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Breastfeeding Presentation

Transcript: A/C 2.1 The impact on health and development of choices during breastfeeding. Unit 1.1 - Support Healthy Lifesytles For Children Through The Provision Of Food And Nutrition When breastfeeding, mothers should follow t... When breastfeeding, mothers should follow the principles for the healthy diet in pregnancy. There is no need to eat anything special, just eat healthly. What should be in your diet when breastfeeding? At least five portions of fruit and vegetables a day. This can include fresh, frozen, tinned and dried fruit and vegetables and no more than 150ml glass of unweetened juice. Startchy foods such as wholemeal bread, pasta, rice and potatoes. Plenty of fibre from wholemeal bread, pasta, rice nd cereals. Pulses such as beans and lentils. Fruit and vegetables. Some women may suffer from constipation after childbirth, fibre helps with this. Protein such as lean meat and chicken, fish, eggs, nuts and seeds, soya food and pulses. Two portions of oily fish per week is recommened as they are high in omega 3 fatty acids which is important for the development of the central nervous system. Dairy food such as milk, cheese and yoghurt Do you need to eat more during breastfeeding? It is recommended to have bewteen 300-500 extra calories per day when breastfeeding as you burn more energy. Many mums have an increased hunger and appetite and its not a good idea to restrict your food intake. Do you need to drink more ? It is important to stay hydrated and aim for six-eight glasses of fluids every day. It is a good idea to keep a glass of water beside you when breastfeeding. If your urine is strong and dark in colour, you haven't been drinking enough. Does certain food affect your breast milk? The fat and calories in breast milk tend to come from fat laid down during pregnancy rather then your current diet. However, certain day to day food can effect breast milk for example Omega 3 and Omega 6 fatty acids found in oily fish are good for babies brain development, but these are only found in breast milk if mothers have eaten it in her diet. Breast milk does slightly change in flavour depending on what you've eaten, but this actually helps your baby to develop their sense of taste in preperation for solid food. Babies are generally not bothered by particular food mum's eaten unless there is a family history of sensitivities or allergies. Are vitamin supplements required whilst breastfeeding? The Department of Health recommends that all breastfeeding mothers take a 10mg vitamin D supplement every day. This is important as it helps to regulate the amount of calcium and phosphates in our bodies and helps keep bones and teeth strong and healthy. The main two things to avoid or eat in small quantities is fish and alcohol. Fish contain mercury that can have a negative affect on baby's neurologic development so only two portion per week should be consumed. It is a good idea to limit how much you drink, or avoid all together, as too much alcohol regularly can affect baby's brain development. The occassional drink is unlikely to harm you or baby but it may affect how easily baby feeds. Once alcohol has gone from your bloodstream, it will disappear from your breast milk too. Excessive amounts of coffee and tea should also be avoided as caffine transfers into breast milk. Caffine affects some babies more than others, they can become jittery and caffine is a powerful drug which can affect brain development. Caffine can last for upto around 5 hours, which stays in the body and can take over 24hrs to be eliminated, so more caffine on top of caffine means the effect accumulates. It is a good idea to consume decaffinated tea and coffee. Certain foods may cause irritation, gas or intestinal irritation in babies such as caffine (coffee, tea and chocolate), citrus fruit, spicy peppers, broccoli, onion and garlic. Some herbs such as peppermint and parsley can decrease milk supply. Although peanut allergies are very common, it is safe to eat them when breastfeeding, unless of course you, baby's dad or siblings have a peanut allergy as baby may be at a higher risk of also developing an allergy. Always check with pharmacists or your doctor before taking any type of medication as some may be harmful to baby as it can be passed on through breast milk.

