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Kimberly D Tran, Sarah P Read, Nimesh A Patel, Harry W Flynn, Norman J Schatz
Purpose: To describe the importance of considering vaso-occlusive disease on the differential diagnosis of a patient presenting with amaurosis fugax (AF) and unilateral cotton wool spots (CWS). Observations: A 69-year-old female with history of obesity, hyperlipidemia and recent orthopedic surgery, presented with 3 days of worsening monocular AF and CWS in the right eye. She was diagnosed with antiphosphospholipid syndrome based on positive serologic testing for antiphosphatidylserine IgM, anticardiolipin IgM...
September 2017: American Journal of Ophthalmology Case Reports
Sandra Ayisi-Addo, Stephen Ayisi-Addo, Agartha Ohemeng
BACKGROUND: In Ghana, obesity is showing a rising trend and there are weight loss initiatives being practised by individuals. However, the levels of commitment to such programs and the reasons for discontinuing have not been assessed. The objectives of this study were to investigate the weight loss practices of participants and reasons for quitting chosen weight loss programs. METHODS: This was a cross-sectional study involving 50 subjects conveniently selected from people who were enrolling into a commercial weight loss program...
March 2016: Ghana Medical Journal
Jonny G Peter, Lynn S Zijenah, Duncan Chanda, Petra Clowes, Maia Lesosky, Phindile Gina, Nirja Mehta, Greg Calligaro, Carl J Lombard, Gerard Kadzirange, Tsitsi Bandason, Abidan Chansa, Namakando Liusha, Chacha Mangu, Bariki Mtafya, Henry Msila, Andrea Rachow, Michael Hoelscher, Peter Mwaba, Grant Theron, Keertan Dheda
BACKGROUND: HIV-associated tuberculosis is difficult to diagnose and results in high mortality. Frequent extra-pulmonary presentation, inability to obtain sputum, and paucibacillary samples limits the usefulness of nucleic-acid amplification tests and smear microscopy. We therefore assessed a urine-based, lateral flow, point-of-care, lipoarabinomannan assay (LAM) and the effect of a LAM-guided anti-tuberculosis treatment initiation strategy on mortality. METHODS: We did a pragmatic, randomised, parallel-group, multicentre trial in ten hospitals in Africa--four in South Africa, two in Tanzania, two in Zambia, and two in Zimbabwe...
March 19, 2016: Lancet
J Mössner
No abstract text is available yet for this article.
February 2016: Deutsche Medizinische Wochenschrift
I Predescu, D Predescu, S Constantinoiu
INTRODUCTION: The keystone of the rate of postoperative complications and functional outcome in oesophageal reconstruction is the technique method of performing cervical anastomosis.Despite new technologies and improved technique in specialized centres, post-anastomosis complications have not significantly improved. PURPOSE: The goal of our study is to analyse the causes that make anastomosis with the oesophagus hypopharynx a particular case. If anatomical and morphological aspects cannot be adjusted (poor histological structure and vascularity etc...
March 2015: Chirurgia
Jeremy S Rooney, Arlene McDowell, Clare J Strachan, Keith C Gordon
To counter the growth of herbal medicines adulterated with pharmaceuticals crossing borders, rapid, inexpensive and non-destructive analytical techniques, that can handle complex matrices, are required. Since mid-infrared (MIR), near infrared (NIR) and Raman spectroscopic techniques meet these criteria, their performance in identifying adulterants in seized weightloss herbal medicines is definitively determined. Initially a validated high pressure liquid chromatography methodology was used for reference identification and quantification of the adulterants sibutramine H2O·HCl, fenfluramine HCl and phenolphthalein...
June 1, 2015: Talanta
Ricardo Martínez-Verónica, Laura López-Vargas, Luis Manuel Avalos-Huizar, Lizeth Dimelza Aviz-Vinaña, Alfonso Gutiérrez-Padilla
Case report of 18-year old female patient with clinical signs of pulmonary tuberculosis during pregnancy at beginning of fourth month into term, with airway impairment, as evidenced by dry cough, fever and night sweats, as well as a 6 kg. weightloss. Twenty-two days after giving birth, the patient was hospitalized with high fever and deteriorated health conditions, requiring treatment in the intensive care unit due to complications such as severe malnutrition, septic shock, pulmonary abscess, pachypleuritis, empyema and bronchopleural fistula...
