Nigerians have been opting for a more processed Western diet. These changes in dietary choices have aligned with obesity and undernutrition, attributable to micronutrient deficiencies or malnutrition. Many scholars have presented varying intervention strategies ranging from consumption of a variety of foods containing the necessary micronutrients to food fortification. The purpose of this grounded theory study was to explore the perceptions of women in an urban city in Nigeria on indigenous foods and Western dietary influences to determine social interactions, the consequence of the interactions, and the women’s current perceptions of food choices. The social-ecological model was used to explore the interaction between a woman and her environment. Women between the ages of 20 to 30 from the urban city of Jos, Nigeria, constituted the population of interest, and 12 women were chosen for the sample. From the in-depth interviews, a thematic analysis was employed to provide sociocontextual reasoning for changes in diet that have led to the loss of interest in traditional foods and cultures. This study found that Jos has a variety of foods, yet women choose the same staple foods to feed their families. Additionally, despite a marginal understanding of the health impact of diet, most women choose the convenience and palatability of Western options, citing cost as the rationale for choosing to cook staple Western-inspired meals at home. Understanding media, convenience, and cost can impact social change by enlightening communities on the interconnectedness of human health, cultures, and industrialization. Health care providers can monitor the outcomes of those who consume a variety of indigenous foods to see how such a practice could influence the overall health status of Nigerian families.

No description available.

Background: Preterm infants and neonates may present with dysphagia due to immaturity or the presence of medical conditions. Enteral feeds are used to ensure optimal nutrition is achieved while the neonates are developing appropriate oral feeding skills. Varied interventions may be used to transition neonates to full oral feeds as oral feeding is often a prerequisite for discharge from hospital. Aims: The main aim of this study was to summarize, interpret and analyse the literature on the different interventions used for the transition to full oral feeds in preterm infants and neonates to identify research gaps and to inform clinical practice on the best intervention options. A secondary aim was to validate the findings of the scoping review for the South African context. Methods: A scoping review was conducted. Relevant studies were identified by searching six databases, Google and Google scholar. Inclusion criteria included studies written in English, peer reviewed and published between 1998–2018, that described the interventions used to transition preterm infants and neonates to full oral feeds. Data were extracted from the articles using a data charting form and analysed descriptively and thematically. The findings were shared with health care professionals who work with premature infants and neonates who then participated in a semi-structured interview to provide feedback relevant to the South African context. Results: Forty-seven articles were included. Six broad intervention categories were identified: oral-motor, oral-sensory, other senses, timing, cue-based and utensils. Non-nutritive sucking (NNS) interventions were reported most frequently across single and combined interventions. Outcome measures reported included: time taken to full oral feeds, earlier hospital discharge, long-term feeding outcomes, weight and sucking proficiency. Improved outcomes were associated with NNS and NNS with oral stimulation. Nine health care professionals were interviewed. They confirmed using a number of the interventions, with NNS reported the most. Health care professionals also provided insight into the challenges of implementing some interventions due to limited resources and staffing in the South African context. Conclusions: There are a range of interventions reported in the literature and many of them are used in South Africa. Positive outcomes such as earlier transition to full oral feeds; earlier hospital discharge; improved weight gain and improved sucking proficiency have been reported with NNS and combined NNS and Oral Stimulation interventions, however further studies are needed.

No description available.

No description available.

This study investigated the experiences of emerging First Nations adults in extensions of care and transitioning out of care in Manitoba. Four research questions were explored in this study: 1) What do you remember about your time in care and what was your transitioning experience out of care or upon reaching 18 years of age? 2) What challenges, barriers or opportunities have you experienced since leaving care or turning 18? 3) How have you maintained the connection to family, community and culture since transitioning out of care? 4) Do you think you have reached adulthood? These questions were discussed through two digital storytelling workshops where over the course of five days participants developed and embedded individual responses to these questions into their own digital video. Follow up interviews were conducted with the participants to get feedback on their perspectives and evaluation about the digital storytelling workshops. Digital storytelling, through the art of combining oral tradition with digital technology, is a participatory, arts-based, learner-centered approach to generating knowledge. It involves using computer software to create a three to five minute video to illustrate a personal history. The findings suggest that Indigenous emerging adults in extensions of care and transitioning from care in Manitoba continue to experience difficulties on their journeys toward adulthood. However, the findings also suggest that the participants in this study are resilient despite the fact that they are dealing simultaneously with memories of being in care, negative peer pressures and problems in getting their basic needs met as they navigate life beyond their child welfare experiences. This study enhances the understanding of First Nations young peoples’ experiences in extensions of care and as they transition out of foster care, and contributes to the growing body of knowledge that utilizes digital storytelling as a contemporary method conducive to working with Indigenous emerging adult populations. / May 2016

