The WHO Code of Marketing of Breast Milk Substitute is a public health recommendation to reduce preventable causes of infant morbidity and mortality associated with malnutrition. Irresponsible marketing of infant formula in hospitals is a threat to exclusive breastfeeding. Nurses are mandated to support, encourage and protect breastfeeding and to familiarize themselves with their responsibilities under this Code. The researcher explored Geneva nurses' knowledge of the Code and its impact in practice. Eighty seven point seven percent of the participating nurses had poor level of knowledge of the Code. Poor knowledge of the Code impacts on the quality and consistency of information given to mothers in hospitals. Inadvertent violations of the Code were observed among a minority of the respondents: 7.3% indicated that they received gifts; 2.4% received sponsorships to conferences. Training about the Code and its application in counseling is recommended to complement the babyfriendly initiative at hospitals to improve nutrition outcomes. / Health Studies / M.A. (Public Health)

Cette thèse s'intéresse à l'étude des propriétés et applications de quatre familles des fonctions spéciales associées aux groupes de Weyl et dénotées $C$, $S$, $S^s$ et $S^l$. Ces fonctions peuvent être vues comme des généralisations des polynômes de Tchebyshev. Elles sont en lien avec des polynômes orthogonaux à plusieurs variables associés aux algèbres de Lie simples, par exemple les polynômes de Jacobi et de Macdonald. Elles ont plusieurs propriétés remarquables, dont l'orthogonalité continue et discrète. En particulier, il est prouvé dans la présente thèse que les fonctions $S^s$ et $S^l$ caractérisées par certains paramètres sont mutuellement orthogonales par rapport à une mesure discrète. Leur orthogonalité discrète permet de déduire deux types de transformées discrètes analogues aux transformées de Fourier pour chaque algèbre de Lie simple avec racines des longueurs différentes. Comme les polynômes de Tchebyshev, ces quatre familles des fonctions ont des applications en analyse numérique. On obtient dans cette thèse quelques formules de <<cubature>>, pour des fonctions de plusieurs variables, en liaison avec les fonctions $C$, $S^s$ et $S^l$. On fournit également une description complète des transformées en cosinus discrètes de types V--VIII à $n$ dimensions en employant les fonctions spéciales associées aux algèbres de Lie simples $B_n$ et $C_n$, appelées cosinus antisymétriques et symétriques. Enfin, on étudie quatre familles de polynômes orthogonaux à plusieurs variables, analogues aux polynômes de Tchebyshev, introduits en utilisant les cosinus (anti)symétriques. / This thesis presents several properties and applications of four families of Weyl group orbit functions called $C$-, $S$-, $S^s$- and $S^l$-functions. These functions may be viewed as generalizations of the well-known Chebyshev polynomials. They are related to orthogonal polynomials associated with simple Lie algebras, e.g. the multivariate Jacobi and Macdonald polynomials. They have numerous remarkable properties such as continuous and discrete orthogonality. In particular, it is shown that the $S^s$- and $S^l$-functions characterized by certain parameters are mutually orthogonal with respect to a discrete measure. Their discrete orthogonality allows to deduce two types of Fourier-like discrete transforms for each simple Lie algebra with two different lengths of roots. Similarly to the Chebyshev polynomials, these four families of functions have applications in numerical integration. We obtain in this thesis various cubature formulas, for functions of several variables, arising from $C$-, $S^s$- and $S^l$-functions. We also provide a~complete description of discrete multivariate cosine transforms of types V--VIII involving the Weyl group orbit functions arising from simple Lie algebras $C_n$ and $B_n$, called antisymmetric and symmetric cosine functions. Furthermore, we study four families of multivariate Chebyshev-like orthogonal polynomials introduced via (anti)symmetric cosine functions.

(anglicky) The aspiration of this thesis is on behalf of (more authentic) Eros problematic "to shake" literary science, not to say its method of interpretation, and so open another, more sensitive approach to art. As a tangle of starting points, I used the dubious theories of authors such as late R. Barthes, G. Didi-Huberman, H. Bloom, G. Bataille or S. Sontag. But especially, I delve into the studies of European literature in order to expose my own "wounds", no less violently classified into thematic chapters (Cosmogony, God of Love, Desire, Philosophy, Heart, Arrow, Wing, Game, Topos, Instinct, Orpheus and others). Therefore I introduce Eros as multifaceted phenomenon, in contrast to monological tendencies of dominant (platonic or Christian) erotic interpretations. Moreover - in polemics with Bataille's eroticism - I try to make Eros "the work".

