Baby-Led-Weaning (BLW) from maternal perspective: Polish experience

2018 ◽  
Vol 87 (2) ◽  
pp. 75-81
Author(s):  
Barbara Poniedziałek ◽  
Natalia Paszkowiak ◽  
Piotr Rzymski
Keyword(s):  
Urban Areas ◽  
Complementary Feeding ◽  
Tertiary Education ◽  
Economic Status ◽  
Feeding Practice ◽  
Online Questionnaire ◽  
Maternal Experience ◽  
Dietary Choices ◽  
Polish Experience ◽  
Sensory Learning

Background. Baby-Led-Weaning (BLW) is increasingly popular as a complementary feeding practice although its safety, limitations and advantages have not been widely studied as yet. Material and Methods. The present survey employed an anonymous online questionnaire to learn from experience (their concerns, perceived advantages, disadvantages, and overall satisfaction) of Polish mothers (n = 373) that adopted BLW.Results. Most of surveyed mothers adopting BLW had tertiary education and good economic status, and inhabited urban areas. Non-scientific online resources were the most important source of knowledge on BLW; none of surveyed mentioned healthcare professionals as having played any role in this respect. The risk of choking was the greatest concern expressed while considering the BLW prospect. At least one choking event during B:W adoption was reported by 55.6%, mostly involving an apple, occurring at beginning of introduction, and perceived as non-serious. The BLW advantages included: (i) promotion of infant self-reliance, motor skills, biting and chewing of food and speech), sensory learning of food, and (ii) motivation to eat family meals and make more healthier dietary choices. The greatest disadvantage was an in-house mess. Nearly all mothers recommended the BLW adoption to other caregivers.Conclusion. In view of the scarcity of data on this feeding practice, the maternal experience demonstrated in the present study may offer valuable information for health professionals as well as future caregivers who consider the adoption of BLW to be a complementary feeding practice.

scholarly journals Risk factors for asthma among schoolchildren who participated in a case-control study in urban Uganda

eLife ◽  
2019 ◽  
Vol 8 ◽  
Author(s):  
Harriet Mpairwe ◽  
Milly Namutebi ◽  
Gyaviira Nkurunungi ◽  
Pius Tumwesige ◽  
Irene Nambuya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rural Areas ◽  
Urban Areas ◽  
Case Control Study ◽  
Tertiary Education ◽  
Economic Status ◽  
Case Control ◽  
Rural Town ◽  
Asthma Risk ◽  
Control Study

Data on asthma aetiology in Africa are scarce. We investigated the risk factors for asthma among schoolchildren (5–17 years) in urban Uganda. We conducted a case-control study, among 555 cases and 1115 controls. Asthma was diagnosed by study clinicians. The main risk factors for asthma were tertiary education for fathers (adjusted OR (95% CI); 2.32 (1.71–3.16)) and mothers (1.85 (1.38–2.48)); area of residence at birth, with children born in a small town or in the city having an increased asthma risk compared to schoolchildren born in rural areas (2.16 (1.60–2.92)) and (2.79 (1.79–4.35)), respectively; father’s and mother’s history of asthma; children’s own allergic conditions; atopy; and cooking on gas/electricity. In conclusion, asthma was associated with a strong rural-town-city risk gradient, higher parental socio-economic status and urbanicity. This work provides the basis for future studies to identify specific environmental/lifestyle factors responsible for increasing asthma risk among children in urban areas in LMICs.

scholarly journals Feeding Practices of Children Under-Five in an Industrialized City in Cebu

2017 ◽  
Vol 27 (1) ◽  
Author(s):  
Marjorie R. Sta. Teresa ◽  
Francis Jemuel M. Rufo ◽  
Geneve B Largo
Keyword(s):  
Exclusive Breastfeeding ◽  
Urban Areas ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Plain Water ◽  
Feeding Practice ◽  
Children Under Five ◽  
Under Five ◽  
Repeated Infections ◽  
The City

About bout 30% of children under five years old were stunted as a consequence of poor feeding practices and repeated infections. The study determined the feeding practice of mothers of under-five children in Naga City, Cebu, Philippines. The study utilized the descriptive method involving 330 respondents in five districts of the City of Naga, Cebu. Questionnaire was used in data collection and it was translated to Cebuano to extract the necessary data from the respondents. The findings showed the majority of the children under-five year-old were breastfed by their mothers immediately after birth. Furthermore, nearly all respondents did not practice exclusive breastfeeding, however, a considerable number of respondents continue to breastfeed after six months. Plain water, vitamins or medicines and clear broth topped the list of liquids introduced by the respondents, while vitamin A-rich vegetables, foods rich in carbohydrates and iodine-rich foods ranked first, second and third respectively in the list of solid foods for complementary feeding. Most of the respondents did not introduce products that are fortified with iron. Breastfeeding practices in urban areas lack knowledge of the importance of iron-fortified complementary feeding as well as exclusive breastfeeding.

