0 stringlengths 12 494 | embeddings listlengths 384 384 |
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gastric\treflux.\tRinsing\twith\ta\tbaking\tsoda\tsolution\t(1\ttsp\tbaking\tsoda\tin\t1\tcup\twater)\tmay\thelp\nneutralize\tthe\tacid\t(\nACOG,\t2013a\n)\tand\ttooth\tbrushing\tshould\tbe\tavoided\tfor\tat\tleast\tan\thour\tafter\nvomiting\tto\tallow\n\tthe\tenamel\tto\treharden\t(\nDragan\tet\tal,\t2018\n).\nPreexis... | [
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Dragan\tet\tal,\t2018\n).\nPreexisting\tmedical\tconditions\nMany\twomen\tbegin\tpregnancy\twith\tpreexisting\tconditions\tthat\tcan\tcomplicate\tthe\tpregnancy\tand\nmodify\tnutrient\trequirements\tand\tappropriate\tfood\tsources,\tas\twell\tas\tthe\tsupplementation\tthat\tis\nnecessary.\tAs\tan\texample,\tceliac\tdis... | [
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absorption\tof\tnutrients\toften\n\tis\timpaired\t(\nFreeman,\t2010\n).\tWomen\twith\tceliac\tdisease\thave\nincreased\trisk\tof\tmiscarriages\tand\tpreterm\tdeliveries.\tSome\tprenatal\tsupplements\tmay\tcontain\ngluten\tor\twheat\tbinders\tand\tshould\tbe\tavoided.\tWomen\twith\tphenylketonuria\t(PKU)\tmust\tbe | [
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following\tthe\tdietary\trestrictions\tmonths\tprior\tto\tconception\tto\tminimize\tdamage\tto\tthe\tfetal\tbrain\n(see\t\nChapter\t42\n).\tWomen\twith\tinflammatory\tbowel\tdisease\n\tmay\thave\tlow\tserum\tvitamin\tB\n12\n\tlevels\tif\nthere\tis\tdamage\tto\tthe\tintestines.\tWomen\twith\tHIV\tinfection\tmay\thave\th... | [
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interaction\tof\tnutrients\twith\tmedications\tmay\thave\tto\tbe\tconsidered.\tImmigrant\twomen\tmay\tsuffer\nwith\tactive\tmalaria,\twhich\tinvades\tthe\tplacenta,\tor\tGI\tparasites,\twhich\tcan\tboth\tdecrease\tnutrient\nintakes\tand\tincrease\tnutrient\tlosses.\tWomen\twith\tpreexisting\tdepression\n\tare\tat\trisk... | [
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are\tat\trisk\tfor\tpoor\npregnancy\toutcome\tand\tpostpartum\tdepression,\tputting\tthe\tmother\tand\ther\tnewborn\tat\trisk\tif\tshe\tis\nunable\tto\tfunction\toptimally.\nWomen\talso\tmay\tdevelop\tconditions\tresulting\tfrom\tthe\tpregnancy\tthat\tneed\tparticular\tattention,\nincluding\tHG,\tgallstones,\tor\tintra... | [
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motor\tvehicle\taccident\tor\tother\ttrauma\tthat\trequires\n\tspecial\tcare\tor\teven\ttime\tin\tan\tintensive\tcare\nunit\t(ICU).\tIn\tall\tcases,\tthe\tneeds\tof\tthe\tmother\tand\tthe\tfetus\tmust\tremain\tparamount.\tAlthough\nguidance\tis\tavailable\tfor\tsome\tconditions\t(\nCrozier,\t2017\n),\tstrong\tevidence-... | [
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are\tlacking.\nFood\tsafety\tduring\tpregnancy\nAlthough\ta\tpregnant\twoman\tis\tno\tmore\tlikely\tto\tbe\texposed\tto\tpathogens\tthan\ta\tnonpregnant\nwoman,\tshe\tand\ther\n\tfetus\tmay\tbe\tat\thigher\trisk\tof\tsuffering\tnegative\tconsequences\tfrom\tfoodborne\nillnesses.\tIn\taddition,\tbecause\tmetabolically\t... | [
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toxins,\talong\twith\tthe\tpotential\tlong-term\teffects\tof\tfetal\texposure\tto\tsuboptimal\tconditions,\ta\npregnant\twoman\toften\thas\tquestions\tregarding\tthe\tsafety\tof\tcommon\tfoods\tand\tnonnutritive\nsubstances.\tThose\tfood\tsafety\tissues\n\tof\tmost\tconcern\tvary\tbetween\tpopulations.\t\nBox\t14.5 | [
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summarizes\tgeneral\tfood\tsafety\tguidelines.\nBOX\t14.5\nGeneral\tFood\tSafety\tGuidelines\nClean\n•\t\nWash\thands\tthoroughly\twith\tsoap\tand\twater,\tespecially\tbefore\tand\tafter\thandling\tfood,\tand\nafter\tusing\tthe\tbathroom,\tchanging\tdiapers,\n\tor\thandling\tpets.\tDo\tnot\ttouch\tmucous\nmembranes\taf... | [
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0.09498532116413116,
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0.001413767458871007,
... |
membranes\tafter\thandling\tmeats.\n•\t\nWash\tcutting\tboards,\tdishes,\tutensils,\tand\tcountertops\twith\thot\twater\tand\tsoap.\tWashing\nutensils,\tincluding\tcutting\tboards,\tin\tthe\tdishwasher\tis\tpreferable.\n•\t\nWash\traw\tfruits\tand\tvegetables\tthoroughly\tunder\trunning\twater,\teven\tif\tthe\tskin\twi... | [
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0.03212989494204521,
0.045... |
not\tbe\neaten.\n•\t\nDo\tnot\twash\tor\trinse\tmeat\tand\tpoultry.\nSeparate\tto\tavoid\tcross\tcontamination\n•\t\nSeparate\traw\tmeat,\tpoultry,\tand\tseafood\tfrom\tready-to-eat\tfoods\twhen\tshopping,\tpreparing,\nand\tstoring\tfoods.\n•\t\nUse\tone\tcutting\tboard\tfor\traw\tmeat,\tpoultry,\tand\tseafood\tand\tan... | [
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-0.0270... |
and\tvegetables.\n•\t\nPlace\tcooked\tfood\ton\ta\tclean\tplate.\tThe\tunwashed\tplate\tthat\theld\traw\tmeat,\tpoultry,\tor\nseafood,\tmay\tbe\tcontaminated.\nCook\tto\tproper\ttemperature\n•\t\nCook\tfoods\tthoroughly.\tUse\ta\tfood\tthermometer\tto\tcheck\tthe\ttemperature.\t(Color\tis\tnot\ta\nreliable\tindicator\t... | [
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•\t\nBeef,\tpork,\tveal,\tlamb,\tlarge\n\tcuts\t(steaks,\troasts,\tand\tchops):\t145°\tF\t+\t3-minute\trest\n•\t\nFish:\t145°\tF\n•\t\nBeef,\tpork,\tveal,\tlamb,\tground\tmeats:\t160°\tF\n•\t\nEgg\tdishes:\t160°\tF\n•\t\nTurkey,\tchicken,\tduck\t(whole\tanimal,\tpieces,\tground):\t165°\tF\n•\t\nCook\teggs\tuntil\tfirm.... | [
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0.00422048382461071,
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be\tboiled.\nChill\tto\tavoid\tthe\tdanger\tzone\n•\t\nRefrigerator\tshould\tregister\tat\t40°\tF\tor\tbelow\tand\n\tthe\tfreezer\tat\t0°\tF.\tCheck\tthe\ntemperature\tperiodically\twith\tan\tappliance\tthermometer.\n•\t\nLimit\tthe\ttime\tfoods\tare\tin\tthe\tdanger\tzone,\tthe\trange\tof\ttemperatures\tat\twhich\tbac... | [
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0.0227... |
grow\tquickly,\tusually\tbetween\t40°\tF\tand\t140°\tF.\n•\t\nDefrost\t(and\tmarinate)\tfoods\tin\n\tthe\trefrigerator,\tnot\ton\tthe\tkitchen\tcounter.\n•\t\nRefrigerate\tor\tfreeze\tperishables\t(foods\tthat\tcan\tspoil\tor\tbecome\tcontaminated\tby\tbacteria\tif\nleft\tunrefrigerated)\tpromptly.\n•\t\nUse\tready-to-... | [
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possible.\n•\t\n2-hour\trule:\tdiscard\tperishable\tfoods\tleft\tout\tat\troom\ttemperature\tfor\tmore\tthan\t2\thours.\tIf\nit\tis\ta\thot\tday\t(more\tthan\t90°\tF),\tshorten\tthe\ttime\tto\t1\thour.\nAvoid\thigh-risk\tfoods\n•\t\nAvoid\tunpasteurized\tmilks,\tincluding\tgoat\tmilk,\tand\tfoods\tmade\tof\tunpasteuriz... | [
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0.05211175... |
Even\tif\tsoft\tcheeses\tare\tpasteurized,\thard\tcheeses\tare\tsafer.\n•\t\nAvoid\traw\tor\tundercooked\tmeats,\tpoultry,\teggs,\tfish,\tor\tseafood.\n•\t\nAvoid\tunpasteurized\tfruit\tor\tvegetable\tjuices.\tUnpasteurized\tjuice,\tincluding\tcider,\tmust\tbe\nboiled\t(full\trolling\tboil)\tfor\tat\tleast\t1\tminute.\... | [
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... |
