Use Of Bottles Research Articles

Rapid classification of plastic bottles by laser-induced breakdown spectroscopy (LIBS) coupled with partial least squares discrimination analysis based on spectral windows (SW-PLS-DA)

With the increasingly extensive use of plastic bottles, the recycling and reuse of plastics continue to raise additional concerns.

Breastfeeding and bottle feeding and their relationship with caries in early childhood. Literature review

Introduction: Early childhood caries (ECC) is a health problem of worldwide interest. The purpose of this literature review is showed how an inadequate feeding practices by breastfeeding and bottle feeding contribute to early childhood caries. Materials and methods: A systematic online review of the existing literature from 2012 to 2018 was performed in the Medline database, using key words such as Caries, Breastfeeding, Bottle feeding and Childhood. Results: 61 articles were obtained, of which, 25 were considered in this review because they are considered to be related to the objective of this review. The literature reviewed showed a direct relationship between the presence of CIT and the way of feeding, with no difference between the types considered. Conclusions: Prolonged breastfeeding more than two years of age of the infant as well as the use of bottles added with sugars and carbohydrates constitute a direct risk for the CIT.

Influence of Reduced Water Cement Ratio on Behaviour of Concrete Having Plastic Aggregate

The production and use of plastic bottles is increasing tremendously with passing time. These plastic bottles become a problem when they are disposed as they are non-biodegradable. This means that the waste plastic, when dumped, does not decompose naturally and stays in the environment affecting the ecological system. The use of alternative aggregates like Plastic Coarse Aggregate (PCA) is a natural step in solving part of reduction of natural aggregates as well as to solve the issue discussed above. The researchers are trying from half a century to investigate the alternative materials to be replaced in concrete mixture in place of either aggregate or cement. In this research, the concrete made from plastic waste as coarse aggregates were investigated for compressive strength and Stress-strain relationship. Plastic coarse aggregate have been replaced in place of natural coarse aggregate by different percentages with w/c 0.5, 0.4 and 0.3. The percentage replacement of plastic aggregate in place of mineral coarse aggregate was 25%, 30%, 35% and 40 %. Using Super-plasticizer Chemrite 520-BAS. OPC-53 grade cement was used. Total of forty five Cylinders were prepared based on different combination of Percentage of Plastic aggregate replaced and W/C as discussed above and checked for compressive strength and stress-strain relationship. The compressive strength increases by about 19.25% due to the decrease in W/C from 0.5 to 0.3 for plastic percentage addition of 40%.

Microbial Water Quality Assessment of Packaged Drinking Water of Pre-School Children in some Parts of Accra

Episodes of Cholera outbreaks are still common in most developing countries and children usually are at the greatest risk. This study assessed the importance of diarrhoea-related illnesses among children five years of age or less at the University Hospital, Legon and the importance of packaged water handling in the contamination of drinking water of pre-school children. Diarrhea-related diseases (DRD) accounted for 6.3% of cases involving children five years and below reporting at the University Hospital, Legon during the period of the study. Generally, greater number of cases (DRD) were reported among males (6.9%) than among females (5.6%). High counts above recommended levels of either Total Heterotrophic Bacteria, Pseudomonas or Total Coliforms were observed in 88% of the water samples tested. Inadequate cleaning of water bottles and in some instances the use of inappropriate water bottles (reusing PET mineral water containers) contributed to the poor quality of the drinking water of the preschool children. A greater part of the contamination of the drinking water occurred at home and not at the schools. Parents therefore need to be targeted with water, sanitation and hygiene related health education.

Testing baby bottles for the presence of residual and migrated bisphenol A.

