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This integrative literature review describes the educational background, clinical training, and certification process of the International Board Certified Lactation Consultant (IBCLC). The evidence for use or non-use of IBCLCs in breastfeeding support in the primary care setting and in the care of early parenting families is presented. Medline, PsychInfo, CINAHL, and Google Scholar were searched for research related to IBCLCs. The search was limited to research that studied the use vs. non-use of IBCLCs in outpatient settings and excluded studies that were solely conducted in the hospital environment. This search yielded five studies comparing IBCLC use vs. nonuse in outpatient settings. Study authors suggested a positive correlation between IBCLC use and breastfeeding duration; however, the reliability and validity of the outcomes of these studies could not be ascertained due, in part, to small homogenous sample sizes and other limitations of study design. More research regarding IBCLC use in primary care settings is needed. Limited data available suggest that IBCLCs may promote a longer duration of breastfeeding postpartum when utilized in primary care settings.

Chico's May catalogue and Web site portray family scenes of grandmothers, mothers and daughters outfitted by Chico's. To bring the youngest generation on board, the chain tested a girls' collection, Chicettes by Chico's, during the holiday season and brought it back for spring. It includes cotton T-shirts printed with whimsical images accompanied by inscriptions such as \"I Love You Mommy\" retailing for $28.

ATLANTA — Executives at the SPESA Expo showed a renewed commitment to reducing shipping time lines, strengthening supply chains and adopting new technology and equipment to produce faster.

Diane von Furstenberg shared the spotlight with students at the Savannah College of Art and Design. The designer received the Andr Leon Talley Lifetime Achievement Award during the annual student fashion show here on Saturday.

The purpose of this transcendental phenomenological study was to describe and understand the complexity of life experiences for first-generation college students or recent graduates who are working adults in the Central and South-Central Appalachian region of the United States in light of the construct resilience and how purposefully selected students continued study despite difficulties. In this study, information gathered was synthesized regarding three issues: first-generation students, working adult students, and the influences of Central and South-Central Appalachian regional culture. The theory used to guide this study is resilience as it relates to the educational persistence of working, adult, first-generation college students in Appalachia. The complexity of life experiences was generally defined as the many life situations that the participants encounter in the pursuit of a degree. A rich, descriptive portrayal of the target population’s complex lives was revealed through interviews with 11 individuals, a journaling exercise completed about their educational experiences, and focus groups. The information gathered, as seen through a cultural profile developed of the region, was explored for commonalities and themes to give voice to the students. One enduring theme was the lack of value placed on education in their families. Another distinct theme was poverty, both in their own families of origin, and in the region. An engaging theme was their unrest with living life without a baccalaureate degree. More specifically, they portrayed a strong determination to rise above their circumstances using the vehicle of further education. Next, overcoming the complexities of their lives through resilience. A final theme that surfaced was how their lives had improved after their graduation.

ATLANTA — Retailers were in the mood to be wowed at the five-day Atlanta Apparel Market that ended April 12 at AmericasMart.

Preliminary signs of recovery were evident at the Atlanta Apparel show, as buyers loosened their budgets and bought a little further out from season. Many show visitors agreed that a more aggressive approach to business was necessary, despite their concerns about troubled lenders and cautious consumers. Manufacturers allowed retailers to make smaller orders and offered discounts as deep as 20 percent.