Made available in DSpace on 2016-04-25T18:39:37Z (GMT). No. of bitstreams: 1 Paulo Dias Raposo Filho.pdf: 1209264 bytes, checksum: 639d7c16d8c1d854ff3bbc07573abd0e (MD5) Previous issue date: 2011-02-24 / The objective of this work consists of developing an appraisal system based on the premises developed by BSC, through a case study, with opinion polls and quality approach. It was proposed a generic model to set up the performance indicators in a small sized drugstore which produces tailored made and prescribed chemical formulas. In order to compose the system design, a theoretical revision was carried out, broaching some proposals commonly developed in big companies. The work developed a revision of the strategic positioning, the formulation of SWOT analysis and the obtaining of strategic map for the company.Counting on a defined profile, it was set up on this basis in an appraisal system which substantiated BSC and from it indicators for entrepreneurial performance appraisal were set up. The development of this proposed work was centralized in the company Pharmakon Farmácia de Manipulação e Homeopatia ( Pharmakon Drugstore which produces tailored made and prescribed chemical formulas and Homeopathies), which has a structure classified as a small sized company. This work developed the review of strategic positioning, formulation of SWOT analysis and the obtaining of strategic map for the company. The consequences of implementation related to the work shown, considering the limitations of generalization of study case, can be adapted to other researches, besides being a useful subside for BSC implementation in other companies classified as small or medium ones / O objetivo deste trabalho consiste em desenvolver um sistema de avaliação de desempenho a partir das premissas desenvolvidas pelo BSC, por meio de um estudo de caso com pesquisa participante e abordagem qualitativa. Foi proposto um modelo genérico para a configuração dos indicadores de desempenho em uma farmácia de manipulação de pequeno porte. Para compor o desenho do sistema foi feita uma revisão teórica, abordando algumas propostas comumente desenvolvidas em empresas de grande porte. Com o perfil definido, foi configurado nessa base um sistema de avaliação fundamentado no BSC, e a partir dele foram estabelecidos os indicadores para a avaliação da performance empresarial. O desenvolvimento do trabalho foi centrado na empresa Pharmakon Farmácia de Manipulação e Homeopatia, que apresenta uma estrutura classificada como de pequeno porte. O trabalho desenvolveu a revisão do posicionamento estratégico, a formulação da análise SWOT e a obtenção do mapa estratégico para a empresa. Os reflexos da implementação do trabalho apresentado, considerando as limitações da generalização do estudo de caso, podem ser adaptados a outras pesquisas, além de servir de subsídio para implementação do BSC a outras empresas classificadas como de médio e pequeno porte

