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Sample records for 6-year dietary history

  1. Dietary intake in 6-year-old children from southern Poland: part 1 - energy and macronutrient intakes

    Merkiel, Sylwia

    2014-01-01

    Background The studies on dietary intake in Polish children are sparse and the information about dietary intake in 6-year-olds in Europe is limited. The published studies on dietary intake in children rarely provide information on the intake of animal protein, plant protein and water. The purpose of the study was to analyse energy and macronutrient intakes in 6-year-old children from southern Poland. Methods The studied population comprised 120 children, 64 girls and 56 boys. Energy and macro...

  2. Lean body mass change over 6 years is associated with dietary leucine intake in an older Danish population

    McDonald, Cameron Keith; Ankarfeldt, Mikkel Z; Capra, Sandra;

    2016-01-01

    adult Danes. Dietary leucine intake was assessed at baseline and after 6 years in men and women, aged 35-65 years, participating in the Danish cohort of the WHO-MONICA (Multinational MONItoring of trends and determinants in CArdiovascular disease) study (n 368). Changes in LBM over the 6 years were......Higher protein intake, and particularly higher leucine intake, is associated with attenuated loss of lean body mass (LBM) over time in older individuals. Dietary leucine is thought to be a key mediator of anabolism. This study aimed to assess this relationship over 6 years among younger and older...... and physical activity, leucine intake was associated with LBM change in those older than 65 years (n 79), with no effect seen in those younger than 65 years. Older participants in the highest quartile of leucine intake (7·1 g/d) experienced LBM maintenance, whereas lower intakes were associated with LBM loss...

  3. Lean body mass change over 6 years is associated with dietary leucine intake in an older Danish population.

    McDonald, Cameron Keith; Ankarfeldt, Mikkel Z; Capra, Sandra; Bauer, Judy; Raymond, Kyle; Heitmann, Berit Lilienthal

    2016-05-01

    Higher protein intake, and particularly higher leucine intake, is associated with attenuated loss of lean body mass (LBM) over time in older individuals. Dietary leucine is thought to be a key mediator of anabolism. This study aimed to assess this relationship over 6 years among younger and older adult Danes. Dietary leucine intake was assessed at baseline and after 6 years in men and women, aged 35-65 years, participating in the Danish cohort of the WHO-MONICA (Multinational MONItoring of trends and determinants in CArdiovascular disease) study (n 368). Changes in LBM over the 6 years were measured by bioelectrical impedance using equations developed for this Danish population. The association between leucine and LBM changes was examined using multivariate linear regression and ANCOVA analyses adjusted for potential confounders. After adjustment for baseline LBM, sex, age, energy intake and physical activity, leucine intake was associated with LBM change in those older than 65 years (n 79), with no effect seen in those younger than 65 years. Older participants in the highest quartile of leucine intake (7·1 g/d) experienced LBM maintenance, whereas lower intakes were associated with LBM loss over 6 years (for trend: β=0·434, P=0·03). Sensitivity analysis indicated no effect modification of sex or the presence of CVD. Greater leucine intake in conjunction with adequate total protein intake was associated with long-term LBM retention in a healthy older Danish population. This study corroborates findings from laboratory investigations in relation to protein and leucine intakes and LBM change. A more diverse and larger sample is needed for confirmation of these results. PMID:26979049

  4. Day care attendance in early life, maternal history of asthma, and asthma at the age of 6 years

    Celedon, JC; Wright, RJ; Litonjua, AA; Sredl, D; Ryan, L; Weiss, ST; Gold, DR

    2003-01-01

    Among children not selected on the basis of a parental history of atopy, day care attendance in early life is inversely associated with asthma at school age. We examined the relation between day care in the first year of life and asthma, recurrent wheezing, and eczema at the age of 6 years and wheez

  5. Dietary protein and urinary nitrogen in relation to 6-year changes in fat mass and fat-free mass

    Ankarfeldt, M Z; Gottliebsen, K; Ängquist, L;

    2015-01-01

    BACKGROUND: In contrast to the physiological expectation, observational studies show that greater protein intake is associated with subsequent body weight (BW) gain. An increase in fat-free mass (FFM) due to the anabolic effects of protein could explain this. OBJECTIVE: To examine associations...... between protein intake and subsequent changes in fat mass (FM) and FFM in longitudinal, observational data. DESIGN: A health examination, including measures of FM and FFM by bioelectrical impedance at baseline and follow-up 6 years later, was conducted. Diet history interviews (DHI) were performed, and 24......-h urinary nitrogen collection at baseline was done. In total, 330 participants with DHI, of whom 227 had validated and complete 24-h urine collection data, were analyzed. Macronutrient energy substitution models were used. RESULTS: Mean estimated protein intake was 14.6 E% from DHI and 11.3 E% from...

  6. Study of the association of socio-demographic factors and feeding practices with the dietary intake in 3-6years old children

    Kalantari, Naser; Doaei, Saeid

    2014-01-01

    This paper aimed to investigate the association of social factors and feeding practices with the diet in 3- 6 years old children. A cross-sectional study of 208 parents with children aged 3-6 years was carried out in 30 primary schools of Rasht, Iran in 2011. Measures included social factors, aspects of parental control practices and the child's diet. Mothers reported both their own and their child's demographics. Aspects of child feeding practices were assessed by using Comprehensive Feeding...

  7. Analysis of dietary behavior of children aged 1-6 years in Changning district%长宁区1-6岁儿童饮食行为现状分析及探讨

    王芳; 蔡文秀; 鲁巧珍; 黄璧琨; 金星明

    2011-01-01

    目的 了解长宁区儿童饮食行为问题发生的现况及其影响因素,为儿童饮食行为问题的干预提供参考依据.方法 对长宁区1-6岁儿童采用整群系统抽样,对儿童照养人进行问卷调查,内容包括儿童的饮食行为现状和影响因素.结果 儿童饮食行为问题发生率为45.20%.而家长报告的儿童饮食行为问题为59.57%.与儿童饮食行为问题有关的因素为:儿童年龄(χ2=27.572,P<0.001)、呼吸道感染频率(χ2=8.418,P<0.05)、便秘(χ2=33.217,P<0.001)、胃食管返流(χ2=9.152,P<0.01)、气质(χ2=58.184,P<0.001)、照养人的饮食行为(χ2=10.035,P<0.01).结论 1-6岁儿童饮食行为问题发生率高.对高发人群要重点加强饮食行为的培养和干预;儿童饮食行为问题类化于照养人饮食行为问题,应开展饮食行为问题的家庭综合干预.%Objective To investigate the status of dietary behavior and its influencing factors on 1- to 6-years old children in Changning district, and to provide reference for intervention measures on dietary behavior problems of children. Methods 1- to 6-years old children in Changning district were selected with cluster and system sampling and their caregivers were surveyed with questionnaire about dietary behavior and its influencing factors. Results The prevalence of dietary behavior problems was 45. 2% and the rate reported by parents was 59. 6% . The prevalence of dietary behavior prohlems was influenced by age( x2 = 27. 572 ,P<0. 001 , frequency of upper respiratory tract infection( x2 = 8. 418 ,P<0. 05 ) , constipation(x2 = 33. 217 , P < 0. 001 ) , gastroesophageal efflux( x2 =9. 152 , P < 0. 01 ) , temperament ( x2 = 58. 184 ,P< 0. 01 )and dietary behavior of caregivers( x2 = 10. 035 , P < 0. 001 ). Gender , frequency of diarrhea , frequency of tonsillitis and saprodontia had nothing to do with the prevalence of dietary hehavior prohlems ( P>0. 05 ). Conclusion The prevalence of dietary behavior

  8. Survey on dietary behavior of simple obese children aged 0-6 years%0~6岁单纯性肥胖儿童饮食行为调查分析

    卫淑平; 高敬文

    2012-01-01

    Objective To investigate the dietary behavior of obese children aged 0-6 years and analyze the causes of obesity, so as to provide guidance for dietary behavior of simple obese children. Methods In the Fifth Hospital of Xi' an City 105 obese children ( obese group ) and another 105 normal weight children ( control group ) were selected, and questionnaires were used to obtain relevant information. Results There were significant differences in feeding behavior, eating behavior, food selection, eating environment between obese group and control group (x2 value was 62. 89, 34. 56, 53. 19 and 15. 36, respectively, all P <0. 01 ). Ingesting large amount of staple food and eating meat, dairy products, sweet food, fried food, snacks and supper were found in obese children. The proportion of not receiving high education among obese children' s mothers was relatively high. Conclusion Besides genetic factors, childhood obesity is closely related with dietary behavior.%目的 调查0~6岁肥胖儿童的饮食行为,分析其肥胖原因,为单纯性肥胖儿童饮食行为提供指导依据.方法 选取在西安市第五医院儿保门诊肥胖儿童(肥胖组)和体重正常儿童(对照组)各105名,采用问卷调查的方式取得相关资料并加以分析.结果 肥胖组儿童的饮食行为在喂养行为、进食行为、食物选择、进食环境与对照组存在显著性差异,χ2值分别为62.89,34.56,53.19,15.36,均P<0.01.肥胖组儿童摄入主食量大,爱吃肉类食品、奶制品、甜食、油炸类食品,爱吃零食、夜宵.肥胖组儿童母亲未接受高等教育者的比例较大(χ2=23.44,P<0.01).结论 除遗传因素外,儿童肥胖与饮食行为有密切关系.

  9. Early and Late Outcome of Premature Newborns with History of Neonatal Intensive Care Units Admission at 6 Years Old in Zanjan, Northwestern Iran

    SADEGHZADEH, Mansour; KHOSHNEVISASL, Parisa; PARVANEH, Mehdi; MOUSAVINASAB, Noreddin

    2016-01-01

    Objective Premature birth is an important factor for mortality and morbidity of neonates. This study was designed to evaluate the outcome of preterm neonates who needed neonatal intensive care (NICU) hospitalization after 6 yr at their entrance to the school. Materials & Methods This cross sectional study was conducted on premature neonates consecutively hospitalized in NICU of Valie Asr Hospital (the Academic Pediatric Hospital, Zanjan, Northwestern Iran) from September 2001 to September 2003. All children with a history of prematurity and NICU treatment were evaluated at their entrance to the school. Demographic findings, clinical examinations, IQ test, hearing and visual acuity exams were recorded. Results From 179 neonates, 78 (43.6%) survived and were discharged from hospital. Fifty-four of them were available and entered first grade in primary school. Only one case had severe mental retardation. One case had severe retinopathy of prematurity (ROP). Hearing abnormality was not detected in any case. There was no significant relation between IQ score, visual as well as hearing findings and gestational age. Conclusion We did not find significant disability in the outcome of surviving infants. This could be explained by the high mortality rate of neonates during hospitalization. PMID:27247586

  10. Validity and reproducibility of a Spanish dietary history

    Guallar-Castillón, Pilar; Sagardui-Villamor, Jon; Balboa-Castillo, Teresa; Sala-Vila, Aleix; Ariza Astolfi, Mª José; Sarrión Pelous, Mª Dolores; León-Muñoz, Luz María; Graciani, Auxiliadora; Laclaustra, Martín; Benito, Cristina; Banegas, José Ramón; Rodríguez Artalejo, Fernando

    2014-01-01

    Objective: To assess the validity and reproducibility of food and nutrient intake estimated with the electronic diet history of ENRICA (DH-E), which collects information on numerous aspects of the Spanish diet. Methods: The validity of food and nutrient intake was estimated using Pearson correlation coefficients between the DH-E and the mean of seven 24-hour recalls collected every 2 months over the previous year. The reproducibility was estimated using intraclass correlation coef...

  11. The odor of a plant metabolite affects life history traits in dietary restricted adult olive flies.

    Gerofotis, Christos D; Ioannou, Charalampos S; Nakas, Christos T; Papadopoulos, Nikos T

    2016-01-01

    Food quality shapes life history traits either directly or through response of individuals to additional environmental factors, such as chemical cues. Plant extracts used as food additives modulate key life history traits; however little is known regarding such effects for olfactory chemical cues. Exploiting an interesting experimental system that involves the olive fly (Bactrocera oleae) and the plant metabolite α-pinene we asked whether exposure of adults to this compound modulates adult longevity and female reproduction in similar manner in a stressful - dietary (protein) restricted (DR) and in a relaxed- full diet (FD) feeding environment. Accordingly, we exposed males and females to the aroma of α-pinene and measured lifespan and age-specific fecundity in the above two dietary contexts. Our results demonstrate that exposure to α-pinene increased longevity in males and fecundity in females only under dietary restricted conditions. In relaxed food conditions, females exposed to α-pinene shifted high egg-laying towards younger ages compared to non-exposed ones. This is the first report demonstrating that a plant compound affects key life history traits of adult olive flies through olfaction. These effects are sex-specific and more pronounced in dietary restricted adults. Possible underlying mechanisms and the ecological significance are discussed. PMID:27339862

  12. The odor of a plant metabolite affects life history traits in dietary restricted adult olive flies

    Gerofotis, Christos D.; Ioannou, Charalampos S.; Nakas, Christos T.; Papadopoulos, Nikos T.

    2016-01-01

    Food quality shapes life history traits either directly or through response of individuals to additional environmental factors, such as chemical cues. Plant extracts used as food additives modulate key life history traits; however little is known regarding such effects for olfactory chemical cues. Exploiting an interesting experimental system that involves the olive fly (Bactrocera oleae) and the plant metabolite α-pinene we asked whether exposure of adults to this compound modulates adult longevity and female reproduction in similar manner in a stressful – dietary (protein) restricted (DR) and in a relaxed- full diet (FD) feeding environment. Accordingly, we exposed males and females to the aroma of α-pinene and measured lifespan and age-specific fecundity in the above two dietary contexts. Our results demonstrate that exposure to α-pinene increased longevity in males and fecundity in females only under dietary restricted conditions. In relaxed food conditions, females exposed to α-pinene shifted high egg-laying towards younger ages compared to non-exposed ones. This is the first report demonstrating that a plant compound affects key life history traits of adult olive flies through olfaction. These effects are sex-specific and more pronounced in dietary restricted adults. Possible underlying mechanisms and the ecological significance are discussed. PMID:27339862

  13. Validity and reproducibility of a Spanish dietary history.

    Pilar Guallar-Castillón

    Full Text Available OBJECTIVE: To assess the validity and reproducibility of food and nutrient intake estimated with the electronic diet history of ENRICA (DH-E, which collects information on numerous aspects of the Spanish diet. METHODS: The validity of food and nutrient intake was estimated using Pearson correlation coefficients between the DH-E and the mean of seven 24-hour recalls collected every 2 months over the previous year. The reproducibility was estimated using intraclass correlation coefficients between two DH-E made one year apart. RESULTS: The correlations coefficients between the DH-E and the mean of seven 24-hour recalls for the main food groups were cereals (r = 0.66, meat (r = 0.66, fish (r = 0.42, vegetables (r = 0.62 and fruits (r = 0.44. The mean correlation coefficient for all 15 food groups considered was 0.53. The correlations for macronutrients were: energy (r = 0.76, proteins (r= 0.58, lipids (r = 0.73, saturated fat (r = 0.73, monounsaturated fat (r = 0.59, polyunsaturated fat (r = 0.57, and carbohydrates (r = 0.66. The mean correlation coefficient for all 41 nutrients studied was 0.55. The intraclass correlation coefficient between the two DH-E was greater than 0.40 for most foods and nutrients. CONCLUSIONS: The DH-E shows good validity and reproducibility for estimating usual intake of foods and nutrients.

  14. Effectiveness of a universal parental support programme to promote healthy dietary habits and physical activity and to prevent overweight and obesity in 6-year-old children: the Healthy School Start Study, a cluster-randomised controlled trial.

    Gisela Nyberg

    Full Text Available To develop and evaluate the effectiveness of a parental support programme to promote healthy dietary and physical activity habits and to prevent overweight and obesity in Swedish children.A cluster-randomised controlled trial was carried out in areas with low to medium socio-economic status. Participants were six-year-old children (n = 243 and their parents. Fourteen pre-school classes were randomly assigned to intervention (n = 7 and control groups (n = 7. The intervention lasted for 6 months and included: 1 Health information for parents, 2 Motivational Interviewing with parents and 3 Teacher-led classroom activities with children. Physical activity was measured by accelerometry, dietary and physical activity habits and parental self-efficacy through a questionnaire. Body weight and height were measured and BMI standard deviation score was calculated. Measurements were conducted at baseline, post-intervention and at 6-months follow-up. Group differences were examined using analysis of covariance and Poisson regression, adjusted for gender and baseline values.There was no significant intervention effect in the primary outcome physical activity. Sub-group analyses showed a significant gender-group interaction in total physical activity (TPA, with girls in the intervention group demonstrating higher TPA during weekends (p = 0.04, as well as in sedentary time, with boys showing more sedentary time in the intervention group (p = 0.03. There was a significantly higher vegetable intake (0.26 servings in the intervention group compared to the control group (p = 0.003. At follow-up, sub-group analyses showed a sustained effect for boys. The intervention did not affect the prevalence of overweight or obesity.It is possible to influence vegetable intake in children and girls' physical activity through a parental support programme. The programme needs to be intensified in order to increase effectiveness and sustain the effects long-term. These findings

  15. 鞍山市3所幼儿园4~6岁幼儿饮食行为调查%Study on Dietary Behavior Status Quo Lnvestigation of 4 to 6 Years Old Children

    高保盛; 白燕; 李书倩; 侯冬岩

    2013-01-01

    To understand the difference among kindergarten 4~6 years old from Anshan children’ s eating be-havior,this study uses cluster sampling method to investigate children’ s eating behavior by questionnaire and observationThe object of this investigation is 256 children from 3 kindergartens of Anshan cityKap level is dif-ferent from age significantly,and not different from gender significantlySo,children’ s breakfast situation is une-ven,excessive snacks and picky generally existCounterparts in kindergarten need to carry out effective and tar-geted nutrition education,enhance the cooperation between family and kindergarten,and develop children’ s healthy eating habits together;Parents should have confidence to correct poor eating habits and lay the founda-tion for children’ s physical and mental health development.%为了解鞍山市不同幼儿园4~6岁幼儿饮食行为状况,本研究运用整群抽样的方法选取鞍山市3所不同层次幼儿园的256名幼儿,采用问卷调查和观察法对饮食行为进行调查。调查发现幼儿早餐状况参差不齐,存在过度零食、挑食、偏食现象。幼儿园需要有效开展营养教育,加强家园合作关系,共同培养幼儿健康饮食行为习惯。

  16. Hip dysplasia in a 6-year-old Salz ram

    Loste, Araceli; Ramos, Juan José; Sáez, Teófilo; Sever, Ramón; Marca, Carmen

    2003-01-01

    A 6-year old Salz ram was presented with a history of poor body condition, progressive gait abnormalities, pelvic limb lameness, and difficulty with copulation. Based on the history, clinical signs, hip palpation, and radiography, a diagnosis of hip dysplasia, previously unreported in sheep, was made.

