260 research outputs found
Miss Townsend's 1st Grade Class Buffalo Avenue School 1957
No full textMiss Townsend's 1st grade class in the Buffalo Ave. School located in Egg Harbor
City, NJ dated 1957.
Row 1 (l-r): Billy Leek, Marie Wright
Row 2 (l-r) : Mark Emmer, Janet DeClementi, unknown, John Eichinger?, Kathy Maxwell
Row 3(l-r): Larry Dickerson, John Ford, Gary Gougher, Susan Wagner, Linda Stewart
Row4 (l-r): Bruce Wade, Lee Whelan, Irene Ade, Debbie Koob.
Row 5(l-r): Billy Cunningham, Terry Heitz, Nancy Nehr, Bonnie Johns.
Row 6 (l-r): Freddie Wilson, Horace Hurdle, Harvey Kaufmann, Gwen Meinecke. Ms Townsend standing in the back
Economic evaluation of a stratified transport method for Atlantic halibut (Hippoglossus hippoglossus) juveniles
No full textThe objective of this study was to evaluate a convenient, low-cost modification to conventional transfer methods for Atlantic halibut juveniles. A series of wire mesh cages were stacked within transport tanks creating a stratified transport system (STS), increasing the surface area for settlement and facilitating a more homogeneous distribution of halibut throughout the tank compared with the conventional insulated box (Unstructured, UTS). A stochastic cost-benefit analysis determined investment into a STS to be cost-effective, generating a mean benefit-cost ratio of 1.31 (95% CI, 0.68–2.00) after 2 years and a mean 5-year net present value of 85,176(9546,906–$125,630). The implementation of a STS was found to be technically feasible and economically efficient method to improve Atlantic halibut transport.Peter J. Sykes, Carol A. McClure, Debbie J. Martin-Robichaud, Charles G. Caraguel, K. Larry Hammel
Contribution of home-delivered meals to the dietary intake of the elderly
No full textA cross-sectional survey was conducted of a select sample of home-delivered meals recipients, aged 65 years and over, living in a small Canadian city. The objectives were to assess dietary adequacy and to determine the nutritional contribution of the consumed portion of the home-delivered meal to the total energy/nutrient intakes of the recipients. Detailed dietary data was collected from 7-day food records and analyzed to estimate their content of energy and 17 nutrients. The mean total energy and nutrients intakes met or exceeded the recommended levels for all nutrients except energy, zinc, and vitamin A in males and zinc in females. The nutrients of concern for inadequate intakes were vitamin A, zinc, calcium and magnesium. The mean nutrient contribution of the delivered meals to the total nutrient intakes of all subjects ranged from 31% for folate to 61% for vitamin B12. These findings emphasize the important contribution that home-delivered meals make to the nutrient needs of the recipients
The search for the meaning of 'Client-centred' practice
No full textIt was not until I was asked to teach clinical nutrition that I began to understand the source of my frustrations. When you have to teach someone how to 'be clientcentred' you have to truly understand what that means - and I realized that I did not. Further, in talking with my colleagues it was apparent that although they too said that they were 'client-centred' m their practice, how that translated into what they did on a daily basis differed. Some said that 'being client-centred' meant that they tailored their nutrition advice to meet their clients' needs; others talked about facilitating dietary behaviour change; still others talked about 'empowering' their clients to make informed decisions. A search of the literature also revealed that although many health professions have adopted what they call a 'client-centred approach,' how that approach is defined and implemented varies.Source type: Electronic(1)http://proquest.umi.com/pqdweb?did=856791051&Fmt=7&clientId=65345&RQT=309&VName=PQ
Detecting nutritional risk among Canadian seniors
No full textSource type: Electronic(1)http://proquest.umi.com/pqdweb?did=418028771&Fmt=7&clientId=65345&RQT=309&VName=PQ
Little Blue and Little Yellow by L. Lionni
No full textLionni, Leo. Little Blue and Little Yellow. New York: Alfred A. Knopf, 2011. Print. Award-winning author, artist, and graphic illustrator, Leo Lionni, had a distinguished, decades-spanning career and wrote over 40 children’s books in an easily recognizable style. Little Blue and Little Yellow was his first children’s book, and it won the New York Times Book Review Best Illustrated Children’s Book of the Year award in 1959. Lionni was also a four-time Caldecott Honor Book winner, an award that celebrates excellence in children’s picture books. This review pertains to the 2011 board book edition, just right for the littlest hands. The story is simple perfection. Little Blue and Little Yellow, are best friends who live across the street from one another. They enjoy all sorts of games both together and with their other equally-colourful friends. One day, Little Blue wants to play with Little Yellow but cannot find him. Overjoyed as they finally meet up, they hug until they become green! However, when they go home, their parents do not recognize them, and they are very sad. Where did Little Blue and Little Yellow go? Are they lost? This delightful story has many layers. It can simply be read as a way to introduce the concept of colour to young children, but it has deeper, yet understated, themes of friendship and diversity. It is a delight to read and look at, and while this sturdy edition is certainly aimed at the preschool crowd, older children will enjoy it too. Highly recommended: 4 out of 4 starsReviewer: Debbie FeisstDebbie is a Public Services Librarian at the H.T. Coutts Education Library at the University of Alberta. When not renovating, she enjoys travel, fitness and young adult fiction
The effectiveness of interventions to treat severe acute malnutrition in young children: a systematic review
No full textSevere acute malnutrition (SAM) arises as a consequence of a sudden period of food shortage and is associated with loss of a person’s body fat and wasting of their skeletal muscle. Many of those affected are already undernourished and are often susceptible to disease. Infants and young children are the most vulnerable as they require extra nutrition for growth and development, have comparatively limited energy reserves and depend on others. Undernutrition can have drastic and wide-ranging consequences for the child’s development and survival in the short and long term. Despite efforts made to treat SAM through different interventions and programmes, it continues to cause unacceptably high levels of mortality and morbidity. Uncertainty remains as to the most effective methods to treat severe acute malnutrition in young children.ObjectivesTo evaluate the effectiveness of interventions to treat infants and children aged < 5 years who have SAM.Data sourcesEight databases (MEDLINE, EMBASE, MEDLINE In-Process & Other Non-Indexed Citations, CAB Abstracts Ovid, Bioline, Centre for Reviews and Dissemination, EconLit EBSCO and The Cochrane Library) were searched to 