52 resultados para small for gestational age (SGA)


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This study aimed to evaluate a conceptual model of psychosocial, behaviour change, and behavioural predictors of excessive gestational weight gain (GWG). Background: Excessive GWG can place women and their babies at risk of poor health outcomes, including obesity. Models of psychosocial and behaviour change predictors of excessive GWG have not been extensively explored; understanding the mechanisms leading to excess GWG will provide crucial evidence towards the development of effective interventions. Method: Two hundred and eighty-eight pregnant women (≤18 weeks gestation) were recruited to a prospective study. Demographic, psychosocial, health behaviour change, and behavioural factors were assessed at 17 (Time 1, T1) and 33 weeks (Time 2, T2) gestation. Pre-pregnancy and final pregnancy weight were obtained and women were classified with/without excessive GWG. Logistic regressions refined the list of predictors of excessive GWG; variables with p < .1 were included in a path analysis. Results: Age, family income, T2 depression, T2 pregnancy-specific coping, T1 buttocks dissatisfaction, T2 GWG-specific self-efficacy, T1 dietary readiness, T1 dietary importance, and T1 vegetable intake predicted excessive GWG in the logistic regressions and were included in the path model. The baseline path model demonstrated poor fit. Once statistically and theoretically plausible paths were added, adequate model fit was achieved (χ² = 21.61(9), p < .05; RMSEA = .07; CFI = .93); this revised model explained 19.5% of the variance in excessive GWG. Women with high T1 buttocks dissatisfaction were more likely to exhibit low levels of dietary readiness. Women with low dietary readiness were more likely to have a lower vegetable intake, which predicted excessive GWG. Women with higher T2 depressive symptoms were more likely to report lower GWG self-efficacy and gain excessively. Conclusion: Future behavioural GWG trials should consider combining psychosocial and health behaviour change factors to optimise GWG.

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Timber harvesting is a common global disturbance that has important effects on the ability of forests to provide ecosystems services and retain biodiversity. Using predictive frameworks to examine biodiversity responses to logging could assist in retaining natural forest values. The intermediate disturbance hypothesis (IDH) and the habitat accommodation model (HAM) potentially offer frameworks for explaining different coarse scale community responses to logging. We used a 60. year post-logging chronosequence to investigate small reptile community responses to age post-logging in temperate forests using three metrics (species richness, evenness and relative abundance). First, we evaluated if variation in these metrics adhered to prior predictions, including the IDH. Second, we evaluated how age post-logging influence community responses through fine scale vegetation elements. Third, we evaluated support for the HAM by measuring compositional change (species turnover) of small reptile community to age post-logging. Reptile relative abundance exhibited a curvilinear relationship to age since logging, contradicting our prior prediction of sustained increase. Species richness and evenness were unrelated to age since logging thus providing no support to IDH and other prior predictions. Relative abundance and richness did not relate to any vegetation characteristic tested. These metrics were also unrelated to logging method. Community composition was marginally significantly influenced by age since logging, thus supporting the HAM. Our results suggest that forest reptiles exposed to logging exhibit variable changes depending on the community metric in question, and that different approaches, including those based on species traits, are needed to improve evaluating disturbance related biodiversity responses.

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Fire is an integral disturbance shaping forest community dynamics over large scales. However, understanding the relationship between fire induced habitat disturbance and biodiversity remain equivocal. Ecological theories including the intermediate disturbance hypothesis (IDH) and the habitat accommodation model (HAM) offer predictive frameworks that could explain faunal responses to fire disturbances. We used an 80 year post-fire chronosequence to investigate small reptile community responses to fires in temperate forests across 74 sites. First, we evaluated if changes in species richness, abundance and evenness post-fire followed trends of prior predictions, including the IDH. Second, using competing models of fine scale habitat elements we evaluated the specific ways which fire influenced small reptiles. Third, we evaluated support for the HAM by examining compositional changes of reptile community post-fire. Relative abundance was positively correlated to age post-fire while richness and evenness showed no associations. The abundance trend was as expected based on the prior prediction of sustained population increase post-disturbance, but the trend for richness contradicted the prediction of highest diversity at intermediate levels of disturbance (according to IDH). Abundance changes were driven mainly by changes in overstorey, ground layer, and shelter, while richness and evenness did not associate with any vegetation parameter. Community composition was not strongly correlated to age since fire, thus support for the HAM was weak. Overall, in this ecosystem, frequent fire disturbances can be detrimental to small reptiles. Future studies utilizing approaches based on species traits could enhance our understanding of biodiversity patterns post-disturbance.

