The baby-led weaning philosophy proposes that when solids are introduced, infants should be encouraged to self-feed with solid food, as opposed to spoon-feeding purees. We used data from the Gateshead Millennium Study (GMS) to define the range of ages at which infants reach out for and eat finger foods and related this to developmental status. GMS recruited infants shortly after birth and followed them prospectively using postal questionnaires. Of the 923 eligible children, 602 had data on when they first reached out for food, and 340 (56%) had done so before age 6 months, but 36 (6%) were still not reaching for food at age 8 months. Infants who had not reached out for food by 6 months were less likely to be walking unaided at age 1 year (85 out of 224, 38%) compared with those who did (155 out of 286, 54%; P < 0.001). For the 447 parents who completed a diary of the first five occasions when their child ate finger foods, the first finger food eaten was before age 6 months for 170 (40%) and before age 8 months for 383 (90%); foods offered were mainly bread, rusks or biscuits. Of the 604 with information at age 8 months about current intake, all but 58 (9.6%) were having some finger foods at least daily, but only 309 (51%) were having them more than once per day. Baby-led weaning is probably feasible for a majority of infants, but could lead to nutritional problems for infants who are relatively developmentally delayed.
New pre-school UK charts have been produced incorporating the new World Health Organization growth standards based on healthy breastfed infants. This paper describes the process by which the charts and evidence-based instructions were designed and evaluated, and what it revealed about professional understanding of charts and growth monitoring. A multidisciplinary expert group drew on existing literature, new data analyses and parent focus groups as well as two series of chart-plotting workshops for health staff. The first series explored possible design features and general chart understanding. The second evaluated an advanced prototype with instructions, using plotting and interpretation of three separate scenarios on the old charts, compared with the new charts. The first plotting workshops (46 participants) allowed decisions to be made about the exact chart format, but it also revealed widespread confusion about use of adjustment for gestation and the plotting of birthweight. In the second series (78 participants), high levels of plotting inaccuracy were identified on both chart formats, with 64% of respondents making at least one major mistake. Significant neonatal weight loss was poorly recognized. While most participants recognized abnormal and normal growth patterns, 13-20% did not. Many respondents had never received any formal training in chart use. Growth charts are complex clinical tools that are, at present, poorly understood and inconsistently used. The importance of clear guidelines and formal training has now been recognized and translated into supporting educational materials (free to download at http://www.growthcharts.rcpch.ac.uk).
An unenclosed Early Bronze Age cremation cemetery was excavated by CFA Archaeology Ltd (CFA) during a watching brief associated with the construction of a natural gas pipeline from St Fergus to Aberdeen, Aberdeenshire (NGR: NJ 9088 3990), in the summer of 2001. The cremation cemetery contained 41 pits, 29 of which contained cremated human bone, and 11 of these were associated with Collared or Cordoned Urns. The cremations have been radiocarbon dated, through a combination of charcoal and bone apatite, to 2040 to 1500 BC, and the cemetery is the most comprehensively dated in Britain of this period. A variety of grave goods were recovered, including a pair of Golden Eagle talons and a flint foliate knife. A large Mesolithic pit was found in the same location as the cremation pits and was dated to 4510–3970 BC.
An evaluation and subsequent targeted excavations were carried out along the route of the proposed A68 Dalkeith Northern Bypass by the Centre for Field Archaeology (CFA) between September 1994 and March 1995, with additional watching briefs taking place in 1997. The bypass was not constructed at the time, and further pre-construction mitigation work was recommended in 2005, with fieldwork being carried out in 2006–08. This report describes the results of the evaluations and each excavation individually. The route traverses a narrow strip of the Lothian plain which contained several prehistoric sites, including two ring-groove structures, a stone-paved area and two pit alignments, a Roman temporary camp, a post-medieval building, an 18th-century designed landscape, and two industrial sites (a brick and tile works and a coal pit engine house). Several sites also produced ephemeral remains of earlier or later date. Overall, the results indicated a settlement pattern and land use which concentrated on the sands and gravels of the river terraces, with far less settlement on the unforgiving compacted clays which otherwise characterise large parts of the road corridor.
An evaluation and subsequent targeted excavations were carried out along the route of the proposed A68 Dalkeith Northern Bypass by the Centre for Field Archaeology (CFA) between September 1994 and March 1995, with additional watching briefs taking place in 1997. The work was commissioned by Historic Scotland on behalf of the Roads Directorate of the Scottish Office Industry Department. The bypass was not constructed at the time, and further pre-construction mitigation work was recommended in 2005, with fieldwork being carried out in 2006-08 by CFA Archaeology Ltd, for Historic Scotland on behalf of Transport Scotland.This report describes the results of the evaluations and each excavation individually. The route traverses a narrow strip of the Lothian plain which contained several prehistoric sites (two ring-groove structures, a stone-paved area and two pit alignments), a Roman temporary camp, a post-medieval building, an 18th-century designed landscape, and two industrial sites (a brick and tile works and a coal pit engine house). Several sites also produced ephemeral remains of earlier or later date. Overall, the results indicated a settlement pattern and land use which concentrated on the sands and gravels of the river terraces, with far less settlement on the unforgiving compacted clays which otherwise characterise large parts of the road corridor.
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