scholarly journals COVID-19 Vaccination acceptance in the canton of Geneva: A Cross-Sectional Population-Based Study

2021 ◽  
Author(s):  
Ania Wisniak ◽  
Helene Baysson ◽  
Nick Pullen ◽  
Mayssam Nehme ◽  
Francesco Pennacchio ◽  
...  
Keyword(s):  
Public Health ◽  
Sex Education ◽  
Low Income ◽  
Urban Areas ◽  
Tertiary Education ◽  
Smoking Status ◽  
Population Sample ◽  
Population Based ◽  
Online Questionnaire ◽  
Vaccination Acceptance

Objective This study aimed to assess acceptance of COVID-19 vaccination as well as its sociodemographic and clinical determinants in a general population sample three months after the launch of the vaccination program in Switzerland. Methods In March 2021, an online questionnaire on vaccination acceptance was proposed to adults included in a longitudinal cohort study of previous population-based serosurveys carried out in the canton of Geneva. Questions were asked about COVID-19 vaccination acceptance, reasons of acceptance or refusal, and attitudes about vaccination in general. Data on demographic (age, sex, education, income, professional status, living conditions) and health-related characteristics (having a chronic disease, COVID-19 diagnosis, smoking status) were assessed at inclusion in the cohort (December 2020). Results Overall, 4067 participants (completion rate of 77.4%) responded to the survey between March 17 and April 1, 2021. The mean age of respondents was 53.3 years and 56.0% were women. Most had completed tertiary education (64.7%) and over 60% were currently professionally active. At the time of the survey, 17.2% of respondents had already been vaccinated with at least one dose or had made an appointment to get vaccinated, and an additional 58.5% intended or rather intended to get vaccinated. The overall acceptance of COVID-19 vaccination was 75.7%, with a higher acceptance among men compared to women, older adults compared to younger adults, high-income individuals compared to those with a low income, participants living in urban and semi-urban areas compared to rural, and retirees and students compared to employed individuals. Acceptance was lower among individuals having completed apprenticeships and secondary education compared to those with tertiary education. The most common reasons reported by participants intending to get vaccinated were the desire to 'get back to normal', to protect themselves, their community and/or society, and their relatives or friends against the risk of infection by SARS-CoV-2, as well as the desire to travel. Less than half (45.6%) of participants having children were willing or rather willing to have their children vaccinated against COVID-19 if it were recommended by public health authorities. Conclusion Although our study found a 75.7% acceptance of COVID-19 vaccination, there were noticeable socio-demographic disparities in vaccination acceptance. These data will be useful for public health measures targeting hesitant populations when developing health communication strategies. These results will be updated over time with a new release of the survey in autumn 2021.

scholarly journals Risk factors for asthma among schoolchildren who participated in a case-control study in urban Uganda

2019 ◽  
Author(s):  
Harriet Mpairwe ◽  
Milly Namutebi ◽  
Gyaviira Nkurunungi ◽  
Pius Tumwesige ◽  
Irene Nambuya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rural Areas ◽  
Urban Areas ◽  
Case Control Study ◽  
Tertiary Education ◽  
Economic Status ◽  
Case Control ◽  
Rural Town ◽  
Asthma Risk ◽  
Control Study

AbstractData on asthma aetiology in Africa are scarce. We investigated the risk factors for asthma among schoolchildren (5-17years) in urban Uganda. We conducted a case-control study, enrolling 561 cases and 1,139 controls. Asthma was diagnosed by study clinicians.The main risk factors for asthma were tertiary education for fathers [adjusted OR (95% CI); 2.49 (1.89-3.29)] and mothers [2.14 (1.64-2.78)]; area of residence at birth, with children born in a small town or in the city having an increased asthma risk compared to schoolchildren born in rural areas [2.00 (1.49-2.68)] and [2.82 (1.85-4.30)], respectively; father’s and mother’s history of asthma; children’s own allergic conditions; atopy; and using gas/electricity for indoor cooking.Asthma was associated with a strong rural-town-city risk gradient, higher parental socio-economic status and urbanicity. This work provides the basis for future studies to identify specific environmental/lifestyle factors responsible for increasing asthma risk among children in urban areas in LMICs.

scholarly journals Students’ attitude and sleep pattern during school closure following COVID-19 pandemic quarantine: a web-based survey in south of Iran

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Keivan Ranjbar ◽  
Hamidreza Hosseinpour ◽  
Reza Shahriarirad ◽  
Haleh Ghaem ◽  
Khoubyar Jafari ◽  
...  
Keyword(s):  
Public Schools ◽  
Computer Games ◽  
Urban Areas ◽  
First Grade ◽  
General Information ◽  
School Closure ◽  
Sleep Pattern ◽  
Fars Province ◽  
Sleep Patterns ◽  
Online Questionnaire

