Autistic women’s views and experiences of infant feeding: A systematic review of qualitative evidence

Low breastfeeding rates are driven by multiple bio-psycho-social factors. Experience of breastfeeding is known to differ by maternal demographic factors (age, education and ethnicity) but there is less recognition of factors such as neurodivergence. This review, prospectively registered with PROSPERO (registration number: CRD42021271465), systematically identified qualitative research, commentaries and personal accounts related to Autistic mothers and infant feeding. Database searching identified 1225 records, with thematic synthesis undertaken on 22 (eight peer-reviewed studies and 14 grey literature) pieces. Our analysis identified that maternity and infant feeding services were built on a lack of understanding of Autistic needs, and were often inaccessible at a time when Autistic mothers already felt a loss of control and lack of social support. Specifically relating to breastfeeding, knowledge and determination were often high, and a minority of mothers reported positive breastfeeding experiences. However, sensory challenges, pain and interoceptive differences (exacerbated by a lack of support) made breastfeeding impossible for some. Infant formula was viewed as second-best to breastmilk, but a minority of mothers found the ritual of preparing bottles of formula positive. There is an urgent need for maternity and infant feeding services to accommodate the needs of Autistic mothers, including service design and staff training

“I am afraid of being treated badly if I show it”: A cross-sectional study of healthcare accessibility and Autism Health Passports among UK Autistic adults

Autistic people are more likely to experience stigma, communication barriers and anxiety during healthcare. Autism Health Passports (AHPs) are a communication tool that aim to provide information about healthcare needs in a standardised way. They are recommended in research and policy to improve healthcare quality

Visit to Papermaking Studio; Letterpress Studio; Media Archaeology Collection

Aimee Lee: Papermaking StudioLocation: Hales Gym Ed Vermue: Letterpress Studio Demo and Open HouseLocation: Mary Church Terrell Main Library Rian Brown-Orso and Heath Patten: Media Archaeology Collection of Objects and Screening of Rian Brown-Orso\u27s animated shortsLocation: Goodrich Room, Mary Church Terrell Main Librar

The safety of at home powdered infant formula preparation: A community science project

Formula fed infants experience gastrointestinal infections at higher rates than breastfed infants, due in part to bacteria in powdered infant formula (PIF) and bacterial contamination of infant feeding equipment. The United Kingdom National Health Service (UK NHS) has adopted the World Health Organization recommendation that water used to reconstitute PIF is ≥70°C to eliminate bacteria. We used community science methods to co-design an at home experiment and online questionnaire (‘research diary’) to explore the safety of PIF preparation compared to UK NHS guidelines. 200 UK-based parents of infants aged ≤12 months were recruited; 151 provided data on PIF preparation, and 143 were included in the analysis of water temperatures used to reconstitute PIF. Only 14.9% (n = 11) of 74 PIF preparation machines produced a water temperature of ≥70°C compared with 78.3% (n = 54) of 69 kettle users (p < 0.001). The mean temperature of water dispensed by PIF preparation machines was 9°C lower than kettles (Machine M = 65.78°C, Kettle M = 75.29°C). Many parents did not always fully follow NHS safer PIF preparation guidance, and parents did not appear to understand the potential risks of PIF bacterial contamination. Parents should be advised that the water dispensed by PIF preparation machines may be below 70°C, and could result in bacteria remaining in infant formula, potentially leading to gastrointestinal infections. PIF labelling should advise that water used to prepare PIF should be ≥70°C and highight the risks of not using sufficiently hot water, per WHO Europe advice. There is an urgent need for stronger consumer protections regarding PIF preparation devices

