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		<title>Bellatony911: Created page with &quot; {|border=1 |&lt;center&gt;Visual Cue&lt;/center&gt; |&lt;center&gt;Narration&lt;/center&gt;  |- | Title Slide |Welcome to the '''spoken tutorial ''' on '''essential nutrition actions'''  |-  |Collag...&quot;</title>
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				<updated>2022-06-17T09:08:48Z</updated>
		
		<summary type="html">&lt;p&gt;Created page with &amp;quot; {|border=1 |&amp;lt;center&amp;gt;Visual Cue&amp;lt;/center&amp;gt; |&amp;lt;center&amp;gt;Narration&amp;lt;/center&amp;gt;  |- | Title Slide |Welcome to the &amp;#039;&amp;#039;&amp;#039;spoken tutorial &amp;#039;&amp;#039;&amp;#039; on &amp;#039;&amp;#039;&amp;#039;essential nutrition actions&amp;#039;&amp;#039;&amp;#039;  |-  |Collag...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;&lt;br /&gt;
{|border=1&lt;br /&gt;
|&amp;lt;center&amp;gt;Visual Cue&amp;lt;/center&amp;gt;&lt;br /&gt;
|&amp;lt;center&amp;gt;Narration&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| Title Slide&lt;br /&gt;
|Welcome to the '''spoken tutorial ''' on '''essential nutrition actions'''&lt;br /&gt;
&lt;br /&gt;
|- &lt;br /&gt;
|Collage: Steps&lt;br /&gt;
&lt;br /&gt;
| In this tutorial we will learn about the best ways to prevent malnutrition.&lt;br /&gt;
&lt;br /&gt;
|- &lt;br /&gt;
|Image: First 1000 days&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Infant&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Conception to the second birthday&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Malnutrition&lt;br /&gt;
&lt;br /&gt;
|'''Essential nutrition actions''' are a preventive approach to tackle malnutrition.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
They are required during the first 1,000 days.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
First 1,000 days start from conception to the second birthday of the baby.&lt;br /&gt;
&lt;br /&gt;
|- &lt;br /&gt;
|| Image: ENA&lt;br /&gt;
&lt;br /&gt;
|'''Essential nutrition actions'''are also known as '''ENA'''.&lt;br /&gt;
|- &lt;br /&gt;
|| collage: Actions&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Delayed cord clamping&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
IMage: Additional iron&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: feeling the pulse&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
IMage: Stop pulsating&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Delayed cord clamping&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|For a newborn, the first '''ENA'''to be done is delaying the clamping of the cord.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The umbilical cord should not be cut immediately after delivery.&lt;br /&gt;
&lt;br /&gt;
The nurse should first feel the pulsation of the cord.&lt;br /&gt;
&lt;br /&gt;
The cord should be cut when it stops pulsating.&lt;br /&gt;
|- &lt;br /&gt;
|| IMage: improves baby's stores&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Prevention of anemia&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
IMage: Complementary food and iron rich food&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|| Delayed cord clamping allows blood flow between placenta and the baby.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
This may improve the iron store in the baby for the first 6 months.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Doing so prevents anemia in babies during these months.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
After 6 months, iron rich food should be given through complementary food.&lt;br /&gt;
&lt;br /&gt;
Along with complementary food, the baby should be breastfed until 2 years of age.&lt;br /&gt;
|- &lt;br /&gt;
|| Image: Breastfeeding&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Place baby on abdomen&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: babies finding mothers breast&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Breast crawl&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|| After clamping the cord, the baby should be breastfed.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
To do so, the baby should be placed on the mother's bare abdomen.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
A baby is born with an instinctive feeding behavior.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
With this behavior it can find the mother's breast and initiate breastfeeding.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
This entire process is called breast crawl.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
More about breast crawl has been explained in another tutorial.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Please visit our website for this tutorial.&lt;br /&gt;
|- &lt;br /&gt;
|| Image: breastfeeding immediately after birth&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: colostrum&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Breast milk&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image:Breast milk containing antibodies&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Good fats&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|| It is important to start breastfeeding within one hour of birth.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The first milk is called the colostrum.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
It is the primary source of nutrients for a newborn.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Colostrum has infection-fighting elements and good fat.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|- &lt;br /&gt;
|| Image: Breast milk&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Eye health and immunity&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Vitamin A supplementation&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Vitamin A rich food&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|| Breast milk is also the first source of vitamin A for the baby.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Vitamin A is vital for healthy eyes and immunity.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Breastmilk is enough to meet the vitamin A requirements for the first 6 months.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
After 6 months, vitamin A rich complementary food should be given.&lt;br /&gt;
|- &lt;br /&gt;