Abstract Background School closure is one of the main policies of global health care strategies performed worldwide. Despite all benefits, there might be some threats for younger groups spending their time in quarantine. This study aims to determine the impacts of lockdown and school closure on children’s major lifestyle aspects, especially their leisure and sleep pattern during the COVID-19 pandemic. Methods For the purpose of this study, an online questionnaire was distributed from 14th to 31st of March 2020 among the schools and students from the first grade to the 12th grade (before university) in Fars province, southern Iran. The questionnaire consisted of five sections which included data regarding the students’ general information, activity priorities, adherence to quarantine, attitude toward school closure, and sleep patterns. Results In our study, 20,697 filled questionnaires were received from the participants with an average age of 13.76 years; 29.7% of them were male, 80.6% were from urban areas, and 83.3% were from public schools. The overall first preference of students during school closure was mobile and computer games (30.1%), followed by studying (26.6%) and watching television (13.8%). Our results demonstrated that the majority of students adhered to social distancing and there was also a significant correlation among education levels and desire for schools to be closed till the end of the semester (P = 0.015). Also, regarding sleep patterns, the majority (53.5%) had above 12 h of sleep throughout the day. Conclusion It seems that lockdown following COVID-19 pandemic has changed various aspects of the students’ lifestyle remarkably, especially by increasing screen time and even sleep duration and pattern. We believe that certain strategies should be implemented by the Health and Educational Ministry to control not only the visible side effects of the quarantine period, but also the collateral consequences on their psychological and mental health.

scholarly journals SWK-07. A MULTINATIONAL SURVEY OF PAEDIATRIC NEURO-ONCOLOGY SERVICES: A EUROPEAN RESEARCH NETWORK (ERN) PAEDCAN PROJECT

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii465-iii466
Author(s):  
Katherine Cooper ◽  
Barry Pizer ◽  
Steven Lane ◽  
Stefan Rutkowski
Keyword(s):  
Economic Status ◽  
Proton Beam Therapy ◽  
Paediatric Oncology ◽  
Interdisciplinary Cooperation ◽  
Research Network ◽  
Online Questionnaire ◽  
Support Design ◽  
Mortality And Morbidity ◽  
Group Members ◽  
Patient Advice

Abstract BACKGROUND Brain tumours are clinically and biologically highly diverse and account for 25% of paediatric neoplasms. They carry the highest mortality and morbidity of tumour groups. Their management presents significant challenges with performing modern diagnostic assessments, applying multimodal treatment and establishing interdisciplinary cooperation. Outcomes across Europe differ significantly with varying 5year survival reports of 42–79%. This SIOP-Europe PaedCan survey assessed the structures and facilities for individual states and highlight areas for cooperation and support. DESIGN: An online questionnaire was sent to SIOP-Europe Brain Tumour Group members. This had 55 questions assessing pathology, staging, surgery, radiotherapy and paediatric oncology infrastructure. For analysis of the data we divided countries into lower and higher economic status according to GDP (World Bank 2019) with a cut off of $30,100. RESULTS There were 388 respondents from 44 countries in 181 different institutions. In the lower GDP group we noted decreased access to biological characterisation of tumours and interdisciplinary tumour boards. In this group of nations, patients were less likely to have treatment by a paediatric specialist neurosurgeon, paediatric neuro-oncologist, neuroradiologist, and paediatric radiation oncologist. There was also less availability to perform early MRI (ventilated) and less access to proton beam therapy. This study supports the aim of the ERN to produce a roadmap document with specific standards and publish guidelines for all relevant diagnostic and therapeutic components of care. The ERN also aims to identify a network of institutions to provide patient advice and training to equalise treatment and outcomes for all children across Europe.

scholarly journals A survey on COVID-19 vaccine acceptance and concern among Malaysians

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
S. A. R. Syed Alwi ◽  
E. Rafidah ◽  
A. Zurraini ◽  
O. Juslina ◽  
I. B. Brohi ◽  
...  
Keyword(s):  
Tertiary Education ◽  
Primary Source ◽  
Immunisation Programme ◽  
The Elderly ◽  
Vaccine Safety ◽  
Acceptance Rate ◽  
High Rate ◽  
Medical Illness ◽  
Snowball Sampling ◽  
Online Questionnaire

