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Weight Management

Manasawee Indrabhinduwat, Maria C Arciniegas Calle, Joseph P Colgan, Hector R Villarraga
SummaryThirty-seven-year-old male presented with cough, dyspnea, significant weight loss (20 kg) and subacute fever for the past 2 months. Physical examination revealed inspiratory and expiratory wheezing bilaterally. A normal S1, S2 and a 3/6 systolic ejection murmur at the left upper parasternal border with respiratory variation were found during cardiac auscultation. Kidney and bone marrow biopsy reported a high-grade B-cell lymphoma. Echocardiography and cardiac CT findings consisted of multiple intracardiac masses affecting the right ventricular (RV) outflow track, RV apex, medial portion of the right atrium and posterior left atrium, as well as mild impairment of the RV systolic function...
September 2018: Echo Research and Practice
Weina Yu, Jinxuan Cao, Wenfang Dai, Qiongfen Qiu, Jinbo Xiong
There is evidence that gut microbial signatures are indicative of host health status. However, few efforts have been devoted to establish an applicable technique for diagnosing disease incidence using the gut microbial signatures. Herein, we established a quantitative PCR (qPCR) based approach to detect the relative abundances of gut disease-discriminatory phyla, which in turn afforded independent variables for quantitatively diagnosing the incidences of shrimp disease. Given the temporal dynamics of gut bacterial communities as healthy shrimp aged, we identified the disease-discriminatory phyla after ruling out the age-discriminatory phyla...
July 13, 2018: Applied and Environmental Microbiology
David M Williams, Natasha Shrikrishnapalasuriyar, Waheeba Syed, Win L Yin, Richard Chudleigh, Stephen C Bain, David E Price, Jeffrey W Stephens
AIMS: Xultophy is the first fixed co-formulation pen containing insulin degludec and the glucagon-like peptide-1 (GLP-1) analogue liraglutide, authorized for type 2 diabetes patients since 2014. The aim was to review the clinical effectiveness of Xultophy across two hospitals in Wales. METHODS: Retrospective review of patients commenced on Xultophy between April 2016 and January 2018 was taken. Data related to glycemic control, weight and medication use were collected...
June 30, 2018: Diabetes & Metabolic Syndrome
Claire Goumard, Y Nancy You, Masayuki Okuno, Onur Kutlu, Hsiang-Chun Chen, Eve Simoneau, Eduardo A Vega, Yun-Shin Chun, C David Tzeng, Cathy Eng, Jean-Nicolas Vauthey, Claudius Conrad
BACKGROUND: In patients with stage IV colorectal cancer (CRC), minimally invasive surgery (MIS) may offer optimal oncologic outcome with low morbidity. However, the relative benefit of MIS compared to open surgery in patients requiring multistage resections has not been evaluated. METHODS: Patients who underwent totally minimally invasive (TMI) or totally open (TO) resections of CRC primary and liver metastases (CLM) in 2009-2016 were analyzed. Inverse probability of weighted adjustment by propensity score was performed before analyzing risk factors for complications and survival...
July 10, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
Dorothea Leonhäuser, Carlos Castelar, Thomas Schlebusch, Martin Rohm, Rüdiger Rupp, Steffen Leonhardt, Marian Walter, Joachim O Grosse
BACKGROUND: Continuous non-invasive urinary bladder volume measurement (cystovolumetry) would allow better management of urinary tract disease. Electrical impedance tomography (EIT) represents a promising method to overcome the limitations of non-continuous ultrasound measurements. The aim of this study was to compare the measurement accuracy of EIT to standard ultrasound in healthy volunteers. METHODS: For EIT of the bladder a commercial device (Goe MF II) was used with 4 different configurations of 16 standard ECG electrodes attached to the lower abdomen of healthy participants...
July 13, 2018: Biomedical Engineering Online
Susan J de Jersey, Jeanette Tyler, Taylor Guthrie, Karen New
OBJECTIVE: To examine if a brief midwifery education and training session incorporated into annual mandatory training improves the knowledge and confidence of midwives to support healthy weight gain and management in pregnancy. DESIGN: An implementation evaluation using a pre-post study design was used. Midwives completed a self- administered questionnaire prior to and following completion of the training session. Objective knowledge, perceived knowledge and confidence in relation to nutrition, physical activity and healthy weight gain and management, and process measures related to the training were assessed...
