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Experiments with animals suggest that high sugar consumption during pregnancy may predispose offspring to obesity, but few human studies have examined this relationship. This study explored the association between the consumption of sugar-sweetened beverages (SSBs) during pregnancy and caloric intake through childhood.
Using cohort data on child weight, height, and physical activity levels, a lab-validated microsimulation model of energy balance was employed to infer the caloric intake of children through age 11 years. Random effects models were then employed to explore the relationships between prenatal maternal consumption and inferred caloric intake during childhood.
An additional daily serving of SSBs during the second trimester of pregnancy was associated with an increase in child consumption of 13 kcal/d (95% CI 1.2-26.8). Age-stratified models adjusting for maternal and child covariates suggested that this association was strongest for children aged 2.5 to 5.5 years. The consumption of SSBs during the first trimester was not found to have a consistently positive relationship to caloric intake.
These findings suggest that SSB consumption during the second trimester of pregnancy is associated with child energy intake and may influence anthropometry in early childhood, which is consistent with and suggestive of the presence of biological causal pathways alongside likely simultaneous contributions of social and environmental influences.
These findings suggest that SSB consumption during the second trimester of pregnancy is associated with child energy intake and may influence anthropometry in early childhood, which is consistent with and suggestive of the presence of biological causal pathways alongside likely simultaneous contributions of social and environmental influences.
To analyze the risk factors of elbow stiffness following open reduction and internal fixation of the terrible triad of the elbow joint.
A retrospective study was conducted of 100 patients with the terrible triad of the elbow joint, who had been treated at our hospital from January 2015 to December 2018. All patients were treated with a loop plate to repair the ulnar coronoid process. According to the severity of the injury, the radial head was either fixed or replaced, and the lateral collateral ligament was repaired with an anchor. According to the range of motion of the elbow during the last follow-up, the patients were divided into two groups. The stiffness group (displayed extension-flexion or pronation-supination <100°) consisted of 30 patients. The second group, named the non-stiffness group (exhibited extension-flexion and pronation-supination ≥100°), consisted of 70 patients. Related risk factors included age, gender, smoking, diabetes, whether the fracture is on the dominant side, mechanism oferative joint immobilization time > 2 weeks are the independent risk factors of elbow stiffness after surgery of the terrible triad of the elbow, which should be treated carefully in clinical treatment.
2 weeks are the independent risk factors of elbow stiffness after surgery of the terrible triad of the elbow, which should be treated carefully in clinical treatment.Hidradenitis suppurativa (HS) causes significant psychological distress in patients. Evofosfamide order We aimed to investigate the stigmatization level of HS patients and to determine the related physical, social, and psychological factors. A questionnaire with 22 questions about the physical and psychosocial problems related to HS was administered to 29 male and 34 female patients between the ages of 18 and 66 to evaluate the thoughts, emotions, attitudes, and behaviors of patients. Each patient filled Dermatology Life Quality Index, Beck Depression Inventory, Liebowitz Social Anxiety Scale, Body Image Scale, and 6-item Stigmatization Scale. Hurley classification was used to assess severity of disease. Patients with HS feel stigmatized depending on physical and psychosocial problems caused by the disease. Higher stigmatization scores correlated with higher scores of depression (r .437, P less then .001), social anxiety (r .263, P .03), and worse life quality (r .522, P less then .001), and body image perception (r .696, P less then .001). The degree of stigmatization was closely associated with the presence of painful lesions and disruption of socializing (P .021 and .033, respectively). Disease severity (β 5.12, P .003 for moderate disease) and reporting feeling psychologically negatively affected due to HS (β 4.26 P .007) were the two main predictors of stigmatization in patients with HS. Cross-sectional nature of the study is the limitation. In conclusion, the stigmatization level of patients with HS is strongly related to disease severity and poor mental health.
Contrast-enhanced magnetic resonance angiography (MRA) is used to assess various cardiovascular conditions. However, gadolinium-based contrast agents (GBCAs) carry a risk of dose-related adverse effects.
To develop a deep learning method to reduce GBCA dose by 80%.
Retrospective and prospective.
A total of 1157 retrospective and 40 prospective congenital heart disease patients for training/validation and testing, respectively.
A 1.5 T, T1-weighted three-dimensional (3D) gradient echo.
A neural network was trained to enhance low-dose (LD) 3D MRA using retrospective synthetic data and tested with prospective LD data. Image quality for LD (LD-MRA), enhanced LD (ELD-MRA), and high-dose (HD-MRA) was assessed in terms of signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and a quantitative measure of edge sharpness and scored for perceptual sharpness and contrast on a 1-5 scale. Diagnostic confidence was assessed on a 1-3 scale. LD- and ELD-MRA were assessed against HD-MRA for sensitivity/speciwith biases of 0.238 (LD-MRA) and 0.278 mm (ELD-MRA).
Deep learning can improve contrast in LD cardiovascular MRA.
2 TECHNICAL EFFICACY Stage 2.
2 TECHNICAL EFFICACY Stage 2.
Insomnia is a common and debilitating disorder that is frequently associated with important consequences for physical health and well-being.
An international expert group considered the current state of knowledge based on the most relevant publications in the previous 5years, discussed the current challenges in the field of insomnia and identified future priorities.
The association of trajectories of insomnia with subsequent quality of life, health and mortality should be investigated in large populations. Prospective health economics studies by separating the costs driven specifically by insomnia and costs attributable to its long-term effects are needed. Ignoring the heterogeneity of insomnia patients leads to inadequate diagnosis and inefficient treatment. Individualized interventions should be promoted. More data are needed on both the impact of sleep on overnight effects, such as emotion regulation, and the potential compensatory effort to counteract diurnal impairments. Another gap is the definition of neurocognitive deficits in insomnia patients compared to normal subjects after chronic sleep loss.
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