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Rubber tree is a very important crop in Thailand, representing an essential source of income for farmers. In the past two decades, rubber tree plantations have been greatly expanding in unfavorable areas, where climate conditions are difficult and soil fertility is very poor. To optimize latex yields, mineral fertilizers have been widely used. A better understanding of the roles of the biological compartment in soil fertility is essential to determine alternative management practices to sustain soil fertility and optimize latex yields. Arbuscular mycorrhizal fungi (AMF) are widely recognized as beneficial for plants, mainly through their role in improving plant nutrient uptake. The objective of this study was to assess the AMF populations in rubber tree plantations and the impact of both soil characteristics and plantation age on these communities. Our results showed that all rubber trees were highly colonized, regardless of the soil structure and nutrient contents. AMF colonization was not affected by the age of the trees, suggesting that maintaining the symbiosis is likely to be beneficial at all stages. A better understanding and management of the microbial communities would contribute to maintaining or restoring soil fertility, leading to a better tree growth and optimized latex yield.

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AIM: To fabricate ultra-small algal chitosan nanoparticles (US CS NPs) for efficient delivery of bovine lactoferrin (bLf) to ocular tissues through topical administration to prevent carbendazim-induced toxicity. MATERIALS & METHODS: Rat eye model was used to evaluate the in vivo biodistribution the US CS NPs and bovine eye model was used for evaluating ex vivo biodistribution. Human lens epithelial cell line (HLEB-3) model was used to evaluate the in vitro toxicity, uptake mechanism and in vitro efficacy of the synthesized bLf-US CS NPs over carbendazim-induced ocular toxicity. RESULTS: The in vivo and ex vivo biodistribution results suggest that the ultra-small CS NPs efficiently internalize into the ocular tissues within 1 h after administering topically. Ultra-small algal nanocarriers to encapsulate bioactive antioxidant bLf protein and evaluated its potential in inhibiting carbendazim-induced human lens cell apoptosis and oxidative stress. CONCLUSION: US CS NPs could be explored for their potential for delivering various ocular drugs through topical administration for other eye diseases including cataract, glaucoma and age-related macular degeneration.

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Healthcare service delivery is moving forward from individual care to population health management, because of the fast growth of health records. However, to improve population health performance, it is necessary to leverage relevant data and information using new technology solutions, such as pervasive diabetes mobile technology solution of Inet International Inc., which offers the potential to facilitate patient empowerment with gestational diabetic care. Hence, this article examines the pilot study outcomes of a small clinical trial focusing on pregnant patients affected by gestational diabetes mellitus, in an Australian not for profit healthcare context. The aims include establishing proof of concept and also assessing the usability, acceptability, and functionality of this mobile solution and thereby generate hypotheses to be tested in a large-scale confirmatory clinical trial.

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We examine the important roles of two forms of capital—human andsocial—in the accumulation of critical resources that enable firms to adopt soundenvironmental management practices which contribute to better firm performance.Drawing on human and social capital theories and the resource-based view of the firm,we tested this proposition using data from a survey of 141 small manufacturing firmsdrawn from a survey of business enterprises in a metropolitan city in the southernregion of the Philippines. The results of our analysis using structural equationmodelling-partial least square approach show that both human capital such as age,experience and education of managers of the firm and social capital such as externalmanagerial ties and networks have significant and positive contribution to the environmentalmanagement resources of firms although the effects vary in magnitude. Theaccumulation of environmental management resources not only is positively linked tothe adoption by firms of pro-environment practices but also fully mediates the effects ofthe two types of capital on the adoption of such practices. Pro-environment practicesare positively linked to better performance outcomes. The findings underscore the needto account for the intangible and more tacit forms of capital such as managerial talent,knowledge, skills and social ties and networks in the wider debate on how smallmanufacturing firms in developing countries can address the pressing need to integrateenvironmental sustainability in business.