June 30, 2018: Midwifery
Marc Fantino, Agnès Fantino, Marie Matray, Frédéric Mistretta
The usefulness of replacement of caloric sugars by low-calorie sweeteners (LCS) for weight management has been questioned on the grounds that the uncoupling of LCS sweet taste and dietary energy may confuse physiological mechanisms, leading potentially to higher energy and sugar intake. The aim of the present study was to determine whether LCS beverages compared to water, when consumed with meals, differ in their effects on energy and food intake in acute trials and after long-term habituation. Ad libitum food intake of 166 (80 women; 86 men) healthy non-obese adults (BMI between 19 and 28 kg/m2 ), infrequent consumers of LCS was measured in four 2-consecutive-day testing sessions (Day 1 in the laboratory, Day 2 free-living)...
July 9, 2018: Appetite
J Plaskett, G Chinnery, D Thomson, S Thomson, B Dedekind, E Jonas
Trichobezoars are intraluminal accretions of ingested hair. Rapunzel syndrome is a rare and extreme presentation, with the trichobezoar extending into the small intestine. It is most frequently reported in children and psychiatric patients. We report a South African series of 5 patients who presented with trichobezoars. Each patient was retrospectively reviewed and analysed with regard to background, demographics, clinical presentation, diagnosis, surgical management and complications. Five female patients with a median age of 19 (range 12 - 27) years presented with clinical symptoms, including early satiety, intermittent vomiting with gastric outlet obstruction, abdominal pain and weight loss...
June 26, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Nicole Werner, Scott McEwen, Lothar Kreienbrock
Monitoring antimicrobial drug usage in animals at the national and international levels is important for identification and tracking if and how often quantities are used. This information can be used for many purposes, including raising awareness, comparing use patterns across countries, identifying trends over time, integrating with antimicrobial resistance data, conducting risk assessment, and evaluating the effectiveness of measures to manage antimicrobial usage. The goal of this article is to describe how monitoring systems for antimicrobial drug usage in animals are set up and conducted, using examples from specific countries as well as international efforts...
July 2018: Microbiology Spectrum
Eric Barret, Baris Turkbey, Philippe Puech, Matthieu Durand, Valeria Panebianco, Jurgen J Fütterer, Raphaële Renard-Penna, Olivier Rouvière
INTRODUCTION: Prostate cancer (PCa) imaging is a rapidly evolving field. Dramatic improvements in prostate MRI during the last decade will probably change the accuracy of diagnosis. This chapter reviews recent current evidence about MRI diagnostic performance and impact on PCa management. MATERIALS AND METHODS: The International Consultation on Urological Diseases nominated a committee to review the literature on prostate MRI. A search of the PubMed database was conducted to identify articles focussed on MP-MRI detection and staging protocols, reporting and scoring systems, the role of MP-MRI in diagnosing PCa prior to biopsy, in active surveillance, in focal therapy and in detecting local recurrence after treatment...
July 12, 2018: World Journal of Urology
Jung Min Ahn, Kang Young Jung, Deuk Seok Yang, Dong-Seok Shin
The multi-functional weirs constructed as part of the Four Major River Restoration Project in Korea are operated for water level management and may have a backwater effect in estuaries. If the main channel of the Nakdong River flows backward and affects the estuary water, the water quality in the estuaries may not be representative of the tributary water quality. In this study, we confirmed the representativeness of the existing water quality monitoring networks using spatiotemporally disperse electrical conductivity observations, self-organizing maps (SOMs) for monthly pattern analysis, and the LOcally WEighted Scatter plot Smoother (LOWESS) technique for trend analysis...
July 12, 2018: Environmental Monitoring and Assessment
Zhuo Li, Megha N Parajulee, Fajun Chen
Background: Bt crops will face a new ecological risk of reduced effectiveness against target-insect pests owing to the general decrease in exogenous-toxin content in Bt crops grown under elevated carbon dioxide (CO2 ). The method chosen to deal with this issue may affect the sustainability of transgenic crops as an effective pest management tool, especially under future atmospheric CO2 level raising. Methods: In this study, rhizobacterias, as being one potential biological regulator to enhance nitrogen utilization efficiency of crops, was selected and the effects of Bt maize (Line IE09S034 with Cry1Ie vs...
2018: PeerJ
Sandra Schlegl, Nina Dittmer, Svenja Hoffmann, Ulrich Voderholzer
Background: Compulsive exercise (CE) is a frequent symptom in patients with eating disorders (EDs). It includes, in addition to quantitatively excessive exercise behaviour, a driven aspect and specific motives of exercise. CE is generally associated with worse therapy outcomes. The aims of the study were to compare self-reported quantity of exercise, compulsiveness of exercise as well as motives for exercise between patients with anorexia nervosa (AN), bulimia nervosa (BN) and healthy controls (HC)...