Contexte : L’alimentation précoce a une influence sur la croissance et le développement des habitudes alimentaires. Dans la littérature, les déterminants et les effets sur la santé des pratiques d’allaitement et de diversification alimentaire (introduction des aliments autres que le lait) ont souvent été analysés en dissociant ces deux pratiques pourtant très liées. Objectifs : Caractériser par une approche plus globale l’alimentation dans la première année de vie, mettre en évidence ses principaux déterminants et comprendre son influence sur la croissance dans les trois premières années de vie de l’enfant et ses habitudes alimentaires à 3 ans. Méthodes : Les données de la cohorte EDEN qui a recruté 2002 femmes enceintes en début de grossesse, entre 2003 et 2006 dans deux hôpitaux à Nancy et à Poitiers, ont été utilisées. L’alimentation et les paramètres anthropométriques de l’enfant ont été recueillis par questionnaires et examens cliniques à la naissance, 4, 8, 12, 24 et 36 mois. Une analyse en composantes principales a permis d’identifier des profils de pratiques alimentaires dans la première année de vie à partir de la durée d’allaitement, de l’âge d’introduction de différents groupes d’aliments et du mode de préparation des aliments utilisés (préparations « maison », plats préparés « spécifiques bébé » et plats préparés ordinaires du commerce). Des régressions linéaires et logistiques multiples ont été utilisées pour analyser les associations entre profils de pratiques alimentaires, croissance et habitudes alimentaires à 3 ans. Résultats : i) Le type de préparation infantile utilisée de manière prédominante les 4 premiers mois de vie était associé à la parité, l’éducation et le retour à l’emploi maternels mais pas à la croissance de l’enfant sur cette même période. ii) Trois profils de pratiques alimentaires dans la première année de vie ont été identifiés dans la cohorte EDEN. Des scores élevés sur le profil 1 « Diversification tardive et utilisation d’aliments spécifiques bébé » étaient associés à un revenu familial élevé, un âge et un niveau d’études maternels élevés, une parité faible et un recrutement à Nancy. Des scores élevés sur le profil 2 « Allaitement maternel long, diversification tardive et utilisation d’aliments faits maison » étaient associés un âge et un niveau d’études maternels élevés et un recrutement à Poitiers. Des scores élevés sur le profil 3 « Utilisation fréquente d’aliments ordinaires du commerce » étaient associés à un âge maternel plus faible, une parité plus élevée et un recrutement à Nancy. iii) Un score élevé sur le profil 2 était associé à une croissance staturo-pondérale plus lente entre 0 et 1 an et plus rapide entre 1 et 3 ans après ajustement sur les facteurs de confusion potentiels. Ce même profil était associé positivement à la consommation de fruits et légumes à 3 ans. Un ajustement supplémentaire sur la durée d’allaitement maternel atténuait les relations sans pour autant les faire disparaître totalement, suggérant un effet de l’ensemble de pratiques alimentaires dans la première année de vie sur les paramètres que nous avons étudiés. Conclusions : Ces résultats confirment l’importance des déterminants socioculturels sur les pratiques d’alimentation dans la première année de vie. Ils confirment également les liens entre l’alimentation précoce et d’une part la croissance dans les trois premières années de vie et d’autre part l’apprentissage des habitudes alimentaires ultérieures. La prise en compte dans la recherche de l’ensemble des pratiques alimentaires dans la première année de vie, lorsque l’on s’intéresse à leurs effets sur le développement de l’enfant doit être encouragée. / Background: Early eating patterns can determine later eating habits and food preferences and they have been related child growth. In the literature, the determinants and health effects of breastfeeding and complementary feeding practices have often been analyzed separately. Yet, breastfeeding and complementary feeding practices are interrelated and there are arguments to suggest that both influence later health. Objectives : We aimed to characterize feeding practices over the first year of life and to examine their associations with family and infant characteristics, with growth changes in the first 3 years of life, and their relations with food intake at 3 years of age. Methodes : Subjects were participants of the EDEN mother-child cohort. The study recruited 2,002 pregnant women aged 18-45 years attending their prenatal visit before 24 weeks’ gestation at Nancy and Poitiers University Hospitals between 2003 and 2006. Dietary practices and anthropometric measurements were collected through maternal self-report and clinical examinations at birth, 4, 8, 12, 24 and 36 months. Principal component analysis was applied to derive patterns from breastfeeding duration, age of introduction of complementary foods (CF) and type of food used at 1y (ready-prepared baby foods, home-made foods, ready-prepared ordinary foods). Multiple linear and logistic regressions were used to analyze associations between feeding patterns, growth and food intake at 3 years of age. Results : i) The type infant formula (partially hydrolyzed, thickened, enriched in pre- or probiotic and others) used in the first four months of life was related to maternal return to employment, parity but not to infant growth in the same period. ii) Three major feeding patterns were identified in the EDEN study. The main source of variability in infant feeding was characterized by a pattern labeled ‘Late weaning and use of ready-prepared baby foods’. Older, more educated, primiparous women with high monthly income and recruited in Nancy ranked high on this pattern. The second pattern, labeled ‘Longer breastfeeding, late CF introduction and use of home-made foods’ was the closest to infant feeding guidelines. Mothers with high scores on this pattern were older, more educated and recruited in Poitiers. The third pattern labeled ‘Use of ordinary foods’ is more suggestive of infants having a less age-specific diet. Mothers ranking high on this pattern were often younger, multiparous and recruited in Nancy. iii) High scores on the second pattern were related to significant lower 0-1y weight and height change, higher 1-3y weight and height change and to a significant higher fruit and vegetables intake at 3 years of age after controlling for a wide range of potential confounding variables. An additional adjustment on breastfeeding duration attenuated the relationships without making them disappear completely, suggesting an effect of the overall feeding practices in the first year of life on the parameters that we studied. Conclusions : Our results confirm the importance of socio-cultural determinants on feeding practices over the first year of life. They also confirm the relations between early nutrition and growth in the first three years of life and later eating habits. Our results emphasize the need to consider infant feeding over the first year of life including breastfeeding duration, age of complementary foods introduction as well as type of foods used when examining effects of early infant feeding practices on later health.