Plastic made with bisphenol A (BPA) produces trans-generational changes in genes and behavior. It has been positively linked to obesity and thyroid dysfunction. This study aimed to detect the presence of BPA in polycarbonate plastic (PC) baby bottles. Fifteen PC baby bottles with a clear indication of BPA free/safe/clear were randomly selected. High-performance liquid chromatography (HPLC) tests were used to detect residual or migrating BPA post three stress tests. An estimated intake of BPA among children was calculated then compared to the universal tolerable daily intake (TDI). Around 27% of bottles had detectable amounts of residual BPA in the first test, 100% released migrating BPA in the second and thirdtests. A significant positive linear trend in migrated BPA levels was observed over the three consecutive tests P < 0.0001. Approximately 73.5% of the accounted variability in BPA levels was due to these stress tests P < 0.0001. Babies from 0 to 3months are expected to consume 0.8 to 23.8% of their safe TDI of BPA just by using plastic bottles between the first time of usage and after 60 washes (estimated 15 to 20days of usage). Although no bottles have shown a risk of BPA intake exceeding TDI, the combined use of BPA bottles with other plastic utensils might result in reaching it. It is advisable to refrain from using BPA-containing plastic bottles or be cautious about usage duration. Manufacturers should indicate a clear margin of usage duration. Four baby bottle brands showed the least BPA leaking (Baby King, Camera, Sweet Baby, and Farlin).

Amamentação e tecnologias mHealth: análise dos aplicativos móveis para tablets e smartphones

Os objetivos deste estudo foram:identificar os aplicativos móveis sobre amamentação em português e analisar o conteúdo destes aplicativos, com base nas recomendações oficiais. Trata-se de estudo transversal e descritivo, que investigou os aplicativos nas lojas virtuais Play Store e Apple Store.Foram analisados 12 aplicativos. Todos apresentavam a função de cronômetro, o que está em desacordo com a recomendação de livre demanda. As figuras mais utilizadas pelos aplicativos foram desenhos animados com uso de chupetas e mamadeiras (66,7%/n=8), animais mamíferos relacionando-os à alimentação humana (16,7%/n=2) e fotos produzidas em estúdio (8,3%/n=1). Apesar de os aplicativos apoiarem a amamentação, algumas das informações disponibilizadas são contrárias às recomendações oficiais e não representam a realidade da mulher que amamenta.

The possibility of using Polyethylene terephthalate (PET) as a fibre to improve the ductile behaviour of concrete

To preserve the natural materials, applying the principles of sustainable engineering, to approach the principle of zero waste and to contribute the solution of the negative environmental impact of two decades, which is caused by excessive use of bottles of polyethylene terephthalate (PET) in packaging, has led to the approach of alternative, clean and innovative technologies aimed at recycling and reuse to address this environmental problem. Proposed re-use empty bottles as a way to get rid of them and benefit from them at the same time the way, this method through which the empty bottles cutting into fibres using these fibres made of PET to improve the properties of concrete. Percentage of fiber that has been used are 1%, 1.5%, 2%, 3%, 4%, and 5%. Suitable tests were performed to measure properties of concrete reinforcement by recycle PET fibre such as compressive strength, splitting tensile strength, four-point bending strength, modulus of elasticity and toughness index. Flexural toughness tests were performed to measure the ductility capacities of reinforced concrete members with recycled PET fibre reinforced concrete. The results obtained indicate Toughness index was enhanced by using PET fibre reinforced concrete specimens, compared to no ductility performance of concrete specimens without fibre reinforcement. A significant change in ductility was when observed PET used fibre with 3%.

Contraception and abortion knowledge, attitudes and practices among adolescents from low and middle-income countries: a systematic review

BackgroundAdolescents face significant barriers to contraception access and utilization that result in adverse health effects of early pregnancy and childbirth. Unsafe abortions continue to occur partly due to failure to prevent pregnancies, with Sub-Saharan Africa contributing the most significant burden of all unsafe abortions among young people globally, of which a quarter occurs in those aged 15–19 years. We aimed to conduct a systematic review of the contraceptive and abortion knowledge, attitudes and practices of adolescents in low and middle-income countries to increase the understanding of the sexual and reproductive health dynamics that they face.MethodsLiterature searches from 6 databases; PubMed, Science Direct, Google Scholar, BioMed Central, CINAHL, MEDLINE, were conducted, covering the period from 1970 to 2016 and concerning the adolescents aged 15–19 years and 21 studies were read and analyzed using thematic analysis.ResultsLimited knowledge about sexual and reproductive health among adolescents was a significant cause of reduced access to contraception and safe abortion services, especially among unmarried adolescents. Reduced access to reproductive health services for some resulted in extreme methods of contraception and abortion such as the use of battery acid and crushed bottles. Despite all adolescents having limited access to information and services, girls faced more consequences such as being blamed for pregnancy or dealing with the effects of unsafe abortions. Parents, health workers, and teachers were cited as trusted sources of information but often received the most information from peers and other family members instead, and the girls mostly confided in their aunties, cousins and peers while the boys resorted to peers, media and even pornography.ConclusionThe reported observations suggest severe limitations in the access to safe and effective methods of contraception and safe abortion services. There is a need for an urgent response in reducing the “unmet needs” for contraception and to improve access to contraception, abortion information, and services in this group. Interventions which target the involvement of parents and teachers should be considered, to carry one wholesome message to the adolescents.