Made available in DSpace on 2016-04-04T18:27:50Z (GMT). No. of bitstreams: 1 Lucas Cortelletti Uchoa.pdf: 572412 bytes, checksum: 16c2dd3bff2398cdaeb595bd4df46321 (MD5) Previous issue date: 2010-02-10 / Pontif?cia Universidade Cat?lica de Campinas / This paper discusses the issue of drug addiction as a problem related to failures in the transitioning phase, as suggested by Winnicott in his article "Transitional objects and transitional phenomena . Whereas the phenomenon of transitioning concerns both the separation and the integration of the subjective world with the world objectively perceived, this paper is to analyze both the environmental failures that may occur during the transitioning that could contribute to the emergence of drug addiction at a time later, as the interpretation that the drug addiction may correspond an attempt to experience this state of unionseparation as a quest for integration of the self. / Este trabalho pretende analisar a quest?o da drogadi??o como problema relacionado a falhas na fase da transicionalidade, tal como sugere Winnicott em seu artigo Objetos Transicionais e Fen?menos Transicionais . Considerando que o fen?meno da transicionalidade diz respeito tanto ? separa??o como ? integra??o do mundo subjetivo com o mundo objetivamente percebido, trata-se de analisar n?o s? as falhas ambientais que podem ocorrer na fase da transicionalidade e que poderiam contribuir para o surgimento da drogadi??o em data mais tardia, mas tamb?m a interpreta??o de que a drogadi??o pode corresponder a uma tentativa de experienciar este estado de uni?o-separa??o como uma busca de integra??o de si mesmo.

Scholars have reported on the upsurge of African American women wearing their kinky, or natural, hair and the issues surrounding their choices. The wearing of natural African American hair has not been fully accepted in mainstream society. The purpose of this phenomenological study was to explore how African American women understand self-value in the process of wearing their natural hair. The ethnic and racial identity model, critical race theory, and the strong Black woman collection were the conceptual frameworks used to connect identity, race and racism, and a collective vulnerability to the African American woman's hair journey. The study included 9 women who identified as being African American and as having transitioned to wearing their natural hair. The study was an integrative phenomenological analysis using in-depth interviews to explore subjective experiences to garner information about how African American women perceive self-value during, or after, transitioning to wearing natural hair. Data were coded with the participant's own words to formulate themes. According to study findings, participants experienced a succession of expanded self-values that began with values of self-awareness into values of self-love, values of self-confidence, and values of community. Psychologists could benefit from addressing the value of hair to African American women when considering cultural implications and formulating case conceptualization. These discussions address the acceptance of the natural traits to include hair of African American women and add a positive narrative with the goals of creating positive social change.

Dual enrollment transitioning experiences of students are poorly understood, leaving higher education stakeholders without the proper information to smooth the transitioning process and keep students in college. This basic qualitative study using interviews explored how 10 dual enrollment students described their transitioning experiences from high school to community college by investigating their motivations, ability to acknowledge self-efficacy, and understanding of social interactions using Badura's self-efficacy model and Keller's motivational theory and the attention, relevance, confidence, and satisfaction model. Data were analyzed through an open coding method to categorize themes and patterns as well as discrepant information. Key findings indicated that dual enrollment students embraced the rigor of courses and transitioned their learning skills to their non-dual enrollment college education. They reported strong self-efficacy and indicated both internal and external motivators and good support systems that contributed to their completion. They did not attribute their completion of the dual enrollment program to school-based relationships or club affiliations. The social change implication is that good transition experiences between high school and college for these students assisted them in staying in college and completing programs. Increased graduation rates and attrition rates could result in better qualified and more marketable graduates, impacting a more educated community and productive economy.

Collaborative efforts between medical and behavioral health professionals is required to simultaneously treat individuals with medical and mental health disorders. However, there is lack of focus on the competencies and trainings needed by behavioral health clinicians (BHCs) transitioning to integrated primary care (IPC) settings. The purpose of this qualitative interpretive phenomenological study was to describe the lived experiences of BHCs who have transitioned from specialty outpatient behavioral healthcare settings to IPC settings. Semi-structured interview questions were used to collect data. Using interpretive phenomenological data analysis approach, themes and the shared meanings and experiences of 8 licensed BHCs were explored. Seven participants had graduate degrees and 1 participant had post-graduate degree. All participants had at least a year of experience working in IPC settings, worked full-time in North Carolina, and had over a year of experience in traditional behavioral healthcare settings. Results indicated that participants shared experiences in 5 themes: (a) clinical experience, (b) effective communication, (c) collaboration with primary care providers(PCPs), (d) continued education and trainings, and (e) care coordination. The outcome of this research will inform institutions, administrators, and credentialing boards to consider implementation of defined competencies for BHCs in community health centers that operate on IPC principles to ensure collaborative efforts between BHCs and PCPs in order to help provide effective holistic and affordable health care in a systems-based approach.