Use of a web-based educational intervention to improve knowledge of healthy diet and lifestyle in women with Gestational Diabetes Mellitus compared to standard clinic-based education

Flow chart of recruitment procedure. (PDF 103 kb

Women's experiences of factors that facilitate or inhibit gestational diabetes self-management

BACKGROUND: Gestational diabetes rates have increased dramatically in the past two decades and this pattern of increase appears to relate primarily to the obesity epidemic, older maternal age and migration from world areas of high GDM risk. Women from disadvantaged and migrant backgrounds are most at risk of developing and of mismanaging this condition. The aim of the study was to explore the factors that facilitated or inhibited gestational diabetes self-management among women in a socially deprived area. METHODS: Fifteen pregnant women, with a diagnosis of gestational diabetes, were purposively recruited for this study. Qualitative semi structured interviews and 1 focus group were conducted when participants were approximately 28–38 weeks gestation. The study’s theoretical framework was based on interpretative phenomenology and data was analysed using a thematic analysis approach. RESULTS: Women in this study identified a number of factors that complicated their task of GDM self-management. Barriers included: (1) time pressures; (2) physical constraints; (3) social constraints; (4) limited comprehension of requirements, and (5) insulin as an easier option. Factors facilitating GDM self-management included: thinking about the baby and psychological support from partners and families. CONCLUSION: Women from low socio economic and migrant backgrounds often struggle to comprehend GDM self-management requirements. To improve adherence to management plans, these women require educational and supportive services that are culturally appropriate and aimed at a low level of literacy

Development and initial testing of a GDM information website for multi-ethnic women with GDM

BACKGROUND: Gestational diabetes mellitus (GDM) affects approximately 5–15 % of pregnant women in Australia. Highest rates are seen among women who are obese, from specific ethnic backgrounds and low socio-economic circumstance. These features also impact on uptake of self-management recommendations. GDM that is not well managed can give rise to serious pregnancy complications. The aim of this project was to develop and test an intervention to improve knowledge of GDM and GDM self-management principles. METHODS: A web-based intervention, consisting of resources aimed at a low level of literacy, was developed and tested among multi-ethnic women at a metropolitan hospital in Melbourne Australia. A basic one-group pre-test/post-test design was used to explore the impact of the intervention on knowledge, in 3 domains: (1) Knowledge of GDM; (2) food values, and;(3) GDM self-management principles. Questionnaire data was analysed using Statistical Package for the Social Sciences (SPSS), version 21.0. Fisher’s exact test was used to test for an improvement in each knowledge scale. RESULTS: Twenty-one women with GDM, from multi-ethnic backgrounds, participated in the testing of the intervention. Results indicated that the intervention was effective at improving knowledge scores and this effect was greatest in the first domain, knowledge of GDM. Although some improvement of knowledge scores occurred in the other two domains, food values and self-management principles, these improvements were less than expected. This finding may relate to a number of misunderstandings in the interpretation of the web resource and survey questions. These issues will need to be resolved prior to proceeding to a clinical trial. CONCLUSION: Initial results from this study look promising and suggest that with some improvements, the intervention could prove a useful adjunct support for women with GDM from multi-ethnic and low socio-economic backgrounds. Conducting a randomised controlled trial is feasible in the future and will provide a useful means of examining efficacy of the intervention

Temperate Grassland Yields and Nitrogen Uptake Are Influenced by Fertilizer Nitrogen Source

This research was supported under the National Development Plan through the Research Stimulus Fund administered by the Department of Agriculture, Food and the Marine (Grants RSF10-/RD/SC/716 and RSF11S138) and from the Department of Agriculture and Rural Development for Northern Ireland and by the Teagasc Walsh Fellowship Scheme.peer reviewedIn temperate grasslands, N source influences greenhouse gas emissions. Nitrification and urea hydrolysis inhibitors can reduce these losses. The objective of this study was to evaluate the impact of N source, urease inhibitors, and nitrification inhibitors on temperate grassland yields and N uptake. Experiments were conducted at three locations over 2 years (6 site-years) on the island of Ireland, covering a range of soils and climatic conditions. Results showed that calcium ammonium nitrate (CAN), urea+N-(n-butyl) thiophosphoric triamide (NBPT), urea+NBPT+dicyandiamide (DCD), and urea had equal annual dry matter yield. Urea+DCD had lower dry matter yield than CAN for 3 site-years. Calcium ammonium nitrate and urea+NBPT consistently had the same N uptake, urea+DCD had lower N uptake than CAN in 4 of 6 site-years, urea had lower N uptake than CAN in 2 site-years, and urea+NBPT+DCD had lower N uptake than CAN in 1 site-year. Urea+NBPT is a cost-effective alternative to CAN, which is consistently equal in terms of yield and N uptake in temperate grassland.Teagasc Walsh Fellowship ProgrammeDepartment of Agriculture and Rural Development for Northern IrelandDepartment of Agriculture, Food and the Marin