2010. Bibliographies of included articles and grey literature sources were also searched. The project expert advisory group was asked to identify additional published and unpublished references.Review methodsPrior to the systematic review, a Delphi process involving international experts prioritised the research questions. Searches were conducted and two reviewers independently screened titles and abstracts for eligibility. Inclusion criteria were applied to the full texts of retrieved papers by one reviewer and checked independently by a second. Included studies were mapped to the research questions. Data extraction and quality assessment were undertaken by one reviewer and checked by a second reviewer. Differences in opinion were resolved through discussion at each stage. Studies were synthesised through a narrative review with tabulation of the results.ResultsA total of 8954 records were screened, 224 full-text articles were retrieved, and 74 articles (describing 68 studies) met the inclusion criteria and were mapped. No evidence focused on treatment of children with SAM who were human immunodeficiency virus sero-positive, and no good-quality or adequately reported studies assessed treatments for SAM among infants < 6 months old. One randomised controlled trial investigated fluid resuscitation solutions for shock, with none adequately treating shock. Children with acute diarrhoea benefited from the use of hypo-osmolar oral rehydration solution (H-ORS) compared with the standard World Health Organization-oral rehydration solution (WHO-ORS). WHO-ORS was not significantly different from rehydration solution for malnutrition (ReSoMal), but the safety of ReSoMal was uncertain. A rice-based ORS was more beneficial than glucose-based ORSs, and provision of zinc plus a WHO-ORS had a favourable impact on diarrhoea and need for ORS. Comparisons of different diets in children with persistent diarrhoea produced conflicting findings. For treating infection, comparison of amoxicillin with ceftriaxone during inpatient therapy, and routine provision of antibiotics for 7 days versus no antibiotics during outpatient therapy of uncomplicated SAM, found that neither had a significant effect on recovery at the end of follow-up. No evidence mapped to the next three questions on factors that affect sustainability of programmes, long-term survival and readmission rates, the clinical effectiveness of management strategies for treating children with comorbidities such as tuberculosis and Helicobacter pylori infection and the factors that limit the full implementation of treatment programmes. Comparison of treatment for SAM in different settings showed that children receiving inpatient care appear to do as well as those in ambulatory or home settings on anthropometric measures and response time to treatment. Longer-term follow-up showed limited differences between the different settings. The majority of evidence on methods for correcting micronutrient deficiencies considered zinc supplements; however, trials were heterogeneous and a firm conclusion about zinc was not reached. There was limited evidence on either supplementary potassium or nicotinic acid (each produced some benefits), and nucleotides (not associated with benefits). Evidence was identified for four of the five remaining questions, but not assessed because of resource limitation.LimitationsThe systematic review focused on key questions prioritised through a Delphi study and, as a consequence, did not encompass all elements in the management of SAM. In focusing on evidence from controlled studies with the most rigorous designs that were published in the English language, the systematic review may have excluded other forms of evidence. The systematic review identified several limitations in the evidence base for assessing the effectiveness of interventions for treating young children with severe acute malnutrition, including a lack of studies assessing the different interventions; limited details of study methods used; short follow-up post intervention or discharge; and heterogeneity in participants, interventions, settings, and outcome measures affecting generalisability.ConclusionsFor many of the most highly ranked questions evidence was lacking or inconclusive. More research is needed on a range of topic areas concerning the treatment of infants and children with SAM. Further research is required on most aspects of the management of SAM in children < 5 years, including intravenous resuscitation regimens for shock, management of subgroups (e.g. infants < 6 months old, infants and children with SAM who are human immunodeficiency virus sero-positive) and on the use of antibiotics.FundingThe National Institute for Health Research Technology Assessment programme.<br/
Dietitians' opinions and experiences of client-centred nutrition counselling
No full textAlthough participants agreed or strongly agreed with a further eight items in the first-round questionnaire, the IQR for the responses to those items was slightly broader. This finding indicates some differences in opinion about the importance of those issues in a client-centred approach to nutrition counselling. The finding may have been due to differing perceptions of the meaning of some of the words in those items. For example, participants' comments made apparent the fact that the terms "advocate," "set protocol," and "nutrition care process" were not universally understood. The word "allow" also concerned some participants; comments indicated that the term suggested an imbalance of power in the client-dietitian relationship. This may have caused some participants to disagree with items containing this word or to rate them lower on the scale. However, this finding also likely reflects participants' concerns about implementing these concepts in practice. Many participants indicated that they had experienced barriers in their attempts to deliver nutrition counselling services using a client-centred approach. This finding is similar to those by researchers in the occupational therapy profession, who found that lack of time and resources, as well as the therapist's and client's differing goals, were significant challenges to implementing this approach (16,17). These researchers also identified the need to develop an organizational culture that supports client-centred practice, and for ongoing education to increase practitioners' knowledge and understanding of a client-centred approach. Interestingly, when asked to identify factors that facilitate the use of a client-centred approach in nutrition counselling, current survey participants indicated the helpfulness of working as part of a team that supported its use. Of concern, however, is the finding that some participants had little or no education/training in nutrition counselling during their undergraduate education or dietetic internship. Further, about one-third of participants had had no additional training/education in counselling since they had started their practice
Client-centred nutrition counselling: Do we know what this means?
