To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Suboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in Pakistan.
Searches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library. Eligibility criteria: primary research on CF practices in SA children aged 0–2 years and/or their families. Search terms: ‘children’, ‘feeding’ and ‘Asians’ with their derivatives. Two researchers undertook study selection, data extraction and quality appraisal (EPPI-Centre Weight of Evidence).
From 45 712 results, seventeen studies were included. Despite adopting the WHO Infant and Young Child Feeding guidelines, suboptimal CF was found in all studies. Nine of fifteen studies assessing timing recorded CF introduced between 6 and 9 months. Five of nine observed dietary diversity across four of seven food groups; and two of four, minimum meal frequency in over 50 % of participants. Influencing factors included lack of CF knowledge, low maternal education, socio-economic status and cultural beliefs.
This is the first systematic review to evaluate CF practices in Pakistan. Campaigns to change health and nutrition behaviour are needed to meet the substantial unmet needs of these children.
The latent structure of the proposed ICD-11 post-traumatic stress
disorder (PTSD) symptoms has not been explored.
To investigate the latent structure of the proposed ICD-11 PTSD
Confirmatory factor analyses using data from structured clinical
interviews administered to injury patients (n = 613) 6
years post-trauma. Measures of disability and psychological quality of
life (QoL) were also administered.
Although the three-factor model implied by the ICD-11 diagnostic criteria
fit the data well, a two-factor model provided equivalent, if not
superior, fit. Whereas diagnostic criteria based on this two-factor model
resulted in an increase in PTSD point prevalence (5.1%
v. 3.4%; z = 2.32,
P<0.05), they identified individuals with similar
levels of disability (P = 0.933) and QoL
(P = 0.591) to those identified by the ICD-11
Consistent with theorised reciprocal relationships between
re-experiencing and avoidance in PTSD, these findings support an
alternative diagnostic algorithm requiring at least two of any of the
four re-experiencing/avoidance symptoms and at least one of the two
Email your librarian or administrator to recommend adding this to your organisation's collection.