boiled\t(full\trolling\tboil)\tfor\tat\tleast\t1\tminute.\n•\t\nAvoid\traw\tor\tundercooked\tsprouts,\tincluding\talfalfa,\tclover,\tmung\tbean,\tand\tradish.\tCooked\nsprouts\tare\tlower\trisk.\n•\t\nDo\tnot\topen\tbulging\tcans.\n•\t\nBoil\thome-canned\tfoods\tfor\t20\tminutes.\n•\t\nPay\tattention\tto\tnational\tfoo... | [
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time\tto\tgamble.\nAdapted\tfrom\tCox\tJT,\tPhelan\tST:\tFood\tsafety\tin\tpregnancy,\tpart\t1:\tputting\trisks\tinto\tperspective,\nContemporary\tOb/Gyn\n\t54:44,\t2009a;\tUnited\tStates\tDepartment\tof\tHealth\tand\tHuman\tServices\n(USDHHS):\t\nKeep\tFood\tSafe:\tCheck\tyour\tSteps\n\t(website):\nhttps://www.foodsaf... | [
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However,\tcaution\tis\tadvised\tto\tnot\toverestimate\tthe\trisk\tof\tfood\tcontamination\tin\tpregnancy\tor\tthe\namount\tof\tcontrol\tthat\tan\tindividual\thas\tin\tlowering\tthat\trisk.\tIt\tis\tcritical\tto\tavoid\tthe\timpression\nthat\ta\thealthy\tbaby\tis\tguaranteed\tif\tparents\tdo\teverything\tright\tand\ttha... | [
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0.07864838093519211,
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-0.00031847... |
anything\tgoes\twrong.\tIn\taddition,\n\tit\tis\tbecoming\tincreasingly\tapparent\tthat\tmaternal\tpsychological\nstress\tis\talso\tharmful\tto\tthe\tpregnancy\t(see\t\nClinical\tInsight:\n\tStress\tDuring\tPregnancy\n).\nCLINICAL\tINSIGHT\nStress\tDuring\tPregnancy\nPrenatal\tpsychological\tstress\tis\tassociated\twit... | [
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0.020068340003490448,
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also\tappears\tto\tinteract\twith\tpoor\tnutrition\tto\tnegatively\taffect\tfetal\tneurocognitive\tdevelopment,\nespecially\tthe\thippocampus\tand\tmemory\tfunctioning,\tusing\tthe\tsame\tmechanisms\tas\tinfectious\nstress\t(\nMonk\tet\tal,\t2013\n).\nAll\tnutrients\tare\timportant\tfor\tneuronal\tand\tglial\tcell\tgro... | [
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0.0... |
to\talter\tthe\tmetabolism\tof\tmany\tnutrients\t(protein,\tglucose,\tzinc,\tiron,\tchromium,\tcholine,\tfolate,\nvitamin\tD,\tB\tvitamins),\tbut\tnot\tothers\t(LCPUFA,\tcopper,\tiodine,\tvitamin\tA),\tand\tsome\n\tnutrients\n(LCPUFA,\tprotein,\tzinc,\tiron,\tcholine)\tmay\thave\ta\trole\tin\tthe\tstress\tresponse\t(\n... | [
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0.04354... |
Monk\tet\tal,\t2013\n;\nMcCabe\tet\tal,\t2017\n;\t\nLindsay\tet\tal,\t2019\n).\nDistress\tcan\tinduce\tinsulin\tresistance\tand\tproinflammatory\tcytokines,\tdiverting\tamino\tacids\tto\ngluconeogenesis\tand\tenergy\tproduction\trather\tthan\tprotein\tproduction\t(\nMonk\tet\tal,\t2013\n).\tStress\nalso\traises\tthe\tr... | [
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-0.017681190744042397,
0.0153911... |
).\tStress\nalso\traises\tthe\trisk\tof\thypertension,\tincreasing\tuterine\n\tartery\tresistance\tand\tlowering\tnutrient\ndelivery\tto\tthe\tfetus.\tRisk\tof\tautism\tand\tschizophrenia\tmay\tincrease,\tbut\tthe\ttiming\tof\tthe\tinsult\nmay\taffect\tthe\tresponse\t(\nMarques\tet\tal,\t2013\n).\tPrenatal\tstress\tals... | [
0.03074917569756508,
0.0009232080192305148,
0.06807249784469604,
-0.04129057005047798,
-0.10041237622499466,
0.03688807040452957,
0.08234640955924988,
-0.03483538702130318,
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0.10416704416275024,
0.12497063726186752,
-0.07315750420093536,
0.023594383150339127,
-0.01798... |
).\tPrenatal\tstress\talso\taffects\tplacental\tdevelopment\nand\tplacental\tresponse\tto\tfetal\tdevelopment\tin\ta\tsex-specific\tmanner\t(\nCao-Lei\tet\tal,\t2017\n),\tas\twell\nas\tfetal\tprogramming,\tincluding\taffecting\tthe\tproduction\tof\n\tgenes\tthat\taffect\tthe\tability\tto\nregulate\tstress\tas\tan\tadul... | [
0.02025589905679226,
-0.028920317068696022,
0.07786393165588379,
-0.04313381016254425,
-0.05070497468113899,
0.022502517327666283,
0.07044393569231033,
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-0.02403711900115013,
0.06706143170595169,
0.1388973444700241,
-0.044709283858537674,
0.034704841673374176,
0.02214... |
regulate\tstress\tas\tan\tadult\t(\nGeorgieff\tet\tal,\t2015\n).\nMaternal\tand\tfetal\timmune\tsystems\tcommunicate\tbidirectionally,\tand\tthe\tfetal\timmune\tsystem\n(innate\tand\tadaptive)\tcan\tbe\tdisrupted\twith\tmaternal\tstress,\tas\twell\tas\tby\texposure\tto\ttoxins\tand\nmalnutrition.\tThis\tdisruption\tmay... | [
-0.013492927886545658,
-0.051515545696020126,
0.02544325590133667,
-0.009474989958107471,
-0.07667950540781021,
0.028409918770194054,
0.11636564135551453,
0.008448025211691856,
-0.017544595524668694,
0.06454325467348099,
0.12084784358739853,
-0.04634943604469299,
0.0346219539642334,
0.0347... |
no\tconsensus\ton\tthe\n\ttimeframe\tof\tvulnerability\tor\ton\tthe\tmechanisms\t(\nMarques\tet\tal,\t2013\n).\nWhen\tstudying\tinfant\tneurocognitive\tdevelopment,\tpsychological\tstress\tand\tnutritional\tstatus\nmust\tbe\tstudied\ttogether\tto\texamine\ttheir\tbidirectional\tand\tsynergistic\teffects,\tbut\tthe\teff... | [
0.005738252308219671,
-0.05625927820801735,
0.048130035400390625,
-0.01590532623231411,
-0.06148776039481163,
0.006485330872237682,
0.08238634467124939,
-0.00584064144641161,
-0.004365644883364439,
0.04836085066199303,
0.1413501799106598,
0.0032010115683078766,
0.040773145854473114,
0.0513... |
appear\tto\tdiffer\twith\trace\tand\toffspring\tsex\t(\nLindsay\tet\tal,\t2019\n).\tMaternal\tdepression\tand\nanxiety,\tas\twell\tas\tmaternal\tmalnutrition,\n\tare\tassociated\twith\taltered\toffspring\tbrain\tanatomy,\ncognitive\timpairments,\tand\tneurodevelopmental\tdisorders.\nWhen\tstudying\tintervention\tstrate... | [
0.008877614513039589,
-0.005116569809615612,
0.10595034807920456,
0.013752406463027,
-0.048202287405729294,
0.042369991540908813,
0.1266028881072998,
-0.042939480394124985,
-0.05040659010410309,
0.03532513231039047,
0.1156836450099945,
-0.07375075668096542,
0.0497308075428009,
-0.011927858... |
(\nLindsay\tet\tal,\t2019\n).\tHigh\tfat\tdiets\tappear\tto\tbe\tneuroprotective\tin\tthe\tcontext\tof\tmaternal\tstress\nexposure.\tThe\ttype\tof\tfat,\tspecifically\ta\tlow\tn3:n6\tratio,\tmay\tbe\tof\tconcern,\tbut\tthe\teffect\n\tappears\nto\tvary\tby\trace\tand\tethnicity.\tPrenatal\tsupplementation\twith\tantioxi... | [
-0.023936843499541283,
-0.07461362332105637,
0.0532153956592083,
0.013928614556789398,
-0.04588279500603676,
0.0028051298577338457,
0.07413909584283829,
0.023456089198589325,
-0.03467607498168945,
0.015803441405296326,
0.08385781943798065,
-0.05365588888525963,
0.016622448340058327,
-0.003... |
may\tlower\tthe\tanxiogenic\teffects\tof\tperinatal\tstress\tin\tthe\tadult\toffspring,\tat\tleast\tin\tthe\trodent\nmodel.\tMany\tnutrients,\tincluding\tcholine,\tlutein,\tB\n6\n,\tB\n12\n,\tfolate,\tmethionine,\tand\tbetaine,\tare\nbeing\tstudied,\tbut\tthe\tbeneficial\teffects\tappear\tto\tbe\tsex-specific.\tCurrent... | [
0.019433235749602318,
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0.07852978259325027,
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0.02883700281381607,