  17. Associations among body size dissatisfaction, perceived dietary control, and diet history in African American and European American women

    Chandler-Laney, Paula; Hunter, Gary; Bush, Nikki; Alvarez, Jessica; Roy, Jane; Byrne, Nuala; Gower, Barbara

    2009-01-01

    European American (EA) women report greater body dissatisfaction and less dietary control than do African American (AA) women. This study investigated whether ethnic differences in dieting history contributed to differences in body dissatisfaction and dietary control, or to differential changes that may occur during weight loss and regain. Eighty-nine EA and AA women underwent dual energy X-ray absorptiometry to measure body composition and completed questionnaires to assess body dissatisfact...

  18. Dietary habits and past medical history as related to fatal pancreas cancer risk among Adventists.

    Mills, P K; Beeson, W L; Abbey, D E; Fraser, G E; Phillips, R L

    1988-06-15

    Epidemiologic studies of diet and pancreas cancer are few, and include ecologic comparisons and a limited number of prospective and case-control studies. Foods and/or nutrients that have been suggested to be associated with increased risk of this cancer include total fat intake, eggs, animal protein, sugar, meat, coffee and butter. Consumption of raw fruits and vegetables has been consistently associated with decreased risk. Dietary habits and medical history variables were evaluated in a prospective study of fatal pancreas cancer among 34,000 California Seventh-day Adventists between 1976 and 1983. Forty deaths from pancreas cancer occurred during the follow-up period. Compared to all US whites, Adventists experienced decreased risk from pancreas cancer death (standardized mortality ratio [SMR] = 72 for men; 90 for women), which was not statistically significant. Although there was a suggestive relationship between increasing meat, egg, and coffee consumption and increased pancreatic cancer risk, these variables were not significantly related to risk after controlling for cigarette smoking. However, increasing consumption of vegetarian protein products, beans, lentils, and peas as well as dried fruit was associated with highly significant protective relationships to pancreas cancer risk. A prior history of diabetes was associated with increased risk of subsequent fatal pancreas cancer, as was a history of surgery for peptic or duodenal ulcer. A history of tonsillectomy was associated with a slight, nonsignificant protective relationship as was history of various allergic reactions. These findings suggest that the protective relationships associated with frequent consumption of vegetables and fruits high in protease-inhibitor content are more important than any increase in pancreas cancer risk attendant on frequent consumption of meat or other animal products. Furthermore, the previously reported positive associations between diabetes and abdominal surgery and

  19. Variation in dietary histories among the immigrants of Machu Picchu: Carbon and nitrogen isotope evidence

    This study estimates dietary composition during infancy and childhood among 71 adults interred at the site of Machu Picchu, a royal Inca estate in the southern highlands of Peru. Recent research suggests that the majority of individuals were members of the cosmopolitan yana and aclla servant classes, and immigrated to the site from different regions; individual dietary histories may have been similarly varied. Diet was estimated at multiple points in early life through characterization of carbon and nitrogen isotope ratios in tooth enamel and dentin, which preserve isotopic values from the first years of life. These data were compared to isotopic data from modern food samples, and analyzed using recently-published statistical models. A subset of individuals also has existing bone collagen isotopic data, which reflects diet from the last decade of life and thus permits comparison over the life course. Results indicate significant variation in enamel δ13C (approximately 12%o), dentin δ13C (approximately 9%o) and δ15N (approximately 8%o) between individuals across the study population. These findings suggest substantial variability in diet during infancy and childhood, and support interpretations that this population was primarily yanacona or mixed yanaconalacllacona. This study also highlights the utility of multi-tissue isotopic analysis in more nuanced reconstruction of diet in the ancient Andes

  20. Dietary patterns and associated lifestyles in individuals with and without familial history of obesity: a cross-sectional study

    Vohl Marie-Claude

    2006-10-01

    Full Text Available Abstract Background Familial history of obesity (FHO and certain dietary habits are risk factors for obesity. The objectives of this cross-sectional study were 1 to derive dietary patterns using factor analysis in a population of men and women with and without FHO; 2 to compare mean factor scores for each dietary pattern between individuals with and without FHO; and 3 to examine the association between these patterns and anthropometric, lifestyle and sociodemographic variables. Methods A total of 197 women and 129 men with a body mass index 2 were recruited. A positive FHO (FHO+ was defined as having at least one obese first-degree relative and a negative FHO (FHO- as no obese first-degree relative. Dietary data were collected from a food frequency questionnaire. Factor analysis was performed to derive dietary patterns. Mean factor scores were compared using general linear model among men and women according to FHO. Regression analyses were performed to study the relationship between anthropometric, lifestyle and sociodemographic variables, and each dietary pattern. Results Two dietary patterns were identified in both men and women : the Western pattern characterized by a higher consumption of red meats, poultry, processed meats, refined grains as well as desserts, and the Prudent pattern characterized by greater intakes of vegetables, fruits, non-hydrogenated fat, and fish and seafood. Similar Western and Prudent factor scores were observed in individual with and without FHO. In men with FHO+, the Western pattern is negatively associated with age and positively associated with physical activity, smoking, and personal income. In women with FHO-, the Prudent pattern is negatively associated with BMI and smoking and these pattern is positively associated with age and physical activity. Conclusion Two dietary patterns have been identified among men and women with and without FHO. Although that FHO does not seem to influence the adherence to dietary

  1. Safety for Your Child: 6 Years

    ... in Action Medical Editor & Editorial Advisory Board Sponsors Sponsorship Opporunities Spread the Word Shop AAP Find a Pediatrician ... > Safety for Your Child: 6 Years Ages & Stages Listen Español Text Size ...

  2. Stable isotope series from elephant ivory reveal lifetime histories of a true dietary generalist.

    Codron, Jacqueline; Codron, Daryl; Sponheimer, Matt; Kirkman, Kevin; Duffy, Kevin J; Raubenheimer, Erich J; Mélice, Jean-Luc; Grant, Rina; Clauss, Marcus; Lee-Thorp, Julia A

    2012-06-22

    Longitudinal studies have revealed how variation in resource use within consumer populations can impact their dynamics and functional significance in communities. Here, we investigate multi-decadal diet variations within individuals of a keystone megaherbivore species, the African elephant (Loxodonta africana), using serial stable isotope analysis of tusks from the Kruger National Park, South Africa. These records, representing the longest continuous diet histories documented for any extant species, reveal extensive seasonal and annual variations in isotopic--and hence dietary--niches of individuals, but little variation between them. Lack of niche distinction across individuals contrasts several recent studies, which found relatively high levels of individual niche specialization in various taxa. Our result is consistent with theory that individual mammal herbivores are nutritionally constrained to maintain broad diet niches. Individual diet specialization would also be a costly strategy for large-bodied taxa foraging over wide areas in spatio-temporally heterogeneous environments. High levels of within-individual diet variability occurred within and across seasons, and persisted despite an overall increase in inferred C(4) grass consumption through the twentieth century. We suggest that switching between C(3) browsing and C(4) grazing over extended time scales facilitates elephant survival through environmental change, and could even allow recovery of overused resources. PMID:22337695

  3. Adnexal torsion in 6 years old girl

    MRI and US findings in Ovarian torsion in a premenarcheal girl are described. Adnexal torsion is an uncommon cause of severe lower abdominal pain in young women (mean age is 10-11), and in 50% of cases such symptoms are observed in pre-menarchal females. However, adnexal torsion should be considered in all premenarcheal girls admitted with acute abdominal pain and evidence of an ovarian mass. Accurate imaging is crucial after onset of early clinical symptoms to confirm the diagnosis and to preserve the viability of the affected ovary. A pelvic ovoid mass was visualised on ultrasound, suggesting several hypothesis -cystic mass, ovarian torsion, dermoid. Magnetic resonance imaging visualized edematous ovary enlargement and the presence of multiple follicules at the periphery due to congestion from the twisted vascular pedicule. Smooth wail thickening of the partially necrotic. Twisted ovary was seen in the subacute phase, which has been confirmed during laparoscopy. CT was not considered in this 6 years old girl due to ionizing radiation. (authors)

  4. Bioplastique at 6 years: clinical outcome studies.

    Ersek, R A; Gregory, S R; Salisbury, A V

    1997-11-01

    Bioplastique is a biphasic polymer for the permanent augmentation of some soft tissues. It was developed in 1987, and clinical studies at this institution were begun in 1990. The combination of low molecular weight polyvinylpyrrolidone and solid polymer particles allows the implantation of permanent polymer spheres through a small needle under local anesthesia. In this study 127 cases are reviewed of consecutive patients who have received Bioplastique for scar revision, wrinkles, and augmentation for soft-tissue defects at 6 years after application. All patients who had not been in for follow-up recently were contacted by mail and questioned on the permanence of augmentation and migration of particles. About 30 percent of the patients were unreachable and had their charts reviewed for permanence and migration of particles. In eight of these cases, Bioplastique was removed because of overcorrection, two of them may have had infection. Bioplastique has gained wide use throughout the world and although some complications have been reported, in general, it functions quite well when used in selected cases. PMID:9385974

  5. HISTORY MAY BE THE BEST GUIDE FOR DETERMINING THE ATHLETE'S DIETARY PROTEIN NEEDS

    LAMONT, LINDA S.

    2009-01-01

    I was encouraged to read Dr. Longo and colleagues' Letter to the Editor entitled "The best athletes in ancient Rome were vegetarian!"(Longo et al., 2008). These writers ask that we rethink the issue of what is an optimal dietary protein content for athletes by considering the diets that sustained the ancient gladiators of Rome. Historical evidence shows that humans of ancient times performed at intense levels while consuming 78% of their diets' as plant protein (Kanz and Grosschmidt, 2007). T...

  6. Bridging Developmental Boundaries: Lifelong Dietary Patterns Modulate Life Histories in a Parthenogenetic Insect

    Roark, Alison M.; Bjorndal, Karen A.

    2014-01-01

    Determining the effects of lifelong intake patterns on performance is challenging for many species, primarily because of methodological constraints. Here, we used a parthenogenetic insect (Carausius morosus) to determine the effects of limited and unlimited food availability across multiple life-history stages. Using a parthenogen allowed us to quantify intake by juvenile and adult females and to evaluate the morphological, physiological, and life-history responses to intake, all without the ...

  7. Stable isotope series from elephant ivory reveal lifetime histories of a true dietary generalist

    Codron, Jacqueline; Codron, Daryl; Sponheimer, Matt; Kirkman, Kevin; Duffy, Kevin J.; Raubenheimer, Erich J.; Mélice, Jean-Luc; Grant, Rina; Clauss, Marcus; Lee-Thorp, Julia A.

    2012-01-01

    Longitudinal studies have revealed how variation in resource use within consumer populations can impact their dynamics and functional significance in communities. Here, we investigate multi-decadal diet variations within individuals of a keystone megaherbivore species, the African elephant (Loxodonta africana), using serial stable isotope analysis of tusks from the Kruger National Park, South Africa. These records, representing the longest continuous diet histories documented for any extant s...

  8. Bridging developmental boundaries: lifelong dietary patterns modulate life histories in a parthenogenetic insect.

    Alison M Roark

    Full Text Available Determining the effects of lifelong intake patterns on performance is challenging for many species, primarily because of methodological constraints. Here, we used a parthenogenetic insect (Carausius morosus to determine the effects of limited and unlimited food availability across multiple life-history stages. Using a parthenogen allowed us to quantify intake by juvenile and adult females and to evaluate the morphological, physiological, and life-history responses to intake, all without the confounding influences of pair-housing, mating, and male behavior. In our study, growth rate prior to reproductive maturity was positively correlated with both adult and reproductive lifespans but negatively correlated with total lifespan. Food limitation had opposing effects on lifespan depending on when it was imposed, as it protracted development in juveniles but hastened death in adults. Food limitation also constrained reproduction regardless of when food was limited, although decreased fecundity was especially pronounced in individuals that were food-limited as late juveniles and adults. Additional carry-over effects of juvenile food limitation included smaller adult size and decreased body condition at the adult molt, but these effects were largely mitigated in insects that were switched to ad libitum feeding as late juveniles. Our data provide little support for the existence of a trade-off between longevity and fecundity, perhaps because these functions were fueled by different nutrient pools. However, insects that experienced a switch to the limited diet at reproductive maturity seem to have fueled egg production by drawing down body stores, thus providing some evidence for a life-history trade-off. Our results provide important insights into the effects of food limitation and indicate that performance is modulated by intake both within and across life-history stages.

  9. Caries risk profiles in 2- to 6-year-old Greek children using the Cariogram

    Kavvadia, Katerina; Agouropoulos, Andreas; Gizani, Sotiria; Papagiannouli, Lisa; Twetman, Svante

    2012-01-01

    Objective: To assess the caries risk profiles in 2- to 6-year-old Greek children using a computer-based program and to evaluate the contribution of various risk factors. Methods: The study group consisted of 814 preschool children. A questionnaire on family, demographic and socioeconomic factors, general health, oral hygiene and dietary behavior was completed by the parents. Children were examined for cavitated and white-spot lesions (WSL). Salivary mutans streptococci (MS) and buffer capacit...

  10. Genetic adaptation to levels of dietary selenium in recent human history.

    White, Louise; Romagné, Frédéric; Müller, Elias; Erlebach, Eva; Weihmann, Antje; Parra, Genís; Andrés, Aida M; Castellano, Sergi

    2015-06-01

    As humans migrated around the world, they came to inhabit environments that differ widely in the soil levels of certain micronutrients, including selenium (Se). Coupled with cultural variation in dietary practices, these migrations have led to a wide range of Se intake levels in populations around the world. Both excess and deficiency of Se in the diet can have adverse health consequences in humans, with severe Se deficiency resulting in diseases of the bone and heart. Se is required by humans mainly due to its function in selenoproteins, which contain the amino acid selenocysteine as one of their constituent residues. To understand the evolution of the use of this micronutrient in humans, we surveyed the patterns of polymorphism in all selenoprotein genes and genes involved in their regulation in 50 human populations. We find that single nucleotide polymorphisms from populations in Asia, particularly in populations living in the extreme Se-deficient regions of China, have experienced concerted shifts in their allele frequencies. Such differentiation in allele frequencies across genes is not observed in other regions of the world and is not expected under neutral evolution, being better explained by the action of recent positive selection. Thus, recent changes in the use and regulation of Se may harbor the genetic adaptations that helped humans inhabit environments that do not provide adequate levels of Se in the diet. PMID:25739735

  11. HISTORY MAY BE THE BEST GUIDE FOR DETERMINING THE ATHLETE'S DIETARY PROTEIN NEEDS

    Linda S. Lamont

    2009-03-01

    Full Text Available I was encouraged to read Dr. Longo and colleagues' Letter to the Editor entitled "The best athletes in ancient Rome were vegetarian!"(Longo et al., 2008. These writers ask that we rethink the issue of what is an optimal dietary protein content for athletes by considering the diets that sustained the ancient gladiators of Rome. Historical evidence shows that humans of ancient times performed at intense levels while consuming 78% of their diets' as plant protein (Kanz and Grosschmidt, 2007. This anthropological fact, and some recent laboratory evidence, argues against the need to increase the protein RDA for athletes from 0.8 g of protein per kilogram of body weight per day to 1.2 to 1.4 g per kilogram per day (ACSM, 2000. Our research group found that amino acids make a small contribution (2 - 3% of total to endurance energy needs (Lamont et al, 1999 and that athlete's have similar oxidation rates if corrections are made for oxygen consumption and fat-free body mass. Others report that a short-term training program of 38-days reduces amino acid use during exercise and down-regulates a critical enzyme in the oxidative pathway in order to spare this nutrient (McKenzie et al., 2000 Yet sport nutritionists and physiologists continue to recommend an increased protein RDA for this group. If one does a Google search using the words exercise and protein you would literally get millions of citations recommending the athlete to increase their protein intake. One reason for this continued recommendation, I believe, is that the laboratory procedure used to justify an increased protein RDA (field-based nitrogen balance measurements has many methodological shortcomings that are not recognized by the sports science community (Lamont, 2008. The problems with this technique are so great that its scientific fidelity has been questioned (Lamont, 2008. And as Longo and colleagues have highlighted (2008 the Institute of Medicine concluded that the evidence for

  12. Fish movement and dietary history derived from otolith δ13C

    Weber, P. K.; Finlay, J. C.; Power, M. E.; Phillis, C. C.; Ramon, C. E.; Eaton, G. F.; Ingram, B. L.

    2005-12-01

    Habitat use and food web linkages are critical data for fish conservation and habitat restoration efforts, particularly for threatened salmonids species. Otolith microchemistry has been shown to be a powerful tool for reconstructing fish movement, but over small distances (kilometers), geology-derived differences in otolith chemistry are rare. Here, we demonstrate that otolith 13C/12C ratio (i.e. δ13C) of anadromous steelhead trout can be used to distinguish residence in small streams from residence in larger streams and rivers. While previous research has shown that water dissolved inorganic carbon d13C is the primary source of carbon in otoliths, the downstream change in food δ13C in this watershed appears to be the primary control on otolith δ13C. As a result, this method can also be applied to the problem of reconstructing feeding history at a location.

  13. Fish Movement and Dietary History Derived from Otolith (delta)13C

    Weber, P K; Finlay, J C; Power, M E; Phillis, C C; Ramon, C E; Eaton, G F; Ingram, B L

    2005-09-08

    Habitat use and food web linkages are critical data for fish conservation and habitat restoration efforts, particularly for threatened salmonids species. Otolith microchemistry has been shown to be a powerful tool for reconstructing fish movement, but over small distances (kilometers), geology-derived differences in otolith chemistry are rare. Here, we demonstrate that otolith {sup 13}C/{sup 12}C ratio (i.e. {delta}{sup 13}C) of anadromous steelhead trout can be used to distinguish residence in small streams from residence in larger streams and rivers. While previous research has shown that water dissolved inorganic carbon {delta}{sup 13}C is the primary source of carbon in otoliths, the downstream change in food {delta}{sup 13}C in this watershed appears to be the primary control on otolith {delta}{sup 13}C. As a result, this method can also be applied to the problem of reconstructing feeding history at a location.