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Breastfeeding presentation

Transcript: Other factors need to be ruled out before assessing for colic Is the baby fed when early hunger ques are given (rooting, moving head, etc)? Is the baby being fed frequently enough? Are the durations of feedings long enough? Is the baby getting enough milk during feedings? Colic is defined as crying more than 3 hours a day, more than 3 days a week, and lasting more than 3 weeks (Wessel's 3-3-3 definition) Babies with colic have a distinct, high-pitch wail/scream and sound as if the baby is in pain. The knees may be drawn up, and the abdomen may be distended If colic is suspected, the mother should work carefully with a provider to identify the source of the problem Often times the baby is sensitive or allergic to cow's milk protein, which may be going to the baby directly or through the mother's milk. Sometimes having the mother eliminate dairy products from her diet can help with the problem. Current Research May One Day Change Breastfeeding in HIV Positive Mothers Alternatives Exist for Mothers who Wish to Breastfeed but Cannot Tenderness Redness in one area of breast, possibly a palpable lump with defined margins Visible, white milk plug at opening of duct on nipple Sleepy or Crying Baby How is it Treated? Treatments include topical and systemic therapies (e.g. nystatin, clotrimazole, fluconazole) Risk factors should be addressed in mother and infant (e.g. antibiotics use) Improving Milk Supply Contraindications to Breastfeeding How is Mastitis Treated? Increase frequency and/or duration of feedings During first 2 weeks, offer breast at least 8 times per 24 hrs for at least 20 minutes per feeding Heat: Warm compresses, warm showers. Use before breastfeeding to increase milk flow Cold: Cold compress, cold pack, frozen vegetable bags. Use after breastfeeding to reduce discomfort Breast massage/hand expression Pumping Anti-inflammatory medications Candida albicans Treatment What Can be Done? What Predisposes Women to Mastitis? Pain Can be Caused by a Number of Different Issues Continued breast feeding Breastfeeding is still safe to do even with mastitis! Milk production may be decreased in the affected breast Hand expression if feeding frequency has decreased Applying moist heat Increased fluids Bed rest Pain medications (both for pain of mastitis and increased discomfort with feeding) Antibiotics – provider will prescribe antibiotics that are safe to use while breastfeeding Avoid ointments, creams, antiseptics, wound dressings, etc. Do not decrease the length of feedings Decreased feeding time can lead to milk stasis, plugged duct, engorgement, and/or mastitis If pain persists despite efforts to adjust latch/position and feeding can’t continue – hand express or pump milk remaining in the breast and seek professional help The only type of fungal infection related to breastfeeding is caused by candida albicans. Persistent or recurrent fungal infections can affect breastfeeding, and both the infant and mother need to be treated at the same time Breastfeeding can be continued in the presence of fungal infection; obtain assistance from a health care professional Why Does it Happen? Infectious Diseases the Mother May Have Nipples Can Be What can be Done About Nipple Pain? Inverted Nipple Engorgement Can be a Big Problem Early on Feedings occur too infrequently Feeding duration is too short Supplementing with formula feeding without expressing breast milk Using pacifiers – suckling time at breast decrease Reduce stress as much as possible Breastfeed frequently Treat plugged ducts Pump/hand express milk if feeding frequency is reduced Supplements: Vitamin E, vitamin C, Echinacea Plugged Duct May be identified by changes in nipple shape/color Peaked shape Wedge shape White crease on tip After a normal feeding, nipple should come out wet with milk and in the same shape it was prior to feeding Mastitis Engorgement Baby's who are regularly held and fed with enough frequency don't often cry What does a Plugged Duct Look Like? Sources of Mechanical Pain Feedings occur too infrequently Feeding duration is too short Supplementing with formula feeding without expressing breast milk Using pacifiers – suckling time at breast decreases Exercising nipple just before latch helps loosen tissue and allow for easier eversion Commercial “Nipple Enhancers” which help to evert nipples are also available Using a pump just before latching Using a commercial nipple shield Hoffman’s exercises are not recommended Conditions the Infant May Have Can be from physical trauma, infection, or other issues (e.g. rash from allergic reaction) Can be acute pain which fades, or persistent and abnormal pain Milk Supply Breast and Nipple Pain Improving Feedings with an Inverted Nipple Factors Which can Contribute to Decreased Milk Supply Supplements can affect rate of milk production Delayed initiation of feeding Infrequent feeding Limited feeding time Switching baby to second breast before first is empty Although not having enough milk is a big concern