0.12534962594509125,
0.01926349848508835,
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0.03087466210126877,
0.11491082608699799,
-0.048978425562381744,
0.02864203229546547,
0.0250545... |
to\trecommend\tany\tspecific\tdiet\tor\tnutrient\tcomponents\tto\tmitigate\tthe\teffect\tof\tprenatal\tstress\ton\nneurodevelopmental\toutcomes\tin\tthe\toffspring.\nOften\tissues\tof\tpsychological\tstress\tarise\tin\tthe\tcourse\tof\tdiscussing\tfood\tintake\tand\tweight\ngain.\tThey\twould\tinclude,\tbut\tare\tnot\t... | [
0.0043428316712379456,
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0.05860168859362602,
-0.007228712551295757,
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0.022801605984568596,
0.11200323700904846,
0.023794041946530342,
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0.06877034157514572,
0.10228551179170609,
-0.04971098154783249,
0.05305653065443039,
0.03258... |
unemployment,\tand\tfood\tinsecurity,\tas\twell\tas\tanxiety\n\tabout\tthe\tpregnancy\titself.\tIn\taddition,\ta\nhistory\tof\tadverse\tchildhood\texperiences\t(ACEs)\tis\talso\tassociated\twith\tlower\tbirthweights\tand\nshorter\tgestational\tage\t(\nSmith\tet\tal,\t2016\n),\tas\twell\tas\tincreased\trisk\tin\tthe\tpe... | [
-0.005772302392870188,
0.024599144235253334,
0.06871942430734634,
-0.0018571180989965796,
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0.03681940957903862,
0.08835766464471817,
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0.027026889845728874,
0.11062663793563843,
-0.06499239802360535,
-0.007840195670723915,
-0.0... |
periods\t(\nMadigan\tet\tal,\t2017\n).\tPaternal\tstress\tand\ttrauma\tappear\tto\taffect\tsperm\tdevelopment,\nnegatively\taffecting\toffspring\tneurodevelopment\t(\nChan\tet\tal,\t2018\n).\tWhether\tor\tnot\tany\tof\tthese\nhistoric\texposures\tto\tstress\tare\tmediated,\tor\tcan\tbe\taltered,\tby\tnutritional\tinter... | [
0.017292603850364685,
0.010587961412966251,
0.08482589572668076,
-0.006801830604672432,
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0.05002743378281593,
0.0722498670220375,
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0.05877206474542618,
0.11819570511579514,
-0.02894493006169796,
0.010653216391801834,
0.0343... |
unknown.\tA\treferral\tto\ta\tmental\thealth\tprofessional\tfor\tevaluation\tand\ttreatment\tis\twarranted\nand\tgood\tsupport\tsystems\tappear\tto\tbe\thelpful\t(\nMadigan\tet\tal,\t2017\n).\tSee\t\nChapter\t30\n\tfor\tmore\ninformation.\nAlcohol\nAbundant\tevidence\tfrom\tanimal\tstudies\tand\thuman\texperience\n\tas... | [
-0.0033644619397819042,
-0.02895497716963291,
0.036676038056612015,
0.015069887973368168,
-0.05443316325545311,
0.024359283968806267,
0.0790669173002243,
-0.05258961394429207,
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0.05069033429026604,
0.13186782598495483,
-0.06199141591787338,
-0.0005031295586377382,
0.0... |
associates\tmaternal\talcohol\nconsumption\twith\tteratogenicity,\tcausing\ta\tvariety\tof\tproblems\tcollectively\tknown\tas\tFetal\tAlcohol\nSpectrum\tDisorders\t(FASDs).\t\nFetal\talcohol\tsyndrome\t(FAS)\n,\tthe\tmost\tinvolved\tof\tthese\tconditions,\nis\tthe\tleading\tcause\tof\tpreventable\tbirth\tdefects,\tpote... | [
0.03491375222802162,
-0.09221436828374863,
0.028202785179018974,
-0.014493564143776894,
-0.05371437966823578,
0.015040467493236065,
0.053548663854599,
0.011246658861637115,
0.018894348293542862,
0.007074570748955011,
0.09098446369171143,
-0.001147517585195601,
0.021716194227337837,
0.04044... |
worldwide\t(\nHarris\tet\tal,\t2017\n)\t(see\t\nChapter\t43\n).\nUse\tof\tany\talcohol\tduring\n\tpregnancy\tis\tassociated\twith\tan\tincreased\trate\tof\tmiscarriage,\tplacenta\nabruption,\tLBW\t(five-fold\tincreased\trisk\twith\tat\tleast\t1\tdrink/day),\tpreterm\tdelivery\t(twofold\nincreased\trisk),\tand\tcognitiv... | [
-0.03633520379662514,
-0.023975539952516556,
0.06019751727581024,
0.02881079725921154,
-0.05997537821531296,
0.03162803128361702,
0.0898711308836937,
0.02320615015923977,
0.014122833497822285,
0.058235883712768555,
0.1233198493719101,
-0.0654200091958046,
-0.030505690723657608,
0.021013304... |
Cox\tand\tPhelan,\t2009b\n).\tEpigenetic\teffects\thave\talso\nbeen\tdocumented\t(\nGupta\tet\tal,\t2016\n)\tand\tboth\tmaternal\tand\tpaternal\tgene\texpression\tmay\taffect\ta\nfetus’\tsusceptibility\tto\tFAS.\tHowever,\n\tthe\teffects\ton\tan\tindividual\tare\tdifficult\tto\tpredict\tand\teven\ndizygotic\ttwins\tcan... | [
0.002383472863584757,
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0.039408035576343536,
0.014798442833125591,
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0.017348438501358032,
0.06158348545432091,
-0.028201356530189514,
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0.04033176600933075,
0.08986841142177582,
-0.05177220329642296,
0.02626952715218067,
0.01... |
dizygotic\ttwins\tcan\tbe\taffected\tdifferently\t(\nSarman,\t2018\n).\nPoor\tnutrition\tcan\texacerbate\tthe\tdevelopment\tof\tFAS.\tHigh\tblood\talcohol\tconcentrations\tcan\ndisplace\tor\treduce\tthe\ttransfer\tof\tnutrients\tacross\tthe\tplacenta.\tWhile\tprenatal\tinterventions\tto\nprevent\tor\treverse\talcohol’s... | [
0.004249680321663618,
-0.05260062590241432,
0.07118149846792221,
-0.015721486881375313,
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0.022182846441864967,
0.08468527346849442,
-0.011208375915884972,
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0.0504545122385025,
0.09626415371894836,
-0.012670078314840794,
0.026249580085277557,
0.016... |
of\tantioxidants\tand\nother\tnutrients,\tresults\tare\tnot\tconsistent\tand\tnone\tare\tapproved\tfor\tclinical\tuse\t(\nGupta\tet\tal,\t2016\n).\nACOG,\tthe\tAmerican\tAcademy\tof\tPediatrics\t(AAP),\tand\tthe\tMarch\tof\tDimes\trecommend\tthat\nalcohol\tnot\tbe\tused\tduring\tpregnancy\tbecause\tno\tsafe\tthreshold\... | [
0.0073694633319973946,
0.006325588095933199,
0.05570763349533081,
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0.039929524064064026,
0.08228036016225815,
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0.06667900830507278,
0.10971242934465408,
-0.041737332940101624,
-0.010511967353522778,
-0.... |
alcohol\twines\tand\tbeers\tcontain\tsmall\tamounts\tof\talcohol\tand\talso\tare\tcontraindicated.\tDespite\n\tthe\nmultiple\twarnings\tof\tfetal\tinjury\tcaused\tby\talcohol,\tsome\twomen\tcontinue\tto\tdrink\tin\tpregnancy\tand\nthey\tshould\tbe\toffered\tassistance.\tHowever,\tfor\tthose\twomen\twho\tare\tfearful\to... | [
0.008348808623850346,
-0.03728397935628891,
0.07120489329099655,
0.0032443704549223185,
-0.05255986377596855,
0.05755661055445671,
0.09550648927688599,
-0.013719266280531883,
-0.005001376383006573,
0.022898294031620026,
0.09356989711523056,
-0.0417679138481617,
0.004369158297777176,
0.0262... |
consumed\tearly\tin\tpregnancy,\tpossibly\tbefore\trealizing\tthey\twere\tpregnant,\treassurance\tis\tadvised.\nAllergens\nRestriction\tof\tthe\tmaternal\tdiet\tduring\tpregnancy\tand\tlactation\tis\tnot\tadvised\tas\ta\n\tstrategy\tto\tlower\nthe\trisk\tof\tinfant\tfood\tallergies\tand\tmay\tbe\tcounterproductive\t(\n... | [
0.036036644130945206,
-0.043387290090322495,
0.07035194337368011,
