28 research outputs found

    Associations of maternal folic acid supplementation and folate concentrations during pregnancy with foetal and child head growth: the Generation R Study

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    Purpose: Folic acid supplementation during pregnancy has been associated with a reduced risk of common neurodevelopmental delays in the offspring. However, it is unclear whether low folate status has effects on the developing brain. We evaluated the associations of maternal folic acid supplementation and folate concentrations during pregnancy with repeatedly measured prenatal and postnatal head circumference in the offspring. Methods: Within a population-based prospective cohort, we measured maternal plasma folate concentrations at approximately 13 weeks of gestation (90 % range 10.5–17.2) and assessed folic acid supplementation by questionnaire (2001–2005). Up to 11 repeated mea

    Effectiveness of disease-specific cognitive-behavioural therapy on depression, anxiety, quality of life and the clinical course of disease in adolescents with inflammatory bowel disease

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    _Introduction:_ Adolescents with inflammatory bowel disease (IBD) show a higher prevalence of depression and anxiety, compared to youth with other chronic diseases. The inflammation-depression hypothesis might explain this association, and implies that treating depression can decrease intestinal inflammation and improve disease course. The present multicentre randomised controlled trial aims to test the effectiveness of an IBD-specific cognitive–behavioural therapy (CBT) protocol in reducing symptoms of subclinical depression and anxiety, while improving quality of life and disease course in adolescents with IBD. _Methods and analysis:_ Adolescents with IBD (10– 20 years) from 7 hospitals undergo screening

    Parental psychological distress during pregnancy and the risk of childhood lower lung function and asthma: a population-based prospective cohort study

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    Background Although maternal psychological distress during pregnancy is associated with increased risks of respiratory morbidity in preschool children, it is unknown whether this association persists into later childhood. Objective To examine the association between parental psychological distress during pregnancy and lung function and asthma in children of school age. Methods This study of 4231 children was embedded in a population-based prospective cohort. Parental psychological distress was assessed by the Brief Symptom Inventory during and 3 years after pregnancy, and in mothers also at 2 and 6 months after pregnancy. At age 10 years, lung function was obtained by spirometry and asthma by questionnaire. Results The prevalence of asthma was 5.9%. Maternal overall psychological distress during pregnancy was associated with a lower forced vital capacity (FVC) (z-score difference −0.10 (95% CI −0.20 to –0.01) per 1-unit increase), maternal depressive symptoms during pregnancy with a lower forced expiratory volume in the first second (FEV1 ) and FVC (−0.13 (95% CI −0.24 to –0.01) and −0.13 (95% CI −0.24 to –0.02) when using clinical cut-offs) in their children. All maternal psychological distress measures during pregnancy were associated with an increased risk of asthma (range OR: 1.46 (95% CI 1.12 to 1.90) to 1.91 (95% CI 1.26 to 2.91)). Additional adjustment for paternal psychological distress during pregnancy and parental psychological distress after pregnancy did not materially change the associations. Paternal psychological distress during pregnancy was not associated with childhood respiratory morbidity. Conclusion Maternal, but not paternal, psychological distress during pregnancy is associated with an increased risk of asthma and partly lower lung function in children. This suggests intrauterine programming for the risk of later-life respirator

    Parental psychological distress during pregnancy and the risk of childhood lower lung function and asthma: a population-based prospective cohort study

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    Background Although maternal psychological distress during pregnancy is associated with increased risks of respiratory morbidity in preschool children, it is unknown whether this association persists into later childhood. Objective To examine the association between parental psychological distress during pregnancy and lung function and asthma in children of school age. Methods This study of 4231 children was embedded in a population-based prospective cohort. Parental psychological distress was assessed by the Brief Symptom Inventory during and 3 years after pregnancy, and in mothers also at 2 and 6 months after pregnancy. At age 10 years, lung function was obtained by spirometry and asthma by questionnaire. Results The prevalence of asthma was 5.9%. Maternal overall psychological distress during pregnancy was associated with a lower forced vital capacity (FVC) (z-score difference −0.10 (95% CI −0.20 to –0.01) per 1-unit increase), maternal depressive symptoms during pregnancy with a lower forced expiratory volume in the first second (FEV1 ) and FVC (−0.13 (95% CI −0.24 to –0.01) and −0.13 (95% CI −0.24 to –0.02) when using clinical cut-offs) in their children. All maternal psychological distress measures during pregnancy were associated with an increased risk of asthma (range OR: 1.46 (95% CI 1.12 to 1.90) to 1.91 (95% CI 1.26 to 2.91)). Additional adjustment for paternal psychological distress during pregnancy and parental psychological distress after pregnancy did not materially change the associations. Paternal psychological distress during pregnancy was not associated with childhood respiratory morbidity. Conclusion Maternal, but not paternal, psychological distress during pregnancy is associated with an increased risk of asthma and partly lower lung function in children. This suggests intrauterine programming for the risk of later-life respiratory disease

    Fifty Years of Publication: Hospital Pharmacy Anniversary

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    C12 Microtomography of Amorphous Metallic Foam During Thermo-Plastic Expansion

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    Instantiation automatique d'un modèle structural de feuille à partir de données scanner 3D : application au calcul de l'interception de la lumière

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    A new parametric structural leaf model and its automatic instantiation from 3D digitized data is exposed. The proposed model allows representing the morphological features of a wide range of leaves into a controlled number of morphological parameters defining the accuracy of the 3D leaf representation. Using a set of suitable leaf-related geometrical hypothesis, these values are automatically inferred from dense digitized data provided by a non-contact digitizer Konica Minolta vi-910. A quantitative assessment, based on an inversion algorithm allowing building a tessellated leaf model from a prescribed set of parameters, demonstrates the reliability of both the model parameters and the instantiation process. An application to light interception computation via the software VegeSTAR (Adam & al. 2002) is also presented

    Microscale elastic strain evolution following damage in Ti-SiC composites

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    Fiber fractures are crucial in initiating damage zones that ultimately determine the strength and lifetime of fiber-reinforced metal matrix composites. The evolution of damage in a metal matrix composite (MMC) comprised of a row of unidirectional SiC fibers (32 vol pct) surrounded by a Ti matrix was examined, for the first time, using X-ray microdiffraction. Multiple strain maps including both phases were collected in situ under applied tensile stress. The elastic axial strains were then compared to predictions from a modified shear-lag model, which, unlike other shear-lag models, considers the elastic response of both constituents. The strains showed good correlation with the model. The results confirmed, for the first time, both the need and validity of this new model specifically developed for large scale multifracture simulations of MMCs. The results also provided unprecedented insight for the model, revealing the necessity of incorporating such factors as plasticity of the matrix, residual stress in the composite, and selection of the load sharing parameter
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