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Transcript: The adsorption of contaminant molecules by catalysis The improvement of light absorption The improvement of charge separation and transportation ZnS QDs by precipitation method ( Zinc acetate, Sodium sulphide) ( T= 90º, t= 2h) (NaOH was used as a surfactant) (Low crystalyity) ZnS NPs by hydrothermal method ( Zinc chloride, Thioacetamide) (T=140º, t=5h) ZnS microspheres by hydrothermal method (Zinc chloride, Sodium thiosulfate) (T=180º, t=12h) The strongest material ever Optical Properties Synthesis of pure ZnS Secondary, the use of certain organic acids as additives (Formic acid) , in order to inhibit the growth of moulds, bacteria and yeasts. Graphite : narrow peak (2θ = 26.8º)(d=0.33 nm) ZnO nanorod : high intensity peak (002) (2θ = 34.331º) (JCPDS 00-001-1136) ZnS : sphalerite (111), (200), (220), (311) (JCPDS 00-001-0792) Graphite The mechanical and wear-resistance performance of the coating. 1 Morphology PL : The excessive of rGO can act a center for the recombination of electron-hole pairs instead of providing an electron pathway Solar cell device Synthesis of ZnS-based organic (graphene and polypyrrole) composite The intensity of the absorption peak of MB at 663 nm decreases with the increase of irradiation time D(%) = [(A(MB)0 - A(MB)t)/ A(MB)0] × 100 ZG-0 = 0.27% , ZG-1 = 59%, ZG-2 = 68%, ZG-3 = 79%, ZG-4 = 63% UV-vis absorbtion spectra Na2S + 2H2O 2NaOH + H2S (1) ZnO + H2S ZnS + H2O (2) Hummer's method Research Main Points The rule of graphene 300 times stronger than steel and much harder than diamond! Examples for nanomaterial that already used as a reinforcement in the coating XRD Pure ZnS QDs Publications Nanotechnology solutions hexagonal arrangement of carbon in layer stacked to each other One-pot synthesis Multi-step syntheis one-pot synthesis Multi-step synthesis synthesis of Graphene oxide nanosheets. ( Hummer's method) Graphene nanosheets (GNS) - Titanium dioxide composite Graphene Graphene : (2θ = 25.63º) PPy : amorphous (2θ = 26º) ZnS : Sphalerite ( 111), (220), (311) Insertion for a desired properties ZG-0 ( 0% GO), ZG-1 (0.5% GO), ZG-2 (1% GO), ZG-3 (1.5% GO), ZG-4 (2% GO) Synthesis of ZnS-based inorganic (ZnO-ZnS core-shell) composite Absorption XRD Characterization Morphology Synthesis of pure ZnS ZnO-ZnS core-shell nanostructure By Khaled El Sayed Mustafa The morphology of the core-shell structure is a mixture of round and rectangular shape Uv-vis absorption of ZnO-ZnS core-shell Photocatalytic measurement: Mild steel substrate XRD Characterization Improvement of high-surface area of catalysis (BET) Selective adsorption of the aromatic dye on the catalyst ( π electrons ) qe = ( Ci – Ce )V/m GO Intense and sharp peak ( 2θ = 10.6º ) (001) (d=0.83 nm) rGO very broad ( 2θ = 24.31º ) (002) ( d= 0.36 nm) very weak peak ( 2θ = 42.53º ) (100) ( d= 0.21 nm) ZG-0 Zinc blend ( 2θ = 28.609º, 33.153º, 47.591º, 56.473º, 59.227º, 69.583º, 76.894º ) (1 1 1), (2 0 0), (2 2 0), (3 1 1), (2 2 2), (4 0 0) and (3 3 1) ZG-0 Wurtzite ( 2θ = 27.081 ) Graphene : ideal ohmic ZnS nanoparticles : two fold light response, resistance of 3.23 × 10 23 Ωcm2 ZP : resistance of 2.81 × 10 23 Ωcm2 GZP : 1.35 × 10 23 Ω cm2 Hexagonal ZnO ZnS (111) Experimental XRD Characterization One-pot synthesis of ZnO-ZnS core-shell nanostructure Electrodeposition of rGO by Mg(NO3)2 Electrodeposition of ZnO nanorod arrays (ZnCl2, KOH, 1mM) anealing on the high purify Argon gas Sulfidation process ( thioacetamide) Photocatalytic Silo Corrosion failure The Anticorrosion Effect of Ni- RGO -TiO2 Nanocomposite Coating on Mild Steel in Neutral Environment The ZnS shell with an estimated tickness of 18 nm is observed Cathodic Protection synthesis of graphene nanosheets ( microwave assisted t=5min, 15 micro liter Hydrazine) PPy nanotube ( Pyrrol monomer, Fecl3, Methylene orange as a template) A red shift and increase in absorption edge of the UV-Vis spectra of ZnS were observed in the presence of graphene. The PL emission of ZnS-graphene decreased compared to the pure ZnS due to the presence of graphene the PL emission of the ZnO-ZnS core-shell nanostructure decreased due to the presense of ZnS shell and formation of type-II band alignment structure in the hetero-interface which is beneficial for solar cell devices. The presence of rGO in ZnS-rGO composite gives significant improvement in the degradation of methylene blue under visible light irradiation compared to pure ZnS, due to the increased adsorption of the dye, decrease in the band gap and stepwise structure of the energy levels in the composite. The presence of graphene and PPy in the GZP turnary composite lead to higher photocurrent response due to the creation of an interfacial separation between the graphene and the PPy by ZnS nanoparticles, which act as a bridge, and due to enhanced charge transport by graphene. ZnS microsphere-rGO composite Corrosion Inhibitors Crystal structure Bridging effect Charge separation Research Assistant Environmental Modifications Pt foil a counter