0.03954489901661873,
-0.08588030189275742,
0.05000753328204155,
0.11404391378164291,
0.025731831789016724,
-0.06413184851408005,
0.0897652730345726,
0.11271536350250244,
-0.041728463023900986,
0.011606352403759956,
-0.008863... |
Renz\tet\tal,\t2018\n).\tMaternal\tdietary\nproteins\tfound\tin\tamniotic\tfluid\tand\tcord\tblood\thave\tbeen\thypothesized\tto\tsupport\tthe\tdevelopment\nof\ttolerance\tbut\tthe\tissue\tis\tstill\tbeing\tdebated\t(\nJeurink\tet\tal,\t2018\n).\tThe\tmother\tshould\tavoid\ther\nown\tallergens\tduring\tpregnancy\tand\t... | [
-0.015313373878598213,
-0.005350742023438215,
0.09768278151750565,
-0.02524186298251152,
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0.039342205971479416,
0.08865963667631149,
0.010511333122849464,
-0.025764890015125275,
0.09748604148626328,
0.1441727727651596,
-0.016622213646769524,
0.04425523057579994,
0.0442... |
foods,\tincluding\tthe\nfather’s\tallergenic\tfoods.\tRegarding\tpeanuts,\tstudies\thave\tshown\tthe\tchild\thas\ta\tslightly\tincreased\nrisk\tof\tdeveloping\tpeanut\tsensitization\tif\ta\tmother\teats\tpeanuts\tmore\tthan\ttwice\ta\tweek,\tbut\navoidance\tby\tthe\tmother\tappears\tto\tbe\tassociated\twith\teven\thigh... | [
-0.016551097854971886,
-0.0448441319167614,
0.09839541465044022,
-0.008841097354888916,
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0.025266973301768303,
0.07578489184379578,
-0.015264646150171757,
-0.05309513956308365,
0.04283706843852997,
0.11024191975593567,
-0.08149702847003937,
0.030282888561487198,
-0.0216... |
Fleischer\tet\tal,\t2013\n).\tThe\nmother\tis\tencouraged\tto\tbreastfeed\texclusively\tfor\tthe\tfirst\tfew\tmonths.\tFoods\tshould\n\tbe\tadded\tto\nthe\tinfant’s\tdiet\tcarefully\twhile\tstill\treceiving\tbreastmilk,\tbut\tdelaying\tintroduction\tof\tsolid\tfoods\npast\t6\tmonths\tprovides\tno\tbenefit.\tUse\tof\tpr... | [
-0.026569897308945656,
-0.08587448298931122,
0.04901691898703575,
-0.00737674068659544,
-0.022737275809049606,
0.05191123113036156,
0.048111442476511,
0.020523132756352425,
-0.016058707609772682,
0.01953803561627865,
0.15323767066001892,
-0.058063805103302,
0.043243665248155594,
-0.0048017... |
type,\ttiming,\tand\tdose\tare\tunknown.\tThe\troles\tof\tmaternal\tfish\toil\tconsumption\tand\tvitamin\tD\ndeficiency\tare\talso\tbeing\tstudied\tbut\tcurrent\tdata\tare\tconflicting\tand\tno\tdefinite\tdietary\n\tguidance\ncan\tbe\tgiven\t(\nGarcia-Larsen\tet\tal,\t2018\n).\nArtificial\tsweeteners | [
-0.028605569154024124,
-0.01203747745603323,
0.06516790390014648,
-0.04464877396821976,
-0.0619211383163929,
0.05283520370721817,
0.08901152014732361,
-0.00009723960829433054,
-0.020292378962039948,
0.04008437320590019,
0.07379237562417984,
-0.04802451655268669,
-0.007820840924978256,
0.01... |
can\tbe\tgiven\t(\nGarcia-Larsen\tet\tal,\t2018\n).\nArtificial\tsweeteners\nResearch\ton\tthe\tsafety\tof\tartificial\tsweeteners\tis\tlimited,\tbut\tthe\tFDA\thas\tdeemed\tthe\tfollowing\tsafe\nfor\tuse\tin\tmoderation,\tincluding\tduring\tpregnancy\tand\tlactation:\tsaccharin,\tacesulfame-K,\tsucralose, | [
-0.04253426939249039,
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0.02982948161661625,
-0.01759347878396511,
-0.10040459781885147,
0.06676951050758362,
0.0826028510928154,
0.010889170691370964,
0.03072448819875717,
0.02692878246307373,
0.12322751432657242,
-0.025731677189469337,
-0.007803983986377716,
0.0101362... |
aspartame,\tneotame,\tadvantame,\tsteviol\tglycosides\tfrom\tstevia\tleaves,\tand\textracts\tfrom\tmonk\tfruit.\nFood\tadditives,\n\tincluding\tartificial\tsweeteners,\tare\ttested\tfor\tshort-\tand\tlong-term\ttoxicity;\nreproductive\teffects,\tincluding\tteratogenicity;\tand\tany\tadverse\teffects\ton\tan\tanimal’s\t... | [
0.0080949692055583,
-0.0707707554101944,
0.044339776039123535,
0.025019517168402672,
-0.04628792405128479,
0.01380461361259222,
0.09779206663370132,
0.037689581513404846,
-0.008070153184235096,
0.026955869048833847,
0.10150837153196335,
-0.02794208936393261,
-0.001990606775507331,
-0.01053... |
organs\tor\tsystems,\tany\tbirth\tdefects,\tand\tgenetic\ttoxicity\t(\nRulis\tand\tLevitt,\t2009\n).\tFrom\tthat\tdata,\ta\nsafety\tfactor\tis\tapplied;\tusually\t1/100th\tof\tthe\tdose\tin\twhich\tany\tproblems\thave\tbeen\tseen.\tThe\nresulting\tvalue\tis\n\tthe\tacceptable\tdaily\tintake\t(ADI),\tdefined\tas\tthe\te... | [
0.03470348194241524,
-0.042597055435180664,
0.035080961883068085,
-0.02583892270922661,
-0.10182604193687439,
-0.03551008924841881,
0.08793169260025024,
-0.0021691189613193274,
-0.021695870906114578,
0.06510715186595917,
0.12187753617763519,
-0.03700810298323631,
0.028230736032128334,
0.03... |
additive\tthat\tsomeone\tcan\tsafely\tconsume\ton\taverage\tevery\tday\tover\ta\tlifetime\twithout\tany\nappreciable\thealth\trisk.\tMonk\tfruit\tis\ttoo\tnew\tfor\tan\tADI\tto\thave\tbeen\tdetermined.\tCurrent\tintakes\nof\tthe\tother\tsweeteners\tlisted\there,\texcept\tfor\tstevia,\tare\twell\tbelow\tthese\tADI\tleve... | [
-0.02837516739964485,
-0.05240122973918915,
0.03216271474957466,
-0.0257447250187397,
-0.09851507097482681,
0.019558021798729897,
0.091988705098629,
-0.0466495044529438,
0.012152481824159622,
0.06941491365432739,
0.11697009205818176,
-0.05705494433641434,
0.04267102852463722,
0.00030440429... |
Shankar\tet\tal,\n2013\n;\tsee\t\nChapter\t29\n).\nSaccharin\n\t(Sweet’N\tLow,\tSweet\tTwin,\tSugar\tTwin,\tNecta\tSweet)\tcrosses\tthe\tplacenta\t(\nCohen-\nAddad\tet\tal,\t1986\n)\tand\tmay\taccumulate\tin\tthe\tfetus\tand\tin\tbreastmilk,\tbut\tadverse\teffects\ton\tthe\nfetus\tand\tinfant\thave\tnot\tbeen\tdocument... | [
-0.05019566789269447,
-0.00989951379597187,
0.023237086832523346,
-0.04038509353995323,
-0.10490521788597107,
0.036706652492284775,
0.04082682356238365,
-0.01680927351117134,
-0.000286427850369364,
0.05390350893139839,
0.12495171278715134,
-0.06898483633995056,
-0.03797122463583946,
0.0026... |
Pope\tet\tal,\t2014\n).\tIt\thas\tbeen\tdelisted\tas\ta\thuman\ncarcinogen\t(\nKroger\tet\tal,\t2006\n;\t\nShankar\tet\tal,\t2013\n).\nAcesulfame-K\t(Sunett,\tSweet\tOne)\tconsumption\tby\tpregnant\twomen\tis\tclassified\n\tas\tsafe,\teven\nwithout\tlong-term\tstudies\tduring\thuman\tpregnancy.\tIt\toften\tis\tused\tin... | [
-0.04501316323876381,
0.038667671382427216,
0.03822750970721245,
-0.0278781745582819,
-0.06878989934921265,
0.05619131028652191,
0.0022270840127021074,
-0.013095099478960037,
0.011441811919212341,
0.03974229842424393,
0.05604993924498558,
-0.056946951895952225,
-0.008414809592068195,
-0.04... |
artificial\tsweeteners.\tIt\tis\tsaid\tto\tnot\tbe\tmetabolized\tin\thumans\t(\nKroger\tet\tal,\t2006\n).\tHowever,\tin\nmice\tit\tcan\tappear\tin\tthe\tamniotic\tfluid\tand\tbreastmilk\tafter\tan\toral\tinfusion\t(\nZhang\tet\tal,\t2011\n)\tand\nanimal\tmodels\thave\tshown\tit\tcan\tcross\tthe\tplacenta\tand\tincrease... | [
-0.05193222314119339,
-0.04648284241557121,
0.06034984439611435,
-0.046433474868535995,
-0.06267884373664856,
-0.030952423810958862,
0.08505434542894363,
0.013271955773234367,
0.03853069245815277,
0.07363526523113251,
0.09873019903898239,
-0.0026453612372279167,
0.02914746291935444,
0.0316... |
