Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya

BackgroundThe World Health Organisation (WHO) recommends exclusive breastfeeding during the first six months of life for optimal growth, development and health. Breastfeeding should continue up to two years or more and nutritionally adequate, safe, and appropriately-fed complementary foods should be introduced at the age of six months to meet the evolving needs of the growing infant. Little evidence exists on breastfeeding and infant feeding practices in urban slums in sub-Saharan Africa. Our aim was to assess breastfeeding and infant feeding practices in Nairobi slums with reference to WHO recommendations. MethodsData from a longitudinal study conducted in two Nairobi slums are used. The study used information on the first year of life of 4299 children born between September 2006 and January 2010. All women who gave birth during this period were interviewed on breastfeeding and complementary feeding practices at recruitment and this information was updated twice, at four-monthly intervals. Cox proportional hazard analysis was used to determine factors associated with cessation of breastfeeding in infancy and early introduction of complementary foods. ResultsThere was universal breastfeeding with almost all children (99%) having ever been breastfed. However, more than a third (37%) were not breastfed in the first hour following delivery, and 40% were given something to drink other than the mothers' breast milk within 3 days after delivery. About 85% of infants were still breastfeeding by the end of the 11th month. Exclusive breastfeeding for the first six months was rare as only about 2% of infants were exclusively breastfed for six months. Factors associated with sub-optimal infant breastfeeding and feeding practices in these settings include child's sex; perceived size at birth; mother's marital status, ethnicity; education level; family planning (pregnancy desirability); health seeking behaviour (place of delivery) and; neighbourhood (slum of residence). ConclusionsThe study indicates poor adherence to WHO recommendations for breastfeeding and infant feeding practices. Interventions and further research should pay attention to factors such as cultural practices, access to and utilization of health care facilities, child feeding education, and family planning. <br/

A Herschel*-ATLAS study of dusty spheroids : Probing the minor-merger process in the local Universe

We use multiwavelength (0.12-500 μm) photometry from Herschel-ATLAS, WISE, UKIDSS, SDSS and GALEX to study 23 nearby spheroidal galaxies with prominent dust lanes (DLSGs). DLSGs are considered to be remnants of recent minor mergers, making them ideal laboratories for studying both the interstellar medium (ISM) of spheroids and minor-merger-driven star formation in thenearby Universe. The DLSGs exhibit star formation rates (SFRs) between 0.01and 10M yr with a median of 0.26M yr (a factor of 3.5 greater thanthe average SG). The median dust mass, dust-to-stellar mass ratio and dust temperature in these galaxies are around 107.6M, ≈0.05 per cent and ≈19.5K, respectively. The dust masses are at least a factor of 50 greater than that expected from stellar mass loss and, like the SFRs, show no correlationwith galaxy luminosity, suggesting that both the ISM and the star formationhave external drivers. Adopting literature gas-to-dust ratios and star formation histories derived from fits to the panchromatic photometry, we estimate that the median current and initial gasto- stellar mass ratios in these systems are ≈4 and ≈7 per cent, respectively. If, as indicated by recent work, minor mergers that drive star formation in spheroids with (NUV - r) > 3.8 (the colour range of our DLSGs) have stellar mass ratios between 1:6 and 1:10, then the satellite gas fractions are likely =50 per cent.Peer reviewedSubmitted Versio

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Thromboses veineuses distales des membres inférieurs (risque embolique et accidents du traitement anticoagulant (à propos de 172 cas consécutifs observés pendant l'année 2007 à l'Hôpital Edouard Herriot de Lyon)

LYON1-BU Santé (693882101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Biogeochemical evidence of flow re-entrainment on the main fringing reef of La Reunion Island

International audienc