  14. Gestational trophoblastic neoplasia: A 6 year retrospective study

    Sushruta Shrivastava

    2014-01-01

    Full Text Available Aims and Objectives: To study the clinical presentations of gestational trophoblastic neoplasia and its response to chemotherapy. Materials and Methods: This is a retrospective study of 28 women of gestational trophoblastic neoplasia evaluated over a period of 6 years from January 2004 to December 2009. Patients were evaluated on the basis of their age, number of deliveries, history of abortion or molar pregnancy, and the treatment received. All patients were scored on the basis of WHO scoring system. Patients with low risk (score /=7 received multiple agent chemotherapy with EMACO regimen. After completion of chemotherapy patients were followed for a minimum of 2 years. The response to treatment was evaluated during follow-up by clinical examination, beta hCG levels and imaging as and when required. Results: Out of 28 women only 27 could be evaluated, because 1 patient was lost to follow-up. Out of 27 patients, 18 patients (66.67% achieved complete remission with the first-line chemotherapy and additional 25.92% (7/27 achieved complete remission with second line chemotherapy resulting in complete remission of 92.5% (25/27. Conclusion: Gestational trophoblastic neoplasia is curable if patient is properly evaluated and scored. It shows good response to chemotherapy.

  15. Healthful Dietary Patterns and the Risk of Hypertension Among Women With a History of Gestational Diabetes Mellitus: A Prospective Cohort Study.

    Li, Shanshan; Zhu, Yeyi; Chavarro, Jorge E; Bao, Wei; Tobias, Deirdre K; Ley, Sylvia H; Forman, John P; Liu, Aiyi; Mills, James; Bowers, Katherine; Strøm, Marin; Hansen, Susanne; Hu, Frank B; Zhang, Cuilin

    2016-06-01

    Women who developed gestational diabetes mellitus represent a high-risk population for hypertension later in life. The role of diet in the progression of hypertension among this susceptible population is unknown. We conducted a prospective cohort study of 3818 women with a history of gestational diabetes mellitus in the Nurses' Health Study II as part of the ongoing Diabetes & Women's Health Study. These women were followed-up from 1989 to 2011. Incident hypertension was identified through self-administered questionnaires that were validated previously by medical record review. Adherence scores for the alternative Healthy Eating Index 2010, the alternative Mediterranean diet, and the Dietary Approaches to Stop Hypertension were computed for each participant. Cox proportional hazard models were used to evaluate the associations between dietary scores and hypertension while adjusting for major risk factors for hypertension. We documented 1069 incident hypertension cases during a median of 18.5 years of follow-up. After adjustment for major risk factors for hypertension, including body mass index, alternative Healthy Eating Index 2010, alternative Mediterranean diet, and Dietary Approaches to Stop Hypertension scores were significantly inversely associated with the risk of hypertension; hazard ratio and 95% confidence interval comparing the extreme quartiles (highest versus lowest) were 0.76 (0.61-0.94; P for linear trend =0.03) for AHEI score, 0.72 (0.58-0.90; P for trend =0.01) for Dietary Approach to Stop Hypertension score, and 0.70 (0.56-0.88; P for trend =0.002) for alternative Mediterranean diet score. Adherence to a healthful dietary pattern was related to a lower subsequent risk of developing hypertension among women with a history of gestational diabetes mellitus. PMID:27091899

  16. Glycaemic index and glycaemic load in relation to blood lipids - 6 years of follow-up in adult Danish men and women

    Oxlund, Anne Lene; Heitmann, Berit Lilienthal

    2006-01-01

    : Prospective study with 6 years of follow-up. Overall dietary GI and GL of each participant were assessed from diet history interviews. SETTING: Population-based study. Subjects Three hundred and thirty-five healthy men and women aged 35-65 years selected randomly from a larger sample of Danish adults. RESULTS......BACKGROUND: Cross-sectional studies have suggested an association between glycaemic index (GI) or glycaemic load (GL) and serum lipids. However, no prospective studies have been performed. OBJECTIVE: To examine whether GI or GL was associated with subsequent changes in serum lipids. DESIGN......: In men GI was directly related to changes in total cholesterol (DeltaTC), regression coefficient (beta) = 0.0044 (95% confidence interval (CI): 0.0008-0.0081) and GL was positively related to changes in low-density lipoprotein cholesterol (DeltaLDL), beta = 0.1554 (95% CI: 0.0127-0.2982). Furthermore...

  17. A Gunpowder Tattoo in a 6-Year-Old Girl.

    Bernstein, Seth; Barros, Brittany; Zaenglein, Andrea L

    2016-05-01

    Gunpowder tattoos result from explosion and subsequent traumatic implantation of pigmented granules into varying layers of the skin. This report details the case of a 6-year-old with a gunpowder tattoo on the face. PMID:27040733

  18. in 5-6-year-olds and adults

    MidoriTokita

    2013-07-01

    Full Text Available Although a critical issue in the debate over the existence of abstract numerical representation, it remains unclear whether and how perceptual variables affect numerosity judgment and how they change across development stages. In this research, we examine the effects of perceptual variables on approximate numerosity comparison in 5-6-year-olds and adults using the identical experimental procedure. In the assessment of the effect of the perceptual variables, we measured precision (i.e., Weber fraction and accuracy (i.e., point of subjective equality; PSE of the numerosity comparison. In Study 1, we tested how the manipulation of the cumulative element area would affect approximate numerosity comparison. The results showed that Weber fractions increased and the size of bias enlarged in the large element condition in both adults and 5-6-year-olds. In study 2, we tested how the manipulation of the array area would affect the precision and accuracy of approximate numerosity comparison. The results demonstrated that Weber fractions increased and the size of bias enlarged in the large array condition in both adults and 5-6-year-olds. Overall, our results suggest that the effect of perceptual variables on 5-6-year-olds is qualitatively similar to that on adults. In addition, we also tested whether the performance of approximate comparison correlated with the initial numerical skill in 5-6-year-olds to reveal least relationship between them.

  19. Life history plasticity after attaining a dietary threshold for reproduction is associated with protein storage in flesh flies

    Hahn, Daniel A.; James, Laura N.; Milne, Kathy R.; Hatle, John D.

    2008-01-01

    Body condition affects the timing and magnitude of life history transitions. Therefore, identifying proximate mechanisms involved in assessing condition is critical to understanding how these mechanisms affect the expression of life history plasticity. Nutrient storage is an important body condition parameter, likely playing roles in both attaining minimum body-condition thresholds for life history transitions and expression of life history traits.We manipulated protein availability for femal...

  20. Duplicated Muellerian remnant in a 6-year-old boy

    Kuo, Helen J.; Cain, Mark P. [Indiana University School of Medicine, Riley Hospital for Children, Department of Pediatric Urology, Indianapolis, IN (United States); Karmazyn, Boaz [Indiana University School of Medicine, Riley Hospital for Children, Department of Radiology, Indianapolis, IN (United States)

    2009-08-15

    We report a 6-year-old boy with large duplicated Muellerian duct remnant who presented with recurrent urinary tract infections and dysuria. His prior urological problems included proximal hypospadias (repaired), urachal cyst, and a unilateral undescended testis. Imaging evaluation included US, MRI, and cystoscopy. Laparoscopic resection was performed via a retrovesical approach. The patient was free of symptoms after surgery. (orig.)

  1. Nutrition Status Of Children (1-6 Years In Slums Of Ghaziabad City

    Garg S.K

    1997-01-01

    Full Text Available Research question : What are the nutritional problems of pre- school children in slums? Objectives: (i To assess the nutritional status of the children . (ii To find out the nutritional deficiency disorders in them (iii To study their dietary intake. Study design: Cross- sectional. Setting : Slums of Ghaziabad city. Participants :771 children (1-6 years. Study Variables : Age, sex, caste, ICDS beneficiary status, weight, nutritional deficiency disorders, dietary intake and supplementary nutrition. Statistical analysis : Simple proportions and Chi- square test. Results : A majority (58.2 % of children were having under nutrition of varying grades irrespective of their sex and caste but influenced by their age and ICDS beneficiary status. Anaemia, xerophthalmia and goitre were present in 14.7%, 1.6% and 0.6 % children respectively. Average daily dietary intake of energy & nutrients were lower than the recommended daily allowances (RDA. Conclusion: Regular nutritional supplementation along with adequate nutrition education would reduce the nutritional deficiency disorders among children.

  2. VARIATION IN DIETARY HISTORIES AMONG THE IMMIGRANTS OF MACHU PICCHU: CARBON AND NITROGEN ISOTOPE EVIDENCE VARIACIÓN EN HISTORIAS DIETÉTICAS ENTRE LOS INMIGRANTES DE MACHU PICCHU: EVIDENCIA DE ISÓTOPOS DE CARBONO Y NITRÓGENO

    Turner, Bethany L.; Kingston, John D.; Armelagos, George J.

    2010-01-01

    This study estimates dietary composition during infancy and childhood among 71 adults interred at the site of Machu Picchu, a royal Inca estate in the southern highlands of Peru. Recent research suggests that the majority of individuals were members of the cosmopolitian yana and aclla servant classes, and immigrated to the site from different regions; individual dietary histories may have been similarly varied. Diet was estimated at multiple points in early life through characterization of ca...

  3. Factors Affecting the IQ of Preterm Born Children of 4-6 Years Old

    Shokofeh Radfar

    2014-08-01

    Full Text Available Background: This research was carry out with aim of study of factors affecting the IQ of children 4-6 years old born preterm. Materials and Methods: This analytical-cross sectional study was carried out on 102 premature children with age 4-6 years old during years 2004 to 2006. The tools used in this study were Wechsler intelligence scale for children and questioner including demographical characteristic. In this study we used t-test and spearman correlation and also SPSS-18 was used to analyze data. Results: In this study there was statistical relationship between normal child development and gestational age, birth weight, maternal education, multiple pregnancies, but there were not any statistical significant relationship between the history of preterm birth and child s gender, consanguinity parents, apgar, mother job. Conclusion: IQ in preterm babies who admitted in the NICU was lower than non-admitted preterm or term babies.

  4. Food and drinking patterns as predictors of 6-year BMI-adjusted changes in waist circumference

    Halkjær, Jytte; Sørensen, Thorkild I A; Tjønneland, Anne;

    2004-01-01

    Few studies have investigated the prospective associations between diet or drinking patterns and abdominal obesity; we therefore investigated whether food and beverage groups or patterns predicted 6-year changes in waist circumference (WC) and whether these associations were independent of...... concurrent changes in BMI as a measure of general obesity. The subjects were 2300 middle-aged men and women with repeated measurements of dietary intake, BMI and WC from 1982 to 1993. Intakes from ten food groups and from coffee, tea, wine, beer and spirits were assessed; gender-specific food factors were...... associations were weakened, especially for women, after adjustment for BMI changes. None of the food factors was associated with WC changes. Based on the present study, we conclude that very few food items and no food patterns seem to predict changes in WC, whereas high intakes of beer and spirits among women...

  5. Calibration of the dietary data obtained from the Brazilian center of the Natural History of HPV Infection in Men study: the HIM Study

    Juliana Araujo Teixeira

    2010-12-01

    Full Text Available The objective of this study was to estimate the regressions calibration for the dietary data that were measured using the quantitative food frequency questionnaire (QFFQ in the Natural History of HPV Infection in Men: the HIM Study in Brazil. A sample of 98 individuals from the HIM study answered one QFFQ and three 24-hour recalls (24HR at interviews. The calibration was performed using linear regression analysis in which the 24HR was the dependent variable and the QFFQ was the independent variable. Age, body mass index, physical activity, income and schooling were used as adjustment variables in the models. The geometric means between the 24HR and the calibration-corrected QFFQ were statistically equal. The dispersion graphs between the instruments demonstrate increased correlation after making the correction, although there is greater dispersion of the points with worse explanatory power of the models. Identification of the regressions calibration for the dietary data of the HIM study will make it possible to estimate the effect of the diet on HPV infection, corrected for the measurement error of the QFFQ.

  6. Multiple Radiolucencies of the Jaws in a 6 Year Old.

    Hansford, John T; Kelsch, Robert D; Wiltz, Mauricio

    2015-11-01

    Radiolucencies of the jaws are a common finding. Mostly, they are isolated findings associated with inflammatory processes and consistent with inflammatory periapical disease, such as periapical cysts and periapical granulomas. If associated with the crowns of unerupted teeth, they may represent dentigerous cysts. However, occasionally, larger lytic/radiolucent lesions are identified; even more infrequently, these radiographic findings may be multiple and concurrent. The purpose of this report is to present the case of a 6-year-old female patient with no known concomitant syndrome who presented with multiple intraoral swellings and to discuss the treatment of multiple, bilateral mandibular and maxillary radiolucencies. PMID:26749783

  7. Incontinence Treatment: Dietary Tips

    ... sorbitol, commonly used as a sweetener in many dietetic foods, candies, and gums; and fructose, also used ... everyone. A physician can take a brief dietary history and with a 2–3 week diary of ...

  8. History of Nutrition: The Long Road Leading to the Dietary Reference Intakes for the United States and Canada.

    Murphy, Suzanne P; Yates, Allison A; Atkinson, Stephanie A; Barr, Susan I; Dwyer, Johanna

    2016-01-01

    The Dietary Reference Intakes (DRIs) are reference values to guide the planning and assessing of nutrient intakes in the United States and Canada. The DRI framework was conceptualized in 1994, and the first reports were issued from 1997–2004, based on work by expert panels and subcommittees under the guidance of the Food and Nutrition Board of the Institute of Medicine. Numerous conventions, challenges, and controversies were encountered during the process of defining and setting the DRIs, including the definition of the framework, the use of chronic disease endpoints, lack of data on requirements for children and youth, and methods for addressing nonessential bioactive substances with potential health benefits. DRIs may be used to plan and assess the nutrient intakes of both individuals and population groups, but the new paradigm particularly improved methods used for groups. It is now possible to estimate both the prevalence of inadequate intake and the prevalence of potentially excessive intake within a group. The DRIs have served as a potent influence on national nutrition policies, including those related to dietary guidance, food labeling, nutrition monitoring, food assistance programs, and military nutrition standards. Because of this important impact on nutrition policy, the DRIs must be based on the best possible and most up-to-date science. Unfortunately, no updates to specific DRIs are currently planned. Despite the long and challenging road that led to the current DRIs, it must not finish in a dead end. Monetary resources and political will are crucial to maintaining and continuously updating the DRIs. PMID:27180379

  9. Giant aneurysm in 6 years old child - case report

    Intracranial saccular aneurysms rare in childhood is. Even among the reported series of childhood aneurysms, it is unusual to find their occurrence in children less than 7 years old. The pathogenesis of these lesions is also a matter of debate and speculations. The peak age of incidence of juvenile cerebral aneurysms appear to be 12 years, occurrence below the age of 7 being rarity. We show a case of 6 years old boy with giant aneurysm. found because of episodes of headache and vomiting. Discussion of pathogenesis for the rare pathology. After discussion of multidisciplinary team, of neuroradiologist and neurosurgeons was decided to be perform endovascular embolization, because of the better outcome for the patient. We performed endovascular treatment of the aneurysm with achieving total embolization. The patient recovery completely, and after 4 days went home. (authors) Key words: GIANT ANEURYSM. SACCULAR ANEURYSM. EMBOLIZATION. STENT ASSISTED COILING

  10. Life history plasticity after attaining a dietary threshold for reproduction is associated with protein storage in flesh flies.

    Hahn, Daniel A; James, Laura N; Milne, Kathy R; Hatle, John D

    2008-12-01

    Body condition affects the timing and magnitude of life history transitions. Therefore, identifying proximate mechanisms involved in assessing condition is critical to understanding how these mechanisms affect the expression of life history plasticity. Nutrient storage is an important body condition parameter, likely playing roles in both attaining minimum body-condition thresholds for life history transitions and expression of life history traits.We manipulated protein availability for females of the flesh fly Sarcophaga crassipalpis to determine whether reproductive timing and output would remain plastic or become fixed. Liver was provided for 0, 2, 4, or 6 days of adult pre-reproductive development. Significantly, liver was removed after the feeding threshold had been attained and females had committed to producing a clutch.We also identified the major storage proteins and monitored their abundances, because protein stores may serve as an index of body condition and therefore may play an important role in life history transitions and plasticity.Flesh flies showed clear post-threshold plasticity in reproductive timing. Females fed protein for 2 days took ~30% longer to provision their clutch than those fed for 4 or 6 days. Observations of oogenesis showed the 2-day group expressed a different developmental program including slower egg provisioning.Protein availability also affected reproductive output. Females fed protein for 2 days produced ~20% fewer eggs than females fed 4 or 6 days. Six-day treated females provisioned larger eggs than 4-day treated females, followed by 2-day treated females with the smallest eggs.Two storage proteins were identified, LSP-1 and LSP-2. LSP-2 accumulation differed across feeding treatments. The 2- and 4-day treatment groups accumulated LSP-2 stores but depleted them during provisioning of the first clutch, whereas the 6-day group accumulated the greatest quantity of LSP-2 and had substantial LSP-2 stores remaining at the end of

  11. Chordoma: 6 years' experience at a tertiary centre

    Nine patients with a histologically proven diagnosis of chordoma seen at the Department of Radiation Oncology, Maulana Azad Medical College and Lok Nayak Hospital between January 1999 and December 2004 were retrospectively reviewed with respect to age, sex, presentation, location of tumour, treatment, response, recurrence, metastasis and follow up. Chordoma constituted 0.07% of total cancer cases registered over 6 years. Out of nine patients, eight were males and one was female with median age at time of diagnosis 52 years (range 34-68 years). All had sacrococcygeal lesions except one who had a spheno-occipital lesion. Seven patients had undergone either subtotal or gross total resection whereas only biopsy had been carried out in two of them. All patients received radiation therapy, seven in a postoperative setting and two for palliation. Follow-up period ranged from 2 to 50 months. Four patients died - the first after fourth fraction of radiation, second after 10 days of treatment, third of progressive lesion in sphenoidal region despite resection and radiation and fourth of local recurrence in the sacrococcyx. One patient developed distant metastases in the lungs and subcutaneous tissue over the scalp along with local recurrence; he is still alive. Two patients are locally free of disease whereas the other two were lost to follow up. The present analysis was undertaken to review our institutional experience with an aim to provide a practical approach to these tumours. In this report, these cases are discussed and the published works have been reviewed for the optimal management of patients with chordoma Copyright (2006) Blackwell Publishing Asia Pty Ltd

  12. Mental disorders and general well-being in cardiology outpatients--6-year survival

    Birket-Smith, Morten; Hansen, Baiba H; Hanash, Jamal A;

    2009-01-01

    OBJECTIVE: Long-term survival in a sample of cardiology outpatients with and without mental disorders and other psychosocial risk factors. METHODS: In a cardiology outpatient setting, 103 consecutive patients were asked to participate in the study. Of these, 86 were included and screened for mental...... disorder with the Primary Care Evaluation of Mental Disorders; Structured Clinical Interview for DSM-III-R, Non-Patient Edition, psychosis screening; the Clock Drawing Test; and the WHO-5 Well-Being Index. The cardiologists were asked in each patient to rate the severity of somatic disease and mental...... problems on visual analogue scales (VAS-somatic and VAS-mental). Cardiac diagnosis, noncardiac comorbidity, history of mental disorder, and the number of daily social contacts were noted. Survival was followed for 6 years. RESULTS: At baseline, 33 (38.4%) patients had mental disorder, 6 dementia, 11 major...