as\tadults\n(\nPope\tet\tal,\t2014\n).\nSucralose\t(Splenda,\tNevella),\ta\tcarbohydrate\tderived\tfrom\tsucrose,\tappears\tto\tpass\tthrough\tthe\tGI\ntract\trelatively\tunchanged,\tis\tnot\tbioreactive,\tand\tdoes\tnot\tbioaccumulate\t(\nMagnuson\tet\tal,\t2017\n).\nThere\tis\tno\tevidence\tof\tharm\twhen\tused\tduri... | [
-0.0010620708344504237,
-0.039611708372831345,
0.050134509801864624,
-0.010255999863147736,
-0.10971654206514359,
0.037494953721761703,
0.0659177154302597,
-0.039323724806308746,
0.02349749021232128,
0.07758080214262009,
0.12399432808160782,
-0.014040471985936165,
0.016660548746585846,
0.0... |
Pope\tet\tal,\t2014\n).\tIt\thas\nnot\tbeen\tfound\tto\tbe\tteratogenic\tin\tanimal\tstudies.\nAspartame\t(Equal,\n\tNutraSweet,\tNatra\tTaste)\tis\tmetabolized\tto\tphenylalanine,\taspartic\tacid,\tand\nmethanol\tin\tthe\tGI\ttract.\tStudies\thave\tshown\tno\tsignificant\teffect\ton\tfertility,\tconception\trates, | [
-0.02280166558921337,
-0.044952813535928726,
0.04872559756040573,
0.024128617718815804,
-0.1211935356259346,
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0.10593225806951523,
0.022760868072509766,
0.018553055822849274,
0.020288463681936264,
0.06839613616466522,
-0.07957104593515396,
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0.003... |
embryo\ttoxicity,\tfetotoxicity,\tor\tteratogenesis\tat\tthe\tlevels\ttested\tin\tanimals\t(\nLondon,\t1988\n).\tIts\tuse\nduring\tpregnancy\tand\tlactation\thas\tnot\tbeen\tfound\tto\tincrease\trisk\tof\tbrain\ttumors\tin\tchildren\n(\nShankar\tet\tal,\t2013\n).\tThe\taspartic\tacid\tdoes\tnot\tcross\tthe\tplacenta\ti... | [
-0.05397995933890343,
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0.032249610871076584,
-0.05288427323102951,
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0.01950732432305813,
0.04661838710308075,
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0.021130850538611412,
0.10054673999547958,
0.14120392501354218,
-0.04132106155157089,
-0.044694241136312485,
0.0012... |
content\tis\tless\tthan\tthat\tof\tmany\tfruit\tjuices\t(\nKroger\tet\tal,\t2006\n;\t\nLondon,\t1988\n;\t\nPope\tet\tal,\t2014\n).\nAlthough\tit\tis\tnot\tabsolutely\tcontraindicated\tfor\twomen\twith\tPKU\tor\tfor\twomen\tbreastfeeding\tan\ninfant\twith\tPKU,\tit\tmust\tbe\tcounted\tas\ta\tphenylalanine\tsource.\tHigh... | [
-0.0012873683590441942,
0.013512439094483852,
0.027865147218108177,
-0.04058137163519859,
-0.06899696588516235,
0.015362674370408058,
0.05920287221670151,
0.008007549680769444,
-0.01226954534649849,
0.06006547808647156,
0.1104137971997261,
-0.010943046770989895,
0.06327726691961288,
-0.003... |
phenylalanine\tare\tknown\tto\n\tdamage\tthe\tfetal\tbrain\t(see\t\nChapter\t42\n).\tNeotame\t(Newtame)\tis\talso\ta\nsource\tof\tphenylalanine\tand\taspartic\tacid\tbut,\tbecause\tit\tis\tmuch\tsweeter,\tthe\tamounts\tconsumed\nare\tnegligible\tand\tdo\tnot\thave\tto\tbe\tcounted\t(\nKroger\tet\tal,\t2006\n).\tAdvanta... | [
0.013836692087352276,
-0.06099148094654083,
0.06546194851398468,
-0.07320244610309601,
-0.1031477302312851,
0.04051288962364197,
0.11066494882106781,
0.0029483314137905836,
0.03413829207420349,
0.07012437283992767,
0.11231245845556259,
-0.059732262045145035,
0.026187468320131302,
0.0368367... |
Kroger\tet\tal,\t2006\n).\tAdvantame\tis\talso\ta\tsource\tof\nphenylalanine\tbut\tat\tsuch\tlow\tconcentrations\tthat\tit\talso\tdoes\tnot\tneed\tto\tbe\tcounted\t(\nFDA,\t2014\n).\nThere\tare\tno\thuman\treproductive\tstudies\n\ton\tadvantame,\tbut\tit\tis\tsweeter\tthan\tneotame,\tso\tvery\nsmall\tamounts\twould\tli... | [
-0.013071633875370026,
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0.04290268197655678,
-0.09721841663122177,
-0.08454588055610657,
0.05613785609602928,
0.08673802018165588,
0.010712804272770882,
-0.02118423581123352,
0.09944243729114532,
0.1107339933514595,
-0.05971919745206833,
0.02342892624437809,
-0.015394... |
small\tamounts\twould\tlikely\tbe\tconsumed.\nBoth\tstevia\tand\tmonk\tfruit\tare\tplant-derived\tsweeteners\tconsidered\tgenerally\trecognized\tas\tsafe\n(GRAS)\tin\ttheir\tpurified\tforms.\tStevia\t(Pure\tVia,\tTruvia,\tSweetLeaf)\thas\tnot\tbeen\tfound\tto\taffect\tfetal\ndevelopment,\tat\tleast\twith\tshort-term\tu... | [
0.022850438952445984,
-0.06469500064849854,
0.06172715872526169,
-0.021839242428541183,
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0.018360590562224388,
0.06919290125370026,
0.02149520441889763,
-0.01572526805102825,
0.07265365123748779,
0.10814999788999557,
-0.017790263518691063,
-0.0035942287649959326,
-0.01... |
Stevia\trebaudiana\n\ttraditionally\thas\tbeen\tused\tby\tthe\nindigenous\n\tpopulations\tof\tParaguay\tfor\tfertility\tcontrol\t(\nUlbricht\tet\tal,\t2010\n).\tAnimal\tstudies\thave\nsuggested\tthat\tsteviol\tglycosides\tmay\thave\tadverse\teffects\ton\tthe\tmale\treproductive\tsystem,\tbut\nthere\tare\tno\tconfirming... | [
-0.0001506247353972867,
-0.07250156253576279,
0.028682764619588852,
-0.026485320180654526,
-0.11151387542486191,
0.031269315630197525,
0.03972451016306877,
0.05978775769472122,
-0.004489979241043329,
0.023597706109285355,
0.11667267233133316,
-0.007174710277467966,
-0.032084155827760696,
-... |
Kroger\tet\tal,\t2006\n;\t\nUlbricht\tet\tal,\t2010\n).\tCaution\tis\nadvised\twhen\tused\tby\tpregnant\tor\tlactating\twomen,\tor\tfor\tuse\tlonger\tthan\t2\tyears,\tbecause\tof\ninsufficient\tevidence\n\tof\tsafety\t(\nUlbricht\tet\tal,\t2010\n;\t\nPope\tet\tal,\t2014\n).\tThere\tis\tlittle\tinformation\ton | [
-0.03927350416779518,
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0.07169140130281448,
-0.08021792769432068,
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0.08642246574163437,
0.026032257825136185,
0.0012010138016194105,
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0.053019072860479355,
0.07166682183742523,
-0.04446319490671158,
0.011285235174000263,
-0.... |
;\t\nPope\tet\tal,\t2014\n).\tThere\tis\tlittle\tinformation\ton\nthe\texcretion\tof\tRebaudioside\tA\t(the\trefined\tpreparation\tof\tthe\tactive\tingredient,\tnow\tconsidered\nGRAS)\tand\tthe\tother\tplant\tcomponents,\tincluding\tsteviol\tglycosides,\tinto\tbreastmilk,\tso\tcaution\tis\nadvised\twhen\tnursing\ta\tne... | [
0.0019775659311562777,
-0.027826283127069473,
0.07262453436851501,
-0.04292014613747597,
-0.1506454050540924,
0.00958520919084549,
0.07969049364328384,
-0.01141885481774807,
0.004631686024367809,
0.07088976353406906,
0.0896354392170906,
-0.029657883569598198,
0.056547001004219055,
-0.01197... |
sweetener\tpackets/day\n\tfor\tsomeone\tweighing\t60\tkg.\tFor\tthe\textracts\tof\t\nSiraitia\tgrosvenorii\n,\tknown\nas\tSwingle\tfruit,\tLuo\tHan\tGuo,\tor\tmonk\tfruit,\tthere\tis\tno\tinformation\tavailable\tfor\tpregnancy\tor | [
-0.05952193960547447,
0.011335467919707298,
0.04521239176392555,
0.031680408865213394,
-0.08366190642118454,
0.05793154239654541,
0.12094409018754959,
0.03614267334342003,
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0.023612163960933685,
0.09035837650299072,
-0.03103603795170784,
-0.0021094896364957094,
-0.0425... |
lactation.\nSugar\talcohols\t(polyols)\tand\tpolydextrose,\ta\ttype\tof\tdietary\tfiber,\tare\tboth\tlikely\tsafe\tfor\tuse\tduring\npregnancy.\tOther\tsweeteners\tare\tavailable\tinternationally,\tincluding\tthaumatin\t(\nThaumatococcus\ndaniellii\n),\n\tderived\tfrom\tthe\tKatemfe\tfruit.\tThe\teffect\ton\tpregnancy\... | [
