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.     

Adult mental health outcomes of child sexual abuse survivors born at extremely low birth weight

The high prevalence of child sexual abuse (CSA) is concerning, particularly as survivors are at increased risk for multiple adverse outcomes, including poor mental health across the lifespan. Children born at an extremely low birth weight (ELBW; <1000 g) and who experience CSA may be a group that is especially vulnerable to psychopathology later in life. However, no research has considered the mental health risks associated with being born at ELBW and experiencing CSA. In this study, we investigated the mental health of 179 ELBW survivors and 145 matched normal birth weight (NBW; >2500 g) participants at ages 22–26 and 29–36. At age 22–26, CSA was associated with increased odds of clinically significant internalizing (OR = 7.32, 95% CI: 2.31–23.23) and externalizing (OR = 4.65, 95% CI: 1.11–19.51) problems among ELBW participants exposed to CSA compared to those who did not, though confidence intervals were wide. At age 29–36, CSA was linked to increased odds of any current (OR = 3.43, 95% CI: 1.08–10.87) and lifetime (OR = 7.09, 95% CI: 2.00–25.03) non-substance use psychiatric disorders, however, this did not hold after adjustment for covariates. Statistically significant differences in mental health outcomes were not observed in NBW participants exposed to CSA compared to NBW participants who were not exposed. Survivors of significant perinatal adversity who are also exposed to CSA may be at higher risk for psychopathology through the fourth decade of life.     

一类微分算子特征值的算法

采用Galerkin方法来构造适当的基函数,计算一类微分算子特征值的近似值,且可用第n次近似值来估计第n-1次近似值的精确度.随着n的增大,特征值λk的精确度逐步提高,只要适当选取n,就可以求得所需精确度的特征值的近似值,此算法具有一定的实用价值和理论价值.     

Body composition of female road and track endurance cyclists: Normative values and typical changes

The aims of this study were to describe normative values and seasonal variation of body composition in female cyclists comparing female road and track endurance cyclists, and to validate the use of anthropometry to monitor lean mass changes. Anthropometric profiles (seven site skinfolds) were measured over 16 years from 126 female cyclists. Lean mass index (LMI) was calculated as body weight?×?skinfolds^?x. The exponent (x) was calculated as the slope of the natural logarithm of body weight and skinfolds. Percentage changes in LMI were compared to lean mass changes measured using dual-energy X-ray absorptiometry (DXA) in a subset of 25 road cyclists. Compared to sub-elite and elite cyclists, world class cyclists were (mean [95% CI]) 1.18?kg [0.46, 1.90] and 0.60?kg [0.05, 1.15] lighter and had skinfolds that were 7.4?mm [3.8, 11.0] and 4.6?mm [1.8, 7.4] lower, respectively. Body weight (0.41?kg [0.04, 0.77]) and skinfolds (4.0?mm [2.1, 6.0]) were higher in the off-season compared to the early-season. World class female road cyclists had lower body weight (6.04?kg [2.73, 9.35]) and skinfolds (11.5?mm [1.1, 21.9]) than track endurance cyclists. LMI (mean exponent 0.15 [0.13, 0.18]) explained 87% of the variance in DXA lean mass. In conclusion, higher performing female cyclists were lighter and leaner than their less successful peers, road cyclists were lighter and leaner than track endurance cyclists, and weight and skinfolds were lowest early in the season. LMI appears to be a reasonably valid tool for monitoring lean mass changes.     

统筹城乡发展,加快推进湖州城乡一体化

在我国,“三农”问题比较严重,因此提出和实施统筹城乡发展的战略具有重大的意义.湖州市为了全面贯彻中央精神,根据自身特点,推进两项战略举措,统筹城乡发展,推进城乡一体化.     

混联式滑车的构造及技术特点分析

深入分析了“顺穿法”和“花穿法”绕制的单行并联式滑车组在起重工作时的受力性能，通过对滑车组的偏心距和倾斜角计算，证明偏心距及倾斜角较大时对滑车组的工作和使用寿命存在很不利的影响。详细分析了混联式滑车的构造和受力性能，并对其起重时的偏心及倾斜角进行了计算，计算结果表明该新型滑车组在构造和技术上具有明显的优越性。混联式滑车于1996年获得国家发明专利。     

基于遗传算法和BP神经网络的优化设计方法

随着生产规模的复杂化、多维化和非线性等复杂特性的增加，对生产中高效的优化技术要求也越来越迫切，利用并行遗传算法和BP网络的优点，提出采用遗传算法的并行搜索和解空间搜索的优点进行网络参数的选取，利用BP网络简单和可塑性强的优点来优化样本空间，以取得整体的优化效率。     

七元素调控宏观经济

经济哲学与宏观经济调控方略在经济发展中的重要性显而易见．回顾经济学流派的各种经济政策展示了调控的显著性，在当今国际经济一体化过程中，宏观经济政策的贫乏越加显现出来．创新是首要任务．以宏观经济指标理论，政策性和阶段性的宏观调控策略．宏观经济良性循环三大任务为综合目标的七元素调控宏观经济的数学模型是三率调控宏观经济的进一步深入和细致，我们分析了税收，存款利率，贷款利率，汇率，货币发行量，国债发行量，财政预算七元素与30个宏观经济指标变量间的经验关系，并由此建立粗略的阶段性的效益矩阵作为决策的基础．利用宏观经济指标对经济的贡献率确定加权系数，并建立线性的目标函数并求出离散组合优化值，为中国宏观经济的发展献一点调控策略。供政府部门的决策者参考．     

计算机补码概念探究

计算机补码表示法是计算机相关原理的重要知识点,更是计算机运算方法乃至运算器设计的基础.采用类比法,结合日常生活中的实例和计算机硬件特点,从＂模＂的概念入手,依次从补码概念的引入、补码的性质、由补码求真值的方法和引入补码的真正意义四个方面对计算机补码的概念进行了探究.     

Global existence and blow-up of solutions to reaction-diffusion system with a weighted nonlocal source

In this paper, we study a semi-linear reaction-diffusion system with a weighted nonlocal source, subject to the null Dirichlet boundary condition. Under certain conditions, we prove that the classical solution exists globally and blows up in finite time respectively, and then obtain the uniform blow-up rate in the interior.