  13. Dietary Assessment

    The Epidemiology and Genomics Research Program's goals in Dietary Assessment are to increase the precision of dietary intake estimates by improving self-report of dietary intake and the analytic procedures for processing reported information.

  14. Usual Dietary Intake Among Female Breast Cancer Survivors is Not Significantly Different From Women With No Cancer History: Results of the National Health and Nutrition Examination Survey, 2003–2006

    Milliron, Brandy-Joe; Vitolins, Mara Z.; Tooze, Janet A.

    2013-01-01

    Dietary intake is a modifiable behavior that may reduce the risk of recurrence and death among breast cancer survivors. Cancer survivors are encouraged to consume a diet rich in fruit, vegetables, and whole grains; and limit red meat, processed meat, and alcohol intake. Using the National Health and Nutrition Examination Survey (2003–2006), this study examined whether breast cancer survivors and women with no history of cancer differed in the distribution of usual intake of foods included in ...

  15. Subjects with Impaired Fasting Glucose: Evolution in a Period of 6 Years

    Leiva, E.; Mujica, V.; Orrego, R.; Wehinger, S.; Soto, A.; Icaza, G.; Vásquez, M.; Díaz, L.; Andrews, M.; Arredondo, M.

    2014-01-01

    Aim. To study the evolution of impaired fasting glucose (IFG), considering glucose and HbA1c levels and risk factors associated, in a period of 6 years. Methods. We studied 94 subjects with impaired fasting glucose (IFG) that were diagnosed in 2005 and followed up to 2012. Glucose and HbA1c levels were determined. A descriptive analysis of contingence charts was performed in order to study the evolution in the development of type-2 diabetes mellitus (T2DM). Results. Twenty-eight of ninety-four subjects became T2DM; 51/94 remained with IFG; and 20/94 presented normal fasting glucose. From the 28 diabetic subjects, 9 had already developed diabetes and were under treatment with oral hypoglycemic agents; 5 were diagnosed with plasma glucose < 126 mg/dL, but with HbA1c over 6.5%. In those who developed diabetes, 15/28 had a family history of T2DM in first relative degree. Also, diabetic subjects had a BMI significantly higher than nodiabetics (t test: P < 0.01). The individuals that in 2005 had the highest BMI are those who currently have diabetes. Conclusion. The IFG constitutes a condition of high risk of developing T2DM in a few years, especially over 110 mg/dL and in obesity patients. PMID:25215305

  16. Subjects with Impaired Fasting Glucose: Evolution in a Period of 6 Years

    E. Leiva

    2014-01-01

    Full Text Available Aim. To study the evolution of impaired fasting glucose (IFG, considering glucose and HbA1c levels and risk factors associated, in a period of 6 years. Methods. We studied 94 subjects with impaired fasting glucose (IFG that were diagnosed in 2005 and followed up to 2012. Glucose and HbA1c levels were determined. A descriptive analysis of contingence charts was performed in order to study the evolution in the development of type-2 diabetes mellitus (T2DM. Results. Twenty-eight of ninety-four subjects became T2DM; 51/94 remained with IFG; and 20/94 presented normal fasting glucose. From the 28 diabetic subjects, 9 had already developed diabetes and were under treatment with oral hypoglycemic agents; 5 were diagnosed with plasma glucose < 126 mg/dL, but with HbA1c over 6.5%. In those who developed diabetes, 15/28 had a family history of T2DM in first relative degree. Also, diabetic subjects had a BMI significantly higher than nodiabetics (t test: P < 0.01. The individuals that in 2005 had the highest BMI are those who currently have diabetes. Conclusion. The IFG constitutes a condition of high risk of developing T2DM in a few years, especially over 110 mg/dL and in obesity patients.

  17. Oral health in pre-school children with asthma - followed from 3 to 6 years

    Stensson, Malin; Wendt, Lill-Kari; Koch, Göran; Oldaeus, Göran; Nilsson, Mats; Birkhed, Dowen

    2010-01-01

    OBJECTIVE: The aim of this study was to investigate caries and its determinants in preschool children with and without asthma, followed from 3 to 6 years. METHODS AND SUBJECTS: Caries, plaque, and gingivitis were examined at 3 and 6 years of age in 64 asthmatic children and 50 matched, healthy control children. Furthermore, at 6 years radiographic examination and saliva sampling were conducted. The parents were interviewed about various oral health-related factors. RESULTS: Initial caries inc...

  18. Refracture of the tibia 6 years after bilateral tibia nail removal in a patient later diagnosed with osteopetrosis

    Joost H van Linge; JHJM Gert Bessems; P Koen Bos

    2010-01-01

    Joost H van Linge1,2, JHJM Gert Bessems1 , P Koen Bos11Department of Orthopaedic Surgery, Erasmus MC, Rotterdam, the Netherlands; 2Reinier de Grant Gasthuis, Ga Delft, the NetherlandsAbstract: Osteopetrosis is a rare bone disease with a high fracture incidence and a risk for recurrent fractures. We describe a case report of an adult female with a refracture of her right tibia 6 years after routine bilateral tibia nail removal. The patient and 3 of her family members had a history of multiple ...

  19. Show Me Your Rump Hair and I Will Tell You What You Ate – The Dietary History of Muskoxen (Ovibos moschatus) Revealed by Sequential Stable Isotope Analysis of Guard Hairs

    Mosbacher, Jesper Bruun; Michelsen, Anders; Stelvig, Mikkel; Hendrichsen, Ditte Katrine; Schmidt, Niels Martin

    2016-01-01

    The nutritional state of animals is tightly linked to the ambient environment, and for northern ungulates the state strongly influences vital population demographics, such as pregnancy rates. Continuously growing tissues, such as hair, can be viewed as dietary records of animals over longer temporal scales. Using sequential data on nitrogen stable isotopes (δ15N) in muskox guard hairs from ten individuals in high arctic Northeast Greenland, we were able to reconstruct the dietary history of muskoxen over approximately 2.5 years with a high temporal resolution of app. 9 days. The dietary chronology included almost three full summer and winter periods. The diet showed strong intra- and inter-annual seasonality, and was significantly linked to changes in local environmental conditions (temperature and snow depth). The summer diets were highly similar across years, reflecting a graminoid-dominated diet. In contrast, winter diets were markedly different between years, a pattern apparently linked to snow conditions. Snow-rich winters had markedly higher δ15N values than snow-poor winters, indicating that muskoxen had limited access to forage, and relied more heavily on their body stores. Due to the close link between body stores and calf production in northern ungulates, the dietary winter signals could eventually serve as an indicator of calf production the following spring. Our study opens the field for further studies and longer chronologies to test such links. The method of sequential stable isotope analysis of guard hairs thus constitutes a promising candidate for population-level monitoring of animals in remote, arctic areas. PMID:27097032

  20. Show Me Your Rump Hair and I Will Tell You What You Ate - The Dietary History of Muskoxen (Ovibos moschatus) Revealed by Sequential Stable Isotope Analysis of Guard Hairs.

    Mosbacher, Jesper Bruun; Michelsen, Anders; Stelvig, Mikkel; Hendrichsen, Ditte Katrine; Schmidt, Niels Martin

    2016-01-01

    The nutritional state of animals is tightly linked to the ambient environment, and for northern ungulates the state strongly influences vital population demographics, such as pregnancy rates. Continuously growing tissues, such as hair, can be viewed as dietary records of animals over longer temporal scales. Using sequential data on nitrogen stable isotopes (δ15N) in muskox guard hairs from ten individuals in high arctic Northeast Greenland, we were able to reconstruct the dietary history of muskoxen over approximately 2.5 years with a high temporal resolution of app. 9 days. The dietary chronology included almost three full summer and winter periods. The diet showed strong intra- and inter-annual seasonality, and was significantly linked to changes in local environmental conditions (temperature and snow depth). The summer diets were highly similar across years, reflecting a graminoid-dominated diet. In contrast, winter diets were markedly different between years, a pattern apparently linked to snow conditions. Snow-rich winters had markedly higher δ15N values than snow-poor winters, indicating that muskoxen had limited access to forage, and relied more heavily on their body stores. Due to the close link between body stores and calf production in northern ungulates, the dietary winter signals could eventually serve as an indicator of calf production the following spring. Our study opens the field for further studies and longer chronologies to test such links. The method of sequential stable isotope analysis of guard hairs thus constitutes a promising candidate for population-level monitoring of animals in remote, arctic areas. PMID:27097032

  1. Blood Donation, Being Asian, and a History of Iron Deficiency Are Stronger Predictors of Iron Deficiency than Dietary Patterns in Premenopausal Women

    Kathryn L. Beck

    2014-01-01

    Full Text Available This study investigated dietary patterns and nondietary determinants of suboptimal iron status (serum ferritin < 20 μg/L in 375 premenopausal women. Using multiple logistic regression analysis, determinants were blood donation in the past year [OR: 6.00 (95% CI: 2.81, 12.82; P<0.001], being Asian [OR: 4.84 (95% CI: 2.29, 10.20; P<0.001], previous iron deficiency [OR: 2.19 (95% CI: 1.16, 4.13; P=0.016], a “milk and yoghurt” dietary pattern [one SD higher score, OR: 1.44 (95% CI: 1.08, 1.93; P=0.012], and longer duration of menstruation [days, OR: 1.38 (95% CI: 1.12, 1.68; P=0.002]. A one SD change in the factor score above the mean for a “meat and vegetable” dietary pattern reduced the odds of suboptimal iron status by 79.0% [OR: 0.21 (95% CI: 0.08, 0.50; P=0.001] in women with children. Blood donation, Asian ethnicity, and previous iron deficiency were the strongest predictors, substantially increasing the odds of suboptimal iron status. Following a “milk and yoghurt” dietary pattern and a longer duration of menstruation moderately increased the odds of suboptimal iron status, while a “meat and vegetable” dietary pattern reduced the odds of suboptimal iron status in women with children.

  2. Caries risk profiles in 2- to 6-year-old Greek children using the Cariogram

    Kavvadia, Katerina; Agouropoulos, Andreas; Gizani, Sotiria; Papagiannouli, Lisa; Twetman, Svante

    2012-01-01

    To assess the caries risk profiles in 2- to 6-year-old Greek children using a computer-based program and to evaluate the contribution of various risk factors.......To assess the caries risk profiles in 2- to 6-year-old Greek children using a computer-based program and to evaluate the contribution of various risk factors....

  3. Breath-holding spells: Prevalence and risk factors in under 6-year old children at south of Tehran

    P. Tootoonchi

    2001-05-01

    Full Text Available To determine breath- holding spells (BHS prevalence and risk factors in under 6- year- old children, we interviewed mothers of 400 children in a cross- sectional study in 5 health centers at south of Tehran in autumn 1999. 33 children (8.25% had history of BHS (Male: 19, Female: 14 25 cases were between 2-4 years old (mean: 40±17 months. Seventy percent of cases (23 had onset of attacks after 6 months of age (mean: 10 monthis and the commonest frequency was one spell per month (78.79%. Painful experience and falling and striking the head wee the common triggering factors (79% and 76% respectively and there was significant association between BHS and history of fallin and severe striking of the head. There was no significant associations between BHS and sex, birth weight, birth order, delivery method, type of labor initiating and duration of labor.

  4. Blood lead levels among children aged 0 to 6 years in 16 cities of China, 2004-2008

    XIE Xiao-hua; TAN Zang-wen; JIA Ni; FAN Zhao-yang; ZHANG Shuai-ming; L(U) Yan-yu; CHEN Li

    2013-01-01

    Background The adverse health effects of lead for children under 6 years are well known.Studies to assess the lead exposure among children in China are small in sample size and lack of national representative data.The aim of this study therefore was to describe blood lead levels and identify risk factors for lead exposure among children aged 0 to 6 years living in 16 cities in China.Methods We analyzed data from blood lead levels surveillance in China carried out in 16 large cities between 2004 and 2008.A stratified clustered random sampling strategy was used.A total of 69 968 children aged 0 to 6 years were included.We conducted multiple Logistic regression analyses to explore risk factors to high blood lead level.Results The geometric mean blood lead level of the children was 4.50 μg/dl (median:4.90 μg/dl; IQR:3.20-7.00 μg/dl).Overall prevalence of blood lead level ≥10.00 μg/dl among 0-to 6-year-old children was 7.57%.But the proportion of blood lead level ≥5.00 but <10.00 μg/dl was 42.12%.Blood lead levels were significantly higher in boys (4.63 μg/dl) than in girls (4.35 μg/dl) (P <0.0001).The geometric mean blood lead levels and prevalence of blood lead level ≥10.00 μg/dl increased with age (P <0.0001 for the two trends).After controlling for sociodemographic,dietary and behavior factors,multivariable analysis indicated that lower maternal education,male gender,younger age,often biting pencil or/and toys,walking or playing for long time on the street,not washing hands before eating are major risk factors for higher lead levels.Conclusions The blood lead levels among Chinese children in urban areas are lower than previous studies but close to those of developed countries.However,children with low lead exposure account for almost half and the sociodemographic factors (age,male sex,and low mother education level) continue to be associated with higher blood lead levels.

  5. Dietary antioxidants and long-term risk of dementia

    E.E. Devore (Elizabeth); F. Grodstein (Francine); F.J.A. van Rooij (Frank); A. Hofman (Albert); M.J. Stampfer (Meir); J.C.M. Witteman (Jacqueline); M.M.B. Breteler (Monique)

    2010-01-01

    textabstractBackground: The Rotterdam Study previously found that higher dietary intakes of vitamins E and C related to lower risk of dementia and Alzheimer disease (AD) over 6 years of follow-up. Objective: To study consumption of major dietary antioxidants relative to long-term risk of dementia. D

  6. Addressing the Academic Gap Between 4- and 6-Year Pharmacy Programs in South Korea

    Sujin YOO; Song, Seungyeon; Lee, Sangmi; Kwon, Kwangil; Kim, Eunyoung

    2014-01-01

    Objective. To address the academic gap (or lack of adequate training and programs) between 4- and 6-year pharmacy programs and suggest methods for reducing this gap and to evaluate pharmacists’ perceptions of preceptorship.

  7. Dietary ecology of human

    The dietary life of humans varies with the environment where they live and has been changing with time. It has become possible to examine such changes by using stable carbon and nitrogen isotope composition as a chemical tool. The present report outlines recent developments in the application of this tool and compares the dietary ecologies of various human groups from the viewpoint of isotope geochemistry. The history of the application of this tool to dietary analysis is summarized first, and features of the carbon and nitrogen isotope composition in animals and their relations with the food chain are outlined. The dietary ecology of the current people is then discussed in relation to the isotope composition in food, the isotope composition in hair of the current people, and determination of food habit of specific groups of people from such isotope compositions. For prediction of dietary composition, the report presents a flow chart for an algorism which is based on the Monte Carlo method. It also outlines processes for analyzing food habits of people in the prehistoric age, focusing on distribution of isotope composition in humans over the world. (N.K.)

  8. The motor characteristics of boys 4-6 years old to determine the prospects for gymnastics

    Pomazan Arkadij Anatol'evich

    2011-01-01

    The questions of primary screening of preschool and primary school children to gymnastics. Analyzed materials of recent publications on this topic. The study group consisted of 56 boys. Proposed test exercises to test motor abilities of boys 4-6 years old. Set mapped by age groups of rules for each of the proposed exercises. Established process for determining the motor and anthropometric characteristics for the selection of children 4-6 years of prior training. Identified standards of physic...

  9. SPEECH AND LANGUAGE ASSESSMENT USING LEST 0 TO 6 AMONG CHILDREN 0 TO 6 YEARS

    Shiji K.

    2013-01-01

    ABSTRACT: This descriptive study was conducted toassess the speech and language development anddelay among children 0 - 6 years.450 Children 0 - 6 years age groups were taken for the study . Each child was given the corresponding LEST and given a PASS if he or she had performed the test. Of the 450 children screened , 5.5 % had delay , 2.2 % had only questionable delay. Of the 25 children who had delay 15 (60%) were male...

  10. Dietary Fiber

    Fiber is a substance in plants. Dietary fiber is the kind you eat. It's a type of carbohydrate. You may also see it listed on a food label as soluble fiber or insoluble fiber. Both types have important health benefits. Good sources of dietary fiber include Whole grains Nuts ...

  11. Assessment of habitual energy and macronutrient intake in adults: comparison of a seven day food record with a dietary history interview

    Høidrup, S.; Andreasen, A. H.; Osler, M.;

    2002-01-01

    Objective: To examine the quantitative agreement between a 7 day food record and a diet history interview when these are conducted under the same conditions and to evaluate whether the two methods assess habitual diet intake differently among subgroups of age and body mass index (BMI). Design......: Cross-sectional study. Setting: Population study, Denmark. Subjects: A total of 175 men and 173 women aged 30-60 y, selected randomly from a larger population sample of Danish adults. Interventions: All subjects had habitual diet intake assessed by a diet history interview and completed a 7 day food...... record within 3 weeks following the interview. The diet history interview and coding of records were performed by the same trained dietician. Main outcome measure: Median between-method difference in assessment of total energy intake, absolute intake of macronutrients, and nutrient energy percentages...

  12. Assessment of habitual energy and macronutrient intake in adults: comparison of a seven day food record with a dietary history interview

    Høidrup, S.; Andreasen, A. H.; Osler, M.; Pedersen, Agnes Nadelmann; Jørgensen, L. M.; Jørgensen, T.; Schroll, M.; Heitmann, B. L.

    2002-01-01

    Objective: To examine the quantitative agreement between a 7 day food record and a diet history interview when these are conducted under the same conditions and to evaluate whether the two methods assess habitual diet intake differently among subgroups of age and body mass index (BMI). Design......: Cross-sectional study. Setting: Population study, Denmark. Subjects: A total of 175 men and 173 women aged 30-60 y, selected randomly from a larger population sample of Danish adults. Interventions: All subjects had habitual diet intake assessed by a diet history interview and completed a 7 day food....... Difference between reported energy intake from both methods and estimated energy expenditure in different subgroups. Results: Energy and macronutrient intake was assessed slightly higher by the 7 day food record than by the diet history interview, but in absolute terms the differences were negligible. The...

