Maternal dietary intake and physical activity habits during the postpartum period: associations with clinician advice in a sample of Australian first time mothers

BACKGROUND: Numerous health benefits are associated with achieving optimal diet and physical activity behaviours during and after pregnancy. Understanding predictors of these behaviours is an important public health consideration, yet little is known regarding associations between clinician advice and diet and physical activity behaviours in postpartum women. The aims of this study were to compare the frequency of dietary and physical activity advice provided by clinicians during and after pregnancy and assess if this advice is associated with postpartum diet and physical activity behaviours.

METHODS: First time mothers (n = 448) enrolled in the Melbourne InFANT Extend trial completed the Cancer Council of Australia's Food Frequency Questionnaire when they were three to four months postpartum, which assessed usual fruit and vegetable intake (serves/day). Total physical activity time, time spent walking and time in both moderate and vigorous activity for the previous week (min/week) were assessed using the Active Australia Survey. Advice received during and following pregnancy were assessed by separate survey items, which asked whether a healthcare practitioner had discussed eating a healthy diet and being physically active. Linear and logistic regression assessed associations of advice with dietary intake and physical activity.

RESULTS: In total, 8.6 % of women met guidelines for combined fruit and vegetable intake. Overall, mean total physical activity time was 350.9 ± 281.1 min/week. Time spent walking (251.97 ± 196.78 min/week), was greater than time spent in moderate (36.68 ± 88.58 min/week) or vigorous activity (61.74 ± 109.96 min/week) and 63.2 % of women were meeting physical activity recommendations. The majority of women reported they received advice regarding healthy eating (87.1 %) and physical activity (82.8 %) during pregnancy. Fewer women reported receiving healthy eating (47.5 %) and physical activity (51.9 %) advice by three months postpartum. There was no significant association found between provision of dietary and/or physical activity advice, and mother's dietary intakes or physical activity levels.

CONCLUSIONS: Healthy diet and physical activity advice was received less after pregnancy than during pregnancy yet no association between receipt of advice and behaviour was observed. More intensive approaches than provision of advice may be required to promote healthy diet and physical activity behaviours in new mothers.

O consultório sentimental de madame Danjou: experiências femininas nas ondas do rádio

Deocélia Vianna apresentou por um curto período, de 1952 a 1953, uma atração radiofônica intitulada Madame Danjou, que consistia em um programa de consultório sentimental, para o qual as ouvintes encaminhavam suas dúvidas através de cartas. Para as mulheres, o hábito de escrever cartas e diários não representou, ao longo dos anos, apenas uma peculiaridade feminina, e sim a possibilidade de expressão. Assim, em nossa análise sobre as demandas encaminhadas ao programa Madame Danjou, buscamos identificar elementos que nos permitam qualificar tanto as missivistas quanto a própria radialista como integrantes de um contexto específico, sem, no entanto, ignorar suas particularidades. Para tanto, consideramos o programa radiofônico como espaço de reflexão e sociabilidade para esses agentes sociais, devido ao fluxo de perguntas e respostas que o caracteriza. Antes, porém, não podemos perder de vista a trajetória particular de Deocélia Vianna, bem como as especificidades desse tipo de programa para compreendermos a outra ponta do diálogo que se estabelece: os conselhos. Também privilegiaremos a sua dimensão normatizadora, visto que tais conselhos eram direcionados para a remediação de conflitos do âmbito privado, via a adequação de determinados comportamentos.

Some practical advice on polynomial regression analysis from blocked response surface designs

It is often necessary to run response surface designs in blocks. In this paper the analysis of data from such experiments, using polynomial regression models, is discussed. The definition and estimation of pure error in blocked designs are considered. It is recommended that pure error is estimated by assuming additive block and treatment effects, as this is more consistent with designs without blocking. The recovery of inter-block information using REML analysis is discussed, although it is shown that it has very little impact if thc design is nearly orthogonally blocked. Finally prediction from blocked designs is considered and it is shown that prediction of many quantities of interest is much simpler than prediction of the response itself.

