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Approximately, 1.7 million individuals in the United States have been infected with SARS-CoV-2, the virus responsible for the novel coronavirus disease-2019 (COVID-19). This has disproportionately impacted adults, but many children have been infected and hospitalised as well. To date, there is not much information published addressing the cardiac workup and monitoring of children with COVID-19. Here, we share the approach to the cardiac workup and monitoring utilised at a large congenital heart centre in New York City, the epicentre of the COVID-19 pandemic in the United States.
Mothers’ return to work and childcare providers’ support for feeding expressed human milk are associated with breast-feeding duration rates in the USA, where most infants are regularly under non-parental care. The objective of the present study was to explore Florida-based childcare centre administrators’ awareness and perceptions of the Florida Breastfeeding Friendly Childcare Initiative.
Semi-structured interviews were based on the Consolidated Framework for Implementation Research and analysed using applied thematic analysis.
Childcare centre administrators in Tampa Bay, FL, USA, interviewed in 2015.
Twenty-eight childcare centre administrators: female (100 %) and Non-Hispanic White (61 %) with mean age of 50 years and 13 years of experience.
Most administrators perceived potential implementation of the Florida Breastfeeding Friendly Childcare Initiative as simple and beneficial. Tension for change and a related construct (perceived consumer need for the initiative) were low, seemingly due to formula-feeding being normative. Perceived financial costs and relative priority varied. Some centres had facilitating structural characteristics, but none had formal breast-feeding policies.
A cultural shift, facilitated by state and national breast-feeding-friendly childcare policies and regulations, may be important for increasing tension for change and thereby increasing access to breast-feeding-friendly childcare. Similar to efforts surrounding the rapid growth of the Baby Friendly Hospital Initiative, national comprehensive evidence-based policies, regulations, metrics and technical assistance are needed to strengthen state-level breast-feeding-friendly childcare initiatives.
This field study examined competition for space among encrusting bryozoans on artificial panel substrata used to simulate the habitat found on the undersides of boulders. In all 1761 interactions were analysed, involving 16 species of cheilostomes (genera Callopora, Celleporella, Cribrilina, Electra, Escharella, Escharoides, Haplopoma, Membraniporella, Microporella, Phaeostachys, Schizomavella, Schizoporella and Umbonula) and two ctenostome genera (Alcyonidium and Flustrellidra). Neither absolutely transitive nor intransitive arrangements of competitive outcome occurred among the species. Instead, the high incidence of ‘ties’ and reversals of outcome produced a network-like arrangement. In terms of outcome alone Escharoides coccinea (Abildgaard), Membraniporella nitida (Johnston) and Schizoporella unicornis (Johnston in Wood) were apparently ‘overgrowth dominants’, Alcyonidium spp. and Cribrilina cryptooecium Norman were ‘intermediate dominants’ and Callopora lineata (L.), Callopora craticula (Alder), Celleporella hyalina (L.) and Electra pilosa (L.) were ‘inferior competitors’ for space. The effects of four variables on the outcome of specific competitive encounters were assessed in detail and included (i) the identity of the colony encountered, (ii) the angle of contact between the competing colonies, (iii) the location (two sites, on both the east and west coasts of Scotland) and (iv) the year (1983, 1984). Models incorporating these variables were developed, using the Generalized Linear Interactive Modelling System (GLIM), to examine their influence on the outcome of bryozoan encounters. All of these factors contributed to explaining the considerable variability in the outcome of competitive interactions. The species were not, however, affected equally by all the variables, although encounter angle and year were significant for dominants and encounter angle, site and year all were significant for intermediate species.
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