  13. Patients with shoulder impingement remain satisfied 6 years after arthroscopic subacromial decompression

    2011-01-01

    Background Although arthroscopic subacromial decompression (ASD) is a common procedure for treatment of shoulder impingement, few long term results have been published. In this prospective study, we determined whether the high degree of patient satisfaction at 6 months postoperatively reported by us earlier remained at the 6-year follow-up. Patients and methods We originally reported high patient satisfaction 6 months after ASD for shoulder impingement in 50 prospectively studied patients using the Disability of the Arm Shoulder and Hand questionnaire (DASH) and the Visual Analog Scale (VAS). Patients with associated shoulder disorders were excluded. The surgeons were experienced shoulder arthroscopists. 6 years after surgery, the DASH questionnaire and the VAS were sent to these 50 patients. 2 patients had other medical problems of the upper extremity that affected the DASH and VAS scores, 1 patient was lost to follow-up, and another refused to participate. Thus, 46 patients with a mean age of 55 (33–78) years were included in this 6-year evaluation. Results The considerable improvement in both the DASH score and the VAS that was observed 6 months after surgery persisted or had even improved 6 years after surgery. Interpretation Properly selected patients with shoulder impingement treated with ASD remain satisfied 6 years after surgery. PMID:21999621

  14. Vaginal foreign body in a 6 year old girl: a game for the child but a challenge for the gynaecologist

    Amrita Chaurasia

    2015-04-01

    Full Text Available A 6 year old girl visited our gynaecology out-patient department of S.R.N hospital, Allahabad, India with the complaint of relapsing blood stained vaginal discharge for 3 months. Different gynaecologists, including us, tried treating the condition with different courses of antibiotics. To each, the girl responded only for few days and relapsed again. We investigated completely into the background of the childs home and school environment, her playing habits and her behaviour with her kins. Then, we got her various investigations done but with no derangement. With the backup of her history, examination and investigations, we performed another detailed examination of her genitals. The findings were intriguing as to their cause, and it definitely was a lesson to all of us. [Int J Reprod Contracept Obstet Gynecol 2015; 4(2.000: 518-520

  15. The motor characteristics of boys 4-6 years old to determine the prospects for gymnastics

    Pomazan Arkadij Anatol'evich

    2011-10-01

    Full Text Available The questions of primary screening of preschool and primary school children to gymnastics. Analyzed materials of recent publications on this topic. The study group consisted of 56 boys. Proposed test exercises to test motor abilities of boys 4-6 years old. Set mapped by age groups of rules for each of the proposed exercises. Established process for determining the motor and anthropometric characteristics for the selection of children 4-6 years of prior training. Identified standards of physical fitness that can be used in the method of primary selection for gymnastics.

  16. Baleen as a biomonitor of mercury content and dietary history of North Atlantic Minke Whales (Balaenopetra acutorostrata): combining elemental and stable isotope approaches

    Baleen is an incrementally-growing tissue of balaenopteran whales which preserves relatively well over time in museums and some archeological sites, and, therefore might be useful for studies examining long-term changes of metal levels in whales. This study examined Hg and stable C and N isotopic composition of baleen plates of the North Atlantic minke whale (Balaenoptera acutorostrata), which continues to be a food source for people in Greenland and elsewhere. We compared the Hg levels and stable isotopes of major tissues (kidney, liver and muscle) with those of baleen plates to see whether baleen could be used as a biomonitor of variations of Hg intake and diet both between individuals and within individuals over time. Mercury was significantly correlated with concentrations in all tissues (kidney, liver and muscle). Stable C and N isotopes in baleen were generally similar to those of muscle, which reflects the recent (approximately one month) feeding of the whale, but in some individuals there were significant differences between baleen and muscle. Sectioning of baleen into 1 cm longitudinal increments showed that these differences were due to marked dietary shifts by some individuals over time that had been recorded in the baleen but were lost from the muscle record. Whole baleen C and N isotopes were better correlated with tissue Hg levels, suggesting that baleen may provide a more reliable indicator of long-term average diet, which in turn may be better related to Hg accumulation in tissues than the shorter-term diet record contained in muscle

  17. Childhood obesity: the extent of the problem among 6-year-old Irish national school children.

    Evans, D S

    2011-05-01

    Childhood obesity is rapidly increasing worldwide. In Ireland, the number of overweight children has trebled over the last decade. The study aimed to provide an assessment of the prevalence of obesity of 6-year-old children in one region of Ireland.

  18. CT findings of sporadic cherubism in a 6 year old boy

    Cherubism is a rare hereditary disease that affects the jaws in children. This condition shows distinctive computed tomography (CT) imaging features of multilocular, expansile, cystic lesions limited to the maxilla and mandible bilaterally, which can play a key role in the diagnosis of cherubism. We report here a case of sporadic cherubism with characteristic radiologic findings in a 6-year-old Korean boy.

  19. The Preschool Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS) 6-Year Follow-Up

    Riddle, Mark A.; Yershova, Kseniya; Lazzaretto, Deborah; Paykina, Natalya; Yenokyan, Gayane; Greenhill, Laurence; Abikoff, Howard; Vitiello, Benedetto; Wigal, Tim; McCracken, James T.; Kollins, Scott H.; Murray, Desiree W.; Wigal, Sharon; Kastelic, Elizabeth; McGough, James J.; dosReis, Susan; Bauzo-Rosario, Audrey; Stehli, Annamarie; Posner, Kelly

    2013-01-01

    Objective: To describe the clinical course of attention-deficit/hyperactivity disorder (ADHD) symptom severity and diagnosis from ages 3 to 5 up to 9 to 12 years during a 6-year follow-up after the original Preschool ADHD Treatment Study (PATS). Method: A total of 207 participants (75% male) from the original PATS, assessed at baseline (mean age,…

  20. Basic Facts about Low-Income Children: Children under 6 Years, 2013. Fact Sheet

    Jiang, Yang; Ekono, Mercedes; Skinner, Curtis

    2015-01-01

    Children under 18 years represent 23 percent of the population, but they comprise 33 percent of all people in poverty. Among all children, 44 percent live in low-income families and approximately one in every five (22 percent) live in poor families. Young children under age 6 years appear to be particularly vulnerable, with 48 percent living in…

  1. Fatigue behavior of dental resin composites: flexural fatigue in vitro versus 6 years in vivo

    F. Garcia-Godoy; R. Frankenberger; U. Lohbauer; A.J. Feilzer; N. Krämer

    2012-01-01

    Objectives: To evaluate fatigue behavior of direct resin composite restorations (Tetric Ceram vs. Grandio) in vitro and in vivo over an observation period of 6 years. Methods: For the in vitro part, Young's moduli (YM) were calculated and both initial (FS: flexural strength) and fatigue flexural str

  2. The Growth Trend of 0–6 Years Children in Hamadan City , Iran

    A. Omidi

    2003-07-01

    Full Text Available Today millions of children in the world have not got the appropriate growth. For this purpose, this study was performed to evaluate the growth process of children under 6 years old in Hamadan, in addition the surveying this process, the difference in growth of the children were compared and measured by the NCHS standard curve. This was a cross–sectional study that included the research section of 1700 children who was at the average ages of zero, 1, 3, 6, 9,12 months and 1.5 , 2 , 2.5 , 3 , 3.5 , 4 , 4.5 , 5 , 6 years . The selection standard of the children was the perfect physical health and without obvious mental retardation. Regarding the curved standard the results showed that the 50th percentile of boys and girls weight up to 4 and 6 months was increased. Then with increasing the age up to 6 years the weight gradually was decreased, that this weight deduction is closer to the 5th percentile of the standard in 18 and 24 months. The 50th percentile of the children height has been decreased from 9 months up to 6 years too, and the 50th percentile of the head circumference from 18 months up to 6 years of age, constantly and slightly decreased compare to the standard curve. The overall result show that breast feeding is enough for the children up to 6 months and satisfies the children needs. But the causes that decrease the children growth are the lack of mothers knowledge about preparing the supplemental foods and the time of beginning and also inappropriate pattern of nutrition at the time of breast feeding.

  3. Long chain polyunsaturated fatty acid supplementation in infancy increases length- and weight-for-age but not BMI to 6 years when controlling for effects of maternal smoking.

    Currie, L M; Tolley, E A; Thodosoff, J M; Kerling, E H; Sullivan, D K; Colombo, J; Carlson, S E

    2015-07-01

    Long chain polyunsaturated fatty acids (LCPUFA) are added to infant formula but their effect on long-term growth of children is under studied. We evaluated the effects of feeding LCPUFA-supplemented formula (n = 54) compared to control formula (n = 15) throughout infancy on growth from birth-6 years. Growth was described using separate models developed with the MIXED procedure of SAS(®) that included maternal smoking history and gender. Compared to children fed control formula, children who consumed LCPUFA supplemented formula had higher length-/stature-/and weight-for-age percentiles but not body mass index (BMI) percentile from birth to 6 years. Maternal smoking predicted lower stature (2-6 years), higher weight-for-length (birth-18 months) and BMI percentile (2-6 years) independent of LCPUFA effects. Gender interacted with the effect of LCPUFA on stature, and the relationship between smoking and BMI, with a larger effect for boys. Energy intake did not explain growth differences. A relatively small control sample is a limitation. PMID:25936840

  4. Are mangroves in arid environments isolated systems? Life-history and evidence of dietary contribution from inwelling in a mangrove-resident shrimp species

    Al-Maslamani, I.; Walton, M. E. M.; Kennedy, H. A.; Al-Mohannadi, M.; Le Vay, L.

    2013-06-01

    The Arabian Gulf represents one of the more northerly extremes of mangrove distribution in the Indo-Pacific, and is populated only by Avicennia marina, due to its tolerance of high salinity and wide temperature extremes. Recent studies suggest that in the arid coastal environment of the western Arabian Gulf, export of carbon and nitrogen from mangroves to adjacent habitats may be limited, though it is not clear if this is due to low productivity or physical factors such as the lack of freshwater flow and the tidal regime. Although seagrass and macroalgal habitats are relatively much more dominant by area, with only small pockets of mangrove around the edges of embayments, it is not evident if inwelling from these habitats support mangrove fauna. Year-round sampling in mangroves at Al-Khor, Qatar, indicates that Palaemon khori, an endemic shrimp species, is strongly associated with mangroves throughout its post-settlement life cycle, from recruitment as small 9-10 mm juveniles through to mating and egg production. Rapid post-recruitment growth (k = 1.8, L∞ = 42 mm for females, k = 1.5, L∞ = 35 mm for male) means that most individuals reached adult size in the first few months after settlement, with reproduction occurring in the following spring. As might be expected from year-round residence in the mangrove, dual 13C and 15N isotope analysis indicated a strong contribution of mangroves to shrimp tissue growth (Mean and 95% confidence range, 37% and 27-48%), but with a weaker significant contribution from particulate organic matter (20% and 1-37%), mangrove epiphytes (16% and 2-33%) and seagrasses (9% and 0.2-18%). Other primary producers contribute the remaining 18% to shrimp nutrition but the 95% confidence ranges include zero, suggesting possibly non-significant roles in supporting the shrimp population. This dietary information supports the view that fauna resident within arid mangrove systems are mainly dependent on localised retention and cycling of

  5. Lung function in 6 years old children born very preterm and fed different diets post discharge

    Toftlund, Line Hedegaard; Agertoft, Lone; Halken, Susanne; Zachariassen, Gitte

    ≤ 32 weeks. From hospital discharge to 4 month corrected age, the children received three different types of nutrition: A: Human milk (HM) B: HM enriched with fortifier (HMF) C: Preterm formula (PF). At the age of 6 years, the children performed an occlusion test (Rocc) and a lung resistance test...... airway resistance was within normal range for all children no mater post discharge nutrition. And there was a tendency towards a lower airway resistance among infants fed with formula or nutrient enriched human milk compared to infants fed exclusively human milk post discharge....... lung function and the possible risk of developing asthma among 6 year old children born very preterm. Method: A prospective, randomized, interventional multicentre study on nutrition of a preterm birth cohort has been established and described previously. The inclusion criteria were gestational age...

  6. Resource allocation to kin, friends, and strangers by 3- to 6-year-old children.

    Lu, Hui Jing; Chang, Lei

    2016-10-01

    Kin altruism has been widely observed across species, including humans. However, few studies have discussed the development of kin altruism or its relationship with theory of mind. In this study, 3- to 6-year-old children allocated resources between themselves and kin, a friend, or a stranger in three allocation tasks where the allocation either incurred a cost, incurred no cost, or conferred a disadvantage. The results showed that, compared with 3- and 4-year-olds, 5- and 6-year-olds acted more altruistically toward kin and that kin altruism was uncorrelated with theory of mind. These findings suggest that, within the context of resource allocation, kin altruism emerges toward the end of early childhood and probably differs from other prosocial behavior that relies solely on the understanding of others' perspectives. PMID:27336694

  7. Influence of Young Children (3-6 years) on Organic Food Consumption in their Families

    Freyer, B.; Haberkorn, A.

    2008-01-01

    Our interest was to analyse families with young children (3-6 years) to understand their consumption patterns of organic foods. To understand the influence of children on organic food consumption, as well as the role and impact of kindergarten, we studied the attitudes, habits and behaviour of 24 mothers and one couple through qualitative interviews. We found that children positively influence the consumption of organic food in the families, and that organic foods served in kindergartens is h...

  8. Urinary fluoride excretion by children 4-6 years old in a south Texas community

    Baez Ramon J.; Baez Martha X.; Marthaler Thomas M.

    2000-01-01

    This study evaluated urinary fluoride excretion by school children 4-6 years old who were living in a south Texas rural community that had concentrations of fluoride in drinking water supplies generally around the optimal level. We took supervised collections of urine samples in the morning and afternoon at school, and parents of the participating students collected nocturnal samples. We recorded the beginning and end times of the three collection periods and then determined the urinary volum...

  9. Patients with shoulder impingement remain satisfied 6 years after arthroscopic subacromial decompression

    Lunsjö, Karl; Bengtsson, Marie; Nordqvist, Anders; Abu-Zidan, Fikri M

    2011-01-01

    Background Although arthroscopic subacromial decompression (ASD) is a common procedure for treatment of shoulder impingement, few long term results have been published. In this prospective study, we determined whether the high degree of patient satisfaction at 6 months postoperatively reported by us earlier remained at the 6-year follow-up. Patients and methods We originally reported high patient satisfaction 6 months after ASD for shoulder impingement in 50 prospectively studied patients usi...

  10. Transitory spinal cord swelling in a 6-year-old boy with Guillain-Barre syndrome

    A 6-year-old boy developed progressive motor weakness and areflexia. The clinical picture, combined with electrophysiological findings, indicated a diagnosis of Guillain-Barre syndrome (GBS). MRI on admission revealed spinal cord swelling and increased signal intensity within the cord. It is concluded that, since a degree of central nervous system involvement can occasionally be part of the spectrum of GBS, swelling of the spinal cord without contrast enhancement does not exclude a diagnosis of GBS. (orig.)

  11. Total Fluoride Intake and Urinary Excretion in German Children Aged 3–6 Years

    Haftenberger, Marjolein; Viergutz, Gabriele; Neumeister, Volker; Hetzer, Gisela

    2014-01-01

    There have only been few investigations comparing total fluoride intake and the fluoride proportion excreted in urine in pre–school children. In addition, the results of available studies are conflicting. Total fluoride intake was assessed in 11 healthy children aged 3–6 years on 2 consecutive days and urinary fluoride excretion was determined. The duplicate–diet approach was used for the assessment of fluoride intake from solid and liquid foods. Fluoride intake from toothbrushing was calcula...

  12. Nutritional Status of Preschool (2-6 Years of Age) Children

    MIDYAT, Levent; AKSIT, Sadık; GOKCE, Sule; YAGCI, Rasit Vural

    2011-01-01

    Early childhood is a critical life period because of its importance for supplying regular and adequate nutrition, and giving essential nutritional education to the children. In the present study, between January 2004 and March 2006, food consumption of 2- to 6-year-old children from different socioeconomic levels in Izmir was investigated. Anthropometric measurements of these 518 children were also recorded. SPSS 14.0 for Windows was used for statistical analysis. Total duration of breastfeed...

  13. The evaluation of mood condition among depressed adolescent students in Isfahan after 6 years

    Shakibaei, Fereshteh; Alikhani, Mahmood; Mahaki, Behzad; Sichani, Naeimeh Karimian; Tabatabaei, Haleh Dormiani

    2016-01-01

    Background: This study has carried out to find the recovery rate, depression recurrence, changing of diagnose into bipolar mood disorder (BMD) and appearing other psychiatric disorders including obsessive compulsive disorder, oppositional defiant disorder (ODD), substance induced disorders, attention deficit and hyperactivity disorder, and anxiety disorders after 6 years among students having major depression disorder in Isfahan and its relation to some demographic factors. Materials and Meth...

  14. Determination of the functional status of vestibular apparatus at children aged 5-6 years old.

    Moiseenko E.K.

    2012-02-01

    Full Text Available The physiological methods of determination of the functional state of vestibular analyzer are considered. The indexes of systole and diastole pressure, frequencies of heart-throbs, are chosen. Methods were used before and after standard vestibular irritation. Research was conducted on the base of child's preschool establishment. In it took part 120 children in age 5 - 6 years. Insufficient development of vestibular analyzer is set for children. Selected exercise for the improvement of spatial orientation and statodynamic stability.

  15. Prevalence of Malnutrition in Children under 6 Years in Sistan and Baluchestan Province, Iran

    Mansour Karajibani; Mahdeyeh Shaykhei; Farzaneh Montazerifar; Monir Eftekharenia

    2014-01-01

    Background: The present study was conducted in rural area of Sistan and Baluchestan province, south-east of Iran with aim of determine the prevalence of underweight, stunting, wasting, overweight and obesity among children. Materials and Methods: One thousand five hundred seventy Children were selected from all children less than 6 years covered by healthy and treatment centers of rural area in Sistan and Baluchestan province. Body weight and height were measured using standard methods. D...

  16. Emergency peripartum hysterectomy, physical and mental consequences: a 6-year study

    Denisa-Oana Bălălău; Romina Marina Sima; Nicolae Bacalbașa; Liana Pleș; Anca Daniela Stănescu

    2016-01-01

    Emergency peripartum hysterectomy (EPH) is performed for massive postpartum hemorrhage following a cesarean delivery or vaginal delivery, in order to save the patient’s life. The current study was performed on a sample of 13.162 patients, which underwent cesarean or vaginal delivery during a period of 6 years, from 2010 to 2015, in Bucur Maternity Hospital. There were two subsequential groups consisting in: 6593 patients with cesarean operations and 6569 patients with vaginal delivery. In 12 ...

  17. Interdental Spacing and Dental Caries in the Primary Dentition of 4-6 Year Old Children

    G. Babu Kl; Nagarathna, J; Subramaniam, P.

    2012-01-01

    Objective: There are various risk factors which play an essential role in the multifactorial disease “dental caries.” Although absence of interdental spaces in the primary dentition may increase the risk of dental caries, not many studies have been carried out to assess this correlation. This study was performed to assess the relationship between interdental spacing and dental caries in primary dentition.Materials and Methods: Five hundred 4-6 year-old children were enrolled into this study. ...

  18. Dynamics of development motive capabilities, psychophysiological and functional possibilities of boys 4-6 years

    Gavrishko S.G.