No full textOver the past decade, the health-care system in Canada has changed in response to rising costs, changing demographics, and consumers' increased interest in directing their own medical care. Many health professions have begun to promote a practice approach that includes the client as an important partner in health-care delivery (11). Although a variety of different terms are used to describe this approach (client-centred, person-centred, client-driven, patient-centred, patient-focused), in each case the emphasis appears to be on including the client/patient in the health-care decision-making process (11). What is less clear is how the various health professions are defining client-centred counselling, or how individual members of these professions are implementing this approach in their practices. In the dietetics profession, we have adopted a definition developed by the occupational therapy profession, a definition that has its roots in Rogers's client-centred counselling theory. As Law and Mills (11) point out, however, '[t] he difficulty with the term client-centred is that it has been used by institutions and writers to describe approaches that may not be conceptually consistent with Rogers' original ideas.' The first time that the term 'client-centred' care is mentioned is in an abstract by Hawirko et al. in 1994 (30). These authors discuss the expansion of the nutrition focus of the Healthiest Babies Possible (HBP) program in British Columbia. The purpose of the expansion was to provide more 'holistic client-centred services.' They note that ....putting the client first often means changing departmental policies.' Educational strategies designed to '...balance clients' priorities with our HBP agenda of preventing low birthweight' were being used. Again, in this description we see pieces of what Carl Rogers would have referred to as a client-centred approach. Certainly Rogers would have considered the idea of putting the client first important; however, the idea pf putting the client first important; however, the idea of balancing priorities rather then allowing the client to set his of her own priorities is contradictory. The struggle to use a client-centered approach within the healthcare system is also evident here. The importance of changing the way we think about the nutrition counselling process has been recognized in the past few years. In 1998, Kiy outlined what she referred to as an 'emerging speciality within the field of dietetics' - nutrition therapy (34). According to Kiy, 'nutrition therapy is clientcentred and combines the philosophy and practice of dietetics, mental health counselling and education.' She states that the relationship that develops between the client and the clinician is therapeutic in and of itself, and is more important than any nutrition intervention needed by the client and provided by the nutrition therapist. This view is certainly very similar to what Rogers calls a 'growth promoting climate' (7). Kiy also discusses the client's role in the learning process, and states that clients learn best when they are able to build on their interests, concerns, and experiences rather than told what to do by the therapist. Kiy concludes that the philosophy outlined in her article will '...assist dietitians in making the switch from a focus on teaching and the subject to a focus on learning and the client.' However, she fails to make any concrete suggestions as to how dietitians might incorporate these ideas into their everyday practice.Source type: Electronic(1)http://proquest.umi.com/pqdweb?did=307511711&Fmt=7&clientId=65345&RQT=309&VName=PQ
Screening for nutritional risk among community-dwelling elderly on Prince Edward Island.
No full textThe purpose of this survey was to estimate the prevalence of nutritional risk among a group of community-dwelling older persons on Prince Edward Island, aged 70 years and over, and to examine the relationships between health-related factors and nutritional risk. Subjects (n = 215) were interviewed as part of the 1996 Canadian Study of Health and Aging. The prevalence of nutritional risk, as measured by the DETERMINE checklist, in PEI seniors was 37.1% (95% CI = 36.3, 37.9). The prevalence was estimated at 47% after adjusting for the sensitivity and specificity of the checklist. Only pain was a significant predictor of the presence or absence of nutritional risk (logistic regression, p = 0.05). The only predictor to discriminate between the three categories of no nutritional risk, moderate risk, and high risk was depression (Kruskal-Wallis, p = 0.035). Several limitations were identified with the use of the DETERMINE checklist.Source type: Electronic(1
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