Outcomes of cardiac surgery in Jehovah's Witness patients:A review

OBJECTIVE: To review current literature evidence on outcomes of cardiac surgery in Jehovah’s Witness patients. METHODS: A comprehensive electronic literature search was done from 2010 to 20th August 2020 identifying articles that discussed optimisation/outcomes of cardiac surgery in Jehovah’s Witness either as a solo cohort or as comparative to non-Jehovah’s Witnesses. No limit was placed on place of publication and the evidence has been summarised in a narrative manner within the manuscript. RESULTS: The outcomes of cardiac surgery in Jehovah’s Witness patients has been described, and also compared, to non-Witness patients within a number of case reports, case series and comparative cohort studies. Many of these studies note no significant differences between outcomes of the two groups for a number of variables, including mortality. Pre-, intra and post-operative optimisation of the patients by a multidisciplinary team is important to achieve good outcomes. CONCLUSION: The use of a bloodless protocol for Jehovah’s Witnesses does not appear to significantly impact upon clinical outcomes when compared to non-Witness patients, and it has even been suggested that a bloodless approach could provide advantages to all patients undergoing cardiac surgery. Larger cohorts and research across multiple centres into the long term outcomes of these patients is required

Understanding the impact of climate change on snowpack extent and measurement in the Columbia River Basin and nested sub basins

Shifting climate patterns in the Columbia River basin are affecting snow pack, and, as a result, stream flow throughout the region. In the Oregon Cascades, ever growing populations, and their associated activities, place increasing stress on an already over allocated hydrologic system. Political pressures, including the possibility of renegotiation or termination of the Columbia River Treaty between the United States and Canada; societal pressures, including a desire for ecosystem services and fish habitat; and economic pressures, including a need for adequate streamflow for hydropower generation and irrigation, all necessitate a better understanding of current and future snow pack. This work focuses on analyzing the ability of the current snowpack measurement system to represent and capture snowpack in the Columbia River basin and its sub basins under both today’s climate and future climates. In addition, this work develops a more comprehensive knowledge of the impact climate warming will have on snow-covered areas across the region. To determine the efficacy of current snow water equivalence (SWE) measurement sites, the locations and characteristics of sites in the McKenzie River Basin, a sub basin of the Columbia River basin, were considered. SWE was distributed through the basin using the physically based model, SnowModel. SWE values at the four SNOTEL sites in the basin ranged from 0.18-0.37 m at peak SWE. Three of the sites had SWE values greater than 180% of average SWE of the snow covered area. Using elevation, aspect and slope, a 16-node binary regression tree explained controlling variables on SWE at the basin scale. As expected, elevation is the primary determinant in SWE distribution, however, the influence of different parameters shifted throughout the accumulation and ablation seasons. Updated high resolution PRISM precipitation and temperature data are used to map areas within the Columbia River basin and two nested sub basins that are at risk of turning from winter snow dominated precipitation regimes to winter rain dominated under warming scenarios ranging from 1-3°C. Within the Columbia River basin, the Oregon Cascades exhibit the greatest degree of sensitivity to changes in precipitation. Under a 2°C warming scenario, an increase that the International Panel on Climate Change finds highly likely to occur within the next 30 years, 30% of current-day snow covered area in Oregon’s Willamette River Basin will be at risk of turning from snow to rain. The water storage that will be lost if such a change does occur (0.73 km3) is equivalent to more than 8 months worth of water at the current rate of water use in the basin. Data from nine regional stations in the National Oceanic and Atmospheric Administration (NOAA) National Weather Service (NWS) Cooperative Observer Program were used to validate placement of snow by the model. The conclusions of this work suggest that the placement of snow measurement sites requires refinement and improvement if the measurements are to accurately represent basin wide snowpack today and in the future. Water and natural resource managers will find the results presented here useful for siting future measurement locations that capture and represent SWE during times of interest. While political, societal and economic pressures will only increase, these findings provide early steps for the creation of a more robust system that has the potential to help stakeholders make informed decisions about their water resources, their communities and their needs.Keywords: representativeness, SNOTEL, Columbia River Basin, snowpac

Probing the Density in the Galactic Center Region: Wind-Blown Bubbles and High-Energy Proton Constraints

Recent observations of the Galactic center in high-energy gamma-rays (above 0.1TeV) have opened up new ways to study this region, from understanding the emission source of these high-energy photons to constraining the environment in which they are formed. We present a revised theoretical density model of the inner 5pc surrounding Sgr A* based on the fact that the underlying structure of this region is dominated by the winds from the Wolf-Rayet stars orbiting Sgr A*. An ideal probe and application of this density structure is this high energy gamma-ray emission. We assume a proton-scattering model for the production of these gamma-rays and then determine first whether such a model is consistent with the observations and second whether we can use these observations to further constrain the density distribution in the Galactic center.Comment: 36 pages including 17 figures, submitted to ApJ, comments welcom

