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.     

Preschoolers modulate contrastive inferences during online language comprehension

This study examined 4- and 5-year-olds' incremental interpretation of size adjectives, focusing on whether contrastive inferences are modulated by speaker behavior. Children (N = 120, 59 females, mostly White, tested between July, 2018 and August, 2019) encountered either a conventional or unconventional speaker who labeled objects in a correspondingly typical or atypical way. Critical utterances contained size adjectives (e.g., “Look at the big duck”). With conventional speakers, gaze measures indicated that children rapidly used the adjective to differentiate members of a contrasting pair, indicating that even 4-year-olds derive contrastive inferences. With unconventional speakers, contrastive inferences were delayed in processing. The findings demonstrate that preschoolers adjust their use of pragmatic cues when presented with evidence disconfirming their default assumptions about a speaker.     

Teaching structured troubleshooting: integrating a standard methodology into an information technology program

Troubleshooting skills are integral for the Information Technology professional. In order to address faculty concerns that students were not effectively learning required troubleshooting skills, a standardized troubleshooting methodology (the DECSAR Method) was created and integrated into the standard curriculum of a college information technology program. Components of troubleshooting were measured using a pre-/post-testing approach with the Social Problem Solving Inventory—Revised. Testing indicated improvement in several areas of troubleshooting reinforced by DECSAR. The context in which the troubleshooting methodology was applied was associated with post-test change.

Evaluating Assistive Technology in Early Childhood Education: The Use of a Concurrent Time Series Probe Approach

As assistive technology applications are increasingly implemented in early childhood settings for children who are at risk or who have disabilities, it is critical that teachers utilize observational approaches to determine whether targeted assistive technology-supported interventions make a difference in children’s learning. One structured strategy that employs observations and which has powerful child progress monitoring implications is the concurrent time series probe approach. Requiring multiple performance measures of a child engaged in a targeted task over time—both with and without a specific assistive technology device—the concurrent time series probe approach can be used to evaluate the effectiveness of assistive technology tools in supporting skill acquisition in the classroom. This approach is described in the context of a case study, with accompanying explanations of how to interpret data and make decisions regarding the effectiveness of the technology.     

Prior degree and student assessment performance: how can evidence guide decisions on assessment policy?

This study aimed to provide evidence to guide decisions on the type and timing of assessments in a graduate medical programme, by identifying whether students from particular degree backgrounds face greater difficulty in satisfying the current assessment requirements. We examined the performance rank of students in three types of assessments and also calculated the relative risk of failure in the summative assessments for four cohorts over all four years of a four‐year graduate medical programme. Our findings suggest that early summative assessment may disadvantage the very students who create the diversity that the faculty values, particularly if methods such as Single Best Answer questions are used, unless students are provided with additional support in bridging their knowledge gap. Use of assessment methods such as Modified Essay Questions and Objective Structured Clinical Examinations appears to be more justifiable on educational grounds.     

Book reviews

Clinical sports medicine, Robert C. Cantu, (ed.), The Collamore Press, Lexington, Massachusetts, Toronto, 1984. 219 pp, £19.95 (hb), ISBN 0 669 06842 X

Sports injuries, a self‐help guide, Vivian Grisogono, John Murray Ltd, London, 1984. 293 pp, £7.95 (hb), ISBN 0 7195 4111 5

Athletes’ guide to mental training, Robert N. Nideffer, Human Kinetics, Champaign, Illinois (distributed in the UK by Eddington Hook & Co.) 1985. vii +156 pp, $9.95 (pb), ISBN 0 931250 96 X

Scientific foundations of coaching, R.R. Pate, B. McClenaghan and R. Rotella, Saunders College Publishing, Philadelphia, 1984. xii + 344 pp, £21.95(hb), ISBN 0 03 057961 9

Mathematics in sport, M. Stewart Townend, Ellis Horwood, Chichester, 1984. 202 pp (hb), ISBN 0 85312 717 4

Frontiers of exercise biology, ’Big Ten Body of Knowledge’ symposium series, Vol. 13 K.T. Borer, D.W. Edington and T.P. White (eds), Human Kinetics Publishers Inc., Champaign, Illinois, (distributed in the UK by Edington Hook & Co.), 1983. vii + 295 pp, $31.95(hb), ISBN 0 931250 49 8

The knee, Philippe Segal and Marcel Jacob, Wolfe Medical Publications, Frome, Somerset, 1984. 143 pp (hb), £15, ISBN 2 224 00887 2

Psychological foundations of sport, J.M. Silva and R.S. Weinberg (eds), Human Kinetics, Champaign, Illinois, (distributed in the UK by Eddington Hook & Co), 1984. xxiv + 528 pp, £22.50 (hb), ISBN 0 93 1250 59 5

Physical activity and the social sciences, W. Neil Widmeyer, Mouvement Publications Inc., Ithaca, 1983. 472 pp, £9.00 (pb), ISBN 0 932392 13 X     

Presenter passion and presentation design on reviewer assessment and subsequent success: An empirical study of high technology proposal and business plan presentations

We investigate two fundamental research questions related to the funding of early-stage technology enterprises. First, does presentation design, and the presenting entrepreneur's passion and preparedness, influence experts' assessment of the merit and commercialization potential of an emerging firm's technology? Second, are the entrepreneur's passion and preparedness during a formal presentation associated with future technology success? We analyze twenty-two video-taped presentations to a U.S. Department of Defense technology transfer and granting consortium, and track subsequent technology success. From the data it appears that both entrepreneurial passion and presentation design does influence expert assessment of a technology, and future commercialization success can be predicted to some extent by the level of entrepreneurial passion exhibited during the presentation.