7 research outputs found

    Early alterations in left ventricular diastolic function in normotensive diabetic patients.

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    In diabetes mellitus, structural and functional alterations of the heart can be already present at the time of first diagnosis. However, how early these alterations may occur has never been fully clarified. The present study aimed at investigating cardiac functional abnormalities in uncomplicated hypertensive or normotensive patients with a recent diagnosis of diabetes mellitus. We studied 40 diabetics (24 normotensives and 16 hypertensives) by means of routine echocardiography plus pulse tissue Doppler analysis. Data were compared with those obtained in healthy age- and sex-matched controls. Left ventricular remodelling was more evident in hypertensive diabetics than in normotensive diabetics vs controls. Diastolic function was altered in diabetic patients only when detected by pulse tissue Doppler analysis and not by conventional transmitral Doppler evaluation. Normotensive patients with type 2 diabetes with little or no evidence at standard echocardiography of alterations in cardiac structure and function, already displayed an alteration in diastolic function when the evaluation was based on the tissue Doppler approach. Patients with type 2 diabetes combined to hypertension showed more evident functional cardiac alterations at echocardiography. These findings support the conclusion that cardiac abnormalities are very early phenomena in type 2 diabetes

    Confluencia de la dramaturgia, lo ritual y la danza butho en Belleza y escándalo de Ciela Asad y Conjuros de Soledad Alloni

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    The use of the ritual, the author function and butho are subjects of increasing concern for dance people. In this sense, we analyze two spectacles from 2015: Belleza y escándalo and Conjuros.Son temas que interesan cada vez más a la gente de danza el uso del ritual, el rol del dramaturgo y el butho. En este sentido analizamos dos espectáculos estrenados en el 2015: Belleza y escándalo y Conjuros

    The Effect of Probiotic Yogurt on Controlling the Symptoms of Irritable Bowel Syndrome

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    Background & Objectives: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder that is common through the world including Iran. Because of its chronic nature and lack of effective treatment, patients are always anxious and stressful and physicians are also exhausted of untreated patients. The cause of IBS is unclear and it has not effective treatment Therefore, there is a need to find and introduce a proper method of treatment to control symptoms including abdominal pain and defecation changes. This study was aimed to determine the effectiveness of probiotic yogurt on the general relief of symptoms associated with IBS. Methods: Subjects were recruited from patients of gastroenterology clinic in Imam Khomeini Hospital, Ardabil. A total of sixty patients fulfilling the Rome II criteria took part in this study. Subjects were randomized into two groups of trial and control. Pre- and post- treatment symptoms were investigated using a questionnaire. Thirty one patients received probiotic and 29 patients normal yogurt for 4 weeks. Bottles of yoghurt were manufactured, and coded by a company. Both participants and researcher were blinded for the bottles' code. The symptoms were followed before and after two and four weeks of treatment and two weeks postdiscontinuing of trial, too. Data were analyzed by SPSS (Ver.17)and differences between groups were compared statistically using of chi-square and t-test. Results: A total number of 60 patients were recruited in this study of whom 36 (60%) were female and 24(40%) male. The average age of participants was 34.1±9 which did not differ between two groups. The onset of symptoms did not show any difference between two groups. The trial group had a history of 5.7±5.1 years while this was 6.5±4.9 for the controls. In overall, patients who were given probiotic yogurt had shown a better response in the control of abdominal pain and flatulence than those who were treated with normal yogurt. There was not a significant difference between two groups in the response to treat for other symptoms including epigastric pain, vomiting, frequency of defecation and feces consistency. Conclusion: According to our research, adding probiotic yogurt to the patient diet may help ease symptoms of IBS especially, abdominal pain and flatulence. Considering the high prevalence of irritable bowel syndrome and the lack of effective therapies, even a slight reduction in symptoms can have positive public health consequences

    Bene commune e comportamenti responsabili. Storie di imprese e di istituzioni

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    Si tratta di una raccolta di "casi aziendali", ossia di "storie" di organizzazioni diverse fra loro - imprese, aziende sanitarie, istituti non profit, enti pubblici territoriali - selezionate in quanto presentavano – sulla base delle conoscenze disponibili, delle informazioni raccolte o delle indicazioni ricevute – alcuni tratti propri di modi di gestire responsabili. Ciò sembra doversi attribuire, in primo luogo, all’azione di una leadership animata dal desiderio e dalla volontà di realizzare la missione produttiva, diffondendo e praticando un insieme di valori indirizzati a perseguire il bene comune dell’azienda in armonia con il bene della società: innovazione, imprenditorialità, produttività e sviluppo. I casi diversi dalle imprese sono stati scelti anche perché ben si prestano a esemplificare e illustrare alcuni processi di trasferimento di competenze e tecniche manageriali dal mondo delle imprese verso altri tipi di istituti e organizzazioni produttive
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