Effects of urease and nitrification inhibitors on yields and emissions in grassland and spring barley

We thank the Department of Agriculture, Food and the Marine (Grant No. 11/S/138), the Agricultural Greenhouse Gas Research Initiative for Ireland (Grant No. 10/RD/SC/716), Department of Agriculture, Environment and Rural Affairs, Northern Ireland and the Walsh Fellowship Scheme for the funding provide to Ms Mary Harty and Ms Leanne Roche.Conference paper presented to the International Fertiliser Society at a Conference in Cambridge, United Kingdom, on 9th December 2016.In trials conducted in the temperate maritime climate of Ireland on a range of acidic soils, calcium ammonium nitrate (CAN) and urea gave comparable yield performance. There was little evidence of reduced yields by using urea for grassland or spring barley. Our finding that urea produced annual yields that were not significantly different from CAN differs from previous studies which found that yields from urea were lower than those from ammonium nitrate or nitrate based fertiliser in the UK. However, there are also published results from trials conducted in temperate Irish grassland showing equal yield performance of CAN and urea in the 1970s. Based on yield performance and the cost of fertiliser there is scope to dramatically increase the level of urea usage in straight and blended fertilisers in the temperate maritime climate of Ireland in both grassland and spring barley. Such an increase will bring substantial benefits in terms of reducing direct nitrous oxide (N2O) emissions from fertiliser applied to soil, particularly in poorly draining soils subject to high levels of precipitation. Nitrogen recovery by plants tends to be more sensitive to differences in fertiliser efficiency than is yield. Although yields did not differ between urea and CAN; urea had a lower nitrogen recovery indicating that urea usage will also result in a reduced level of fertiliser use efficiency. Reduced efficiency is less tangible to farmers who tend to be primarily concerned with dependable yield results. Reduced efficiency is a problem nonetheless, particularly as it is closely linked to NH3 emissions in urea usage. European countries including Ireland have committed to reduce national NH3 emissions to comply with the revised National Emission Ceilings Directive (2001/81/EC) in Europe. Increased urea usage, which looks attractive from a yield, cost and direct N2O perspective in Ireland, runs counter to meeting these commitments. Additionally, NH3 is a source of indirect N2O emissions that will negate some of the N2O savings from urea. Due to the issues of yield dependability, fertiliser efficiency, N2O and NH3 emissions the urease inhibitor N-(n-butyl) thiophosphoric triamide (NBPT) is a particularly attractive option for making urea use more efficient by addressing its key weakness in the area of variable NH3 loss and efficiency. The urease inhibitor NBPT along with the nitrification inhibitor dicyandiamide (DCD) were tested with urea in comparison with calcium ammonium nitrate (CAN). The nitrification inhibitor DCD was very effective in reducing fertiliser N associated N2O emissions. Indeed, its usage allowed N2O levels to be reduced to levels comparable to where no application of N fertiliser was made at some site-years. However, at the DCD incorporation rate tested, DCD contributed to variability in NH3 loss from urea and suppressed both yield response and fertiliser efficiency. Use of the urease inhibitor NBPT in addition to DCD went a substantial way to resolving these shortcomings. Continuing work is needed to tailor the rate of existing and new urease and nitrification inhibitors to optimise the balance between suppression of gaseous N emissions, agronomic performance and economic considerations.We thank the Department of Agriculture, Food and the Marine (Grant No. 11/S/138), the Agricultural Greenhouse Gas Research Initiative for Ireland (Grant No. 10/RD/SC/716), Department of Agriculture, Environment and Rural Affairs, Northern Ireland and the Walsh Fellowship Scheme for the funding provide to Ms Mary Harty and Ms Leanne Roche

Can the agronomic performance of urea equal calcium ammonium nitrate across nitrogen rates in temperate grassland?

