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You searched for +publisher:"Victoria University of Wellington" +contributor:("Sika-Paotonu, Dianne"). Showing records 1 – 3 of 3 total matches.

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Victoria University of Wellington

1. Whitehead, Melissa. The impact of maternal diet in pregnancy and lactation on allergy and atopy outcomes in offspring: A systematic review.

Degree: 2018, Victoria University of Wellington

Allergic disease and atopy create a substantial emotional and financial burden for affected individuals and their families. Significant healthcare costs are also incurred with New Zealand children showing consistently high rates of allergic disease when compared with global statistics. The potential to decrease the incidence of allergic disease and atopy through modification of maternal diet has been the subject of recent attention with the possibility for transgenerational impact being of considerable interest. The objectives of this systematic review were firstly to investigate the relationship between maternal diet in pregnancy and lactation on allergic outcomes in the offspring, and to then relate these findings to the New Zealand context. The following databases were accessed as part of this review: PubMed via helicon (advanced search), ProQuest (MEDLINE) via helicon, CINAHL Complete (EBSCO host via helicon). Limits were “humans”. The key search terms were ‘diet’ or ‘supplements’, ‘pregnancy’ or ‘lactation’, ‘allergy’ or ‘atopy’ or ‘asthma; NOT ‘elimination’ or ‘avoidance’. The studies for inclusion in this review were restricted to studies written in the English language. The final search was undertaken 11/04/17 once data extraction completed and one new study found. Initial search was 14/07/16. Search period 14/04/16-11/04/17. Randomised controlled trials and cohort studies that systematically recorded maternal intake of diet or supplements were included. The health-related outcomes assessed were asthma, wheeze, eczema and allergic rhinitis. Data was extracted for this review using the Cochrane Public Health Group’s template. Risk of bias was assessed using the Cochrane risk of bias assessment tool for the randomised controlled trials and the Newcastle-Ottawa Scale for the cohort studies. Risk of bias was assessed again and presented using the Grade summary of findings tables. Overall, 54 studies were included in this review, collectively involving more than 100,000 children and comprising of 16 randomised controlled trials and 38 cohort studies that were selected based on predetermined inclusion and exclusion criteria. Data on vitamins, oligo-elements, food groups and dietary patterns during pregnancy and lactation were also collected. A meta-analysis was not performed due to the diversity in variables, multiple outcomes assessed, and the variety of measurements implemented within the studies. This work presents a comprehensive summary and review of the identified studies that explored the impact of maternal diet in pregnancy and lactation on allergy and atopy outcomes. Although individual studies demonstrated various associations between maternal diet during pregnancy and lactation to impact on health outcomes for the offspring, overall, this work did not show any consistent findings collectively across the studies reviewed. This was due to the differing methods of measurement of association, intake and outcome assessment used in the reviewed studies which further complicated the ability to compare… Advisors/Committee Members: Sika-Paotonu, Dianne.

Subjects/Keywords: diet; offspring; allergy

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Whitehead, M. (2018). The impact of maternal diet in pregnancy and lactation on allergy and atopy outcomes in offspring: A systematic review. (Masters Thesis). Victoria University of Wellington. Retrieved from http://hdl.handle.net/10063/7718

Chicago Manual of Style (16th Edition):

Whitehead, Melissa. “The impact of maternal diet in pregnancy and lactation on allergy and atopy outcomes in offspring: A systematic review.” 2018. Masters Thesis, Victoria University of Wellington. Accessed October 29, 2020. http://hdl.handle.net/10063/7718.

MLA Handbook (7th Edition):

Whitehead, Melissa. “The impact of maternal diet in pregnancy and lactation on allergy and atopy outcomes in offspring: A systematic review.” 2018. Web. 29 Oct 2020.

Vancouver:

Whitehead M. The impact of maternal diet in pregnancy and lactation on allergy and atopy outcomes in offspring: A systematic review. [Internet] [Masters thesis]. Victoria University of Wellington; 2018. [cited 2020 Oct 29]. Available from: http://hdl.handle.net/10063/7718.

Council of Science Editors:

Whitehead M. The impact of maternal diet in pregnancy and lactation on allergy and atopy outcomes in offspring: A systematic review. [Masters Thesis]. Victoria University of Wellington; 2018. Available from: http://hdl.handle.net/10063/7718


Victoria University of Wellington

2. Monerasinghe, Rachel Emma. Exploring Breastfeeding Influencers for obese mothers: The experiences and perceptions of five clinically obese women and their midwives.