O futuro do presente no século XIX: uma análise

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Advice on the Management of Ambiguous Genitalia to a Young Endocrinologist from Experienced Clinicians

The birth of a child with ambiguous genitalia is a challenging and distressing event for the family and physician and one with life-long consequences. Most disorders of sexual differentiation (DSD) associated with ambiguous genitalia are the result either of inappropriate virilization of girls or incomplete virilization of boys. It is important to establish a diagnosis as soon as possible, for psychological, social, and medical reasons, particularly for recognizing accompanying life-threatening disorders such as the salt-losing form of congenital adrenal hyperplasia. In most instances, there is sufficient follow-up data so that making the diagnosis also establishes the appropriate gender assignment (infants with congenital adrenal hyperplasia, those with androgen resistance syndromes), but some causes of DSD such as steroid 5 alpha-reductase 2 deficiency and 17 beta-hydroxysteroid dehydrogenase deficiency are associated with frequent change in social sex later in life. In these instances, guidelines for sex assignment are less well established.

"the easter rising of 1916: A step towards the independence of ireland analysed through the works of irish writers."

The 1916 Easter Rising, an unsuccessful insurrection which resulted in the Irish War of Independence, generated a deep change in the political landscape in Ireland. The purpose of this work is to describe this crucial period in the history of Ireland through the voices of Irish writers who expressed their ideas and feelings about the way Ireland was close to gaining its independence. Thanks to songs, poems and literature, I analysed the events of that period through the eyes of the Irish people. Authors like Roddy Doyle and William Butler Yeats were fundamental in examining this topic very thoroughly. Through their works, they were able to convey their knowledge about the events of those years and, at the same time, to give their own opinion, as Irish people, on the topic.

Post-War Writers' Memoirs in Romania and France: A Study of Mentalities

Ms. Net wanted to find out if there was what she terms a "collective identity of the intelligentsia" of Romania and France between 1945 and 1989. She conducted her research on a corpus of memoirs from both cultures, and in the process, uncovered some fundamental differences, which she presented in the form of a 178 page manuscript in English, and also on disc. One of the most basic appears to be that French memorialists rarely deal with social, historical and political changes and events. Ms. Net regards these writers as shutting their eyes to reality, and attempting to preserve the past. They are interested in their personal history, and in the genesis of their own works. According to Ms. Net, this tendency is so marked that she doubts whether 20th century French writers share the dominant mentalities of their times. In her opinion all this points to the fact that the French intelligentsia are "trying hard to preserve their cultural hegemony" a task which she maintains has always been an essential aspect of the identity of the French intellectual. In Romania, of course, the situation was very different. To take an example: many Romanian memoirs speak about the campaigns to improve the lot of women, while at the same time recognising and analysing the way that this was simply a "cover" for promoting the most incompetent people, men and women alike. They also express frustration at the way access to information was blocked due to the media being government controlled. Ms. Net concludes, eventually, that, in general, intellectuals, more than any other group in society, ensure the continuity of the dominant mentalities in a given cultural space. Consequently, she feels, we must revise the idea - or myth as she calls it - that intellectuals represent the avant-garde in a given society. Specifically, she concludes that petty bourgeois, patriarchal and elitist mentalities are still prevalent in France. The truth is, she reflects, that intellectuals are always true to their nature, no mater when and where they are living.

Russian Writers and the Third Section

The Third Section was an instrument not so much of oppression as of information, propaganda and education. Under Nicholas I, the press did not represent public opinion, but rather the official point of view. It was intended to shape public opinion rather than to express it and much of the Third Section's activity focused on creating the best possible contacts with journalists and men of letters. The Third Section supervised literary activities by examining works in print and collecting information through its agents. It rewarded those authors whose work was approved by the emperor, it used writers to pursue its goals, especially in order to "direct minds", but acted as a mediator between the tsar, censors and writers, or sometimes as arbiter in conflicts between writers themselves, and it also acted as a censor. Writers, for their part, served in the Third Section, becoming its agents or consultants, delivering reports to it and writing texts commissioned by the Section. The majority of writers did not see any problems with serving or assisting the Third Section. Ideologies offering an alternative to state monarchism /in professional literature or individual liberalism/ were very weak. The only exception was a small group, mostly composed of eminent and highly educated aristocrats who possessed alternative moral and financial resources. Reitblat showed that the strong ties maintained by some journalists and writers with the Third Section were not unfortunate exceptions due to the low moral qualities of those individuals, but rather a natural phenomenon which reflected the specific nature of the Russian literary system and, more generally, of Russian society as a whole.