2018: Journal of Eating Disorders
Caroline H Jensen, John Tiu, Jillian S Catalanotti
A 65-year-old man with treatment-resistant psoriatic arthritis, hypertension, dyslipidaemia and benign prostatic hyperplasia (BPH) presented with herpes simplex virus (HSV) oral ulcers and a recent 15 lb weight loss due to reduced consumption. Five weeks previously, his methotrexate was tapered and he had begun taking azathioprine. The patient's thiopurine S-methyltransferase (TPMT) activity level was normal prior to starting azathioprine. He was found to have pancytopenia with normal folate levels and azathioprine was discontinued...
July 11, 2018: BMJ Case Reports
Susie Q Lew, Neal Sikka, Clinton Thompson, Manya Magnus
Introduction Peritoneal dialysis is a home-based therapy for individuals with end-stage renal disease. Telehealth, especially remote monitoring, is making inroads in managing this cohort. Methods We examined whether daily remote biometric monitoring (RBM) of blood pressure and weight among peritoneal dialysis patients was associated with changes in hospitalization rate and hospital length of stay, as well as outpatient, inpatient and overall cost of care. Results Outpatient visit claim payment amounts (in US dollars derived from CMS data) decreased post-intervention relative to pre-intervention for those at age 18-54 years...
January 1, 2018: Journal of Telemedicine and Telecare
Miranda J Delahoy, Richard Omore, Tracy L Ayers, Katharine A Schilling, Anna J Blackstock, J Benjamin Ochieng, Feny Moke, Peter Jaron, Alex Awuor, Caleb Okonji, Jane Juma, Tamer H Farag, Dilruba Nasrin, Sandra Panchalingam, James P Nataro, Karen L Kotloff, Myron M Levine, Joseph Oundo, Dawn M Roellig, Lihua Xiao, Michele B Parsons, Kayla Laserson, Eric D Mintz, Robert F Breiman, Ciara E O'Reilly
BACKGROUND: Cryptosporidium is a leading cause of moderate-to-severe diarrhea (MSD) in young children in Africa. We examined factors associated with Cryptosporidium infection in MSD cases enrolled at the rural western Kenya Global Enteric Multicenter Study (GEMS) site from 2008-2012. METHODOLOGY/PRINCIPAL FINDINGS: At health facility enrollment, stool samples were tested for enteric pathogens and data on clinical, environmental, and behavioral characteristics collected...
July 12, 2018: PLoS Neglected Tropical Diseases
Lydia Palma, Shannon J Ceballos, Paulina C Johnson, Deb Niemeier, Maurice Pitesky, Jean S VanderGheynst
BACKGROUND: The increasing production of almonds worldwide has resulted in significant generation of by-product streams that require end uses. One potential use for by-products is for cultivation of additional food sources including insects. Studies were performed to determine if black soldier fly larvae (Hermetia illucens L.) could be cultivated on almond byproduct (hulls and shells) and examine the effect of aeration and moisture on larvae growth and hull composition. RESULTS: Increasing aeration from 0...
July 12, 2018: Journal of the Science of Food and Agriculture
Miguel Arias Cerón, Leonor Buendía Eisman, Francisco Fernández Palomares
INTRODUCTION: Children, teenagers and young men are increasingly experiencing their well-being related to the internet and the new digital technologies. The objective of this study is to describe the presence of Cyberbullying, Sexting and Grooming in students in Chile according to gender and type of school management or administrative dependency. SUBJECTS AND METHOD: Exploratory and descriptive study. The sample design was non-probabilistic by quotas in 60 transactional establish ments...
June 2018: Revista Chilena de Pediatría
Roy de Vita, Ernesto Maria Buccheri
Background: Nipple sparing mastectomy (NSM) is a psychologically effective and oncological safe procedure followed by immediate breast reconstruction. Methods: Between January 2015 and September 2015 the authors conducted a retrospective review of 40 patients divided into two groups depending on breast volume and weight of mastectomy: group A, 20 patients with small breast; group B, 20 patients with medium breast for nipple sparing mastectomy and direct to implant (DTI) breast reconstruction using strict patient selection and a standardized surgical technique...
June 2018: Gland Surgery
Leonor Corsino, Cynthia J Coffman, Catherine Stanwyck, Eugene Z Oddone, Hayden B Bosworth, Ranee Chatterjee, Amy S Jeffreys, Rowena J Dolor, Kelli D Allen
Background: Arthritis affects approximately 50 million adults in the USA. Hispanics/Latinos have a higher prevalence of arthritis-attributed activity limitations primarily related to osteoarthritis (OA). Hispanic/Latinos are less likely to receive hip replacement independent of health care access, and they are less likely to receive knee replacement. There have been few interventions to improve OA treatment among the Hispanic/Latino population in the USA. In our study, we aimed to develop and test a telephone delivered culturally appropriate Spanish behavioral intervention for the management of OA in Hispanic/Latino adults...
2018: Pilot and Feasibility Studies
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