Degree: 2018, Victoria University of Wellington

What are the barriers and facilitators to exclusive breastfeeding for women with a BMI equalling or exceeding 35kg/m²? A qualitative interpretative inquiry. Breastfeeding is established as beneficial to both mothers and infants in terms of short-term and long-term health, or as normalising to the susceptibility of numerous conditions of poor health. Obesity is counted amongst these. A significant proportion of lactation research demonstrates exclusive breastfeeding as protective against obesity for the infant, and various explanations are put forward, such as; milk and gut microbiome species and diversity, comparative initial weight trajectories and impact on future BMI, and comparative satiety development. However, international and New Zealand trends of obesity prevalence are noted to be increasing; and obesity discourse, medical discourse and the World Health Organisation position on causes and consequences of obesity continue to be discordant, with the understanding of obesity as caused by energy in, versus energy out disequilibrium, being challenged. Current research continues to pursue directions which demonstrate obesity to be linked to infant experiences which influence infant gut microbiome, including mode of birth, feeding methods and skin-to-skin; and intrauterine environment – referring to the fetal inheritance/epigenetic inheritance theory. Notably, studies examining the influence of epigenetic heritance propose that infants born to obese mothers begin with a disadvantage in terms of health trajectories, considered to stem from the intrauterine environment and experiences; are at a higher risk of caesarean birth and of receiving breastmilk substitutes than infants born to non-obese mothers. This study aimed to examine the breastfeeding experiences of obese client participants, and breastfeeding support experiences of midwives who have cared for obese clients, to learn more about what were considered breastfeeding influencers, facilitators or barriers, within the maternity journey. A secondary aim of pursuing this research was to apply findings to the study site to see if a review of breastfeeding knowledge or support practices offered to obese women was indicated. The initial study design utilised Facebook as a means of contemporaneous data collection. Due to low recruitment, the design was modified to include one-to-one semi-structured interviews, and midwives were included as participants. Data was analysed using interpretative phenomenological analysis, and five themes were identified reflecting the participants’ experience of their maternity journey, and how breastfeeding was understood to interrelate with other maternity experiences. Five main themes emerged during data analysis. These included communication, normality and autonomy, the midwifery partnership, the experience of intervention, and how intervention was understood to affect lactation. Communication was interpreted as the core theme for all participants, and this underpinned experience of normality and autonomy (defining oneself as a… Advisors/Committee Members: Maude, Robyn, Sika-Paotonu, Dianne.

Subjects/Keywords: Breastfeeding; Obesity; Maternity

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Monerasinghe, R. E. (2018). Exploring Breastfeeding Influencers for obese mothers: The experiences and perceptions of five clinically obese women and their midwives. (Masters Thesis). Victoria University of Wellington. Retrieved from http://hdl.handle.net/10063/7076

Chicago Manual of Style (16th Edition):

Monerasinghe, Rachel Emma. “Exploring Breastfeeding Influencers for obese mothers: The experiences and perceptions of five clinically obese women and their midwives.” 2018. Masters Thesis, Victoria University of Wellington. Accessed October 29, 2020. http://hdl.handle.net/10063/7076.

MLA Handbook (7th Edition):

Monerasinghe, Rachel Emma. “Exploring Breastfeeding Influencers for obese mothers: The experiences and perceptions of five clinically obese women and their midwives.” 2018. Web. 29 Oct 2020.

Vancouver:

Monerasinghe RE. Exploring Breastfeeding Influencers for obese mothers: The experiences and perceptions of five clinically obese women and their midwives. [Internet] [Masters thesis]. Victoria University of Wellington; 2018. [cited 2020 Oct 29]. Available from: http://hdl.handle.net/10063/7076.

Council of Science Editors:

Monerasinghe RE. Exploring Breastfeeding Influencers for obese mothers: The experiences and perceptions of five clinically obese women and their midwives. [Masters Thesis]. Victoria University of Wellington; 2018. Available from: http://hdl.handle.net/10063/7076


Victoria University of Wellington

3. Florance, Nikola. An Exploration of Current Primary Care Practice Regarding Osteoporosis Assessment Following a Low Trauma Wrist Fracture in people aged 50 years and above in Wellington, New Zealand: A Quantitative Survey.