    2010-01-01

    The problem of determination of level of development motive capabilities is examined. Directions of prognostication inclination of children of early age are rotined to the certain type of motive activity. The complex testing of individual possibilities of boys is conducted 4-6 years. Comparative description of indexes of motive function is presented during six testing. Certain the loud speaker of development of motive capabilities, psychophysiological and functional possibilities of boys. The...

  19. State of cognitive development in children 5-6 years of age with nutritional iron deficiency

    Chechel V.V.

    2014-06-01

    Full Text Available Features of the development of cognitive functions in children 5-6 years of age with iron deficiency (ID were studied and the relationship of the revealed features of iron deficiency degree was established. After clinical and laboratory examination 205 children aged 5-6 years, pupils of pre-school institutions were included in the study. The core group consisted of 155 children, including 105 children with latent iron deficiency (LID and 50 children with iron deficiency anemia (IDA I degree. The control group consisted of 50 healthy children. To study cognitive function, "Approximate comprehensive program of study of children's readiness for school" was used. A significant decrease of average data of all mental functions (perception, memory, language, thinking, ima¬gination in children 5-6 years old with ID, most pronounced in children with IDA was revealed. Indicators of cognitive functions correspond predominantly to a mild and moderate level of development in children with IDA, the average - in children with LID, good and high - in healthy children. There was a significant direct correlation between the level of cognitive functioning and the level of hemoglobin, serum iron and ferritin. The effect of iron deficiency on the development of indicators of cognitive function toward their reduce in preschool children was established. The level of cognitive functioning depends on the degree of iron deficiency.

  20. The Association Between Parental Behavior Patterns and the Dietary Intake of Preschool Children in Tehran Kindergartens

    Maryam Pazuki; Majid Hajifaraji; Morvarid Nikoosokhan; Anahita Houshyarrad; Taghi Pourebrahim; Bahram Rashidkhani

    2014-01-01

    Background and Objectives: This study was designed to investigate the association between parental behavior and the dietary intake of Tehranian preschool children aged 2-6 years. Materials and Methods: In a cross-sectional study conducted on 310 children aged 2-6 years from the kindergartens of 22 districts of Tehran, a qualitative validated 85-item food frequency questionnaire was completed by interviewing with their parents. Also the effect of parental behavior on the children’s dietary ...

  1. Interventions by Mothers of 1-6 Year Old Children after Home Accidents

    Belkis Karatas

    2006-12-01

    Full Text Available PURPOSE: The purpose of the research was to determine the interventions after home accidents by women with a child between 1-6 years old.INSTRUMENT AND METHODS: The research was conducted as a descriptive study in the neighborhoods served by Çukurova Health Clinic affiliated with Mersin province center municipality. Using a simple random sampling method 100 women were taken into the sample by numbering the 1-6 year old child monitoring records. Data were collected on a questionnaire. Percentage distribution and Chi square test were used in the analysis of data obtained in the research.FINDINGS: The children of 66.0% of the women had had at least one home accident and the most frequent of the accidents was falling (66.7% followed by burns (43.9%. The majority of women, following their child's fall (61.4% applied a wound ointment and took the child to a health care facility and following a burn to their child 44.8% of the women used a cold application and took the child to a health care facility. The overwhelming majority of the women learned about first aid for childhood accidents from the people close to them, such as a relative or neighbor. There was no statistically significant difference between the women's sociodemographic characteristics and frequency of home accidents and the kind of first aid used for home accidents (P>0.05. RESULTS: The frequency of accidents in the homes of children between 1-6 years was high, and the majority of the first aid treatments administered by women following an accident was correct. Although the percentage was small some of the women did use inappropriate procedures.Keywords: Accident, injury, home accidents, childhood accidents 

  2. The evaluation of mood condition among depressed adolescent students in Isfahan after 6 years

    Shakibaei, Fereshteh; Alikhani, Mahmood; Mahaki, Behzad; Sichani, Naeimeh Karimian; Tabatabaei, Haleh Dormiani

    2016-01-01

    Background: This study has carried out to find the recovery rate, depression recurrence, changing of diagnose into bipolar mood disorder (BMD) and appearing other psychiatric disorders including obsessive compulsive disorder, oppositional defiant disorder (ODD), substance induced disorders, attention deficit and hyperactivity disorder, and anxiety disorders after 6 years among students having major depression disorder in Isfahan and its relation to some demographic factors. Materials and Methods: In this historical cohort study, 278 students studying in guidance school, in 2006 being 11–16-year-old and were diagnosed to have major depressive disorder participated. Data collection was done by completing children depression on inventory, Young Maria Rating Scale and also final diagnosis determination through interview by psychiatrists. To analyze the data, in addition to use descriptive statistics, multinomial and multiple logistic regressions were used to evaluate the relationships. All the analyses were done using SPSS 20. Results: About 34.9 of adolescents have suffered from depression after 6 years. Depression in 12.2% has been changed into BMD. The BMD morbidity chance was less in girls rather than depression one. The ratio of drug abuse in girls was less than boys (odds ratio [OR] = 0.471, P = 0.046). Students received no treatment or only pharmacotherapy, were more caught by ODD in comparison with those cases who received both pharmacotherapy and psychotherapy (P = 0.005, 0.038 and OR = 4.29 and 5.88). Conclusion: About half of students after 6 years are caught by depression or BMD. It reveals the importance of this disorder and its role in making behavioral problems for adolescents in their future. PMID:27308266

  3. Interventions by Mothers of 1-6 Year Old Children after Home Accidents

    Belkis Karatas

    2006-12-01

    Full Text Available PURPOSE: The purpose of the research was to determine the interventions after home accidents by women with a child between 1-6 years old.INSTRUMENT AND METHODS: The research was conducted as a descriptive study in the neighborhoods served by Çukurova Health Clinic affiliated with Mersin province center municipality. Using a simple random sampling method 100 women were taken into the sample by numbering the 1-6 year old child monitoring records. Data were collected on a questionnaire. Percentage distribution and Chi square test were used in the analysis of data obtained in the research.FINDINGS: The children of 66.0% of the women had had at least one home accident and the most frequent of the accidents was falling (66.7% followed by burns (43.9%. The majority of women, following their child's fall (61.4% applied a wound ointment and took the child to a health care facility and following a burn to their child 44.8% of the women used a cold application and took the child to a health care facility. The overwhelming majority of the women learned about first aid for childhood accidents from the people close to them, such as a relative or neighbor. There was no statistically significant difference between the women's sociodemographic characteristics and frequency of home accidents and the kind of first aid used for home accidents (P>0.05. RESULTS: The frequency of accidents in the homes of children between 1-6 years was high, and the majority of the first aid treatments administered by women following an accident was correct. Although the percentage was small some of the women did use inappropriate procedures.Keywords: Accident, injury, home accidents, childhood accidents

  4. Dietary sodium

    Graudal, Niels

    2015-01-01

    The 2013 Institute of Medicine (IOM) report "Sodium Intake in Populations: Assessment of Evidence" did not support the current recommendations of the IOM and the American Heart Association (AHA) to reduce daily dietary sodium intake to below 2,300 mg. The report concluded that the population......-based health outcome evidence was not sufficient to define a safe upper intake level for sodium. Recent studies have extended this conclusion to show that a sodium intake below 2,300 mg/day is associated with increased mortality. In spite of this increasing body of evidence, the AHA, Centers for Disease...... Control (CDC), other public health advisory bodies, and major medical journals have continued to support the current policy of reducing dietary sodium....

  5. Academic outcomes following a school-based RCT for ADHD : 6 year follow-up.

    Sayal, K.; Merrell, C.; Tymms, P.; Kasim, A.

    2015-01-01

    Objective For children with high levels of ADHD symptoms, to investigate the impact of early school-based interventions on academic outcomes in mid-childhood. Methods A 6 year follow-up of 4-5 year olds (n=52,075) whose schools participated in a cluster randomized controlled trial for children at risk of ADHD. School-level interventions involved the provision of a booklet with evidence-based information (book) and/or feedback of names (identification) of children with high levels of...

  6. Reliability of the Strengths and Difficulties Questionnaire in Japanese Preschool Children Aged 4–6 Years

    ,

    2014-01-01

    Background The Strengths and Difficulties Questionnaire (SDQ) has been widely used as a brief behavioral screening. The aim of this study was to examine the internal consistency and test-retest reliability of the 3- to 4-year-old version of the SDQ (SDQ 3–4) in Japanese preschool children. Methods The SDQ 3–4 was administered to 754 parents who had 4- to 6-year-old children attending kindergartens or childcare centers in Wako City, Japan, at 2 different times (Time 1 and Time 2) over a 2-week...

  7. Comparison of age-specific cataract prevalence in two population-based surveys 6 years apart

    Rochtchina Elena; Wang Jie; Tan Ava; Mitchell Paul

    2006-01-01

    Abstract Background In this study, we aimed to compare age-specific cortical, nuclear and posterior subcapsular (PSC) cataract prevalence in two surveys 6 years apart. Methods The Blue Mountains Eye Study examined 3654 participants (82.4% of those eligible) in cross-section I (1992–4) and 3509 participants (75.1% of survivors and 85.2% of newly eligible) in cross-section II (1997–2000, 66.5% overlap with cross-section I). Cataract was assessed from lens photographs following the Wisconsin Cat...

  8. Health among 6-year-old children in a Swedish county: based on the Health Dialogue

    Holmström, Malin Rising; Olofsson, Niclas; Kristiansen, Lisbeth; Asplund, Kenneth

    2012-01-01

    Aim: To explore the experiences of self-reported health (SRH) of 6-year-old boys and girls. Background: The goals for the Swedish School Health Services (SHS) are to identify health problems, take measures to prevent illness, and promote health. One approach used to achieve this is the use of the Health Dialogue (HD) questionnaire. The HD is offered at three occasions during compulsory school and once in high school; it follows the child’s development and growth from 6 to 16 years old. Method...

  9. Transitory spinal cord swelling in a 6-year-old boy with Guillain-Barre syndrome

    Delhaas, T. [Section of Child Neurology, Wilhelmina Children`s Hospital, University Hospital for Children and Youth, Utrecht (Netherlands)]|[Department of Pediatrics, University Hospital Maastricht, P0 Box 5800, 6202 AZ Maastricht (Netherlands); Kamphuis, D.J. [Section of Child Neurology, Wilhelmina Children`s Hospital, University Hospital for Children and Youth, Utrecht (Netherlands); Witkamp, T.D. [Department of Radiology, University Hospital Utrecht, Utrecht (Netherlands)

    1998-07-01

    A 6-year-old boy developed progressive motor weakness and areflexia. The clinical picture, combined with electrophysiological findings, indicated a diagnosis of Guillain-Barre syndrome (GBS). MRI on admission revealed spinal cord swelling and increased signal intensity within the cord. It is concluded that, since a degree of central nervous system involvement can occasionally be part of the spectrum of GBS, swelling of the spinal cord without contrast enhancement does not exclude a diagnosis of GBS. (orig.) With 2 figs., 8 refs.

  10. Treatment of Odontogenic Myxoma: A Multidisciplinary Approach—6-Year Follow-Up Case

    João Gustavo Oliveira de Souza

    2014-01-01

    Full Text Available The most aggressive diseases that affect the oral environment are considered tumors of the jaw. The surgical treatment is preferably done by surgical resection of the lesion, resulting in a great loss of tissue and esthetics. Multidisciplinary planning is required for the rehabilitation of these cases. Autogenous grafting techniques or vascularized flaps allow ridge reconstruction for implant placement, restoring function, and esthetics. This paper reports a 6-year follow-up case of an odontogenic myxoma treated with wide resection and mandibular bone reconstruction for posterior rehabilitation with dental implants.

  11. Mucoepidermoid carcinoma of the lung in a 6-year-old boy

    Peer Wildbrett

    2012-01-01

    Full Text Available Primary malignant lung tumours, especially the mucoepidermoid cancer of the bronchus, are very uncommon in childhood. Obtaining the diagnosis might be difficult due to unspecific initial symptoms but early detection and treatment is crucial for a good long-term survival. Bronchoscopy is considered the "gold standard" for making the diagnosis. The recommended therapy for a mucoepidermoid lung cancer is sleeve lobectomy with favourable overall survival after complete resection. We report the case of a 6-year-old boy with a right-upper-lobe bronchus tumour. The histological examination revealed a low-grade mucoepidermoid carcinoma.

  12. A Case of Juvenile Huntington Disease in a 6-Year-Old Boy

    Jun-Sang Sunwoo

    2010-10-01

    Full Text Available Huntington disease is a neurodegenerative disorder distinguished by the triad of dominant inheritance, choreoathetosis and dementia, usually with onset in the fourth and fifth decades. It is caused by an unstable cytosine-adenine-guanine (CAG trinucleotide repeat expansion in the gene IT15 in locus 4p16.3. Juvenile HD that constitutes about 3% to 10% of all patients is clinically different from adult-onset form and characterized by a larger number of CAG repeats typically exceeding 60. We report a case of a 6-year-old boy with myoclonic seizure and 140 CAG repeats confirmed by molecular genetic analysis.

  13. Dynamics of development motive capabilities, psychophysiological and functional possibilities of boys 4-6 years

    Gavrishko S.G.

    2010-04-01

    Full Text Available The problem of determination of level of development motive capabilities is examined. Directions of prognostication inclination of children of early age are rotined to the certain type of motive activity. The complex testing of individual possibilities of boys is conducted 4-6 years. Comparative description of indexes of motive function is presented during six testing. Certain the loud speaker of development of motive capabilities, psychophysiological and functional possibilities of boys. The general tendencies of change of these indexes are exposed during three years.

  14. Subjects with Impaired Fasting Glucose: Evolution in a Period of 6 Years

    Leiva, E.; V. Mujica; ORREGO, R.; Wehinger, S.; Soto, A.; Icaza, G.; M. Vásquez; L. Díaz; Andrews, M.; M. Arredondo

    2014-01-01

    Aim. To study the evolution of impaired fasting glucose (IFG), considering glucose and HbA1c levels and risk factors associated, in a period of 6 years. Methods. We studied 94 subjects with impaired fasting glucose (IFG) that were diagnosed in 2005 and followed up to 2012. Glucose and HbA1c levels were determined. A descriptive analysis of contingence charts was performed in order to study the evolution in the development of type-2 diabetes mellitus (T2DM). Results. Twenty-eight of ninety-fou...

  15. SPEECH AND LANGUAGE ASSESSMENT USING LEST 0 TO 6 AMONG CHILDREN 0 TO 6 YEARS

    Shiji K

    2013-12-01

    Full Text Available ABSTRACT: This descriptive study was conducted toassess the speech and language development anddelay among children 0 - 6 years.450 Children 0 - 6 years age groups were taken for the study . Each child was given the corresponding LEST and given a PASS if he or she had performed the test. Of the 450 children screened , 5.5 % had delay , 2.2 % had only questionable delay. Of the 25 children who had delay 15 (60% were males. There is strong hazardous association between sex and speech delay. Statistical test also shows that there is association between speech Delay and Sex i . e . , t he result is highly Statistically Significant , ( p< 0.005 . Hence males have more speech Delay than Females. LEST – this simple validatedor standardized scree ning tool will be useful for professionals to give early intervention. The Statistical method used is Chi - Square test. This test can be extrapolated to the general population. This test - LEST has been validated by Nair M.K.C et al.KEY WORDS : Speech delay , Language delay , LEST

  16. Epidemiological study of traumatic dental injuries in 5- to 6-year-old Brazilian children

    Gabriela Oliveira BERTI

    2015-01-01

    Full Text Available Monitoring traumatic dental injury (TDI in primary teeth through epidemiological cross-sectional surveys provides descriptive information relevant to the development of public policies focused on the prevention of such injuries for the target population. The aim of this study was to assess the prevalence of TDI in 5- to 6-year-old Brazilian children and its association with biological and socioeconomic factors. A total of 684 children aged 5 to 6 years old, from 11 public schools in the city of Barueri (Brazil were evaluated. Clinical examinations were carried out in the schools, by two trained and calibrated examiners. Gauze and a mouth mirror were used for the examinations. The reported TDIs were classified according to the Andreasen (2007 criteria for primary teeth. The results showed that 52.3% of the children had TDI. Enamel fracture (63.4% was the most frequently observed sign of TDI, and the most affected teeth were the primary maxillary central incisors (26.9% maxillary right central incisor and 24% maxillary left central incisor. There was no association between the presence of TDI and biological or socioeconomic factors. In conclusion, the prevalence of TDI was high and had no statistically significant association with biological and socioeconomic factors.

  17. Baclofen Induced Encephalopathy in a 6-Year-Old Boy with Advanced Renal Failure

    Majid MALAK

    2015-06-01

    Full Text Available How to Cite This Article: Malak M, Barzgar M. Baclofen Induced Encephalopathy in a 6-Year-Old boy with Advanced Renal Failure. Iran J Child Neurol. Spring 2015;9(2:61-63. AbstractBaclofen is a drug for many diseases for all ages, but it is hazardous in patients with renal failure. This article talks about a case of baclofen overdose in a child with renal failure.A 6-year-old boy admitted to the emergency department with a loss of consciousness, hypotonia, and areflexia following administration of 20 mg baclofen (1mg/kg/daily in total dose for his voiding dysfunction. His laboratory tests showed advanced renal failure. After withholding the medication andsupportive therapy, he recovered completely after two days. After arousal, he complained of insomnia, strange sensations on the skin, intentional tremors, and ataxia. He left the hospital in good condition in three days.Renal function control before baclofen administration is mandatory especially in high-risk groups. A total dose of 1mg/kg lead to encephalopathy in children with advanced renal failure, with subtle persistent complaints persist are often overlooked for a while.

  18. Sampling Survey of Disability in 0-6 Year-old Children in China

    HUI ZHANG; XIN NA; SHAO-HUA GUO; ZHENG-LAI WU; SHAO-HUA BO; XI-TAN ZHANG; MIN LIU; ZHI-XIANG ZHANG; XIAO-LING YANG; SHU-RONG JI; HUA YAN; XIU-LI SUI

    2006-01-01

    Objective To investigate the current status of disabled children and prevalence of disabilities in children aged 0-6 years and their risk factors, and to provide scientific evidence for making relevant policies for disabled children. Methods In a community-based cross-sectional study, multi-phase, stratified, unequal proportional and cluster sampling was adopted to survey 60 124 children aged 0-6 years. All the investigated children were screened for disabilities, and those with positive screening tests were further diagnosed by various specialties. Results A total of 819 children were diagnosed as disabled with an overall prevalence of 1.362%, 0.155% for hearing disability, 0.160% for visual disability, 0.931% for intelligent disability, 0.424% for limb disability, and 0.101% for mental disability. Prevalence of disability in children was higher in rural areas, and in families with two or more children, low educational level or in divorced families. Conclusion The prevalence of disability can be reduced by economic development, improvement of health care and quality of population, as well as harmonious familial relationship, early prevention of disability, and preschool education for disabled children.