Effects of maternal caffeine consumption on the breastfed child : a systematic review

Background: Nutrition in the first 1000 days between pregnancy and 24 months of life is critical for child health, and exclusive breastfeeding is promoted as the infant’s best source of nutrition in the first 6 months. Caffeine is a central nervous system stimulant occurring naturally in some foods and used to treat primary apnoea in premature babies. However high caffeine intake can be harmful, and caffeine is transmitted into breastmilk. Aim: To systematically review the evidence on the effects of maternal caffeine consumption during breastfeeding on the breastfed child. Method: A systematic search was conducted to October 2017 in MEDLINE, EMBASE, Web of Science, CINAHL, and Cochrane Library. The British Library catalogue, which covers doctoral theses, was searched and PRISMA guidelines followed. Two reviewers screened for experimental, cohort, or case-control studies and performed independent quality assessment using the Newcastle-Ottawa scale. The main reviewer performed data extraction, checked by the second reviewer. Results: Two cohort, two crossover studies, and one N-of-1 trial were included for narrative synthesis. One crossover and two cohort studies of small sample sizes directly investigated maternal caffeine consumption. No significant effects on 24-hour heart rate, 24-hour sleep time, or frequent night waking of the breastfed child were found. One study found a decreased rate of full breastfeeding at 6 months postpartum. Two studies indirectly investigated caffeine exposure. Maternal chocolate and coffee consumption was associated with increased infant colic, and severe to moderate exacerbation of infant atopic dermatitis. However, whether caffeine was the causal ingredient is questionable. The insufficient and inconsistent evidence available had quality issues impeding conclusions on the effects of maternal caffeine consumption on the breastfed child. Conclusion: Evidence for recommendations on caffeine intake for breastfeeding women is scant, of limited quality and inconclusive. Birth cohort studies investigating the potential positive and negative effects of various levels of maternal caffeine consumption on the breastfed child and breastfeeding mother could improve the knowledge base and allow evidence-based advice for breastfeeding mothers

Islandora: An Open Source Institutional Repository Solution

In the summer of 2013, Southwest Minnesota State University and Minneapolis College of Art and Design joined PALS as development partners for the Islandora Digital Repository Project. Islandora uses common open source components such as Drupal, Apache, and SOLR to build a dynamic, robust, and customizable Institutional Repository. This session will include a demonstration of Islandora and a discussion of the project, challenges, lessons learned, and successes. There will also be time for questions and answers about Islandora and PALS’ Islandora services. PALS’ goal is to provide Islandora to Minnesota libraries and archives

Whisker exploration behaviours in the 5xFAD mouse are affected by sex and retinal degeneration

Active whisking in mice and rats is one of the fastest behaviours known in mammals and is used to guide complex behaviours such as exploration and navigation. During object contact, whisker movements are actively controlled and undergo robust changes in timing, speed and position. This study quantifies whisker movements in 6‐7 month old male and female 5xFAD mice, and their C57/SJL F1 wildtype (WT) controls. As well as genotype, we examined sex differences and the effects of retinal degeneration (rd). Mice were filmed using a high‐speed video camera at 500fps, under infrared light while behaving freely in three tasks: object exploration, sequential object exploration and tunnel running. Measures of whisker position, amplitude, speed and asymmetry were extracted and analyzed for each task. The 5xFAD mice had significantly altered whisker angular positions, amplitude and asymmetry during object contacts and female 5xFAD mice with rd had lower mean angular positions during object contact. There were no significant effects of genotype on sequential object exploration or on tunnel running but differences due to sex and rd were found in both tasks, with female mice making larger and faster whisker movements overall, and mice with rd making larger and faster whisker movements during object contact. There were sex differences in whisker movements during sequential object exploration and females with rd had higher whisker retraction speeds in tunnel running. These data show that measuring whisker movements can quantify genotype and sex differences and the effects of retinal degeneration during exploratory behaviour in these mice