|Image: correct latching&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Poor attachment&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: very little milk&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: baby getting sufficient milk&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Areola&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|| For effective breastfeeding, correct latching is most important.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Poor attachment of the baby’s mouth to the breast will result in nipple feeding.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
This will give very little milk to the baby.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Baby's mouth should attach to the lower part of the areola.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
This way the baby will get sufficient milk.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Areola is the dark area around the nipple.&lt;br /&gt;
|- &lt;br /&gt;
|Image: correct technique&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
 | Breastfeeding techniques are discussed in other tutorials.&lt;br /&gt;
|- &lt;br /&gt;
|| Image: 6 month old baby&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: Breastfeeding&lt;br /&gt;
&lt;br /&gt;
Collage: Breastfeeding and complementary feeding&lt;br /&gt;
|| On completion of 6 months, the baby's nutrient requirement increases rapidly.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
At this stageexclusive breastfeeding is not enough.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Complementary food should be introduced, along with breastfeeding.&lt;br /&gt;
|- &lt;br /&gt;
|| Image: 6 month old baby&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: Puree, khichdi, finger foods&lt;br /&gt;
|| It should start as soon as the baby completes 6 months of age.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
6 months of age does not mean the start of the 6th month of a baby’s life.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
It means she has completed 6 months and has started the 7th month of her life.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Also, the quantity and consistency of the food should be changed as per the age.&lt;br /&gt;
|- &lt;br /&gt;
|| Collage: cereals, millets, seeds, vegetables and fruits&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: Grains, roots, tubers&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: legumes, seeds, nuts&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: milk products&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: Non veg&lt;br /&gt;
|| A baby’s diet must include different food groups.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The first food group is grains, roots, and tubers.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Legumes, seeds, and nuts are the second group.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The third group is milk products. Meat, fish, and chicken are the fourth group.&lt;br /&gt;
|- &lt;br /&gt;
|| Collage: Egg&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: Vitamin A rich food&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: Other fruits and vegetables&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Breastfeeding&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: 8 food groups&lt;br /&gt;
|| Egg is the fifth group.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Vitamin A rich fruits and vegetables are the sixth group.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The seventh group is other fruits and vegetables.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Lastly, breastfeeding is the eighth group but the most important one.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Ideally, a baby’s diet must include all 8 food groups.&lt;br /&gt;
|- &lt;br /&gt;
|| Image: Growth&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: Complementary feeding&lt;br /&gt;
||&lt;br /&gt;
&lt;br /&gt;
All these foods provide nutrients that help in the growth of the baby.&lt;br /&gt;
&lt;br /&gt;
The details of complementary feeding have been discussed in another tutorial.&lt;br /&gt;
&lt;br /&gt;
Please visit our website for this tutorial&lt;br /&gt;
|- &lt;br /&gt;
 | Collage: supplements&lt;br /&gt;
 | Let us now look at the supplements that should be given to the babies.&lt;br /&gt;
|- &lt;br /&gt;
||&lt;br /&gt;
&lt;br /&gt;
Image: Iron folic acid supplement&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Twice a week&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Vitamin A supplementation&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: 9 months to 5 years&lt;br /&gt;
&lt;br /&gt;
Image: Asha worker&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|From 6 months to 5 years, iron-folic acid supplements should be given.&lt;br /&gt;
&lt;br /&gt;
It has to be given to babies twice a week by healthcare workers.&lt;br /&gt;
&lt;br /&gt;
Vitamin A supplement should be given twice a year.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
This supplement is given from 9 months to 5 years of age.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The supplements should be given under the guidance of a health care provider.&lt;br /&gt;
|- &lt;br /&gt;
|| Collage: Diarrhea&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: '''sodium'''and '''potassium'''loss&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Infant deaths&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: Diarrhea management&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
||&lt;br /&gt;
&lt;br /&gt;
We will now see '''ENA'''to treat a baby having diarrhea.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Diarrhea is a major cause of malnutrition.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
It causes water loss and imbalance of '''sodium'''and '''potassium'''in the body. &lt;br /&gt;
&lt;br /&gt;
In severe cases, infant deaths may also happen.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Hence, it is very important to treat diarrhea.&lt;br /&gt;
|- &lt;br /&gt;
||&lt;br /&gt;
&lt;br /&gt;
Image: '''ORS'''sachet&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Zinc supplementation&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|'''ORS'''and zinc supplements help in treating diarrhea.&lt;br /&gt;
&lt;br /&gt;
'''ORS'''is '''Oral rehydration salts'''.&lt;br /&gt;
&lt;br /&gt;
Itreplenishes the water and Sodium and potassium in the body.&lt;br /&gt;