Breastfeeding Presentation

Transcript: Amanda Lee and Aliyat Sanni National Community of Infant and Matneral Health Exclusive Breastfeeding Awareness Mission Statement Mission Staement To increase the knowledge of breastfeeding and the self-efficacy of new mothers across the United States. Aliyat Sanni Aliyat Sanni Hello, my name is Aliyat Sanni. I am a Senior at Georgia Southern University. My major is Health Education and Promotion. I will graduating in May. Fun Fact: I've to almost every continent expect South America and Antartica. Amanda Lee Amanda Lee Hi, my name is Amanda Lee and I am a Senior at Georgia Southern University. My major is Public Health and Promotion. I will graduating next May. Fun Fact: I love to paint for my freetime. What is Exclusive Breastfeeding? Exclusive Breastfeeding Exclusively breastfeeding is when the mother only supplies her breastmilk to her newborn/infant as food. CDC and other major health organizations recommend to exclusively breastfed up to 6 months; only 12% do. WHO IS AT RISK? The shorter a mother breastfeeds, the more prone to infections: SIDS Asthma Acute Ear Infections Type 1 or 2 Diabetes Babies and infants are at risk for healthy growth and development because of the lack of natural nourishment from breastmilk. Who Benefits? NEWBORNS/INFANTS MOTHERS Baby's growth and development Lowers risk of asthma and allergies Protects from illness like diarrhea, leukemia, and childhood obesity Improves the IQs of newborns BABY BENEFITS Promote Weight Loss Lowers the risk of breasts, ovarian cancer, and osteroporosis Save time and money Extends the time between preganancies MOTHER BENFITS TARGET POPULATION Our target population is expecting mothers and new mothers who have infants in the rural communities. We focused on this population because rural communities have the lack of matneral and infant care and services compated to urban population. B4theB Flyer Breasts 4 for the Best Flyer INFOGRAPHIC INFOGRAPHIC REFERENCES HealthyChildren.org. (2018). Benefits of Breastfeeding for Mom. [online] Available at: https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Benefits-of-Breastfeeding-for-Mom.aspx [Accessed 9 Mar. 2018]. Stuebe, Allison (2009). The risks of not breastfeeding for mothers and infants. Rev Obstet Gynecol. 2009. 2; 222-231 Women's Health Care Physicians. (2016). Retrieved March 08, 2018, from https://www.acog.org/Patients/FAQs/Breastfeeding-Your-Baby Womenshealth.gov. (2018). Available at: https://www.womenshealth.gov/files/documents/fact-sheet-breastfeeding.pdf [Accessed 9 Mar. 2018]. Brown N., Geller L., Kazbour C., & Members of the BABES Advisory Committee (2014). Breastfeeding experience survey outcomes. http://www.pamf.org/babes/outcomes.html

