216 research outputs found
Development of Feeding Cues During Infancy and Toddlerhood
To enhance responsive feeding, this study aimed to characterize the development of feeding cues during infancy and toddlerhood
Self-management of type 2 diabetes mellitus in pregnancy and breastfeeding experiences among women in Thailand: Study protocol
Women with type 2 diabetes mellitus are at a higher risk of pregnancy complications. Although traditional beliefs and practices influence diabetes management and breastfeeding, recommendations integrating Thai cultural beliefs in maternal care are lacking. The purpose of this study is to describe diabetes self-management in pregnancy and breastfeeding experiences in women with preexisting type 2 diabetes mellitus from Thailand. A convergent parallel mixed-methods study will be conducted. Data will be collected from 20 pregnant women with preexisting type 2 diabetes mellitus in Thailand who are either primigravida or multigravida, aged 20–44 years old, speak the Thai language, and provide consent. The National Institute on Minority Health and Health Disparities Framework’s sociocultural and behavioral domains guides the research aims. Data will be collected two times. The first time is during pregnancy (T1); study participants will complete questionnaires and engage in an interview about diabetes self-management, breastfeeding confidence, and breastfeeding intention. The second time is at 4–6 weeks postpartum (T2); study participants will be interviewed about their breastfeeding experiences. We will review and extract maternal health outcomes including body mass index, gestational weight gain, and glycated hemoglobin for T1 as well as fasting plasma glucose for T2. Qualitative data will be analyzed using directed content analysis. Quantitative data will be analyzed using descriptive statistics. Data sources will be triangulated with relative convergence in the results. This proposed study is significant because the findings will be used as a preliminary guide to developing a culturally tailored approach to enhance health outcomes of Thai women with diabetes in pregnancy and postpartum periods
Late Cenozoic evolution of the eastern margin of the Tibetan Plateau: Inferences from ^(40)Ar/^(39)Ar and (U-Th)/He thermochronology
High topography in central Asia is perhaps the most fundamental expression of the Cenozoic Indo-Asian collision, yet an understanding of the timing and rates of development of the Tibetan Plateau remains elusive. Here we investigate the Cenozoic thermal histories of rocks along the eastern margin of the plateau adjacent to the Sichuan Basin in an effort to determine when the steep topographic escarpment that characterizes this margin developed. Temperature-time paths inferred from ^(40)Ar/^(39)Ar thermochronology of biotite, multiple diffusion domain modeling of alkali feldspar ^(40)Ar release spectra, and (U-Th)/He thermochronology of zircon and apatite imply that rocks at the present-day topographic front of the plateau underwent slow cooling (30°–50°C/m.y.) coincident with exhumation from inferred depths of ∼8–10 km, at denudation rates of 1–2 mm/yr. Samples from the interior of the plateau continued to cool relatively slowly during the same time period (∼3°C/m.y.), suggesting limited exhumation (1–2 km). However, these samples record a slight increase in cooling rate (from <1 to ∼3°C/m.y.) at some time during the middle Tertiary; the tectonic significance of this change remains uncertain. Regardless, late Cenozoic denudation in this region appears to have been markedly heterogeneous, with the highest rates of exhumation focused at the topographic front of the plateau margin. We infer that the onset of rapid cooling at the plateau margin reflects the erosional response to the development of regionally significant topographic gradients between the plateau and the stable Sichuan Basin and thus marks the onset of deformation related to the development of the Tibetan Plateau in this region. The present margin of the plateau adjacent to and north of the Sichuan Basin is apparently no older than the late Miocene or early Pliocene (∼5–12 Ma)
Food Parenting Measurement Issues: Working Group Consensus Report
Childhood obesity is a growing problem. As more researchers become involved in the study of parenting influences on childhood obesity, there appears to be a lack of agreement regarding the most important parenting constructs of interest, definitions of those constructs, and measurement of those constructs in a consistent manner across studies. This article aims to summarize findings from a working group that convened specifically to discuss measurement issues related to parental influences on childhood obesity. Six subgroups were formed to address key measurement issues. The conceptualization subgroup proposed to define and distinguish constructs of general parenting styles, feeding styles, and food parenting practices with the goal of understanding interrelating levels of parental influence on child eating behaviors. The observational subgroup identified the need to map constructs for use in coding direct observations and create observational measures that can capture the bidirectional effects of parent?child interactions. The self-regulation subgroup proposed an operational definition of child self-regulation of energy intake and suggested future measures of self-regulation across different stages of development. The translational/community involvement subgroup proposed the involvement of community in the development of surveys so that measures adequately reflect cultural understanding and practices of the community. The qualitative methods subgroup proposed qualitative methods as a way to better understand the breadth of food parenting practices and motivations for the use of such practices. The longitudinal subgroup stressed the importance of food parenting measures sensitive to change for use in longitudinal studies. In the creation of new measures, it is important to consider cultural sensitivity and context-specific food parenting domains. Moderating variables such as child temperament and child food preferences should be considered in models.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140331/1/chi.2013.0032.pd
Increasing Invasive Plant Pest Early Detection Through Interagency First Detector Education
The Collaborative and Enhanced First Detector Training program has expanded invasive species detection efforts by teaching participants to scout for, identify, and submit suspect exotic species samples. Workshops were delivered to agriculture professionals, master gardeners, and other Extension audiences. Topics included introduction pathways, regulatory agency procedures, identification of invasive pests or pathogens, monitoring procedures, and sample submission. Survey data indicated the intent of participants to augment detection efforts and the efficacy of Extension workshops in improving participants\u27 perceptions of government agencies. Respondents perceived increases in knowledge related to particular invasive species, identification of potential future invaders, and sample submission. Other implications related to Extension programming on invasive species education are discussed
