1,720,988 research outputs found
Insulin glargine in enteric tube feeding.
Diabetes Res Clin Pract. 2007 Nov;78(2):298-9. Epub 2007 May 3.
Insulin glargine in enteric tube feeding.
Marchetti G, Tesauro M, Di Daniele N, Bollea MR, Lauro R, Bertoli A.
Insulin glargine, a long-acting insulin analogue, was
introduced to provide effective basal insulin replacement
with once-daily dosing. An insulin regimen with
insulin glargine allows optimal glucose control with a
lower risk of hypoglycaemia compared with neutral
protaminated hagedorn insulin in Type 2 diabetes [1,2].
Recently, insulin glargine has been proposed for
patients on continuous enteral artificial nutrition [3,4].
We report an 18-month follow-up of a patient treated
with basal insulin glargine during continuous enteral
nutrition and thereafter during intermittent enteral
nutrition without evidence of hypoglycaemic events
Patologie dello stomaco. Gastrite, ulcera, resezione gastrica, dumping sindrome. In: Manuale di nutrizione clinica e scienze dietetiche applicate.
Association between job strain and nutrient intake by diet in working population: the role of shift work
The prediction of total body water and extracellular water from bioelectric impedance in obese children
Objectives: To assess the reliability of bioelectric impedance analysis (BIA) for predicting total body water (TBW) and extracellular water (ECW) in obese children. Design: Comparison of five prediction models based on: (i) body weight (Wt), (ii) the impedance (Z) index (ZI=height(2)/Z), (iii) the association of Wt and ZI, (iv) the body surface area (SA) to impedance ratio (SA:Z) and, (v) the body volume (V) to impedance ratio (V:Z). Subjects: Thirty obese and 25 control children of 11.2+/-1.8 y of age. Measurements: TBW and ECW were assessed by deuterium and bromide dilution; Z was measured at frequencies of 5, 50 and 100 kHz. Results: In controls, Wt explained 11% more variance of TBW than ZI (r(2)=0.977, SEE=0.9 I, CV=3.8%) and the association of Wt and ZI improved the prediction of TBW only slightly (r(2)=0.982, SEE=0.8 I, CV=3.5%). The SA:Z and V:Z indexes explained 6 and 33% less variance of TBW respectively as compared to Wt alone. In obese subjects, ZI explained 4% more variance of TBW than Wt (r(2)=0.914, SEE=1.8 I, CV=6.4%) and the SA:Z ratio was the most accurate predictor of TBW (r(2)=0.959, SEE=1.2 l, CV=4.4%). However, the increase in the explained variance of TBW associated to the use of the SA:Z ratio was of only 1% as compared to the association of ZI and Wt. The V:Z ratio explained 9% less of variance of TBW as compared to ZI. In both control and obese subjects, the association of Wt and ZI offered the best prediction of ECW (r(2)=0.807, SEE=1.564 I and r(2)=0.826, SEE=1.035 I, respectively). However, the values of CV were much higher in controls than in obese children (17.5% vs 8.4%) owing to their lower ECW and greater variability in ECW%. ZI was the most accurate predictor of TBW on the pooled sample (n=55; r(2)=0.910, SEE=1.932 I, CV=7.4%). However, it was a poor predictor of ECW on the same sample owing to its high CV (n=55; r(2)=0.866, SEE =1.806 I, CV=17.0%). Conclusions: The body surface area to impedance ratio is the most accurate predictor of TBW in obese children but the association of ZI and Wt may be of more interest when BIA is used to estimate both TBW and ECW. The impedance index offers a good prediction of TBW but not of ECW in children with different levels of fatness
Recurrence rate of endometrioma after laparoscopic cystectomy: a comparative randomized trial between post-operative hormonal suppression treatment or dietary therapy vs. placebo
To assess the recurrence rate of endometrioma after laparoscopic cystectomy plus hormonal suppression treatment or plus dietary therapy compared to post-operative placebo
Dietary therapy: a new strategy for management of chronic pelvic pain
Chronic pelvic pain (CPP) can be identified as a chronic nociceptive, inflammatory and neuropathic pain characterised by spontaneous pain and an exaggerated response to painful and/or innocuous stimuli. This pain condition is extremely debilitating and usually difficult to treat. Currently, the main approaches to treatment include counselling supported by reassuring ultrasound scanning or psychotherapy, attempting to provide reassurance using laparoscopy to exclude serious pelvic pathology, hormonal therapy and neuroablative treatment to interrupt nerve pathways. Dietary supplementation has been suggested as a means to treat chronic medical illnesses that are poorly responsive to prescription drugs or in which therapeutic options are limited, costly or carry a high side-effect profile. A comprehensive search of the PubMed database was performed using the search terms 'chronic pelvic pain', 'oxidative stress', 'antioxidants' and 'dietary therapy'. The systematic review focuses on both randomised and non-randomised controlled trials from 2005 onwards, in which CPP was the end point. Given the complexity and not well-understood aetiology of CPP, its treatment is often unsatisfactory and limited to partial symptom relief. Dietary therapy with antioxidants improves function of the immune system and in fighting free radical damage. Agents with antioxidant activity are able to improve CPP without undesired effects and any important metabolic changes associated with hormonal suppression therapy. In conclusion, dietary therapy with antioxidants could be considered as a new effective strategy in the long term for CPP, and may be better accepted by patients. Further randomised trials with larger series and long-term follow-up to confirm these observations are needed
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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