Department of Agriculture, Environment and Rural Affairs in Northern Ireland, the Teagasc Walsh Fellowship Schemepeer-reviewedIn temperate grassland, urea has been shown to have lower nitrous oxide emissions compared to ammonium nitrate-based fertilizer and is less expensive. However, nitrogen (N) loss via ammonia volatilization from urea raises questions regarding yield performance and efficiency. This study compares the yield and N offtake of grass fertilized with urea, calcium ammonium nitrate (CAN) and urea treated with the urease inhibitor N-(n-butyl) thiophosphoric triamide (NBPT) at six site-years. Five annual fertilizer N rates (100–500 kg N/ha) were applied in five equal splits of 20–100 kg N/ha during the growing season. On average, urea produced slightly better yields than CAN in spring (103.5% of CAN yield) and slightly poorer yields in summer (98.4% of CAN yield). There was no significant difference in annual grass yield between urea, CAN and urea + NBPT. Urea had the lowest cost per tonne of DM grass yield produced. However, the urea treatment had lower N offtake than CAN and this difference was more pronounced as the N rate increased. There was no difference in N offtake between urea + NBPT and CAN. While this study shows that urea produced yields comparable to CAN, urea apparent fertilizer N recovery (AFNR) tends to be lower. Urea selection in place of CAN will increase national ammonia emissions which is problematic for countries with targets to reduce ammonia emissions. Promisingly, NBPT allows the agronomic performance of urea to consistently equal CAN across N rates by addressing the ammonia loss limitations of urea.Department of Agriculture, Environment and Rural Affairs in Northern IrelandTeagasc Walsh Fellowship ProgrammeDepartment of Agriculture, Food and the Marin

La influencia de la posición anatómica sobre la capacidad de retención del agua y sobre la blandura de la carne de caballo