Exploring sustainability literacy: developing and assessing a bottom-up measure of what students know about sustainability
With many organizations, particularly higher education institutions, placing a priority on sustainability education it is important to have a measure of sustainability knowledge to assess growth over time. There have been several attempts using differing approaches to develop a valid assessment tool. However, given wide-ranging conceptual definitions of sustainability and diverse instructional techniques, we are skeptical that sustainability is a concept that can adequately be measured. The existing measures were developed using a top-down approach to question inclusion the questionnaire. As an alternative, in this paper we develop a new measure, using a bottom-up approach. In Study 1 with a sample from the University of California, Santa Barbara, we test the 44 item instrument with a large student sample. In Study 2, with a sample from Northern Illinois University, we test a shortened 10 item instrument in a different student population. Across both studies, we find little evidence for a coherent structure to sustainability knowledge. Yet, the 10 item measure correlates highly with the longer version and may be suitable to other research applications
Caregivers' perception of the role of the socio-environment on their extremely preterm child's well-being
PURPOSE: The purpose of this qualitative descriptive study was to explore primary caregivers' perception of how social-environmental characteristics, and their own role as primary caregivers, affected their extremely preterm adolescent's well-being. METHODS: Participants were 20 mothers who identified as the primary caregiver of an adolescent born extremely prematurely (<28 weeks gestation) enrolled in the ELGAN cohort study. Data was collected through individual interviews and was analyzed using inductive content analysis. RESULTS: A total of three themes, and five subthemes, were identified. The two main themes were "familial impact to health and well-being," and "contributors and barriers at the community level." This study described specific familial and community contributors to child and caregiver well-being, including: the importance of advocacy, participating in community activities, and social and familial support networks. CONCLUSIONS: Overall, while there are individual level characteristics that contribute to well-being, a support structure at the family and community level is essential to children born extremely prematurely, and their mother's, well-being. PRACTICE IMPLICATIONS: Healthcare providers caring for these families should understand that not only are extremely preterm youth affected by prematurity, but caregivers are also deeply impacted. Therefore, it is essential that maternal and family care is emphasized by nurses and healthcare providers
Promoting Physical Activity in Preschoolers to Prevent Obesity: A Review of the Literature
This literature review summarizes clinical recommendations for adequate physical activity and reviews recently published studies that focus on identifying common factors associated with physical activity levels among preschoolers in the United States and Canada. Currently, there is inconsistency in both the definition of and recommendations for physical activity. In addition, there is relatively little research in this area. Common factors and contexts associated with physical activity levels in preschoolers in this review included (a) child characteristics; (b) interpersonal dynamics between preschoolers and their families, childcare providers, and health care providers; (c) childcare setting; and (d) neighborhood environment
Child and family factors associated with positive outcomes among youth born extremely preterm
BackgroundTo analyze the relationship of child behavioral and communication disorders, and adverse family events, to later-in-life child health and cognitive function among youth born extremely preterm.MethodsThe study participants were 694 children enrolled in the Extremely Low Gestational Age Newborn Study. At ages 2 and 10, we assessed internalizing and externalizing behaviors, and at age 10, we assessed adverse life events within the family. Associations were evaluated between these child and family factors and positive child health at age 10 years, and global health and cognitive function at age 15 years.ResultsLower T-scores for internalizing or externalizing behaviors at age 2 were associated with more positive health at age 10. The absence of internalizing behaviors at age 10 was associated with better global child health and better cognitive function at age 15. The absence of communication deficits at age 10 was associated with better cognitive function at age 15. The absence of parent job loss was associated with better global child health at age 15.ConclusionAmong individuals born extremely preterm, child health and cognitive outcomes might be improved by timely interventions to address child behavioral symptoms and the impact of adverse life events in the family.ImpactThe absence of child behavioral and communication disorders, and adverse family events, were associated with more positive health, higher global health, and better cognitive function among youth born extremely preterm.Interventions to address behavioral disorders in early childhood, and to reduce the impact of adverse life events on the family, might promote improved health and developmental outcomes for adolescents born extremely preterm
Autonomous multi-platform observations during the Salinity Processes in the Upper-ocean Regional Study
Author Posting. © The Oceanography Society, 2017. This article is posted here by permission of The Oceanography Society for personal use, not for redistribution. The definitive version was published in Oceanography 30, no. 2 (2017): 38–48, doi:10.5670/oceanog.2017.218.The Salinity Processes in the Upper-ocean Regional Study (SPURS) aims to understand the patterns and variability of sea surface salinity. In order to capture the wide range of spatial and temporal scales associated with processes controlling salinity in the upper ocean, research vessels delivered autonomous instruments to remote sites, one in the North Atlantic and one in the Eastern Pacific. Instruments sampled for one complete annual cycle at each of these two sites, which are subject to contrasting atmospheric forcing. The SPURS field programs coordinated sampling from many different platforms, using a mix of Lagrangian and Eulerian approaches. This article discusses the motivations, implementation, and first results of the SPURS-1 and SPURS-2 programs.SPURS is supported by multiple NASA grants, with
important additional contributions from the US
National Science Foundation, NOAA, and the Office
of Naval Research, as well as international agencies. SVP drifters are deployed with support
from NASA and the NOAA funded Global Drifter
Program at the Lagrangian Drifter Laboratory of
the Scripps Institution of Oceanography. SVP-S2
drifters are provided by NOAA-AOML and NASA.
PRAWLER mooring development is supported
by NOAA’s Office of Oceanic and Atmospheric
Research, Ocean Observing and Monitoring Division,
and by NOAA/PMEL
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