Association between pacifier use and bottle‐feeding and unfavorable behaviors during breastfeeding

ObjectiveTo investigate the association between pacifier use and bottle‐feeding and unfavorable behaviors during breastfeeding. MethodA cross‐sectional study was conducted with 427 babies/mothers. Socio‐demographic, perinatal data, and information about the use of artificial nipples (pacifier and/or bottle) were collected through a questionnaire. The breastfeeding aspects regarding position, affectivity, sucking behavior, baby responses, and breast anatomy were evaluated through observation during breastfeeding. The chi‐squared test and the multiple linear regression analysis were used to investigate the association between the variables. ResultsThe aspects of breastfeeding that showed higher percentages of the category “poor” were sucking behavior (22.5%) and position (22.2%). The group of infants who used pacifiers and/or bottle showed higher percentages in the poor and fair categories when compared with the good category for all five breastfeeding aspects evaluated (p<0.001). The linear regression analysis revealed that the increase in the number of unfavorable behaviors regarding position, affectivity, sucking behavior, and baby responses were independently associated with both pacifier and bottle use (β positive, p<0.05), while breast anatomy was independently associated only with bottle use. ConclusionThe findings suggest that the use of pacifiers and/or bottle‐feeding may be associated with unfavorable behaviors during breastfeeding, especially the use of bottle‐feeding.

Rapid prototyping assisted fabrication of a device for medical infusion therapy using TRIZ

With the development of society, more and more attentions are paid to the medical equipment or devices that have much help to improve people’s life quality. The use of intravenous (IV) supply bags and bottles to introduce nutrient, therapeutic and medicinal fluids into the human body is well-known in the art. Typically, such systems have a container suspended above a patient by means of an IV bag stand or the like. In the present work the authors proposed a Rapid Prototyping (RP) assisted fabrication of a simple mechanical device which can be used for medical infusion therapy in to the human body.

Cost-effectiveness of Financial Incentives for Patients and Physicians to Manage Low-Density Lipoprotein Cholesterol Levels

Financial incentives shared between physicians and patients were shown to significantly reduce low-density lipoprotein cholesterol (LDL-C) levels in a randomized clinical trial, but it is not known whether these health benefits are worth the added incentive and utilization costs required to achieve them. To evaluate the long-term cost-effectiveness of financial incentives on LDL-C level control. In this economic evaluation, a previously validated microsimulation computer model was parameterized using individual-level data from the randomized clinical trial on financial incentives, National Health and Nutrition Examination Surveys for model population inputs, and other published sources. The study was conducted from April 15, 2016, to March 29, 2018. The following interventions were used: (1) usual care, (2) trial control strategy (increased cholesterol level monitoring and use of electronic pill bottles), (3) financial incentives for physicians, (4) financial incentives for patients, and (5) incentives shared between physicians and patients. Discounted costs (2017 US dollars), lifetime cardiovascular disease risk, quality-adjusted life-years (QALYs), and incremental cost-effectiveness ratios (ICERs). The model population (n = 1 000 000 [30.7% women]) had similar mean (SD) age (61.5 [11.9] years) and LDL-C level (153.9 mg/dL) as the observed trial population (n = 1503 [42.7% women]; age, 62.0 [8.7] years; and LDL-C level, 160.6 mg/dL). Using base-case assumptions (including a 10-year waning period of LDL-C level reductions), the usual-care strategy was dominated (higher costs and lower QALYs) by all other strategies. Strategies for physician- or patient-only incentives were dominated by the shared-incentives strategy, which had an ICER of $60 000/QALY compared with the trial control strategy. In a sensitivity analysis regarding the duration of LDL-C level reductions, the shared-incentives strategy remained cost-effective (ICERs <$100 000/QALY and <$150 000/QALY) for scenarios with LDL-C level reductions lasting, with linear waning, at least 7 and 5 years, respectively. In the 1-way sensitivity analysis for the time horizon of the analysis, the ICER of the shared-incentives strategy exceeded $100 000/QALY at 11 years and $150 000/QALY at 8 years. In probabilistic sensitivity analysis, the shared-incentives intervention was cost-effective in 69% to 77% of iterations using cost-effectiveness thresholds of $100 000 to $150 000/QALY. Cost-effectiveness results were also sensitive to the duration of intervention costs. This study suggests that the financial incentives shared between patients and physicians for LDL-C level control meet conventional standards of cost-effectiveness, but these results appeared to be sensitive to assumptions about the durations of LDL-C level reductions and years of intervention costs included, as well as to the choice of time horizon.

