Nutritional and feeding assessment

Author(s):  
Sarah Cawtherley ◽  
Eleanor Conway
Keyword(s):  
Author(s):  
Tatiana Stanislavovna Zubkova

The objects of research are three species of Caspian migrating herrings (Dolginsk herring ( Alosa brashnikowi ), big-eyed shad ( Alosa saposchnikowii ), Caspian shad ( Alosa caspia caspia )). The work considers two biological aspects of herring reproduction: dependence of number of underyearlings on the number of females in the end of feeding; assessment of survival rate of herring juveniles from the stage of fish egg to the stage of underyearlings. Besides fecundity of individual species, scientists take into account sex ratio in spawning populations, population fecundity, loss of reproductive capacity due to the resorption in unscreened roe. The materials obtained within 2009-2015 show that the dependence of herring underyearling number on the number of females arriving at spawning ground is extremely low. Despite a great number of females on the spawning grounds, the reasons of decreasing number of the first generation can be different: unfavorable hydrological and hydrochemical environment in foraging area, insufficient nutritive base, rescheduling of the spawning etc. The varying number of underyearlings from year to year is more pronounced with predatory fishes: the Dolginsk herring - 2.1 times, big-eyed shad - 1.7 times. The underyearling number of zoo-plankton feeder - Caspian shad is consistently high with minimal yearly variations. The young of Caspian shad have the highest survival ratio (0.0122); the young of predatory herring species the ratio is lower: Dolginsk herring is 4 times less (0.0031), big-eyed shad - 5 times less (0.0024). The data on herring survival from stage of a fish egg to an underyearling stage will become a starting point in the investigation of the environmental influence on to the new herring generations.


Author(s):  
Mari Viviers ◽  
Alta Kritzinger ◽  
Bart Vinck

Background: There is a need for validated neonatal feeding assessment instruments in South Africa. A locally developed instrument may contribute to standardised evaluation procedures of high-risk neonates and address needs in resource constrained developing settings.Objective: The aim of the study was to develop and validate the content of a clinical feeding assessment scale to diagnose oropharyngeal dysphagia (OPD) in neonates.Method: The Neonatal Feeding Assessment Scale (NFAS) was developed using the Delphi method. Five international and South African speech-language therapists (SLTs) formed the expert panel, participating in two rounds of electronic questionnaires to develop and validate the content of the NFAS.Results: All participants agreed on the need for the development of a valid clinical feeding assessment instrument to use with the neonatal population. The initial NFAS consisted of 240 items across 8 sections, and after the Delphi process was implemented, the final format was reduced to 211 items across 6 sections. The final format of the NFAS is scored using a binary scoring system guiding the clinician to diagnose the presence or absence of OPD. All members agreed on the format, the scoring system and the feeding constructs addressed in the revised final format of the NFAS.Conclusion: The Delphi method and the diverse clinical and research experience of participants could be integrated to develop the NFAS which may be used in clinical practice in South Africa or similar developing contexts. Because of demographically different work settings marked by developed versus developing contexts, participants did not have the same expectations of a clinical dysphagia assessment. The international participants contributed to evidence-based content development. Local participants considered the contextual challenges of South African SLTs entering the field with basic competencies in neonatal dysphagia management, thereby justifying a comprehensive clinical instrument. The NFAS is aimed at clinicians working in Neonatal Intensive Care Units where they manage large caseloads of high-risk neonates. Further validation of the NFAS is recommended to determine its criterion validity in comparison with a widely accepted standard such as the modified barium swallow study.


Proceedings ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 53
Author(s):  
Amy Judd ◽  
Kathryn Beck ◽  
Chris McKinlay ◽  
Cathryn Conlon

Background: Dietary assessment in infants is challenging but necessary to understand therelationship between nutrition and growth and development [...]


2017 ◽  
Vol 8 (3) ◽  
pp. 121-125
Author(s):  
Elizabeth Brooks

There is vigorous debate in the research, academic, public health, and clinical communities serving families with infants about the impact of infant ankyloglossia (“tongue-tie”) on effective breastfeeding and lactation. Will a tethered tongue (and perhaps even tethered lips and cheeks) negatively impact lactation and result in suboptimal breastfeeding and early weaning? What options can we offer families who seek relief from nipple pain, low-weight gain, and distressed babies? These are legitimate questions, but a more elementary examination is whether it is within the scope of practice for the IBCLC to assess the infant’s oral cavity, observe a feed-at-breast, and share concerns with the primary health-care provider. This article reviews the practice-guiding documents relevant to ethical and clinical care by an IBCLC and highlights the authority that allows the IBCLC to offer evidence-based information and support, including a comprehensive feeding assessment, for the baby suspected of tongue-tie.


2020 ◽  
Vol Volume 10 ◽  
pp. 23-30
Author(s):  
Dara Azuma ◽  
Jill L Maron

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