Hyperactivity in rats bred and raised on relatively low amounts of cyclamates.
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Biomedical subjects
Publications and source records attributed to J Riordan.
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The advantages of continuing breastfeeding beyond the neonatal period are reviewed and general guidelines for self-care at home are discussed. Developmental changes in the infant and psychological and physical changes in the mother are outlined and related to breastfeeding success. Advice for working mothers and for weaning is also presented.
One of the great medical advances of the past decade has been the scientific validation of the importance of species-specific milk. This "discovery" has led to a growing general awareness of the value, during the first year of life, of the milk of the baby's own mother for optimal physical and emotional development. These benefits of breastfeeding may last a lifetime. The need to understand and assist the mother in maintaining this relationship presents a major challenge to the nurse. Beginning with this issue of JOGN and continuing in two subsequent issues a series of six articles is being presented that gives an overview of breastfeeding, from historical perspectives to specific problems nursing mothers may encounter. The initial installment consists of "Infant Feeding Patterns Past and Present" and "The Anatomy and Psychophysiology of Lactation." Following in September/October and November/December will be "The Biologic Specificity of Breast Milk," "Preparation for Breastfeeding and Early Optimal Functioning," "Self-Care for Continued Breastfeeding," and "Some Breastfeeding Problems and Solutions." The cultural pattern of breastfeeding in ancient and contemporary cultures are compared, and changes during the Industrial Revolution that led to the decline in breastfeeding are outlined. Also described are the consequences of the trend away from breastfeeding in Third World countries and current breastfeeding patterns in the United States.
The major anatomical structures of the lactating breast are identified and related to the psychophysiologic mechanisms of lactation. Hand expression of breast milk is explained in a practical manner and some causes of lactation dysfunction are described.
Although the number and diversity of minority women in the United States is growing, breastfeeding rates remain low. Nurses can increase breastfeeding rates in minority populations if they are aware of and appreciate cultural differences. Following an overview of culture's effect on breastfeeding, this article focuses on practical aspects of caring for breastfeeding mothers in various cultural groups. Breastfeeding educational programs are effective when they are culturally sensitive and emerge from the culture itself.
While there are no standard methods for evaluating the work of respiratory therapists, supervisors agree that periodic evaluation is essential. Some institutions base merit raises or step increase on the results of the yearly appraisal. Others merely want to ensure that respiratory therapists are performing effectively. Methods range from an evaluation form which can be filled out by the supervisor or both the supervisor and the employee to an on-the-job evaluation by hospital personnel.
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Management of several potential physical problems is presented: sore breasts, engorgement, leaking, breast infections, nipple damage, and thrush. Then problem-solving for the separated mother and breastfeeding infant, genetic abnormalities, and slow weight gain are discussed. The final sections deal with maternal medication and environmental contaminants in breast milk.