Modern dietary guidelines for healthy pregnancy; maximising maternal and foetal outcomes and limiting excessive gestational weight gain

Abstract

Maternal dietary habits influence maternal and foetal health, representing a pathway for intervention to maximise pregnancy outcomes. Advice on energy intake is provided on a trimester basis, with no additional calories required in the first trimester and an additional 340?kcal?d^?1 and 452?kcal?d^?1 needed for the second and third trimesters. Energy intake depends on pre-gravid body mass index (BMI); underweight women are recommended an increase of 150, 200 and 300?kcal?d^?1 during the first, second and third trimester, normal weight women an increase of 0, 350 and 500?kcal?d^?1 and obese women an increase of 0, 450 and 350?kcal?day^?1. The recommendations for carbohydrate and protein intake are 175?g?d^?1 and 0.88–1.1?g?kgBM?d^?1, with no change to fat intake. The number of pre-gravid obese women is rising; therefore, we need to regulate weight in women of childbearing age and limit gestational weight gain to within the recommended ranges [overweight women 6.8–11.3?kg and obese women 5.0–9.1?kg]. This can be achieved using nutritional interventions, as dietary changes have been shown to help with gestational weight management. As pregnancy has been identified as a risk factor for the development of obesity, normal weight women should gain 11.5–16.0?kg during pregnancy. While some research has shown that dietary interventions help to regulate gestational weight gain and promote postpartum weight loss to some extent, future research is needed to provide safe and effective guidelines to maximise these effects, while benefitting maternal and foetal health.     

Blogadapting: Adaptation Experiences among Expatriate Bloggers

ABSTRACT

Increased global communication is adjusting traditional models of cross-cultural communication. Specifically, changes in international communication processes have caused increased scrutiny of cross-culture adaptation theory. This is especially true when focusing on the difference between cultural adaptation and functional fitness. The purpose of this research is to address changes in global communications by testing to see if there is a difference between two important theoretical concepts within cross-cultural adaptation theory – linear and non-linear adaptation. Findings indicate that cultural sojourners do not equate cross-cultural adaptation with linear models of functional fitness. Models that equate the two should be revisited.     

MYTHPERCEPTIONS OF HEARING LOSS,HEARING AIDS,AND AGING

Myths are ill‐founded beliefs held uncritically by persons or groups about other persons or groups. Such myths hinder the communication process and lead to negative feelings or attitudes toward older persons with hearing loss. Hudson, Dancer, Patterson, Reynolds, and Tillery (1990) highlighted five common myths of hearing loss and aging. This article explores whether older persons themselves accept these and other myths presented by the DanPat, a 30‐item questionnaire with “Agree‐Disagree” statements such as the following: “Hearing Aids are Best Left to younger Persons Who Can Learn to Use Them,” or “Persons with Hearing Loss are Paranoid and Suspicious.”

Twenty older persons attending a Senior Companions and Foster Grandparents Health Fair filled out the DanPat with the following results to the 30 statements: informed about 14 of the statements; misinformed about 2 statements; and didn ‘t know the correct answer to 14 statements. Of the five prevalent myths presented by Hudson et al., this group of older adults still believes only one, that persons with hearing loss are excellent lipreaders. They don't know what to believe about two others, and they have discarded the remaining two. This article highlights the DanPat and provides correct answers to the questionnaire.     

Critically reflexive dialogue and praxis: Academic/practitioner reflections throughout a formative evaluation of Circles® USA

Reflections about the use of critically reflexive praxis by academic/practitioners are offered based on a case study of a formative evaluation of Circles^® USA, a nonprofit organization coordinating initiatives across the U.S. working to move families out of poverty. Critically reflexive praxis is theorized as featuring several themes including acknowledging different levels of context, critical dialogue with collaborators, engaging cultural difference and intersectionalities, problematizing power relations and relationships among researchers and collaborators, and occurring throughout the research project. Examples of critical dialogic reflexivity and navigating common tensions that emerge throughout such community engagement projects are detailed during three phases: planning and design; fieldwork and interviews; and outcomes, applications, and implications.     