Pacifiers, Thumb Sucking, Breastfeeding, and Bottle Use: Oral Sucking Habits of Children with and without Phonological Impairment

Aims: The aim of this study was to describe the nutritive and non-nutritive oral sucking habits (breastfeeding, bottle use, pacifier/dummy/soother use, thumb/finger sucking) of preschoolers with and without phonological impairment, and to determine whether oral sucking habits are associated with the presence and severity of phonological impairment. Methods: We conducted a cross-sectional study of 199 Australian English-speaking preschoolers with and without phonological impairment. Preschoolers’ speech was directly assessed, and parents/caregivers completed a questionnaire. Chi-square (χ²) tests were used to examine relationships between oral sucking habits and the presence and severity of phonological impairment. Results: Based on caregiver reports, 79.9% of participants had been breastfed (33.3% for >12 months), 58.3% had used a pacifier (74.2% for ≥12 months), 83.9% had used a bottle (73.4% for > 12 months), and 15.1% sucked their thumb/fingers. There was no association between a history of oral sucking and the presence and severity of phonological impairment. Conclusion: The majority of preschoolers had been breastfed and bottle-fed, and more than half had used a pacifier. The findings support an understanding that phonological impairment is not associated with a history of nutritive and non-nutritive sucking habits. Research is needed to examine the association between oral sucking habits and other types of speech sound disorders.

PENDAMPINGAN KELOMPOK USAHA PENCACAHAN LIMBAH PLASTIK DI KABUPATEN MALANG

Plastic bottles have become part of the daily activities, especially in activities relating to packaging of mineral water. The use of plastic bottles for packaging of mineral water is an alternative that is practical and concise, but on the other hand is also harmful to the environment because it adds to discharge garbage plastic bottles. Plastic bottles is not derived from biological compounds, plastic bottles have difficult nature degraded (non - biodegradable) that can contaminate soil, water, sea, and even air. Specific target science and technology community service programs for the community (IBM) are (1) understanding of the technological waste processing machine plastic bottles into plastic pellets, (2) the public's understanding of the plastic bottle waste management, (3) labor absorption and production of plastic pellets more leverage. The program will increase the sale value of plastic garbage that has become plastic pellets, so as to improve the economic welfare of society. Activities in this program include: (1) design and design thrasher plastic pellets, (2) sending power to the transfer of knowledge (apprentice), (3) socialization to the community group enumerator plastic pellets, (4) submission thrasher plastic pellets, (5) trial thrasher plastic pellets, (6) the application of machines in the field and practice of making plastic pellets, (7) management training.

INSIGHT responsive parenting intervention and infant feeding practices: randomized clinical trial

