, and other databases and key organizational websites using terms related to complementary feeding and infants. We will also search clinicaltrials.gov for ongoing trials. We will include experimental (randomized trials (individually or cluster) and quasi-randomized trials) and observational studies with a concurrent comparison group (cohort (prospective and retrospective), controlled before-after studies and nested case control studies). We will only include studies that enroll infants, living in low, middle- or high-income countries. Outcomes will be assessed for the following two comparisons:1. Early introduction of CF (before 5 months of age) compared to introduction at 5 to 6.9 months of age2. Late introduction of CF (after 7 months) compared to introduction at 5 to 6.9 months of age All the included studies will be screened on Covidence software and analyzed on Review Manager (version 5.4.1) software.Discussion: There are inconsistencies in the existing recommendations for the introduction of CF, as the recommended age for introducing CF ranges between four and six months of age in various international guidelines. It is imperative to evaluate of consequences of both early and late introduction of complementary foods since optimal timing of introduction may have potential beneficial short- and long-term health effects. Systematic review registration: PROSPERO CRD42020218517

scholarly journals Anthocyanins—Nature’s Bold, Beautiful, and Health-Promoting Colors

Foods ◽  
2019 ◽  
Vol 8 (11) ◽  
pp. 550 ◽  
Author(s):  
Wallace ◽  
Giusti
Keyword(s):  
Scientific Evidence ◽  
Value Added ◽  
Complex Compounds ◽  
Original Research ◽  
Potential Health ◽  
Food Ingredients ◽  
Research Activities ◽  
Health Promoting ◽  
Food Processing Waste ◽  
Vegetables And Fruits

Anthocyanins are among the most interesting and vigorously studied plant compounds, representing a large class of over 700 polyphenolic pigments within the flavonoid family that exist ubiquitously in the human diet. They are “nature’s colors,” responsible for providing the beautiful red-orange to blue-violet hues present in many leaves, flowers, vegetables, and fruits, especially berries. The beginning of the 21st century has witnessed a renaissance in research activities on anthocyanins in several areas, mainly related to their potential health-promoting properties and their increased use as alternatives to synthetic food colors. There is increasingly convincing scientific evidence that supports both a preventative and therapeutic role of anthocyanins towards certain chronic disease states. Many anthocyanin-based extracts and juice concentrates from crop and/or food processing waste have become commercially available as colorants and/or value-added food ingredients. There is a large and evolving peer-reviewed literature on how anthocyanin chemistry and concentration may affect their coloring properties in food. Equally as important is the food matrix, which can have large impacts on anthocyanin color expression, stability and degradation, particularly regarding the applications of anthocyanins as food colorants and their health-promoting properties. This Special Edition of Foods, titled “Anthocyanins in Foods,” presents original research that extends our understanding of these exciting and complex compounds.

Predictors of early introduction of complementary feeding: Longitudinal study

2014 ◽  
Vol 57 (1) ◽  
pp. 126-130 ◽  
Author(s):  
Li Tang ◽  
Andy H Lee ◽  
Colin W Binns
Keyword(s):  
Longitudinal Study ◽  
Complementary Feeding ◽  
Early Introduction
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