breastfeeding presentation

Transcript: A table and a comfortable chair suitable for pumping milk and breastfeeding Impacts on the Mothers and Families Two 45-minute lactation breaks given during working hours Chan Joanne Denise gei suet 2012061698 Chan Ka Ki 2012571673 Chee Hau Ming 3035064263 Gan Yuk Ting 3035061924 Ho Hiu Yau 3035065281 Ho Yin Ching 3035061986 Ho Yuen Tung 3035064902 Ip Kwok Leung Raymond 2012587086 Li Tsz Wai 201257163 Suggestions on solutions and alternatives: Set up a written policy on breastfeeding Lactation breaks: 2 breaks, 30 minutes each mothers who need longer time can discuss with employer to use their spare time Space: a multi-function or an unoccupied conference room Nursing tank-tops Unhook the fastener of the nursing tank-top/bra Baby's head will cover the top of the feeding breast and your arms keep your sides hidden Kowloon Medical Centre Shorter maternity leave/parental leave in Hong Kong Hong Kong: 10 weeks UK : 52 weeks Canada: 17 weeks of pregnancy leave + 35 weeks of parental weeks or 37 weeks of parental leave China: 14 weeks (additional 30 days for mothers over 24) Long working hours in Hong Kong Chinese are more conservative than western people Think that exposing the breasts is shameful Feel embarrassed to feed in public area or in front of others (Cheung, 2005) 19 Medical Centre Workplace bathroom and sink inside the room to clean up Reference You have nothing to be ashamed of and your confidence will deflect most people sink Workplace: employer perspectives Private Area With: High-back chair Covered rubbish bin Door that can be locked from inside Emergency call bell Facilities for hand wash Number 14 Workplace: employer perspectives Door can be locked to provide privacy and comfort Hand Sanitizer and tissue provided for mother to clean before and after the procedure 12 since August 2008 encourage incorporation of desirable babycare facilities in government and public areas functions: (i) baby feeding (ii) nappy changing individual cubicle should be provided for privacy 9 Family health service, Department of Health 2961 8868 國際母 La Leche League Hong Kong 9048 1701 香港母乳育嬰協會 Hong Kong Breastfeeding Mothers’ Association 2540 3282 愛 Baby Friendly Hospital Initiative Committee, UNICEF 2838 7727 4. Try using a sling Medical Centre New Territories make use of vacant training room Importance of Breastfeeding Demand and Supply of Breastfeeding facilities Barriers to breastfeeding in public areas in HK Impacts of the problem to mothers and families Breastfeeding in Workplace Breastfeeding in Public areas Conclusion 6. If you still get nervous, look at your baby Breastmilk contain well-balanced amino acids, long-chain fatty acids, minerals, enzymes, antibodies, and hormones Healthy for the intestines Release of oxytocin helps the uterus to return to its prepegnancy size Lowers the risk of breast and ovarian cancer in mothers Promotes the mother-child attachment ... Sucking effect is essential to maintain the production of breast milk Difficulty in providing a private space with necessary facilities or equipment Time constraint during working hours Grievance among colleagues Examples of lactation room in Discovery Park, HK Office Number of malls with nursery rooms Separate rooms for feeding and diaper changing Breastfeeding in workplace and public areas Breastfeeding is nothing to be ashamed of It is common to breastfeed in public area in western countries Breastfeeding in workplace and public area should be promoted to become a norm in Chinese communities fridge or other refrigerating devices Corporations with limited areas may provide a private corner with curtain Promotion and Education Minimize the conflicts and discontents among colleagues Conclusion Workplace: mother perspectives Outline Characteristics of Mothers in Hong Kong It actually is hard to cover up and feed a baby at the same time Some babies hate being covered Cannot have eye contact with baby if covering up baby’s face 5. If people stare at you, smile back at them The Proportion of mothers still providing breastfeeding in monthly intervals in HK 2. Wear something easy to breastfeed and use technique Districts Discuss your specific needs before and during maternity leave Make use of signage Facilities for pumping and storing milk Lactation breaks Problems may face when breastfeed in public Individual rooms with essential equipments Automatic door sensor Breastfeed is a skill that need to learn for you and your baby Learn to breastfeed as natural as it is if people were watching Can practice in front of mirror Office chair with back rest and arm rest - Main reasons for mothers to stop breastfeeding: Breastfeeding in public areas is not well accepted in Hong Kong Returning to the workplace Difficult to express milk in workplace Other reasons: Inadequate milk production Lack of support References: Family Health Services Breastfeeding in Workplace and Public Areas Workplace: employer perspectives Q&A Office electrical socket Advisory Guidelines on

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