Degree: 2019, Victoria University of Wellington

Osteoporosis remains a major health issue worldwide. The impact of the condition and the fractures that can occur, can have significant debilitating impact and also incur substantial financial costs to healthcare systems. The burden of osteoporosis and the rate of osteoporotic fractures in New Zealand is comparable to other countries such as Australia, the United States and Europe. There is global literature evidence dating back as far as 1960, indicating that a fracture sustained after a simple trip or fall can be an indicator of osteoporosis. There is a need to ensure that fracture patients with a potential osteoporosis diagnosis, receive follow up care for assessment to treat any underlying bone health issue to prevent future fragility fractures, particularly, hip fractures. Due to limited formal literature sources describing the associated New Zealand context, the aim of this research work was to explore current practice for osteoporosis assessment following a fragility wrist fracture in the general practitioner (GP) primary health care setting in Wellington, New Zealand. A quantitative cross-sectional descriptive survey of Wellington GPs was undertaken for this purpose. The reporting of study results were guided by the recommendations detailed within the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement on reporting observational studies (Vandenbroucke et al., 2014). 35 out of 297 GPs from 60 practices in the Wellington region responded to the survey. When describing the local context in Wellington, New Zealand, study results showed that almost three quarters of Wellington GP survey respondents follow up patients who have sustained a potential fragility wrist fracture. The discharge summary was also shown to be a vital part of the communication process between the tertiary and primary health care sectors, acting as a prompt to the GP for further investigation. The single biggest barrier inhibiting processes to enable timely osteoporosis treatment as perceived by GP survey respondents, was lack of public funding, in particular to support availability of diagnostic Dual Energy X-ray Absorptiometry (DEXA) scanning. Other barriers were identified by the GP survey respondents, such as anti-osteoporosis medication side effects, patient compliance to treatment plans and a lack of time within the scheduled consultation to screen patients for osteoporosis. The main educational resources that a large percentage of GP survey respondents independently accessed on a regular basis, were those that were readily available. These included GP guidelines published by “Osteoporosis New Zealand” and possibly other, and online resources such as “Health Pathways” (a best-practice, condition-specific guideline and information resource for primary health care practitioners - https://3d.healthpathways.org.nz). The results also highlighted that most GP survey respondents preferred to take the lead role in the care for patients needing to undergo osteoporosis investigation and treatment. In addition,… Advisors/Committee Members: Sika-Paotonu, Dianne, Saravanakumar, Priya.

Subjects/Keywords: Fragility wrist fracture; General practitioner; Osteoporosis assessment; Primary health care

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Florance, N. (2019). An Exploration of Current Primary Care Practice Regarding Osteoporosis Assessment Following a Low Trauma Wrist Fracture in people aged 50 years and above in Wellington, New Zealand: A Quantitative Survey. (Masters Thesis). Victoria University of Wellington. Retrieved from http://hdl.handle.net/10063/8470

Chicago Manual of Style (16th Edition):

Florance, Nikola. “An Exploration of Current Primary Care Practice Regarding Osteoporosis Assessment Following a Low Trauma Wrist Fracture in people aged 50 years and above in Wellington, New Zealand: A Quantitative Survey.” 2019. Masters Thesis, Victoria University of Wellington. Accessed October 29, 2020. http://hdl.handle.net/10063/8470.

MLA Handbook (7th Edition):

Florance, Nikola. “An Exploration of Current Primary Care Practice Regarding Osteoporosis Assessment Following a Low Trauma Wrist Fracture in people aged 50 years and above in Wellington, New Zealand: A Quantitative Survey.” 2019. Web. 29 Oct 2020.

Vancouver:

Florance N. An Exploration of Current Primary Care Practice Regarding Osteoporosis Assessment Following a Low Trauma Wrist Fracture in people aged 50 years and above in Wellington, New Zealand: A Quantitative Survey. [Internet] [Masters thesis]. Victoria University of Wellington; 2019. [cited 2020 Oct 29]. Available from: http://hdl.handle.net/10063/8470.

Council of Science Editors:

Florance N. An Exploration of Current Primary Care Practice Regarding Osteoporosis Assessment Following a Low Trauma Wrist Fracture in people aged 50 years and above in Wellington, New Zealand: A Quantitative Survey. [Masters Thesis]. Victoria University of Wellington; 2019. Available from: http://hdl.handle.net/10063/8470

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