The Artist Initiative at San Francisco Museum of Modern Art

The Artist Initiative at the San Francisco Museum of Modern Art (SFMOMA) is piloting models for increased collaboration between conservators and curators through joint work with artists. We seek a more integrated, holistic approach to the care and research of our collection. The project, funded by the Andrew W. Mellon Foundation, comprises five robust research engagements that serve the curatorial collecting departments of the museum (Photography, Painting and Sculpture, Media Art, and Architecture and Design). Three of the projects are monographic studies, examining the work of Ellsworth Kelly, Vija Celmins, and Julia Scher in depth, while two more are thematic, exploring modes of displaying digitally-driven design objects, and developing strategies for addressing the problem of color shift common to photographic prints made with experimental materials during the 1970s and 1980s. The Artist Initiative is also charged with developing hybrid working spaces to advance collaborative approaches to collections research at the museum's new downtown campus and at SFMOMA's new Collections Center in South San Francisco. These spaces include the Collections Workroom, a 56?sq?m (600?sq?ft) space that functions as a studio for visiting artists, a conservation laboratory, an interview suite, and a classroom at SFMOMA's downtown campus. At the Collections Center, a 121?sq?m (1300?sq?ft) Mock-Up Gallery has been built as a working model of one of the museum's new galleries. A functional exhibition space, the Mock-Up Gallery is also a venue for interviewing artists, prototyping exhibition formats, and meeting with students, scholars, museum staff, and community members. With the goal of contributing to critical discourses in contemporary art history, art conservation, and public engagement, each of the Artist Initiative projects includes a colloquium that will bring experts from multiple fields together with the featured artists. Thereafter we aim to share our findings widely through public programs and a range of publications, both digitally and in print.     

The effect of modifiers on the stability of a vinyl acetate/ethylene copolymer dispersion

This paper examines the effect of modifiers on the stability of a vinyl acetate/ethylene copolymer dispersion adhesive upon aging. Eighteen common modifiers were added to a well-characterized vinyl acetate/ethylene copolymer dispersion (Dur-O-Set^® E-150) in known concentrations and dry-film samples were subjected to 16–17 years of dark aging and seven to eight years of light aging. Yellowing, pH, gloss, swelling, cohesive strength, and flexibility were monitored for changes upon aging. Generally, the neat Dur-O-Set^® E-150 (no additives) was found to become acidic on aging, but was fairly resistant to yellowing. It also swelled substantially in toluene, was of high gloss, medium strength, and flexible, and remained so on aging. No modifier was found to improve these properties. Various solvents, wetting agents, and thickeners did not alter the properties by much, while plasticizers, freeze-thaw stabilizer, glycerin, and certain fillers had a more negative effect.     

Dialogue in conservation decision-making

An analysis of the impact of stakeholder consultation during the conservation decision-making processes is presented. Defining and finding opportunities for stakeholder communication within conservation work is an ethical necessity when working with cultural heritage, but the limits and practice of this necessity are less clear. Case studies are used to explore which aspects of the conservation process stakeholders are most likely to be consulted about, and reviews the impact of their views. It asks whether conservators have a preference in which decisions they are prepared to share with stakeholders across three aspects of conservation: the initial appraisal, treatment and the display or storage. Where consultation relates to treatment, conservators are more likely to fall back on their own technical authority except when those consulted are regarded as fellow professionals. Other categories of stakeholder such as artists, originating communities, and religious groups were found to be more constructively consulted on the understanding of the object and on care related to display and storage. Conservators should be offered more explicit guidance on the ethics of consultation, the aspects of consultation that they should engage with and on the ethical ways to deal with conflict arising from consultation.     

Effective preservation decision strategies

Decisions about preservation issues are made both deliberatively and unconsciously. Heuristics operate as intuitive processes which are rapid and can be reliable and effective. Deliberative decisions require time to complete and can be described by an analytic-deliberative model. The characteristics of these two processes and their relevance to preventive conservation decision-making are discussed. Each of these two processes has its strengths and weaknesses. People naturally make decisions and utilise a range of strategies without necessarily having insights into the process. This paper provides a frame to help examine, describe, and reflect upon our own and others’ decision-making in order to improve both processes and outcomes.