-0.002198374131694436,
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0.04849254712462425,
0.021626319736242294,
-0.09769078344106674,
0.03942444548010826,
0.04776609688997269,
0.015870437026023865,
-0.03404831141233444,
0.03692766651511192,
0.08268751949071884,
-0.010045642033219337,
-0.0008218660368584096,
0.057... |
be\tof\tconcern\t(\nPope\tet\tal,\t2014\n).\nArtificial\tsweeteners\toften\tare\tfound\tin\tfoods\twith\tlow\tnutrient\tcontent.\tIntakes\tmay\thave\tto\tbe\nlimited\tso\tas\tnot\tto\tdisplace\tthe\tmore\tvaluable,\tnutrient-dense\tfoods.\tAlthough\taverage\tintakes\tare\nwell\tbelow\tthe\tADI,\tan\tassessment\tof\tthe... | [
0.017101818695664406,
-0.03567437455058098,
0.04946817830204964,
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-0.06193668395280838,
0.010075820609927177,
0.08555883169174194,
-0.04388168826699257,
-0.03627375513315201,
0.0391971655189991,
0.12716490030288696,
-0.06879707425832748,
0.07821257412433624,
-0.001354... |
women\twho\tmay\tbe\ningesting\tmultiple\tsources\tof\tartificial\tsweeteners.\tIf\tintakes\tare\thigh,\talternatives\tshould\tbe\toffered.\nBisphenol-A,\tphthalates,\tand\tother\tenvironmental\ttoxins\nBisphenol-A\t(BPA),\tan\tendocrine\tdisruptor,\tis\tassociated\twith\trecurrent\tmiscarriages\tand\tmay\taffect | [
-0.002924538915976882,
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0.06443954259157181,
0.048625413328409195,
-0.03990919142961502,
0.05013611912727356,
0.08200479298830032,
-0.009244163520634174,
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0.03643142059445381,
0.07908879220485687,
-0.059249624609947205,
-0.05928146094083786,
-0.016... |
thyroid\tfunction\tin\thumans,\tespecially\tin\tthe\tfetus.\tIts\tfunction\tat\tthe\tcellular\tlevel\tis\tstill\tbeing\ninvestigated\n\tbut\tthere\tis\tevidence\tin\tmice\tthat\tit\tacts\tsimilar\tto\tdiethylstilbestrol\t(DES)\t(\nACOG,\n2013b\n).\tPhthalates\tare\tassociated\twith\tshortened\tgestational\tlength\tand\... | [
0.011555229313671589,
-0.06374768912792206,
0.06119965761899948,
-0.011405477300286293,
-0.07656935602426529,
0.021047862246632576,
0.06719421595335007,
0.08175498992204666,
-0.01965186931192875,
0.0734335407614708,
0.10690786689519882,
-0.05626625940203667,
0.0032528683077543974,
0.023962... |
BPA\tand\tphthalates,\talong\twith\t20\tother\tchemicals,\tare\tassociated\twith\tincreased\trisk\tof\tweight\ngain,\tinsulin\tresistance,\tand\ttype\t2\tdiabetes\tlater\tin\tlife\tafter\tdevelopmental\texposure\t(\nBarouki\tet\tal,\n2012\n).\tSee\t\nTable\t14.2\n\tfor\tmore\texamples.\nThere\tare\tcalls\tto\tlimit\tth... | [
-0.08159469068050385,
-0.01327812485396862,
0.02942190133035183,
0.01147764828056097,
-0.030078057199716568,
0.00031461488106288016,
0.08854956179857254,
0.04212445765733719,
-0.018916083499789238,
0.006027187220752239,
0.048926934599876404,
-0.07919614762067795,
0.007821869105100632,
0.02... |
recommendations\tcan\tbe\tmade\tto\tavoid\tspecific\tplastics\tand\tcanned\tfoods\t(BPA\tis\tused\tas\ta\tlining\nmaterial),\tmost\tpeople\talso\thave\thigh\texposure\tthrough\tair,\tdust,\tand\tpersonal\tcare\tproducts\n(\nSathyanarayana\tet\tal,\t2013\n),\tand\tchanging\tbehavior\tdoes\tnot\tnecessarily\treduce\trisk... | [
-0.033463697880506516,
-0.016745436936616898,
0.048285841941833496,
0.016833148896694183,
-0.0780390053987503,
0.00252461526542902,
0.07947082072496414,
0.014633525162935257,
-0.056980282068252563,
-0.004528666380792856,
0.11083819717168808,
-0.08666832000017166,
-0.01126626692712307,
0.00... |
having\ta\tplastic\tlabeled\t“BPA\tfree”\tdoes\tnot\tensure\tsafety.\tMost\tplastics\tunder\tstress\t(exposure\tto\nboiling\twater,\tultraviolet\trays\tin\tsunlight,\tor\tmicrowaving)\trelease\testrogenic\tchemicals\tthat\tmay\tbe\nof\tmore\tconcern\tthan\tthose\tplastics\tcontaining\tBPA\t(\nYang\tet\tal,\t2011\n). | [
-0.01950823701918125,
0.0017260350286960602,
0.0614846870303154,
-0.008966541849076748,
-0.05197642371058464,
-0.02822459116578102,
0.07327036559581757,
0.026814619079232216,
0.0225937832146883,
0.009246159344911575,
0.07766518741846085,
-0.05036944895982742,
0.030541114509105682,
0.004993... |
Yang\tet\tal,\t2011\n).\nAlthough\tit\tis\tknown\tthat\texposure\tto\tenvironmental\ttoxins\tcan\thave\tlong-term\teffects,\tit\tis\nunknown\twhether\tor\thow\tthe\teffects\n\tvary\tby\tgender\tor\tlife\tstage.\tIt\tis\talso\tunknown\thow\tthe\nplacenta\tmediates\texposure\tto\ttoxins\t(\nACOG,\t2013b\n;\t\nBloomfield,... | [
-0.008705874904990196,
-0.03440149873495102,
0.08411672711372375,
-0.011461117304861546,
-0.09045812487602234,
0.039585698395967484,
0.09484951198101044,
-0.08615624904632568,
-0.003484076587483287,
0.046923622488975525,
0.09608856588602066,
-0.03581094369292259,
0.00676735257729888,
0.004... |
ACOG,\t2013b\n;\t\nBloomfield,\t2011\n).\tThe\teffects\tmay\tbe\tnonlinear\n(i.e.,\tlow\tdoses\tcan\tbe\tmore\tharmful\tthan\thigh\tdoses)\t(\nBarouki\tet\tal,\t2012\n).\tThere\tare\talso\tpotential\neffects\ton\tgene\texpression.\tACOG\tis\tcalling\tfor\tbetter\tresearch\ton\tthe\treproductive\teffects\tof\nenvironmen... | [
-0.009467198513448238,
-0.04106816649436951,
0.08347281813621521,
-0.027011588215827942,
-0.09130246192216873,
-0.01109723374247551,
0.07865314930677414,
-0.017377076670527458,
0.0047200703993439674,
0.041984543204307556,
0.047167010605335236,
-0.0338185653090477,
0.05339312553405762,
0.01... |
exposure\tto\tthese\ttoxins\t(\nACOG,\t2013b\n).\nMuch\tof\tthe\teffect\tof\tthese\tchemicals\tmay\tbe\tduring\torganogenesis,\tso\treducing\tpreconceptual\nexposure\tis\tlikely\tto\tbe\tmost\tproductive.\tRaising\tconcerns\twith\ta\tmother\tlater\tin\tpregnancy\twithout\nactually\tbeing\table\tto\tchange\toutcomes\two... | [
-0.01877894438803196,
-0.025888076052069664,
0.048790186643600464,
0.024255841970443726,
-0.009267719462513924,
0.028507353737950325,
0.08793039619922638,
0.03312322124838829,
-0.028647230938076973,
0.025132818147540092,
0.10948432981967926,
-0.04851766675710678,
0.07774288207292557,
0.025... |
Caffeine\tand\tenergy\tdrinks\nCaffeine\tcrosses\tthe\tplacenta\tand\tincreases\tmaternal\tcatecholamines,\tbut\n\tit\tappears\tthat\tintakes\tof\nless\tthan\t200\tmg/day\tare\tnot\tassociated\twith\tincreased\trisk\tof\tmiscarriages,\tlow\tbirthweight,\tor\npreterm\tbirth\t(\nPractice\tCommittee,\t2017\n).\tIt\tdoes\t... | [
-0.040472328662872314,
-0.08800489455461502,
0.051167190074920654,
0.047042280435562134,
-0.01927225850522518,
0.04405685141682625,
0.1478583663702011,
0.08865155279636383,
-0.061798423528671265,
-0.004476911388337612,
0.011795973405241966,
-0.0566534698009491,
0.04087328165769577,
0.02225... |
).\tIt\tdoes\tnot\tdecrease\tuterine\tblood\tflow\tor\toxygenation.\nHowever,\talthough\tthere\tis\tno\tclear\tevidence\tof\tharm,\tthe\tevidence\talso\tdoes\tnot\tfollow\tthe\texpected\ndose-response\tcurve,\tso\tthe\teffect\tcannot\tbe\tdetermined\tdefinitively.\tThe\n\thalf-life\tof\tcaffeine | [
-0.03315446525812149,
-0.10197968780994415,
0.021292852237820625,
-0.015574725344777107,