  19. Features of tennis methods of teaching 5-6 years old children in the initial stages

    Kurmaeva E.V.

    2014-04-01

    Full Text Available Purpose : theoretical and methodological justification for the existing teaching methods tennis of 5-6 years old children. Material : 17 special analysis and scientific and methodological sources. Results : the features of the existing methods of teaching children at an early stage of training. The main theses of the existing methods: 1 the training process is carried out in the form of games; 2 the level of general physical preparedness level exceeds special; 3 The first two years of the children do not participate in official competitions; 4 education of children begins with " School Ball ", with a gradual transition to employment with racket and ball; 5 training is built on two levels: theoretical - each " part" in the form of pre- formation of a mental model of rational behavior, and practical - the formation of the ability to perform motor actions. Conclusions : it was found that the existing methods of constructing the training process for children 5-6 years do not account for their physiological characteristics, therefore proposed to use computer technology and animation, that will shorten the formation of motor skills of children.

  20. Prevalence of Malnutrition in Under 6-year Olds in South Khorasan, Iran

    Hassan Mehrjoofard

    2010-12-01

    Full Text Available Objective:Malnutrition is one of the important health problems throughout the world, particularly in developing countries, which has undesirable effects on mental and physical health of children. The aim of this study was to find out the prevalence of malnutrition in children under 6 years old in Privince South Khorasan, Iran, in 2007. Methods:This cross sectional and descriptive analytical study was conducted on children under 6 years old in South Khorasan Iran, belonging to six urban and rural regions applying multistage cluster sampling methodology. Data were collected through measuring weight and height, structural questionnaires Anthropometric Nutrution Indicators Survey, and face-to-face interviews with mothers. Malnutrition was measured on the basis of the indices underweight, wasting and stunting. The obtained data was analyzed by means of chi-square test in the packages SPSS and EPI-Info 2000, taking α= 0.05 as the significant level. Findings:Out of 1807 children 51.7% were males, 52.2% living in urban areas, and 37% were under 24 months old. Weight index was normal in 52.2% children, 34.4% lightly underweight, 11.7% moderately underweight and 1.2% severely underweight. Prevalence of underweight had a significant relationship to habitation, mothers' job and parents education level. According to stunting criteria, 55% were normal, 28.4% lightly stunted 12.7% were moderate, and 3.9% severe stunted. Stunting also had a significant relationship to habitation, age, mothers job, and parents' level of education. Wasting criteria showed that 67.8% were normal 24.7% light, 5.9% moderate and 1.6% had severe wasting. This had a significant relationship to sex and habitation. Conclusion:Prevalence of malnutrition was in children and its relationship to socioeconomic variables, measures such as increasing parents education - especially mothers knowledge - constancy of breast feeding until the age of 2 years, and promoting nutrition status

  1. Diabetes and Dietary Supplements

    ... R S T U V W X Y Z Diabetes and Dietary Supplements: In Depth Share: On This ... health product or practice. Are dietary supplements for diabetes safe? Some dietary supplements may have side effects, ...

  2. Correlates of objectively measured physical activity in 5-6 year old preschool children

    Olesen, L G; Kristensen, P L; Korsholm, L; Koch, A B; Froberg, K

    2015-01-01

    The aim of this study was to identify gender specific physical activity correlates in Danish preschool children. METHODS: Cross--sectional study in Odense, Denmark. The gender specific models were based on data from 174 boys and 177 girls, 5--6 years of age and enrolled in 40 randomly selected...... preschools. Percentage of total daily time spent in moderate and vigorously physical activity (MVPA) was measured using ActiGraph accelerometers over 5 preschool days and 2 days off. Thirty--nine potential correlates of child MVPA across 5 domains were tested for associations with gender specific MVPA....... RESULTS: The gender specific models consistently identified motor coordination and the parents´ perceptions of their child´s activity preferences during free play were positively associated with MVPA. Days with rain or no preschool attendance were negatively associated with MVPA. For boys, rural area and...

  3. SCREENING OF THE PSYCHICAL DISTURBANCES OF THE CHILDREN FROM 3 TO 6 YEARS OLD

    P. CAKAROVA

    1999-05-01

    Full Text Available The assurance of optimal physical and psychical development of the child is first-degree health care. Discovering the psychical disturbances in time and reasons that cause is a precondition for adequate treatment and prophylaxis.The objects of our study are 490 children from 3 to 6 years old. We used the screening test of McCuire J. and N. Nichman.We found a relatively high percent of children with psychical disturbances. They are noticed more often in the younger children. To specify psychical disturbances we made some additional studies. The early discovering of psychical disturbances gives the possibility for timely treatment and recovery of normal psychical state of child.

  4. Gamma-ray upper limits on magnetars with 6 years of Fermi-LAT observations

    Li, Jian; Torres, Diego F; de Ona-Wilhelmi, Emma

    2016-01-01

    We report on the search for gamma-ray emission from 20 magnetars using 6 years of Fermi, Large Area Telescope (LAT) observations. No significant evidence for gamma-ray emission from any of the currently-known magnetars is found. We derived the most stringent upper limits to date on the 0.1--10 GeV emission of Galactic magnetars, which are estimated between $\\sim10^{-12}-10^{-11}$ erg s$^{-1}$ cm$^{-2}$. Gamma-ray pulsations were searched for the four magnetars having reliable ephemerides over the observing period, but none were detected. On the other hand, we also studied the gamma-ray morphology and spectra of seven Supernova Remnants associated or adjacent to the magnetars.

  5. Hypoadiponectinemia in overweight children contributes to a negative metabolic risk profile 6 years later

    Kynde, Iben; Heitmann, Berit L; Bygbjerg, Ib C;

    2009-01-01

    follow-up data 6 years later (n = 169). Cardiometabolic risk profile was calculated using a continuous composite score derived from summing of 6 factors standardized to the sample means (Z scores): body mass index, homeostasis model assessment of insulin resistance, total serum cholesterol to serum high......Prognostic biomarkers are needed to identify children at increased cardiometabolic risk. The objective was to study whether markers of metabolism and inflammation, for example, circulating plasma adiponectin, leptin, interleukin-8, and hepatocyte growth factor, are associated with cardiometabolic......-density lipoprotein cholesterol ratio, serum triglycerides, systolic blood pressure, and the reciprocal value of fitness (maximum watts per kilogram). Overweight was defined using international classification of body mass index cutoff points for children. Plasma adiponectin, leptin, interleukin-8, and hepatocyte...

  6. Analysis of neonatal sepsis in one neonatal intensive care unit for 6 years

    Peter Chun

    2010-04-01

    Full Text Available Purpose : Sepsis is a significant cause of morbidity and mortality in the newborn, particularly in preterm. The objective of this study was to analyze the incidence rate, causative pathogens and clinical features of neonatal sepsis in one neonatal intensive care unit (NICU for 6 years. Methods : This study was retrospectively performed to review the clinical and laboratory characteristics including sex, gestational age, birth weight, Apgar score, length of hospitalization, length of total parenteral nutrition, presence of central venous catheter, underlying diseases, laboratory findings, microorganisms isolated from blood culture, complications and mortality in 175 patients between January 2003 and December 2008. Results : 1 Sepsis was present in 175 of 3,747 infants for 6 years. There were more gram-positive organisms. 2 The gram-negatives were more prevalent in preterm. There were no significant differences of other clinical features between two groups. 3 Underlying diseases were found in 73.7%, and the most common disease was cardiovascular disease. The most common organisms of gram-positives and gram-negatives were methicillin resistant Staphylococcus aureus (MRSA and Serratia marcescens. 4 There was statistically significant difference on platelet counts between two groups (P&lt;0.05. 5 Complications were found in 18.3% and septic shock was the most common. MRSA was the most common pathogen in sepsis with complication. 6 The mortality rate was 7.4%. 7 There were differences in monthly blood stream infection/ 1,000 patient-days. Conclusion : The studies about the factors that can influence neonatal sepsis will contribute to decrease the infection rates in NICUs.

  7. Comparison of age-specific cataract prevalence in two population-based surveys 6 years apart

    Rochtchina Elena

    2006-04-01

    Full Text Available Abstract Background In this study, we aimed to compare age-specific cortical, nuclear and posterior subcapsular (PSC cataract prevalence in two surveys 6 years apart. Methods The Blue Mountains Eye Study examined 3654 participants (82.4% of those eligible in cross-section I (1992–4 and 3509 participants (75.1% of survivors and 85.2% of newly eligible in cross-section II (1997–2000, 66.5% overlap with cross-section I. Cataract was assessed from lens photographs following the Wisconsin Cataract Grading System. Cortical cataract was defined if cortical opacity comprised ≥ 5% of lens area. Nuclear cataract was defined if nuclear opacity ≥ Wisconsin standard 4. PSC was defined if any present. Any cataract was defined to include persons who had previous cataract surgery. Weighted kappa for inter-grader reliability was 0.82, 0.55 and 0.82 for cortical, nuclear and PSC cataract, respectively. We assessed age-specific prevalence using an interval of 5 years, so that participants within each age group were independent between the two surveys. Results Age and gender distributions were similar between the two populations. The age-specific prevalence of cortical (23.8% in 1st, 23.7% in 2nd and PSC cataract (6.3%, 6.0% was similar. The prevalence of nuclear cataract increased slightly from 18.7% to 23.9%. After age standardization, the similar prevalence of cortical (23.8%, 23.5% and PSC cataract (6.3%, 5.9%, and the increased prevalence of nuclear cataract (18.7%, 24.2% remained. Conclusion In two surveys of two population-based samples with similar age and gender distributions, we found a relatively stable cortical and PSC cataract prevalence over a 6-year period. The increased prevalence of nuclear cataract deserves further study.

  8. MAXILLARY GROWTH PATTERNS IN ROMANIAN CHILDREN WITH CLEFT PALATE AGED BETWEEN 0-6 YEARS

    Liliana-Gabriela Halitchi

    2011-12-01

    Full Text Available A study documenting spontaneous and coordinated growth changes in young Romanian children with cleft palate is developed, for identifying the functional adaptations of oral cavity to the disrupted architecture of palate in children with cleft palate, the 3D analysis of maxillary casts being applied to visualize, evaluate and measure maxillary growth in patients with cleft palate, as well as to identify the reactive morphological pattern that could be imagined from the dimensional changes produced in the first 6 years of life. Two experimental groups were involved in the study, a former one, including 44 patients with cleft palate (16 boys and 28 girls, aged between 2 months and 6 years, operated by the same surgical team in the St.Mary University Children Hospital from Ia[i. The resulting maxillary casts were 3D scanned at Multinr company, in Sf. Gheorghe. The maxillary alveolar arch lines, the 4 Stilmann points (TD, TS, CD, CS and the maxillary interincisive point were identified and marked by the orthodontist, being reproduced with 6 degrees of tridimensional freedom. The coordinates of this point were transferred to the CAD system, to graphically recreate the computerized three-dimensional alveolar arch. 4 direct measurements have been made, namely: anterior and posterior diameter of the alveolar maxillary arch, length of the alveolar arch and depth of the palate. Student’s t test, both simple and bivariate, performed with SPSS 13.0 soft, showed statistic significance for the dimensional differences of the alveolar maxillary arch in children with cleft palate, comparatively with the healthy control group. Conclusion: Cleft palate patients have narrower and shorter maxillary alveolar arch and a flattened palate.

  9. Changes in BMI over 6 years: the role of demographic and neighborhood characteristics

    Berry, TR; Spence, JC; Blanchard, C; Cutumisu, N; Edwards, J; Nykiforuk, C

    2016-01-01

    Objective To undertake a 6-year longitudinal investigation of the relationship between the built environment (perceived and objectively measured) and change in body mass index (BMI). Specifically, this research examined whether change in BMI was predicted by objectively measured neighborhood walkability and socioeconomic status (SES), and perceived neighborhood characteristics (for example, crime, traffic and interesting things to look at) in addition to other factors such as age, gender, education, physical activity, fruit and vegetable consumption and smoking. Design Longitudinal study Subjects 500 adults who provided complete data in 2002 and 2008 and who did not move over the course of the study (47.8% female; age in 2002: 18–90 years). Measurements Telephone surveys in 2002 and 2008 measuring perceptions of their neighborhood environment and demographic factors. Objective measures of neighborhood characteristics were calculated using census data and geographical information systems in 2006. Results Age, neighborhood SES and perceived traffic were significantly related to increased BMI over the 6 years. Younger participants and those in lower SES neighborhoods were more likely to have increased BMI. Agreement with the statement that traffic made it difficult to walk also predicted increased BMI. Conclusion This study adds to the literature to show that BMI increased in low SES neighborhoods. Although more research is needed to fully understand how neighborhood SES contributes to obesity, it is without question that individuals in socially disadvantaged neighborhoods face more barriers to health than their wealthier counterparts. This study also calls into question the relationship between walkability and changes in BMI and emphasizes the necessity of longitudinal data rather than relying on cross-sectional research. PMID:20157324

  10. Punishment and reward in parental discipline for children aged 5 to 6 years : prevalence and groups at risk

    Theunissen, Meinou H. C.; Vogels, Anton G. C.; Reijneveld, Sijmen A.

    2014-01-01

    OBJECTIVE: In this study we examined the use and predictors of different discipline practices by parents of children aged 5 to 6 years. METHODS: We obtained cross-sectional data for a nationally representative Dutch sample of children aged 5 to 6 years within the setting of routine well-child visits

  11. Antitumor Immunity and Dietary Compounds

    Annalise R. Smith

    2013-12-01

    Full Text Available The mechanisms by which natural dietary compounds exert their antitumor effects have been the focus of a large number of research efforts in recent years. Induction of apoptosis by inhibition of cell proliferative pathways is one of the common means of cell death employed by these dietary compounds. However, agents that can activate an antitumor immune response in addition to a chemotherapeutic effect may be useful adjuvants or alternative therapies for the treatment of cancer. The focus of this review is to highlight representative dietary compounds, namely Withania somnifera, Panax ginseng, curcumin and resveratrol with special emphasis on their antitumor immune mechanism of action. Each of these dietary compounds and their sources has a history of safe human use as food or in herbal medicine traditions, potentially making them ideal therapeutics. Here we report the recent advances in the cellular immune mechanisms utilized by these compounds to induce antitumor immunity. Taken together, these findings provide a new perspective for exploiting novel dietary compounds as chemoimmunotherapeutic anti-cancer agents.

  12. The sentinel node procedure in cutaneous melanoma: an overview of 6 years' experience

    The purpose of this article is to survey the worldwide history and experience with the SN procedure since Morton et al.'s report 1992. The technique is described, and its validity and the variables that influence is success are considered. The staging function of the procedure and its potential role in respect of the use of adjuvant therapy are also addressed

  13. Dietary guidelines

    Jelsøe, Erling

    2015-01-01

    in a number of countries have addressed the issue of making dietary guidelines that integrate health and sustainability, but in all cases they have been met with different kinds of resistance. This article reviews the development towards an integrated understanding of health and sustainability in...... relation to food and eating and the emergence of proposals for integrated guidelines. It explores the conflicts and controversies that have arisen in the wake of the various proposals and identifies a number of different types of conflicts. These relate to conflicts of interests between the various actors...... involved and political resistance against initiatives that are perceived as being in conflict with the values of a market economy and free trade. Furthermore, there are controversies that can be broadly characterised as relating to the politics of knowledge and have to do with the differentiation of...

  14. Insomnia, daytime sleepiness and cardio-cerebrovascular diseases in the elderly: a 6-year prospective study.

    Isabelle Jaussent

    Full Text Available OBJECTIVE: To examine 1 the associations between history of cardio-cerebrovascular diseases (CVD and insomnia complaints and excessive daytime sleepiness (EDS, and 2 the relationships between sleep complaints and future CVD in persons over 65. METHODS: CVD was assessed at baseline and during two, four, and six-year follow-up in 5494 non-demented subjects. Self-reported insomnia complaints (poor sleep quality, difficulty in initiating sleep, difficulty in maintening sleep, and early morning awakening, EDS and sleep medication use were evaluated at baseline. Logistic regression models and Cox proportional hazard models, with delayed entry and age of participants as the time scale, were adjusted for socio-demographic, lifestyle and clinical variables. RESULTS: At baseline, 748 participants had a past-history of CVD. A past-history of CVD was associated with EDS (OR = 1.28 95%CI = [1.05-1.57] and the number of insomnia complaints (OR = 1.26 95%CI = [1.03-1.55] for 1-2 insomnia complaints; OR = 1.32 95%CI = [1.03-1.71] for ≥3 complaints. In longitudinal analyses, neither the four components of insomnia nor the number of insomnia complaints were significantly associated with first or recurrent CVD events (n = 391 events. EDS was independently associated with future CVD events even after adjusting for prescribed sleep medication and past-history of CVD (HR = 1.35 95%CI = [1.06-1.71]. CONCLUSION: Our results suggest that the relationships between sleep complaints and CVD could be complex. Insomnia complaints are more likely a consequence of CVD, whereas EDS appears to be a determinant of CVD independently of past-history of CVD. EDS screening may thus constitute a means of detecting persons at high risk of CVD.

  15. High latitude climate forcing by 18.6-year lunar tidal fluctuations

    Upper layer ocean temperatures in the northern North Pacific increased by more than 2C in 10 years beginning in 1972. Proxy time series indicate that this is not a monotonic signal but rather a very low frequency fluctuation. The sea surface temperatures, which began in 1946, and the air temperature at Sitka since 1910, show fluctuations of 15-25 years. A least squares fit of the 18.6-year lunar declination signal to the 5-year block-averaged air temperature at Sitka can account for 44% of its variance. A modification of the mean ocean circulation by the change in lunar tides is suggested as the cause for this fluctuation. Similar sea surface temperature fluctuations have been observed for the northern North Atlantic Ocean from 1876 to 1965 but they appear to be out of phase with the North Pacific. The Atlantic fluctuations also have a small amplitude; 0.24C versus 0.52C for the North Pacific. Low frequency cycles are also evident in the air temperatures from the Hudson Bay region since 1700. The opposite phasing of the water and air temperatures of the North Atlantic and North Pacific is consistent with the tidal modulation of the mean ocean circulation. The most recent minimum for the Sitka air temperature should have occurred in September 1989

  16. DPT Vaccination Complications in Children up to 6 Years of Age in Tehran

    N Hadjizadeh

    2002-09-01

    Full Text Available The expanded global use of vaccines has led to eradication of some contagious diseases in children. This should not lead to forget the fact that these vaccines can be associated by complications and side effects. We studied 450 children, who had received DPT vaccine at the age of under 6 years. 2 to 7 days after the DPT injection we could not observe any seriously dangerous complication, although 82.4% of the children had general and 83% local complications. Fever with a frequency of 73% was the most frequency observed general complication, this was followed by lethargy, loss of appetite, and persisted crying. The most frequency observed local complication consisted of pain at the site of injection with 63% of cases followed by swelling, erythema and induration. By increasing age, local swelling and erythema increases (P<0.001 and induration decreases (P<0.001. General complications decreases with increasing age and vaccinations, which is especially remarkable in 2 to 7 year old children (5th vaccination.