Cilj istraživanja bio je utvrditi sposobnost zadržavanja vode (kalo odmrzavanja, kalo kuhanja) i mekoću (silu presijecanja) najdužeg leđnog mišića (LT) i polutetivastog mišića (ST) konjskog mesa izuzetih nakon uobičajene klaoničke prakse. Prosječna vrijednost kala odmrzavanja LT mišića bila je 8,65 %, dok je prosječna vrijednost kala odmrzavanja ST mišića bila 6,69 %. Prosječna vrijednost kala kuhanja LT mišića bila je 19,35 %. Znatno veća prosječna vrijednost kala kuhanja utvrđena je u ST mišiću (23,41 %). Prosječna vrijednost sile presijecanja LT mišića bila je 28,10 N. Prosječna vrijednost sile presijecanja ST mišića bila je znatno veća od one utvrđene u LT mišiću te je iznosila 45,64 N. Usporednom analizom razlika srednjih vrijednosti kala odmrzavanja, kala kuhanja i mekoće utvrđene su statistički značajne razlike između LT i ST (p<0,0001) mišića konjskog mesa. Nadalje, rezultati potvrđuju umjereno visoku i pozitivnu korelaciju (r=0,60; p<0,0001) kala odmrzavanja između LT i ST mišića. Zaključno, anatomska pozicija je čimbenik kojeg je potrebno uzeti u obzir ne samo u istraživanjima nego i pri tehnološkoj obradi te izboru i kupnji konjskog mesa.The aim of the study was to investigate water-holding capacity (thawing loss, cooking loss) and tenderness (shear force) of longissimus thoracis muscle (LT) and semitendinosus muscle (ST) of horse meat. The thawing loss value for LT muscle was 8.65%, whereas for ST muscle was 6.69%. The cooking loss for LT muscle was 19.35%, whereas for ST muscle was 23.41%. The shear force for LT muscle was 28.10 N, whereas for ST muscle was higher (45.64 N). Paired t-test analysis showed significant differences for thawing loss, cooking loss, and shear force between LT and ST muscles (p<0.0001). Furthermore, the results showed high correlation (r=0.60; p<0.0001) for cooking loss between LT and ST muscles. Finally, it could be concluded that the anatomical location is a trait that surely must be considered in further investigations, in meat processing and purchasing of horse meat.Ziel dieser Arbeit bestand darin, das Wasserhaltevermögen (Wasserverlust beim Auftauen, Wasserverlust beim Kochen) und die Zartheit (Scherkraft) des längsten Rückenmuskels (LT) und des halbsehnigen Muskels (ST) beim Pferdefleisch zu untersuchen, deren Proben nach der üblichen Schlachtpraxis entnommen wurde. Der durchschnittliche Wert des Wasserverlusts beim Auftauen betrug beim LT Muskel 8,65%, während der durchschnittliche Wert des Wasserverlusts beim Auftauen beim ST Muskel 6,69% betrug. Der durchschnittliche Wert des Verlusts beim Kochen betrug beim LT Muskel 19,35%, während beim ST Muskel ein bedeutend höherer mittlerer Wert des Verlusts beim Kochen festgelegt wurde (23,41%). Der mittlere Wert der Scherkraft betrug beim LT Muskel 28,10 N. Der mittlere Wert der Scherkraft beim ST Muskel war mit einem Wert von 45,64 N bedeutend höher als beim LT Muskel. Bei einer vergleichenden Auswertung der mittleren Werte des Verlusts beim Auftauen, Kochen und bei der Zartheit wurden zwischen dem LT und ST Muskel beim Pferdefleisch statistisch relevante Unterschiede festgestellt (p<0,0001). Die Ergebnisse bestätigen darüber hinaus eine relativ hohe und positive Korrelation (r=0,60; p<0,0001) des Verlustes beim Auftauen zwischen dem LT und ST Muskel. Als Schlussfolgerung kann konstatiert werden, dass die anatomische Lage ein Faktor ist, der nicht nur bei Untersuchungen berücksichtigt werden sollte, sondern auch bei der technologischen Verarbeitung sowie bei der Wahl und dem Kauf von Pferdefleisch.Lo scopo della ricerca è consistito nell\u27accertare la capacità di trattenere l\u27acqua (calo da scongelamento, calo da cottura) e la tenerezza (forza di taglio) del muscolo lunghissimo (LT) e del muscolo semitendinoso (ST) della carne equina prelevati dopo la consueta prassi di macellazione. Circa il calo da scongelamento del muscolo LT, la ricerca ha evidenziato un valore medio dell\u278,65%, mentre, riguardo al calo da scongelamento del muscolo ST, ha evidenziato un valore medio del 6,69%. Circa il calo da cottura del muscolo LT, la ricerca ha evidenziato un valore medio del 19,35%. Il valore medio del calo da cottura evidenziato riguardo al muscolo ST è stato di molto maggiore (23,41%). Il valore medio della forza di taglio del muscolo LT è risultato di 28,10 N. Il valore medio della forza di taglio del muscolo ST, pari a 45,64 N, è risultato molto maggiore del valore medio registrato riguardo al muscolo LT. Mediante l\u27analisi comparativa delle differenze dei valori medi del calo da scongelamento, del calo da cottura e della tenerezza, sono state accertate differenze statisticamente significative tra il muscolo LT e il muscolo ST (p<0,0001) della carne equina. I risultati confermano anche una correlazione mediamente elevata e positiva (r=0,60; p<0,0001) del calo da scongelamento tra i muscoli LT e ST. In conclusione, la posizione anatomica è un fattore che va preso in considerazione non soltanto in sede di ricerca, ma anche nel processo tecnologico, nella scelta e nell\u27acquisto della carne equina.El fin de esta investigación fue determinar la capacidad de retención del agua (merma por descongelación, merma por cocción) y la blandura (fuerza de corte) del músculo más largo de la espalda (LT) y el músculo ST de la carne de caballo tomadas después de la práctica habitual en el matadero. El valor medio de la merma por descongelación del músculo LT fue 8,65%, mientras el valor medio de la merma por descongelación del músculo ST fue 6,69%. El valor medio de la merma por cocción del músculo LT fue 19,35%. El valor medio de la merma por cocción del músculo ST fue considerablemente más alto, (23,41%). El valor medio de la fuerza de corte del músculo LT fue 28,10 N. El valor medio de la fuerza de corte del músculo ST fue considerablemente más alto que el valor determinado para el músculo LT y fue 45,64 N. Por el análisis comparativo de los valores medio de la merma por descongelación, de la merma por cocción y de la blandura fueron determinadas diferencias estadísticamente significantes entre los músculos LT y ST (p<0,0001) de carne de caballo. Además, los resultados confirman la correlación positiva moderada (r=0,60; p<0,0001) de la merma por descongelación entre los músculos LT y ST. En conclusión, la posición anatómica es un factor que hay que tomar en cuenta no sólo en las investigaciones sino también durante el procesamiento tecnológico y en la compra de la carne de caballo

Health beliefs among Caucasian, Vietnamese, Filipino and Punjabi (Indian) women with gestational diabetes

Gestational diabetes (GDM), or diabetes occurring for the first time in pregnancy, is a serious condition with health implications for mother and baby. Risk factors include maternal obesity, older maternal age and racial heritage, including particularly women from Indian, Vietnamese, Chinese, and Polynesian backgrounds