We investigate various relationships between categories of functors. The major examples are given by extending some duality to a larger structure, such as an adjunction or a recollement of abelian categories. We prove a theorem which provides a method of constructing recollements which uses 0-th derived functors. We will show that the hypotheses of this theorem are very commonly satisfied by giving many examples. In our most important example we show that the well-known Auslander-Gruson-Jensen equivalence extends to a recollement. We show that two recollements, both arising from different characterisations of purity, are strongly related to each other via a commutative diagram. This provides a structural explanation for the equivalence between two functorial characterisations of purity for modules. We show that the Auslander-Reiten formulas are a consequence of this commutative diagram. We define and characterise the contravariant functors which arise from a pp-pair. When working over an artin algebra, this provides a contravariant analogue of the well-known relationship between pp-pairs and covariant functors. We show that some of these results can be generalised to studying contravariant functors on locally finitely presented categories whose category of finitely presented objects is a dualising variety.

We describe the large-time moment asymptotics for the parabolic Anderson model where the speed of the diffusion is coupled with time, inducing an acceleration or deceleration. We find a lower critical scale, below which the mass flow gets stuck. On this scale, a new interesting variational problem arises in the description of the asymptotics. Furthermore, we find an upper critical scale above which the potential enters the asymptotics only via some average, but not via its extreme values. We make out altogether five phases, three of which can be described by results that are qualitatively similar to those from the constant-speed parabolic Anderson model in earlier work by various authors. Our proofs consist of adaptations and refinements of their methods, as well as a variational convergence method borrowed from finite elements theory.

Abstract: Introduction: Exclusive breastfeeding for the first six months of an infant's life is recommended worldwide. In 1998 the South African Demographic and Health Survey (SADHS) showed that only 10% of mothers exclusively breastfeed at three months. As the HIV virus is transmissible via breast milk, UNAIDS (2002) recommends that women in developing countries should be given a choice of feeding method after being counselled on the risks and benefits of breast feeding versus formula feeding. As a result, the Prevention of Mother-to-Child Transmission (PMTCT) programme was launched in KwaZulu-Natal with the aim of providing interventions to prevent Mother-to-Child Transmission of the HIV virus. However, research has shown that infant feeding practices are influenced by numerous factors. Ultimately mothers will feed their infants in a manner they feel comfortable with, even if it is not always the most appropriate choice. Aim: The aim of this study was to determine and compare current infant feeding practices and some of the factors that influenced these practices among Zulu mothers with 0 - 6 month old infants attending PMTCT and non-PMTCT clinics in Central Durban, KwaZulu-Natal. Methodology: A cross-sectional, descriptive survey was conducted amongst 150 mothers sampled from three non-PMTCT clinics and 150 mothers sampled from three PMTCT clinics. Systematic random sampling of mothers attending the two types of clinics was used to ensure an equal number of mothers· with infants aged 0 - < 6 weeks, 6 - < 14 weeks and 14 weeks to 6 months. The number of mothers interviewed per clinic was determined proportionate to clinic size. Interviews were conducted in Zulu by trained fieldworkers according to a structured interview schedule consisting of 87 open- and closed-ended questions. Summary of most important findings and conclusion: Overall, one quarter of the mothers attending non-PMTCT and one third of mothers at PMTCT clinics were practising exclusive breastfeeding at the time of the survey. The general trend was that mothers attending PMTCT clinics were more inclined than those attending non-PMTCT clinics to breastfeed their infants exclusively (34% versus 24% respectively) or to formula feed (16,7% versus 12,7% respectively). Furthermore, there was a significant decline in exclusive breastfeeding and predominant breastfeeding with increasing infant age in both clinic groups. The opposite held true for mixed feeding and formula feeding in that infants were more inclined to mixed feeding or formula feeding with increasing infant age. In both clinic groups, exclusive breastfeeding was the method of choice in the 0 - < 6 week age category, while a preference for mixed feeding was shown in the 6 - < 14 week category. This trend persisted in the 14 week - < 6 month age category, especially in the non-PMTCT clinics, while there was a small but pronounced increase in formula feeding amongst PMTCT mothers. Although these findings can be explained as a result of implementing the PMTCT programme, the positive trends observed in non-PMTCT clinics serve as an indicator that the Integrated Nutrition Programme (INP) and Baby Friendly Hospital initiative have also had an impact on the feeding choices mothers make. Despite the limited duration of the PMTCT programme at the time of the study, indicators of the impact of the intervention include that a lower percentage of PMTCT mothers introduced foods and/or liquids in addition to breast milk to their infants before six months of age compared to non-PMTCT mothers. Furthermore, more mothers attending PMTCT clinics were shown how to breastfeed and were more likely to have received information about formula feeding. Despite these indicators of a positive impact of the PMTCT programme, the mean age for introducing liquids and/or solids in addition to breast milk was about six weeks and the incidence of this practice was very high for both groups. The similar incidence of formula feeding observed between the two clinic groups suggests the presence of constraints to safe infant feeding choices among mothers attending PMTCT clinics. As observed, infant feeding practices were still not ideal in either of the two clinic groups. However, the high level of antenatal clinic attendance documented for both groups serves as evidence that, if opportunities for providing mothers with appropriate infant feeding advice are utilized optimally, the antenatal clinic could serve as an ideal medium through which infant feeding education can take place, especially as the clinic-based nursing staff were cited as the most important source of infant feeding information by both groups of mothers in the antenatal and postnatal phases. The documented infant feeding practices should be interpreted against the backdrop of factors such as socio-demographic characteristics of the mothers, availability of resources such as social support from peers and significant others and reigning infant feeding beliefs that could influence infant feeding decisions. Predictors of exclusive breastfeeding in PMTCT and non-PMTCT clinics were determined by means of multivariate logistic regression analysis. Significant values were obtained for both clinic groups in terms of the infant not having received liquids in addition to breast milk. No additional predictors were found amongst mothers attending non-PMTCT clinics, however predictors amongst mothers attending PMTCT clinics included whether the mother had not visited the clinic since the infant's birth, whether she practiced demand feeding and whether she was experiencing stress at the time of the study. The limited number of predictors of exclusive breastfeeding documented in this study, especially among non-PMTCT mothers may be explained by the fact that infant feeding behaviour is multifactorial by nature and the interaction between factors that influence feeding choice is strong. / Thesis (M.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2005.

