A study published in the Nutrition Journal finds that for every 100 grams increase in fruit consumption, the risk of gestational diabetes is reduced by 3%. Further studies or clinical trials are required to validate this.
]. Therefore, based on the inconsistency among studies and to solve the limitations of the current review, we conducted a systematic review and meta-analysis to assess the effect of fruit, vegetable, and fruit juice intake on the risk of GDM and to assist in the exploration of dietary intervention strategies.We conducted and reported this systematic review according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analysis 2020 statement .
Participants: eligibility criteria were restricted to pregnant adult women ; Exposures: the intake of fruit, vegetables, and fruit juice was the exposure; Outcomes: the GDM criteria included the following two methods: incident cases defined by self-reported clinical diagnosis of GDM or by meeting the criteria of either a fasting blood glucose concentration of 92 mg/dL, a 1-hour blood glucose concentration of 180 mg/dL, or a 2-hour blood glucose concentration of 153 mg/dL after a glucose...
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Analysis of risk factors for parenteral nutrition-associated cholestasis in preterm infants: a multicenter observational study - BMC PediatricsBackground It is proposed that the development of parenteral nutrition-associated cholestasis (PNAC) was significantly associated with preterm birth, low birth weight, infection, etc.; however, the etiology and pathogenesis of PNAC are not fully understood. Most of the studies examining PNAC-associated risk factors were single-center studies with relatively small sample sizes. Objective To analyze the risk factors associated with PNAC in preterm infants in China. Methods This is a retrospective multicenter observational study. Clinical data on the effect of multiple oil-fat emulsions (soybean oil-medium chain triglycerides-olive oil-fish oil, SMOF) in preterm infants were collected from a prospective multicenter randomized controlled study. A secondary analysis was performed in which preterm infants were divided into the PNAC group and the non-PNAC group based on the PNAC status. Results A total of 465 cases very preterm infants or very low birth weight infants were included in the study in which 81 cases were assigned to the PNAC group and 384 cases were assigned to the non-PNAC group. The PNAC group had a lower mean gestational age, lower mean birth weight, longer duration of invasive and non-invasive mechanical ventilation, a longer duration oxygen support, and longer hospital stay (P | 0.001 for all). The PNAC group had higher respiratory distress syndrome, hemodynamically significant patent ductus arteriosus, necrotizing enterocolitis (NEC) with stage II or higher, surgically treated NEC, late-onset sepsis, metabolic bone disease, and extrauterine growth retardation (EUGR) compared to the non-PNAC group (P | 0.05 for all). In contrast with the non-PNAC group, the PNAC group received a higher maximum dose of amino acids and fat emulsion, more medium/long-chain fatty emulsion, less SMOF, had a longer duration of parenteral nutrition, lower rates of breastfeeding, higher incidence of feeding intolerance (FI), more accumulated days to achieve total enteral nutritio
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Need A Laugh? These Are The Funniest Tweets From Parents This Week'1st week of school: sandwich cut in a cute shape, sliced fruit, encouraging note. Last week of school: handful of croutons wrapped in foil.'
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People are just discovering why pineapple makes your mouth tingleA MICROSCOPY expert has revealed why pineapple makes your taste buds tingle. After hearing why the fruit has the effect it does, people swear they’re staying away from the tropical treat. Tik…
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The effect of virtual reality on cognitive, affective, and psychomotor outcomes in nursing staffs: systematic review and meta-analysis - BMC NursingBackground In the healthcare systems of the world, reinforcing the competence and professionalism of nurses has become a concern. Gaining clinical nursing competence in the healthcare system requires more effort, and additional training is required. Medical education and training have begun using digital technologies, such as virtual reality (VR). The purpose of this research was to examine the efficacy of VR in terms of cognitive, emotional, and psychomotor outcomes and learning satisfaction in nurses. Method The study searched eight databases (Cochrane library, EBSCOHost, Embase, OVID MEDLINE, ProQuest, PubMed, Scopus, and Web of Science) for articles that met these criteria: (i) nursing staff, (ii) any virtual reality technology intervention for education, all levels of immersion, [1] randomized control trial and quasi-experiment study, and (iv) published articles and unpublished theses. The standardized mean difference was measured. The random effect model was applied to measure the main outcome of the study with a significance level of p | .05. The I2 statistic assessment was applied to identify the level of heterogeneity of the study. Results A total of 6740 studies were identified, of which 12 studies with 1470 participants met the criteria for inclusion. The meta-analysis showed a significant improvement in the cognitive aspect (standardized mean difference [SMD] = 1.48; 95% CI = 0.33–2.63; p = .011, I2 = 94.88%), the affective aspect (SMD = 0.59; 95% CI = 0.34–0.86; p | .001, I2 = 34.33%), the psychomotor aspect (SMD = 0.901; 95% CI = 0.49–1.31; p | .001, I2 = 80.33%), and learning satisfaction (SMD = 0.47; 95% CI = 0.17–0.77; p = .002, I2 = 0%) aspects of the groups that received the VR intervention compared to the control groups. Subgroup analysis found that dependent variables (e.g., level of immersion) did not improve study outcomes. The quality of evidence was low which is affected by major methodological issues. Conclusions VR may favorable as alterna
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