-0.028423115611076355,
0.014898269437253475,
0.10326850414276123,
-0.03663920983672142,
0.02765701711177826,
0.06904587149620056,
0.08762310445308685,
-0.04007739573717117,
0.08345089107751846,
-0.0013... |
half-life\tof\tcaffeine\nincreases\tduring\tpregnancy\t(8.3\thours\tlonger\ton\taverage,\tbut\tcan\tbe\tup\tto\t16\thours\tlonger)\tso\tthe\neffect\ton\tthe\tfetal\tbrain\tis\tpotentially\tincreased\t(\nTemple\tet\tal,\t2017\n).\tSmoking\tdoubles\tthe\tclearance\nrate\tbut\talcohol\tconsumption\tdecreases\tit. | [
-0.019844859838485718,
-0.051862362772226334,
0.08928372710943222,
0.007789027411490679,
-0.09300854802131653,
0.014991821721196175,
0.047339167445898056,
0.07149925082921982,
-0.03288780152797699,
0.03282530978322029,
0.08740070462226868,
-0.04087132215499878,
0.0016522833611816168,
0.030... |
rate\tbut\talcohol\tconsumption\tdecreases\tit.\nCaffeinated\tbeverages\tare\tnot\tconsidered\tto\tbe\tof\thigh\tnutritional\tquality,\tand\tmoderation\tis\nencouraged.\tSee\t\nAppendix\t25\n\tfor\tcaffeine\n\tfood\tsources.\tEnergy\tdrinks\tand\tenergy\tshots\tare\tnot\nrecommended\tduring\tpregnancy.\tThey\tmay\tcont... | [
0.0011798281921073794,
-0.03174779936671257,
0.03250281512737274,
0.0345410518348217,
-0.058309998363256454,
0.02758692018687725,
0.09468824416399002,
0.08160921931266785,
-0.060096271336078644,
0.0020083747804164886,
0.08151032030582428,
-0.018764715641736984,
0.03480313718318939,
0.00556... |
be\thighly\tsweetened\t(\nTemple\tet\tal,\t2017\n).\tIn\taddition,\tthese\tdrinks\toften\thave\thigh\tlevels\tof\tadded\nnutrients\tand\therbal\tproducts\tthat\thave\tnot\tbeen\tevaluated\tfor\tsafety\tduring\tpregnancy\t(\nProcter\tand\nCampbell,\t2014\n).\nLead\tand\tcadmium\nContaminants\n\tin\tfood\tare\tthe\texcep... | [
0.016269436106085777,
-0.032382745295763016,
0.04587794840335846,
-0.0077094887383282185,
-0.08728240430355072,
0.014723716303706169,
0.08847812563180923,
0.016498150303959846,
-0.050277531147003174,
0.05722535401582718,
0.08886536210775375,
-0.035116858780384064,
0.047922197729349136,
-0.... |
In\thigh\tconcentrations,\tthey\tcan\tpass\tacross\tthe\tplacenta\tto\tthe\tfetus\t(\nFig.\t14.7\n).\tHeavy\tmetals\tare\nof\tparticular\tconcern. | [
0.00528341019526124,
-0.0035484968684613705,
0.004259999375790358,
-0.06553385406732559,
-0.11168070882558823,
-0.016391709446907043,
0.08340118080377579,
0.05396014451980591,
-0.0007883377256803215,
0.0399908609688282,
0.052620142698287964,
-0.03413774445652962,
0.0061799767427146435,
0.0... |
FIG.\t14.7\nTransfer\tof\tsubstances\tacross\tthe\tplacental\tmembrane.\t\nIg\n,\tImmunoglobulin.\nLead\tcontamination\tis\tassociated\twith\tincreased\trisk\tof\tmiscarriage,\tgestational\thypertension,\nIUGR,\tpreterm\tdelivery,\tand\timpaired\tneurobehavioral\tdevelopment.\tIt\teasily\tcrosses\tthe\tplacenta\tby\npa... | [
-0.009535182267427444,
-0.07139589637517929,
0.05374830588698387,
-0.016604341566562653,
-0.1162099614739418,
0.03360121324658394,
0.050530679523944855,
0.08069166541099548,
-0.011015400290489197,
0.08323755115270615,
0.10394036024808884,
-0.03796110302209854,
0.012929676100611687,
0.05858... |
passive\tdiffusion\t(\nCaserta\tet\tal,\t2013\n).\nIn\taddition\tto\told\tpaint\tchips,\tpoorly\tglazed\tdishware\t(often\timported)\n\tand\tleaded\tcrystal\ndecanters\tmay\tcontain\thigh\tamounts\tof\tlead.\tPregnant\twomen\tshould\tavoid\tusing\tdolomite\tas\ta\ncalcium\tsupplement\tbecause\tthe\tseashells\tor\tsea\t... | [
0.0038875460159033537,
-0.020722979679703712,
0.09010139852762222,
-0.02947804518043995,
-0.08945747464895248,
-0.018012452870607376,
0.08412466943264008,
-0.0051296609453856945,
-0.012892121449112892,
0.11646677553653717,
0.06462623178958893,
0.0029313587583601475,
0.09165487438440323,
0.... |
a\tresult\tof\tdumping\tindustrial\twastes\tin\tthe\toceans.\tImported\tcandies\tfrom\tmany\tareas,\tincluding\nMexico,\tChina,\tand\tIndia,\thave\talso\tbeen\tfound\tto\tcontain\tlead\t(\nHandley\tet\tal,\t2017\n)\tSpices\n\tand\nherbs,\tnotably\tground\tturmeric,\thave\tbeen\tfound\tto\tbe\tadulterated\twith\tlead\tc... | [
-0.0009589184774085879,
-0.038382191210985184,
0.04776652529835701,
-0.07462435960769653,
-0.09919241070747375,
0.01490495540201664,
0.06231766939163208,
-0.0356624461710453,
0.008551535196602345,
0.06983987987041473,
0.08915978670120239,
-0.02668561413884163,
0.0463753305375576,
0.0275634... |
Cowell\tet\tal,\n2017\n).\tLead\tcan\talso\tbe\tfound\tin\timported\tcosmetics,\tceremonial\tpowders,\tand\tmedications,\nincluding\tkohl,\thenna,\tsindoor,\tayurvedic\tmedicines,\tand\tMexican\tdigestive\tmedicines\t(\nLin\tet\tal,\n2010\n).\tIt\thas\talso\tbeen\tfound\tin\tmaca\troot\tpowder\t(\nLepidium\tmeyenii\n),... | [
-0.03398939594626427,
-0.04959877207875252,
0.015869472175836563,
-0.021233977749943733,
-0.0707310363650322,
-0.015005706809461117,
0.038546785712242126,
0.0705607458949089,
-0.015144088305532932,
0.032139625400304794,
0.11286470293998718,
-0.03168593347072601,
0.0019911641720682383,
0.02... |
),\toften\ttaken\tas\ta\tfertility\nenhancer\t(\nJohnson-Arbor\tet\tal,\t2018\n).\nCadmium\texposure\tis\tassociated\twith\tpoor\tfetal\tgrowth\t(\nCaserta\tet\tal,\t2013\n).\tIt\taccumulates\tin\tthe\nplacenta\trather\tthan\tin\tthe\tfetus,\taffecting\tzinc\ttransport\tto\tthe\tfetus\tand\taltering\tboth\tthe | [
0.016036659479141235,
-0.04798077046871185,
0.06342019140720367,
0.00568801024928689,
-0.10437460988759995,
0.01393476314842701,
0.07834360003471375,
-0.028543252497911453,
-0.014500167220830917,
0.09687748551368713,
0.15178227424621582,
-0.08764082938432693,
-0.040728408843278885,
0.00224... |
production\tof\tplacental\thormones\tand\ttrophoblast\tcell\tmigration.\tOne\tsource\tof\tcadmium\tand\tother\nheavy\tmetals\tmay\tbe\tseaweeds\tgrown\tin\tcontaminated\twaters\t(\nDesideri\tet\tal,\t2016\n).\nOther\tpotential\tcontaminants,\n\tor\tsources\tof\tcontamination,\tmay\tbe\timportant\tas\twell,\tso\tlocal\n... | [
0.002846167655661702,
-0.020937442779541016,
0.04704328998923302,
-0.043182313442230225,
-0.0524771548807621,
0.0066392202861607075,
0.050426945090293884,
-0.029439115896821022,
-0.03080156072974205,
0.04708092659711838,
0.11668041348457336,
-0.04946862906217575,
0.041182741522789,
0.00912... |
issues\tshould\tbe\tinvestigated\tand\tappropriate\tguidance\tgiven.\nListeria\tmonocytogenes\nListeria\tmonocytogenes\n\taffects\t1600\tAmericans\teach\tyear,\tkilling\t260\tof\tthem,\tmaking\tit\tthe\tthird\nleading\tcause\tof\tdeath\tresulting\tfrom\tfood\tpoisoning\t(\nCDC,\t2018d\n).\tPregnant\twomen\tare\t10\ttim... | [
-0.004127796273678541,
-0.013765182346105576,
0.03877350687980652,
-0.01797638274729252,
-0.07909390330314636,
0.011829090304672718,
0.04425538703799248,
-0.025535227730870247,
-0.048187412321567535,
0.10240786522626877,
0.11355871707201004,
-0.035063717514276505,
0.03908901289105415,
0.03... |
more\tlikely\tthan\tother\thealthy\tadults\tto\tbecome\tinfected\n\twith\t\nListeria\n\tspp.\tand\trates\tamong\tU.S.\nHispanic\twomen\tare\t24\ttimes\tthat\tof\tthe\tgeneral\tpopulation,\tbut\tthe\treasons\tfor\tthe\tincreased\nsusceptibility\tare\tunclear.\tAlthough\tthe\tincidence\tof\tlisteriosis\tdeclined\t42%\tbe... | [