March 2014: Ginecología y Obstetricia de México
Laura Canetti, Yoel Elizur, Yair Karni, Elliot M Berry
BACKGROUND: The present study compared the outcome of bariatric surgery against a uniform high-level weightloss program which included vigorous physical exercises, behavior modification and nutritional advice. METHOD: 44 subjects who underwent bariatric surgery and 47 subjects participating in a weight-loss program completed the Medical Outcomes Study Short Form- 36 (SF-36), the Mental Health Inventory (MHI) and the Rosenberg Self-Esteem scale, prior to surgery/diet and one year afterwards...
2013: Israel Journal of Psychiatry and related Sciences
Salvatore Giordano, Mikael Victorzon
BACKGROUND: Controversy exists regarding the effectiveness and safety of laparoscopic Roux-en-Y gastric bypass (LRYGB) in elderly patients. We evaluated our outcomes of LRYGB in patients aged ≥ 55 years. METHODS: A total of 549 consecutive patients underwent LRYGB as primary operation and 132 were ≥ 55 years old. Patients were divided in two groups: group <55 years comprised 417 patients, with mean age (± SD) of 41.15 ± 8.47 years; group ≥ 55 years comprised 132 patients, with mean age of 59...
May 2014: World Journal of Surgery
Martí Juanola-Falgarona, Núria Ibarrola-Jurado, Jordi Salas-Salvadó, Antoni Rabassa-Soler, Mònica Bulló
BACKGROUND: Glycemic index and/or glycemic load have been explored as an alternative for the prevention and/or management of obesity, cardiovascular disease, type 2 diabetes mellitus, and cancer. OBJECTIVE: The purpose of the manuscript is to describe the design and methods used in the GLYNDIET Project, a study designed to simultaneously address the questions related to the exactly role of low glycaemic index carbohydrates has on weight loss. METHODS: This study was designed as a 6-months randomized, parallel, controlled clinical trial aiming to evaluate the effect of the dietary glycemic index on weightloss, satiety, glucose and insulin metabolism, lipid profile, inflammation and other emergent metabolic risk markers...
March 2013: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Anurag Rohtagi, Anuradha Aggarwal, Mukesh Kumar Chabra, Amol Sonyabapu Dahale
Disseminated cryptococcosis is rare in immunocompetent hosts and hepatic manifestations as the presenting feature is further rare. We report a case of disseminated cryptococcosis with hepatic involvement as an initial manifestation in a previously healthy, immunocompetent adult. A young married female presented with progressive jaundice, anorexia, weightloss, cough with expectoration, and hepatosplenomegaly. Biochemical profile showed liver function derangement with increased transaminases, alkaline phosphatase, bilirubin with deranged coagulation assay, and decreased albumin...
May 2013: Archives of Iranian Medicine
Xiang-Long Meng, Xiao-Hui Guo, Shuo-Sheng Zhang
OBJECTIVE: To investigate the processing mechanism of Zushima which was stir-fried with licorice. METHOD: Study of pyrolysis characteristics for extraction of Zushima effective part, petroleum ether, chloroform, ethyl acetate, n-butanol parts and the mixture of Zushima effective parts and licorice solid powder according to the proportion of 10: 1, 10: 2, 10: 3 was carried out in the thermogravimetric analyzer, the simulation of air (N2-O2 4:1) was chosen as carrier gas and heating rate was 5 degrees C x min(-1)...
December 2012: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
Tie Hong, Zhen Yang, Chuan-Feng Lv, Yu Zhang
The anti-inflammatory effect of berberine was evaluated in murine model of acute experimental colitis induced by dextran sulfate sodium (DSS). Berberine, given orally at 40, 20, 10 mg/kg for 10 days, ameliorated all the supposed inflammatory symptoms of the induced colitis, such as body weightloss, blood hemoglobin reduction, high myeloperoxidase levels, and malondialdehyde content-inflamed mucosa. Furthermore, the cytokine production of splenic lymphocytes was analyzed. The results showed the IFN-γ and IL-12 were increased, but IL-4 and IL-10 were decreased in DSS-induced colitis,when those were compared with the normal control...