BackgroundWhat, when, how, how much, and how often infants are fed have been associated with childhood obesity risk. The objective of this secondary analysis was to examine the effect of a responsive parenting (RP) intervention designed for obesity prevention on parents’ infant feeding practices in the first year after birth.MethodsPrimiparous mother-newborn dyads were randomized to the Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) Study RP intervention or child safety control. Research nurses delivered intervention content at home at infant age 3–4, 16, 28, and 40 weeks, and at a research center at 1 year. RP feeding guidance advised feeding that was contingent (i.e., feed in response to hunger and satiety signs, alternatives to using food to soothe), and developmentally appropriate (i.e., delaying introduction of solids, age-appropriate portion sizes). Infant feeding practices (i.e., bottle use, introduction of solids, food to soothe) were assessed by phone interviews and online surveys and dietary intake was assessed using a food frequency questionnaire.ResultsRP mothers were more likely to use of structure-based feeding practices including limit-setting (p < 0.05) and consistent feeding routines (p < 0.01) at age 1 year. RP group mothers were less likely to use non-responsive feeding practices such as pressuring their infant to finish the bottle/food (p < 0.001), and using food to soothe (p < 0.01), propping the bottle (p < 0.05) assessed between 4 and 8 months, and putting baby to bed with a bottle at age 1 year (p < 0.05). Few differences were seen between groups in what specific foods or food groups infants were fed.ConclusionsAnticipatory guidance on RP in feeding can prevent the use of food to soothe and promote use of more sensitive, structure-based feeding which could reduce obesity risk by affecting how and when infants are fed during the first year.Trial registrationThe Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) Study. www.clinicaltrials.gov . NCT01167270. Registered 21 July 2010.

Global implications of the new WHO and UNICEF implementation guidance on the revised Baby-Friendly Hospital Initiative.

Although breastfeeding confers both short- and long-term benefits for children and their mothers, breastfeeding practice remains suboptimal, globally. In addition to barriers including misperceptions and inappropriate marketing of breast milk substitutes, inadequate support for breastfeeding remains a challenge in many settings. To improve access to appropriate health system support, the World Health Organization (WHO) has reviewed the Baby-Friendly Hospital Initiative (BFHI), which ensures provision of optimal clinical care and support to mothers and their infants. This review has resulted in revision of the Ten Steps to Successful Breastfeeding, which form the core standards of (BFHI). These now consist of critical management procedures to support breastfeeding (Steps 1 and 2) and key clinical practices to support breastfeeding (Steps 3-10). In Step 1, there is now specific emphasis on compliance with the WHO Code of Marketing of Breast-milk Substitutes and relevant World Health Assembly resolutions as well as on internal monitoring. There are also significant position shifts like the recommendation to "Counsel mothers on the use and risks of feeding bottles, teats, and pacifiers," which is a departure from the earlier position of avoiding reference to these technologies. These revisions require countries and states to revise activities and tools for their local situation but without compromising the standards.

미국 환경호르몬물질 관리의 정책과 법제

The US Endocrine Disruptors Management Policy focuses on product regulation that contains the substance rather than on the substance itself. The US Endocrine Disruptors Screening Program (EDSP) is underway to identify endocrine disruptors, but there is still an ongoing analysis of what substances are environmental hormones and how they are affected.<BR> Regarding the regulation of endocrine disruptor-containing products in the United States, I examined the regulation of phthalate-containing products in children’s products and the legislation on the regulation of BPA in food containers and bottles. The main basis for the regulation of phthalate-containing products in children’s products is the Consumer Product Safety Improvement Act(CPSIA). This Act aims specifically to prohibit the use of lead and phthalates in children’s products. Dec. 31, 2014. As CPSIA has been amended and applied to products manufactured and imported after April 25, 2018, DEHP, DBP, BBP and DINP have been banned and withdrawn from the temporary ban on DIDP and DNOP. In addition, four new phthalates (DIBP, DNPP, DNHP, DCHP) were identified as prohibited substances. CPSIA requires ⒜ third party certification from external testing agencies for children’s products, ⒝and it is mandatory to attach Tracking Labels on both products and packaging.<BR> In the case of BPA regulation in food containers and bottles, 21 FR part 177 prohibits the use of polycarbonate in bottles, etc. Also in California, October 10, 2011, the Toxin-Free Infants and Toddlers Act came into effect, The use of baby bottles, infant drink cups, and feeding devices was prohibited. Nov. 2015 BPA is listed on the Prop. 65 list so that all bottled or bottled bottles sold in the state, not limited to infant bottles and dishes, and bottles or caps of food or beverages containing BPA Sales, and imports of products are prohibited. Prop. 65 lists the chemicals that can cause carcinogenesis and reproductive toxicity as a List and imposes an obligation to display an exposure warning and prohibit the discharge of drinking water sources if the substance exceeds the Safe Harbor Level(SHL).<BR> The criteria for warning signs applied from August 30, 2018 are as follows. (A) be clear and reasonable; (b) be provided by the manufacturer, producer or packer, rather than by the retailer; (c) if no clear and clear warning is given on the packaging or labeling of the consumer product, It is necessary to fulfill a separate warning obligation to the consignee. Various warning methods such as consumer product labels, workplace covers, public service announcements, newspapers and online announcements can be utilized.