Abstract Background Vaccination is an effective way to curtail the burden of COVID-19 in which success depends on a high acceptance of the vaccine. However, addressing concerns among vaccine-hesitant individuals is essential to avoid failure of the immunisation programme. This study sought to assess the concerns and acceptance rates regarding the COVID-19 vaccine among Malaysians. Methods An online questionnaire was distributed to 1411 respondents via a snowball sampling method among Malaysians aged 18 years and above. Results The majority of the respondents were young adults (40.7%), female (62.8%), Malay (63.8%), Muslim (72.3%), married (52.9%), with tertiary education (86.8%) and without medical illness (85%). Social media (97.4%) was the primary source of information regarding COVID-19. The overall acceptance rate was high (83.3%), with the lowest rates among the elderly aged 60 years and above (63.4%) and pensioners (64.6%). Hesitance was caused by concerns regarding side effects (95.8%), safety (84.7%), lack of information (80.9%), effectiveness (63.6%) and religious (20.8%) and cultural factors related to the COVID-19 vaccine (6.8%). Respondents with diabetes mellitus (24.7%) and hypercholesterolemia (23%) were more hesitant to accept the COVID-19 vaccine, at 16.1 and 15.8%, respectively. Predictors of COVID-19 vaccine hesitance were age, religion, and current residence. Conclusions The results indicate a high rate of acceptance of the COVID-19 vaccine among Malaysians. Thus, the Malaysian government and other related agencies should increase their campaign and prepare to implement the COVID-19 mass immunisation programme among Malaysians. However, despite the high acceptance rate, it remains important to address concerns among hesitant individuals by building trust in vaccine safety and effectiveness through adequate information regarding the vaccine.

Assessing design buildability through virtual reality from the perspective of construction students

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Don Amila Sajeevan Samarasinghe ◽  
Imelda Saran Piri
Keyword(s):  
Virtual Reality ◽  
Tertiary Education ◽  
Building Design ◽  
Assessment Process ◽  
Online Questionnaire ◽  
Sustainable Building ◽  
Content Type ◽  
Building Information ◽  
2D Drawing ◽  
The Impact

PurposeThe purpose of this paper is to evaluate the impact of visual models on the ability of construction students to assess design buildability.Design/methodology/approachThe study engaged 45 construction students from one selected tertiary education institute in New Zealand. The data collection process involved meeting the students face-to-face and demonstrating the VR model to them, after which the students completed an online questionnaire and assessed design buildability using both 2D drawing and virtual reality (VR) models. To make this assessment, the participants considered a residential earth building modelled to promote sustainable building features. The assessment process required the participants to evaluate the design buildability of the same building design using a 2D drawing and a 3D VR model.FindingsThe study found that VR models have significant advantages for assessing design buildability. Students measured 16.80% higher average buildability with the 3D VR model compared to the 2D drawing. The participants in the evaluation felt that the visual model significantly improved the comprehensibility of complex designs, which helped identify and manage design buildability (overall, 83% of participants strongly supported this).Originality/valueThe paper showed construction digitisation such as VR, augmented reality and building information modelling is highly cooperative as it can easily be made available for online learning. Thus, the findings support construction educators use online-based VR learning to promote efficient teaching of design buildability to students.

An evaluation of public policy student placements: outcomes of a Malta-based study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Anne Marie Thake
Keyword(s):  
Public Policy ◽  
Tertiary Education ◽  
Real Life ◽  
Added Value ◽  
Academic Disciplines ◽  
Online Questionnaire ◽  
Content Type ◽  
Course Content ◽  
Mandatory Requirement ◽  
Practical Implications

PurposeThe purpose of this paper is to evaluate short-term, unpaid placements offered to students reading for a degree in public policy. They provide added value to their tertiary education experience. Elective placements were offered in 2012 and became a mandatory requirement for students reading for a three-year bachelor of commerce degree in public policy in 2018. To date, no research has been carried out on these placements and this may serve as a model for a post-evaluation assessment.Design/methodology/approachData were collected from students who undertook placements, embedded in the public policy undergraduate programme. A document analysis of selected student and placement provider's reports was carried out to complement the students' responses to an online questionnaire.FindingsPlacements are of value to students as they served as an introduction to the working world. They enable students to establish connections with the course content and carry out research. They were exposed to real-life situations, developing their knowledge, acquiring soft skills and learning new tools, sought after by employers. These placements were valued as a route to graduate employment tailor-made to the degree's requirements. Students were able to embark on a soul-searching, introspective discovery and journey which made them mature and shed light in the direction of future work prospects.Research limitations/implicationsPlacements give students the opportunity to gain insights into real-work environments and are able to link theories learnt in the class-room with real-life situations. Placements have positive implications on students adjusting to their work life easily after graduation. The limitations are that the sample size was small and that the reflective reports which were randomly selected may not have necessarily been representative of the full complement.Practical implicationsThe practical implications are that the placements system and process can easily be implemented and replicated in other academic disciplines and universities as a compulsory component of their studies.Social implicationsPlacements gave students the opportunity to reflect on their learning, develop non-technical skills and enhance their confidence levels. They were also able to network and communicate with different employees.Originality/valuePlacements provided exposure to relevant organisations and personal enrichment in terms of acquiring skills, autonomy and independence. Students with placement experience are also more likely to secure future employment, relevant to their undergraduate degree.

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