-0.0006690588779747486,
-0.024422364309430122,
0.05820419266819954,
-0.04655236005783081,
-0.08618941158056259,
0.015349513851106167,
0.06581393629312515,
-0.02237147092819214,
-0.011505958624184132,
0.09726587682962418,
0.12896783649921417,
-0.048996467143297195,
0.010888990946114063,
0.0... |
because\tof\tbetter\tfood\tsafety\tmeasures,\tit\thas\tplateaued\tsince\tthen\tand\ta\tbetter\tunderstanding\tof\nthe\teffect\tof\tdifferent\tstrains,\tdoses,\tgenetic\tsusceptibility,\n\tand\tother\tunknown\tfactors\tis\tneeded\n(\nWadhwa\tDesai\tand\tSmith,\t2017\n).\nIn\tstudies\tof\twomen\twho\tdeveloped\tlisterios... | [
-0.008299545384943485,
-0.0426839254796505,
0.0533713772892952,
0.026500973850488663,
-0.020204083994030952,
0.043945394456386566,
0.10133174806833267,
0.011806800961494446,
0.027164384722709656,
0.06804121285676956,
0.10295342653989792,
-0.02068595215678215,
-0.010351757518947124,
0.01384... |
miscarriage,\t11%\thad\ta\tstillbirth,\tand\t50%\tof\tthem\thad\ta\tpreterm\tdelivery\t(\nAdams\tWaldorf\tand\nMcAdams,\t2013\n).\tListeria\tcan\talso\tcause\tneonatal\tmeningitis,\tsepsis,\tand\tpneumonia.\tIt\tmay\tonly\ncause\tflu-like\tsymptoms\tin\tthe\tmother\tand\tcan\tmimic\n\ta\turinary\ttract\tinfection,\tbut... | [
-0.0013473909348249435,
-0.007114329840987921,
0.02785881981253624,
-0.03880097717046738,
-0.09030072391033173,
0.018813759088516235,
0.059091102331876755,
0.06807845830917358,
0.01904226839542389,
0.0814814418554306,
0.12888330221176147,
-0.03849247843027115,
-0.02281673066318035,
0.01789... |
a\turinary\ttract\tinfection,\tbut\tmany\twomen\nhave\tno\tsymptoms\tand\tthe\tlack\tof\tmaternal\tsymptoms\tis\tnot\ta\treliable\tmarker\tfor\tfetal\trisk.\tFetal\ntransmission\tis\tnot\tinevitable.\tInfections\tare\tmuch\tmore\tlikely\tduring\tthe\tthird\ttrimester\t(96%)\tthan\nin\tthe\tfirst\t(3%),\tbut\tthe\tconse... | [
0.011528846807777882,
-0.011286349967122078,
0.04879521206021309,
-0.04560283198952675,
-0.11556272208690643,
0.0005553127848543227,
0.07713636755943298,
0.03784270957112312,
-0.013818139210343361,
0.0785791277885437,
0.09935397654771805,
-0.07013912498950958,
0.06939803808927536,
-0.00301... |
surveillance\tand\tmore\tfood\trecalls,\tthere\tis\tnow\tmore\tof\tan\n\tawareness\tof\tan\texposure,\tbut\tthere\tis\nlittle\tguidance\ton\thow\tto\tprevent\tthe\tdevastating\teffects\tif\tthe\tmother\tis\tasymptomatic\t(\nWadhwa\nDesai\tand\tSmith,\t2017\n).\nListeria\n\tis\ta\tsoilborne\tbacteria\tand\tinfection\tre... | [
0.020974820479750633,
0.0025377869606018066,
0.048802006989717484,
-0.0046155452728271484,
-0.03088386170566082,
0.0014991102507337928,
0.09696903079748154,
-0.050401441752910614,
-0.03672237694263458,
0.04646087810397148,
0.14234037697315216,
-0.06943118572235107,
0.03820333629846573,
0.0... |
origin\tor\traw\tproduce.\tBecause\tit\tcan\talso\tbe\tairborne,\tcan\ttolerate\thigh\tsalt\tenvironments,\tand\ngrows\tin\tmoist\tenvironments\tat\trefrigeration\n\ttemperatures,\traw\tmilk,\tsmoked\tseafood,\tfrankfurters,\npté,\tsoft\tcheeses\t(especially\tif\tmade\twith\tunpasteurized\tmilk),\tand\tuncooked\tmeats\... | [
-0.022819582372903824,
-0.013851807452738285,
0.04528074711561203,
-0.012893208302557468,
-0.023896515369415283,
-0.06949574500322342,
0.07899617403745651,
-0.04894907772541046,
-0.03448270633816719,
0.0488288588821888,
0.12067438662052155,
-0.11681709438562393,
0.029950018972158432,
0.019... |
sources.\tMost\tcases\tof\tlisteriosis\tare\tassociated\twith\tsporadic\tcontamination\trather\tthan\tepidemics\n(\nCDC,\t2018d\n).\tBecause\tof\timprovements\tin\tprocessing,\tthe\trisk\tof\tcontamination\tin\tpackaged\tcold\ncuts\tis\tnow\tone\tfifth\tthat\tof\tretail-sliced\tmeats\t(\nBatz\tet\tal,\t2011\n).\tRecomm... | [
-0.048657745122909546,
-0.03701435774564743,
-0.014203347265720367,
-0.04967805743217468,
-0.10695551335811615,
-0.024853860959410667,
0.03724977374076843,
0.052900779992341995,
-0.006951888091862202,
0.06649002432823181,
0.06293343007564545,
-0.0351855531334877,
0.02195759490132332,
-0.01... |
Batz\tet\tal,\t2011\n).\tRecommendations\tto\treduce\trisk\ninclude\tusing\tonly\tpasteurized\tfood\tproducts\tand\theating\tprecooked\tmeat\tproducts\tto\tsteaming\t(\nBox\n14.6\n).\nBOX\t14.6\nListeria\n\t\nGuidelines\nFollow\tthe\tgeneral\tsafety\tguidelines\tin\n\t\nBox\t14.5\n,\tincluding\tthe\tfollowing:\n•\t\nAv... | [
-0.02742248773574829,
-0.021612713113427162,
0.0006692474707961082,
-0.0318891741335392,
-0.0782756507396698,
-0.03635422885417938,
0.08621019124984741,
0.04822656512260437,
-0.06484390050172806,
0.061284784227609634,
0.06810066103935242,
-0.05722877010703087,
0.0029663911554962397,
0.0345... |
•\t\nKeep\traw\tmeats\tseparated\tfrom\tvegetables,\tcooked\tfoods,\tand\tready-to-eat\n\tfoods.\n•\t\nWash\tfruits\tand\tvegetables\tthoroughly.\n•\t\nEat\tperishable\tand\tready-to-eat\tfoods\t(dairy,\tmeat,\tpoultry,\tseafood,\tproduce)\tas\tsoon\nas\tpossible.\tCheck\tfor\t“use\tby”\tdates\tonce/week\tand\tthrow\to... | [
-0.013959626667201519,
-0.015140872448682785,
0.028529932722449303,
0.01112824771553278,
-0.07527495920658112,
0.003961783368140459,
0.08993525803089142,
-0.03369012102484703,
-0.040547505021095276,
-0.0043840231373906136,
0.14597263932228088,
-0.05408572405576706,
0.07221101224422455,
-0.... |
Follow\trecommended\tstorage\ttimes\tfor\tfoods.\n•\t\nWipe\tup\tspills\timmediately.\tClean\tthe\trefrigerator\tregularly\twith\thot\twater\tand\tmild\nliquid\tdetergent,\trinse.\nChoose\tlower\trisk\n\tfoods.\n•\t\nAvoid\tunpasteurized\tmilk\tor\tany\tfoods\tmade\tfrom\traw\tmilks.\n•\t\nMake\tsure\tsoft\tcheeses\t(f... | [
-0.022356299683451653,
-0.025106513872742653,
0.026874449104070663,
-0.03828717768192291,
-0.057385556399822235,
-0.01851891353726387,
0.0778307393193245,
-0.012033846229314804,
-0.03877849876880646,
0.005056863185018301,
0.1296626776456833,
-0.08428505808115005,
0.05701563507318497,
-0.01... |
blanco,”\t“queso\tfresco,”\tor\tPanela)\tare\tmade\twith\tpasteurized\tmilk.\n•\t\nDo\tnot\teat\thot\tdogs,\tluncheon\tmeats,\tor\tdeli\tmeats\tunless\treheated\tto\tsteaming\t(165°\nF).\tMeats\tmay\tbe\tchilled\tafterward.\tAs\tan\talternative,\tcooked\tmeats\tor\tcanned\tmeats\n(salmon,\tchicken,\ttuna)\tmay\tbe\tuse... | [
-0.006768457591533661,
0.0002048125897999853,
0.03195171058177948,
0.012028682976961136,
-0.07828332483768463,
-0.021309468895196915,
0.045297544449567795,
-0.00477782404050231,
0.008691186085343361,
-0.03553033992648125,
0.06686569005250931,
-0.0797017440199852,
-0.012599860318005085,
-0.... |
(salmon,\tchicken,\ttuna)\tmay\tbe\tused\tfor\tsandwiches.\n•\t\nDo\tnot\teat\trefrigerated\tptés\tor\tmeat\tspreads.\tCanned\tor\tshelf-stable\tversions\tmay\tbe\neaten.\n•\t\nDo\tnot\teat\tham\tsalad,\tchicken\tsalad,\tor\tseafood\tsalad\tmade\tat\tthe\tstore.\tInstead,\tmake\nthem\tat\thome\tfollowing\tgeneral\tfood... | [
0.004751349799335003,
-0.04311268776655197,
0.07104970514774323,
-0.012226242572069168,
-0.06189412623643875,
0.037463895976543427,
0.05872492492198944,
-0.04277937114238739,
-0.030519772320985794,
0.026738323271274567,
0.07838701456785202,
-0.044412821531295776,
0.007829981856048107,
-0.0... |
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