Collecting recipes was an established tradition that continued in elite English households throughout the eighteenth century. This thesis is on medical recipes and advice, and it addresses the evolution of recipe collecting from the seventeenth century and throughout the eighteenth century. It investigates elite domestic medicine within a cultural history of medicine framework and uses social and material history approaches to reveal why elites continued to collect medical recipes, given the commercialisation of medicine. This thesis contends that the meaning of domestic medicine must be understood within a wider context of elite healthcare in order to appreciate how the recipe collecting tradition evolved alongside cultural shifts, and shifts within the medical economy. My re-appraisal of the meaning of domestic medicine gives elite healthcare a clearer role within the narrative of the social history of medicine. Elite healthcare was about choice. Wealthy individuals had economic agency in consumerism, and recipe compilers interacted with new sources of information and products; recipe books are evidence of this consumer engagement. In addition to being household objects, recipe books had cultural significance as heirlooms, and as objects of literacy, authority, and creativity. A crucial reason for the continuation of the recipe collecting tradition was due to its continued engagement with cultural attitudes towards social obligation, knowledge exchange, taste, and sociability as an intellectual pursuit. Positioning the household as an important space of creativity, experiment, and innovation, this thesis reinforces domestic medicine as an important part of the interconnected histories of science and medicine. This thesis moreover contributes to the social history of eighteenth-century England by demonstrating the central role domestic medicine had in elite healthcare, and reveals the elite reception of the commercialisation of medicine from a consumer perspective through an investigation of personal records of intellectual pastimes and patient experiences.

This study focused on multilingualism as the primary linguistic cognitive objective of investigation. An integrative approach focused on second language linguistics in order to acquire a background in the cognitive foundations of language and research methodology and theoretical models for the study of phenomena, such as language planning in multicultural societies and language and ethnic diversity. To design cognitive reading methods, a literature survey was conducted regarding the latest developments in the theories pertaining to cognitive formulas of the second language learner. A quantitative experimental study was conducted, data gathered was scrutinised and a cognitive reading programme was experimentally administered to twenty primary school learners. The responses were coded, the data captured and statistically computed. Conclusions indicated that cognitive reading materials were practical, valid and reliable. Cognitive formulas hold the potential of contributing to the understanding of cognitive reading development in second language proficiency in the Foundation Phase of schooling. / Teacher Education / M. Ed. (Didactics)