Оценка неопределенности ОБЭ рентгеновского излучения, связанной с определением поглощенной дозы в радиобиологических экспериментах

Purpose: Determining the absorbed dose produced by photons, it is often assumed that it is equal to the radiation kerma. This assumption is valid only in the presence of an electronic equilibrium, which in turn is never ensured in practice. It leads to some uncertainty in determining the absorbed dose in the irradiated sample during radiobiological experiments. Therefore, it is necessary to estimate the uncertainty in determining the relative biological effectiveness of X-rays associated with uncertainty in the determination of the absorbed dose. Material and methods: The monochromatic X-ray photon emission is simulated through a standard 25 cm2 plastic flask containing 5 ml of the model culture medium (biological tissue with elemental composition C5H40O18N). The calculation of the absorbed dose in a culture medium is carried out in two ways: 1) the standard method, according to which the ratio of the absorbed dose in the medium and the ionization chamber is equal to the ratio of kerma in the medium and air; 2) determination of the absorbed dose in the medium and in the sensitive volume of the ionization chamber by computer simulation and calculating the ratio of these doses. For each primary photon energies, 108 histories are modeled, which makes it possible to achieve a statistical uncertainty not worse than 0.1 %. The energy step was 1 keV. The spectral distribution of X-ray energy is modeled separately for each set of anode materials, thickness and materials of the primary and secondary filters. The specification of the X-ray beams modeled in this work corresponds to the standards ISO 4037 and IEC 61267. Within the linear-quadratic model, the uncertainty of determining the RBEmax values is directly proportional to the uncertainty in the determination of the dose absorbed by the sample under study. Results: At energy of more than 60 keV, the ratios for water and biological tissue practically do not differ. At lower energies, up to about 20 keV, the ratio of the coefficients of air and water is slightly less than that of air and biological tissue. The maximum difference is ~ 1 % than usual and the equality of absorbed doses in the ionization chamber and sample is justified. At photon energy of 60 keV for the geometry in question, the uncertainty in determining the dose is about 50 %. For non-monochromatic radiation, the magnitude of the uncertainty is determined by the spectral composition of the radiation, since the curves vary greatly in the energy range 10–100 keV. It is shown that, depending on the spectral composition of X-ray radiation, uncertainty in the determination of the absorbed dose can reach 40–60 %. Such large uncertainty is due to the lack of electronic equilibrium in the radiation geometry used in practice. The spread of RBE values determined from the data of radiobiological experiments carried out by different authors can be determined both by differences in the experimental conditions and by uncertainty in the determination of the absorbed dose. Using Fricke dosimeters instead of ionization chambers in the same geometry allows you to reduce the uncertainty approximately 2 times, up to 10–30 %. Conclusion: The computer simulation of radiobiological experiments to determine the relative biological effectiveness of X-ray radiation is performed. The geometry of the experiments corresponds to the conditions for the use of standard bottles placed in the side holders. It is shown that the ratio of absorbed doses and kerma in the layers of biological tissue and air differ among themselves with an uncertainty up to 60 %. Depending on the quality of the beam, the true absorbed dose may differ from the one calculated on the assumption of kerma and dose equivalence by 50 %. Uncertainty in determining the RBE in these experiments is of the same order. The results are presented for X-ray beams with negligible fraction of photons with energies less than 10 keV. For beams of a different quality, the uncertainty in determination can significantly increase. For the correct evaluation of RBE, it is necessary to develop a uniform standard for carrying out radiobiological experiments. This standard should regulate both the geometry of the experiments and the conduct of dosimetric measurements.