June 2012: Immunopharmacology and Immunotoxicology
P X Kuan, H L Ho, M S Shuhaili, A A Siti, H R Gudum
INTRODUCTION: This study was carried out among undergraduate students in Universiti Malaysia Sarawak with the objective of examining gender differences in body mass index (BMI), body weight perception, eating attitudes and weightloss strategies. METHODS: Subjects consisted of 600 undergraduates (300 males and 300 females) recruited from the various faculties between September 2008 until mid-November 2008. The Original Figure Rating Scale: Body Weight Perception, Body Shape Questionnaire (BSQ) and Eating Attitudes Test-26 (EAT-26) were used as assessment tools...
April 2011: Malaysian Journal of Nutrition
F-J Santonja, A Morales, R-J Villanueva, J-C Cortés
Excess weight is fast becoming a serious health concern in the developed and developing world. The concern of the public health sector has lead to the development of public health campaigns, focusing on two-fold goals: to inform the public as to the health risks inherent in being overweight, and the benefits of a change in nutritional behaviour. Recent studies indicate that the effects of the average public health campaign on the target community is around 5%. In this study we aim to quantify the effect of different public health campaigns on lifestyle behaviour in the target populations in order to bring about weightloss in a significant number of people over the next few years...
February 2012: Evaluation and Program Planning
Yi Wang, Ping Zhao, Cheng-feng Wang, Yi Shan, Dong-bing Zhao, Yan-tao Tian, Yue-min Sun, Xu Che, Jian-wei Zhang
OBJECTIVE: To analyze the value of combined therapy in pancreatic cancer with a poor prognosis. METHODS: The prognostic factors of pancreatic cancer with different clinicopathological characteristics and treatment modalities were analyzed retrospectively and the cumulative curve was plotted using the Kaplan-Meier method. RESULTS: (1) From January 2001 to December 2005, 233 patients with pathological and cytological diagnosis of pancreatic cancer were analyzed...
September 15, 2009: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Gül Kiziltan, Efsun Karabudak
The purpose of this study was to determine the prevalence of abnormal eating attitudes among Turkish dietetic students and the relations between nutrition education and eating attitudes. The study population was 568 female university students (248 dietetic students, 320 non-dietetic students). Two scales were used: Eating Attitudes Test (EAT-26) and Bulimic Investigatory Test-Edinburg (BITE). Psychological factors were measured with the Rosenberg Self-esteem Scale (RSE) and the State-trait Anxiety Inventory (STAI)...
2008: Adolescence
Alexey Naimushin, Avi Livneh
A patient with stable anginal syndrome, on aspirin, was admitted for colonoscopy, as part of a work-up for weightloss and iron deficiency anemia. Should this patient discontinue aspirin prior to the colonoscopy? A literature review, as well as the current guidelines of the American Association for Gastrointestinal Endoscopy, did not support such an act. An Israeli physician survey, published recently, suggests an interesting attitude for this dilemma, in which the risk imposed on the patient by withdrawal of aspirin will determine whether to continue or stop the drug prior to the procedure...
January 2008: Harefuah
María Eugenia Aguirre, Manuel Ruz, Fernando Carrasco, Annabella Rebolledo, Araya Karla, Juana Codoceo, Jorge Inostroza
The aim of this study was to compare changes of nutrient intakes and nutritional status of selected minerals, during a three-month weightloss program using diets with distinct energy contents. 62 obese women (age 33.2 +/- 8.3 years; BMI 34.6 +/- 3.4 kg/m2) were allocated to two diets, one supplying 1000 kcal/d (Diet 1), and the other 1300 kcal/d (Diet 2). Before and after 3 months, intakes of iron (Fe), zinc (Zn), copper (Cu), and calcium (Ca) were evaluated through self-reported three-day dietary records. Selected laboratory parameters related to the nutritional status of iron, zinc and copper were analyzed: hemoglobin, serum ferritin, zinc-protoporfirin, transferrin saturation, plasma zinc, hair zinc, and plasma copper...
September 2007: Archivos Latinoamericanos de Nutrición
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