|- &lt;br /&gt;
|Image: '''ORS'''sachet&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Boiled and cooled water&lt;br /&gt;
|| It is easily available in the market as powder form in packets.&lt;br /&gt;
&lt;br /&gt;
To use it, mix one packet of '''ORS '''in 1 litre of boiled and cooled water.&lt;br /&gt;
|- &lt;br /&gt;
|| Image: Zinc supplementation&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Diarrhea&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Immunity&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Zinc supplementation calendar&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: 10 ml zinc&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: 20 ml Zinc&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|Along with '''ORS''', '''Zinc '''supplement is necessary too.&lt;br /&gt;
&lt;br /&gt;
'''Zinc '''reduces the duration, frequency, and severity of diarrhea in children.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
It improves the immunity of the baby.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
It should be given once a day for 14 days.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
10 milligrams of zinc per day should be given to babies below 6 months.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
20 milligrams of '''zinc'''per day should be given to 6 months old and above.&lt;br /&gt;
|- &lt;br /&gt;
|| Image: Dissolving tablets&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Boiled and cooled water&lt;br /&gt;
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&lt;br /&gt;
Image: health care provider&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: breastfeeding&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Complementary feeding&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|In a small spoon, dissolve '''Zinc'''tablets in breast milk or '''ORS'''.&lt;br /&gt;
&lt;br /&gt;
You may also use boiled and cooled water.&lt;br /&gt;
&lt;br /&gt;
'''ORS'''and '''zinc'''tablets should be given after consulting a healthcare provider.&lt;br /&gt;
&lt;br /&gt;
Along with '''ORS'''and '''zinc, '''less than 6 month old babies should be breastfed.&lt;br /&gt;
&lt;br /&gt;
6 to 24 month old babies should be breastfed and given complementary food.&lt;br /&gt;
|- &lt;br /&gt;
|| Image: breastfeeding&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: weight gain and recovery&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: KMC&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|| Remember a baby during sickness should be breastfed often.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
It helps in faster recovery and weight gain.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
It also comforts the sick baby.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
With breastfeeding, kangaroo mother care should be provided to every baby.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|- &lt;br /&gt;
|| Image: Kangaroo mother care&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|| Kangaroo mother care is also recommended for low birth weight babies.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
More about kangaroo mother care has been discussed in another tutorial.&lt;br /&gt;
|- &lt;br /&gt;
|| Image: Increase food&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Appetite&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: variety of foods&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: type 1 and type2&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Breastfeeding&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: type 1 and type2&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|| If the baby is older than 6 months, increase the food to one and a half times.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Do this when the baby’s appetite comes back during the recovery period.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Encourage the baby to eat by offering a variety of foods.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Give her type 1 and type 2 nutrient-rich food as per her hunger cues.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
More about type 1 and type 2 nutrients has been discussed in another tutorial.&lt;br /&gt;
|- &lt;br /&gt;
| Image: consulting doctor&lt;br /&gt;
| In severe conditions, the mother should consult a health worker immediately.&lt;br /&gt;
|- &lt;br /&gt;
|| Image: Malnourished baby&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Nutrition rehabilitation center&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: Malnourished baby and healthy baby&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Collage: Home cooked food and a health worker is talking to a mother&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: A health worker talking&lt;br /&gt;
|Health workers should refer the severely malnourished babies to the NRC'''.'''&lt;br /&gt;
&lt;br /&gt;
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'''NRC '''is a'''nutrition rehabilitation center'''.&lt;br /&gt;
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It is a unit for restoring the health of severely malnourished children.&lt;br /&gt;
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This center provides specialized nutrition therapy to babies.&lt;br /&gt;
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It makes them ready for home-cooked food if they have completed 6 months of age.&lt;br /&gt;
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It also educates mothers about breastfeeding, child nutrition, and child care.&lt;br /&gt;
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|| Collage: ENA&lt;br /&gt;
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|| Follow the Essential Nutrition actions to keep the baby healthy.&lt;br /&gt;
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They also help in preventing malnutrition in babies.&lt;br /&gt;
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|| Acknowledgement slide&lt;br /&gt;
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|| This brings us to the end of this tutorial.&lt;br /&gt;
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Thanks for joining.&lt;br /&gt;
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|}&lt;/div&gt;</summary>
		<author><name>Bellatony911</name></author>	</entry>

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