Feeding frequency in infancy and dental caries in childhood: a prospective cohort study

Feeding patterns in infancy are plausible contributors to dental caries later in childhood, yet relatively few cohort studies have examined potential dietary risk factors at this age. This study aimed to investigate the associations between feeding frequency at age 12 months and caries prevalence at age 3 years. In this prospective birth cohort of 345 Brazilian children, all foods and drinks consumed at age 12 months, including bottle-use and breastfeeding, were recorded using two 24-hour infant dietary recalls with mothers. The prevalence of early childhood caries (ECC) and severe ECC (S-ECC) at age 38 months were compared in groups defined according to 12-month feeding frequency, using regression models to adjust for sociodemographic characteristics and total carbohydrate intake. Independent of other variables, compared with children with infrequent bottle-use and breastfeeding at 12 months, at 38 months the ECC prevalence was 1.8-times higher in children breastfed more than three times/day (P = 0.001), 1.4-times higher in children bottle-fed more than three times/day (P = 0.07) and 1.5-times higher with combined high frequency of bottle and breastfeeding together (P = 0.04), but the association with consumption of other foods or drinks more than five times/day [risk ratio (RR) = 1.2; P = 0.10] was not statistically significant. Prevalence of S-ECC was significantly associated with frequent breastfeeding (RR = 2.4; P < 0.001) and with greater frequency of consumption of other foods or drinks (RR = 1.7, P = 0.001). High-frequency feeding in late infancy, including both bottle use and breastfeeding, were positively associated with dental caries in early childhood, suggesting possible early-life targets for caries prevention.

The oral health behaviours and fluid consumption practices of young urban Aboriginal preschool children in south-western Sydney, New South Wales, Australia.

Australian Aboriginal children have a higher risk of dental caries yet there is limited focus on oral health risk factors for urban Aboriginal preschool children. This study examined the oral health behaviours and fluid consumption practices of young children from an urban Aboriginal community in south-western Sydney, Australia. In total, 157 Aboriginal children who were recruited to the "Gudaga" longitudinal birth cohort participated in this study. A survey design was employed and parents responded to the oral health questions when their child was between 18 and 60 months. Few parents (20%) were concerned about their child's oral health across the time period. By 60 months, only 20% of children had seen a dentist while 80% were brushing their teeth at least once daily. High levels of bottle use were seen up to 30 months. Consumption of sugary drinks was also very high in the early years, although this was replaced by water by 36 months. While there are some encouraging findings, such as the rates of tooth brushing and increasing rates of water consumption, the findings do highlight the poor uptake of dental services and high levels of bottle usage among urban aboriginal children during their early years. SO WHAT?: Targeted oral health promotional programs are needed in the urban Aboriginal community to better support parents understanding of good oral health practices in the early years and engagement with dental health services.

Maternal Feeding Practices among Children with Feeding Difficulties-Cross-sectional Study in a Brazilian Reference Center.

Given the positive influence of responsive caregiving on dietary habits in childhood, to raise awareness of caregivers regarding their behavior is crucial in multidisciplinary care on infant feeding. To identify the most common responsive and non-responsive feeding practices in mothers of children with feeding complaints, as well as to seek associations between practices and caregivers' profile. Cross-sectional study with 77 children under 18 years old, with complaints of feeding difficulties. Data were collected during interviews with mothers: child age, gender, duration of exclusive breastfeeding, presence of organic disease, dynamics of bottle use, self-feeding practices and posture at meals, use of appropriate feeding equipment; basic information about the mothers (parity and level of education), caregiver feeding style, presence of coercive feeding, frequency and characteristics of family meals. Statistical analysis considered significance level at 5%. The non-responsive profile predominated among mothers (76.2%, with the Authoritarian style being the most prevalent-39.7%). The responsive profile was characterized by absence of coercive feeding, stimulation of self-feeding practices, use of appropriate feeding equipment and meal environment, with interaction at meals. Non-responsive profile consisted of both inadequate environment and posture at meals, use of distraction and coercive feeding, lack of shared meals, and disregard for children's hunger signals. Only the habit of sharing meals with children was associated with mothers' profile, and considered a protection factor against non-responsive care (OR 0.23; 95% CI 0.06-0.88). Both Authoritarian (p = 0.000) and indulgent mothers (p = 0.007) breastfed exclusively for longer time than negligent ones. There was a higher level of interaction with children in "responsive" parental style (OR 0.056; p = 0.01) compared to other feeding styles. Results highlight the need for educational interventions focused on caregivers' behaviors.