  17. MAXILLARY GROWTH PATTERNS IN ROMANIAN CHILDREN WITH CLEFT PALATE DURING THE FIRST 6 YEARS OF LIFE

    Liliana-Gabriela Halitchi

    2012-12-01

    Full Text Available In order to visualize, evaluate and measure the maxillary growth in patients with cleft palate and to identify the reactive morphological pattern that could be identified from the dimensional changes produced along the first six years of life, maxillary impressions were made in two groups of study, by means of standard trays and silicone impression materials. The maxillary casts resulted had been 3D scanned at Multinr, in Sf. Gheorghe. The study was carried on a number of 34 patients with cleft palate, 16 boys and 18 girls, with ages between 2 months and 6 years, operated by the same surgical team in “St. Mary” University Children Hospital of Iaşi, as well as on 60 normal children. Bivariate Student’s t test established statistically significant negative differences between the mean values of the anterior and posterior width of the maxillary alveolar arch, positive non significant differences for the length and positive differences for the depth of the dehiscent palate in the experimental group, comparatively with normal children. Cleft palate patients have narrowed and shorter maxillary alveolar arch and flattened palate. At least therapeutically, the cleft palate group, operated at different ages, from 2 to 4 years, could not react like other groups of study from important European Cleft Centers and benefit from a good residual growth.

  18. Prevalence of Hearing disorders in 3-6 year old Children of Kindergartens in Yazd City

    Z Jafari

    2009-01-01

    Full Text Available Introduction: A hearing– impaired patient is defined as one with abnormal or reduced function in hearing resulting from an auditory disorder. The goal of any preschool and schools screening program should be to accurately indentify those children whose hearing has been impaired due to conductive and / or sensory– neural pathology. Methods: This cross– sectional descriptive study was done on 577 children (299 girls and 278 boys aged between 3–6 years at kindergartens of Yazd city from September 2005 to January 2006. The otoscopy examination, pure-tone screening and impedance study was conducted after completion of awareness form of the hearing loss existence by the parents. Results: In this study, there were 12.6% abnormal conditions of external ear canal, 34.2% abnormal tympanic membrane, 35.9% abnormal tympanograms and 13.4% hearing loss including 11.5% conductive hearing loss, 1.5% sensory-neural hearing loss and 0.5% mixed hearing loss. Conclusion: With respect to the high prevalence and negative effects of middle ear disorders in learning of preschool children, and also due to the importance of early identification and intervention of hearing loss in aural rehabilitation programs, increasing the awareness and education of people, especially parents about the effects of hearing disorders and its prevention and identification is very important

  19. Cholestasis and protein-losing enteropathy secondary to hyperthyroidism in a 6-year-old girl.

    Gargouri, Lamia; Charfi, Manel; Maalej, Bayen; Majdoub, Imen; Safi, Faiza; Fourati, Hela; Hentati, Yosr; Daoud, Emna; Mnif, Zeineb; Abid, Mohamed; Mahfoudh, Abdelmajid

    2014-09-01

    Hepatic dysfunctions are not infrequent in patients with hyperthyroidism. These disorders may be related to the effects of the excess thyroid hormone secretion, to the uses of antithyroid drugs, or to the presence of concomitant hepatic diseases. Our aim is to describe the clinical and biochemical features of liver dysfunction related to thyrotoxicosis. We report here a case of a 6-year-old girl who was admitted for jaundice and pruritus as a result of the development of hyperthyroidism due to Graves' disease. On physical examination at admission, she was found to have jaundice and hepatomegaly. Laboratory data show cholestasis and protein-losing enteropathy. Investigations exclude other causes of hepatic disorder. One month after the initiation of antithyroid drug, the patient became euthyroid with improvement in jaundice and pruritus and normalization of hepatic tests and alpha antitrypsine clearance. In conclusion, the diagnosis of hyperthyroidism may be delayed in patients in whom the primary manifestations were pruritus and jaundice. The physician should suspect thyrotoxicosis prior to hepatitis or skin manifestations. PMID:24825088

  20. 1-6 Years Aged Childrens Mothers First Aid for Burns Observation in Mardin City Center

    Betul Battaloglu Inanc

    2013-05-01

    Full Text Available        Aim: In this study, we aimed to determine the mothers’ knowledge levels about burns and first aid. When they encounter burns, what will they do in the first instance and emergency application. At the end of this research correct information given to mothers. Aimed to supply the deficiency information. Material and Method: 25-49 age group of mothers who have 1-6 years aged childrens’ in the study were choisen ramdomly. After being informed about the study, only volunteries for questionnaires were used. There were a thousand mothers. Results: Children’ 21.6 % have burns. 81.4% burns were in their house , 18.6 % burns were out of their house. Often burns case were 2-4 years aged group children. 89.6 % mothers found themselves have no true knowledge about first aid for burns. Discussion: Mothers’ knowledge more deficient about the first aid for the burns. In this regard mothers’ lack of knowledge must be correct with the training activities to be applied. Prime necessity of the mothers were informed about the right applications.

  1. Patient Responses to Dental Implant-retained Mandibular Overdenture Therapy: A 6-year Clinical Study

    Perng-Ru Liu

    2007-08-01

    Full Text Available Background: The purpose of this study was to record subjective patient experiences withrespect to the surgical placement of dental implants and the functioning ofmandibular implant-retained overdentures versus conventional dentures.Methods: Completely edentulous patients (n = 56 unable to wear a conventionalmandibular complete denture were each treated with 4 one-stage titaniumplasma sprayed or Sandblasted Large-grit Acid-etched (SLA screw implantsand overdentures retained by a cast bar with extracoronal attachments. Fiftysixpatients were subsequently clinically evaluated over a period of up to 6years. Fifty-three patients responded to questions on their experiences priorto and after treatment with implant retained overdentures.Results: No implants or restorations failed during the observation period. Most of thepatients (96% felt satisfied with their new overdentures, and reported theirnew dentures fit comfortably.Conclusions: The use of implants to retain and support the denture improved comfort, givingthe patients more self-confidence and improved social interaction, inaddition to oral rehabilitation. This study demonstrates rehabilitation of themandibluar arch with an implant-retained overdenture is a predictable treatmentprotocol.

  2. Prevalence of Attention Deficit Hyperactivity Disorder in 6 Year Olds of Yazd City

    M Sadr Bafghi

    2008-01-01

    Full Text Available Introduction: Attention Deficit hyperactivity Disorder (ADHD is the most common psychiatric disorder in school age children and has a negative effect on the individual’s general functions. The purpose of this study was to estimate the prevalence of ADHD in preschool 6 year old children in Yazd in 2005 and the influence of gender, birth weight, birth order and parental education on ADHD. Methods: 400 preschool children including 200 boys and 200 girls were selected randomly through sampling method and the data of the cross sectional research was collected via compiled questionnaires based on the DSM-IV criteria and interview of parents. Data of this investigation was analyzed and evaluated using SPSS: 11.5 software. Results: The results showed that general prevalence of ADHD was 16/3% and more in boys (19/5% than girls (13%. Most of the parents of the affected children were illiterate or uneducated. There was no statistically significant relationship between gender, birth weight, order and ADHD frequency. Conclusion: In view of the high prevalence of ADHD among children in Yazd and its undesirable outcome, it is recommended to have a preventive mental health program for screening and treatment.

  3. DETERMINATION OF ANATOMICAL TYPE OF HEAD AND FACE IN CHILDREN UNDER 6 YEARS IN AHWAZ

    Z. Safikhani

    2007-05-01

    Full Text Available Cephalometry is an important branch of anthropology in which the dimensions of head and face can be determined. These dimensions are used to show indexes for studying brain growth and formation of all types of head and face. Indexes are vary from 65 to 95 for head and 65 to105 for face, which are used to determine 4 international anatomic types of head and 5 international anatomic types of face. The present study was carried out to determine all types of head and face among subjects aged less than 6 years. A total of 267(145 male and 131 female children were enrolled in this study. Convenience sampling was collected from kindergarten and preschool children. The subjects categorized to 1, 2, 3, 4, 5, 6 months and 11 groups of 12-72 months. Appropriate equipments were used for measuring height and width of the head and face. The results of this study indicated that brachycephalic (38% was the most common anatomical type of head, euryprosopic (38.6% and hyperleptoprosopic type (4.5% for face.

  4. Interdental Spacing and Dental Caries in the Primary Dentition of 4-6 Year Old Children

    G. Babu Kl

    2012-01-01

    Full Text Available Objective: There are various risk factors which play an essential role in the multifactorial disease “dental caries.” Although absence of interdental spaces in the primary dentition may increase the risk of dental caries, not many studies have been carried out to assess this correlation. This study was performed to assess the relationship between interdental spacing and dental caries in primary dentition.Materials and Methods: Five hundred 4-6 year-old children were enrolled into this study. Dental caries was recorded using the criteria given by Warren et al. Following this, impressions were made for the upper and lower arches and dental casts were poured. Interdental spaces were measured on the dental casts using a digital verniercaliper. The data obtained were subjected to statistical analysis.Results: The number of sites with interdental spaces was higher in the maxillary arch in comparison to the mandibular arch. The highest number of interdental spaces was observed between the maxillary anteriors. The number of demineralized, but non-cavitated tooth surfaces (d1were higher than the number of cavitated tooth surfaces. This difference was significant in the mandibular anterior segment. Dental caries showed a negative correlation with interdental spacing. A significant correlation was found between dental caries and interdental spacing in the posterior segment of the mandibular arch.Conclusion: This study showed that children with no interdental spacing in the primary dentition are at higher risk for dental caries.Key Words: Dental Caries; Interdental Spaces; Interproximal Caries

  5. Bucket-handle tear of a discoid lateral meniscus in a 6-year-old girl

    Yalcin, Nadir; Bektaser, Bulent; Cicekli, Ozgur; Dogan, Metin

    2004-01-01

    A six-year-old girl was examined upon development of pain, swelling, and locking in her right knee after a considerable period of discomfort and popping sensation. She had no history of trauma. Magnetic resonance imaging showed a discoid lateral meniscus, filling the entire lateral plateau and exhibiting signs of degeneration. On arthroscopic examination, a bucket-handle tear of the discoid lateral meniscus was noted and the patient was treated with arthroscopic subtotal meniscectomy. During ...

  6. Recovery of the 6-year signal in length of day and its long-term decreasing trend

    Duan, Pengshuo; Liu, Genyou; Liu, Lintao; Hu, Xiaogang; Hao, Xiaoguang; Huang, Yong; Zhang, Zhimin; Wang, Binbin

    2015-10-01

    There is a significant 6-year oscillation signal (called 6-year signal in this paper) existing in the interannual variations of length of day (LOD). It is unclear to understand its nature variation features. This paper extracts quantitatively the 6-year signal, from 1962~2012, using normal Morlet wavelet (NMWT) method combining wavelet packet and Fourier analysis technique, for the first time, and we investigate it in both time and frequency domains. The results indicate that the amplitude of a 6-year signal shows a long-term decreasing trend and the total amplitude reduction is about 0.05 ms during the past 50 years. The ratio of above reduction to the mean amplitude of 0.124 ms reaches 40 %. For interpreting the phenomenon on the above long-term decreasing trend, this paper proposes two alternatives; however, there is still no firm conclusion and it is required to be further explored.

  7. Detection of CMV DNA in the perilymph of a 6-year-old boy with congenital cytomegalovirus infection.

    Foulon, Ina; Soetens, Oriane; Vleurinck, Leen; Gordts, Frans; Leus, Astrid; Naessens, Anne

    2016-06-01

    We present the case of a 6-year-old boy who received a cochlear implant for profound sensorineural hearing loss after being born with cytomegalovirus (CMV) infection. Even after 6 years, CMV DNA was still found in the perilymph of the cochlea. Our case shows that CMV DNA can be present in the cochlea years after congenital CMV infection, and it can explain why progressive and/or late-onset hearing loss occurs in these children. PMID:27304443

  8. Assessment of dental caries predictors in 6-year-old school children - results from 5-year retrospective cohort study

    Masood Mohd; Yusof Norashikin; Hassan Mohamed Ibrahim; Jaafar Nasruddin

    2012-01-01

    Abstract Background This was a retrospective cohort study undertaken to assess the rate and pattern of dental caries development in 6-year-old school children followed-up for a period of 5 years, and to identify baseline risk factors that were associated with 5 years caries experience in Malaysian children. Methods This 5-years retrospective cohort study comprised primary school children initially aged 6 years in 2004. Caries experience of each child was recorded annually using World Health O...

  9. Emergency peripartum hysterectomy, physical and mental consequences: a 6-year study

    Denisa-Oana Bălălău

    2016-04-01

    Full Text Available Emergency peripartum hysterectomy (EPH is performed for massive postpartum hemorrhage following a cesarean delivery or vaginal delivery, in order to save the patient’s life. The current study was performed on a sample of 13.162 patients, which underwent cesarean or vaginal delivery during a period of 6 years, from 2010 to 2015, in Bucur Maternity Hospital. There were two subsequential groups consisting in: 6593 patients with cesarean operations and 6569 patients with vaginal delivery. In 12 cases occurred one or more of the risk factors that lead to EPH, divided equally across the two groups above. The main two types of surgery are a more frequent subtotal hysterectomy, which is the preferred type of EPH as it takes less time and is associated with fewer complications, and a total hysterectomy. The majority of procedures were performed at patients over 35 years old (9 of 12, with a median age of 31,16 (ranging from 21 to 44 years old. The most important risk factor present across the lot was multiparity (11 from 12, with cicatricial uterus being the second one (4 of 12. ICU median time was 4,5 days (ranging from 3 to 15 days, with a median blood transfusion necessity of around 2,4 I.U per patient. There were no mother or newborn reported deaths, neither PTSD following EPH.EPH is a procedure performed as last-resort, life-saving surgery, leaving no time for mental preparation of the patients. This may predispose to negative psychological outcomes, especially because they are not part of decision-making process due to the emergency character of hysterectomy.

  10. Vitamin D Intake and Status in 6-Year-Old Icelandic Children Followed up from Infancy.

    Thorisdottir, Birna; Gunnarsdottir, Ingibjorg; Steingrimsdottir, Laufey; Palsson, Gestur I; Birgisdottir, Bryndis E; Thorsdottir, Inga

    2016-02-01

    High serum 25-hydroxyvitamin D (25(OH)D) levels have been observed in infants in Nordic countries, likely due to vitamin D supplement use. Internationally, little is known about tracking vitamin D status from infancy to childhood. Following up 1-year-old infants in our national longitudinal cohort, our aims were to study vitamin D intake and status in healthy 6-year-old Icelandic children (n = 139) and to track vitamin D status from one year of age. At six years, the mean 25(OH)D level was 56.5 nmol/L (SD 17.9) and 64% of children were vitamin D sufficient (25(OH)D ≥ 50 nmol/L). A logistic regression model adjusted for gender and breastfeeding showed that higher total vitamin D intake (Odds ratio (OR) = 1.27, 95% confidence interval (CI) = 1.08-1.49), blood samples collected in summer (OR = 8.88, 95% CI = 1.83-43.23) or autumn (OR = 5.64, 95% CI = 1.16-27.32) compared to winter/spring, and 25(OH)D at age one (OR = 1.02, 95% CI = 1.002-1.04) were independently associated with vitamin D sufficiency at age six. The correlation between 25(OH)D at age one and six was 0.34 (p = 0.003). Our findings suggest that vitamin D status in infancy, current vitamin D intake and season are predictors of vitamin D status in early school age children. Our finding of vitamin D status tracking from infancy to childhood provides motivation for further studies on tracking and its clinical significance. PMID:26861385

  11. Mental Health Outcomes of Cocaine-Exposed Children at 6 Years of Age

    Linares, Teresa J.; Singer, Lynn T.; Kirchner, H. Lester; Short, Elizabeth J.; Min, Meeyoung O.; Hussey, Patrick; Minnes, Sonia

    2008-01-01

    Objective To assess 6-year-old cocaine- and noncocaine-exposed children's mental health outcomes controlling for potential confounders. Methods The sample consisted of 322 children [169 cocaine exposed (CE) and 153 noncocaine exposed (NCE)] enrolled in a longitudinal study since birth. At age 6, children were assessed for mental health symptoms using the Dominic Interactive (DI), a child self-report measure, and the Child Behavior Checklist (CBCL), a caregiver report of behavioral problems. Results CE children were more likely to self-report symptoms in the probable clinical range for oppositional defiant disorder (ODD) and attention deficit hyperactivity disorder (ADHD). In contrast, prenatal cocaine exposure was not related to child behavior based on the CBCL. After control for exposure, CE children in adoptive or foster care were rated as having more problems with aggression, externalizing behaviors, and total behavioral problems than NCE children and CE children in maternal or relative care. Also, CE children in adoptive or foster care self-reported more externalizing symptoms than CE children in maternal or relative care and NCE children. Findings could not be attributed to caregiver intelligence or depressive symptoms, or to the quality of the home environment. Conclusions CE children report more symptoms of ODD and ADHD than nonexposed children. Adoptive or foster caregivers rated their CE children as having more behavioral problems than did maternal or relative caregivers of CE children or parents of NCE children. Although further studies are needed to understand the basis for the more negative ratings by adoptive or foster caregivers of their CE children, the self-report of CE children indicates a need for psychological interventions. PMID:15802608

  12. Ewing sarcoma of the bone in children under 6 years of age.

    Maria Antonietta De Ioris

    Full Text Available BACKGROUND: Ewing Sarcoma Family Tumours (ESFT are rare in early childhood. The aim of this study was to report the clinical characteristics and outcome of children under 6 years of age affected by ESFT of the bone in Italy. METHODS: The records of all the children diagnosed with osseous ESFT in centres members of the Associazione Italiana di Ematologia ed Oncologia Pediatrica (AIEOP from 1990 to 2008 were reviewed. The Kaplan-Meier method was used for estimating overall and progression-free survival (OS, PFS curves; multivariate analyses were performed using Cox proportional hazards regression model. RESULTS: This study includes 62 patients. An axial primary localization was present in 66% of patients, with the primary site in the chest wall in 34%. Fourteen (23% patients presented metastatic disease. The 5-year OS and PFS were 73% (95% confidence interval, CI, 58-83% and 72% (95% CI 57-83% for patients with localized disease and 38% (95% CI 17-60% and 21% (95% CI 5-45% for patients with metastatic disease. Metastatic spread, skull/pelvis/spine primary localization, progression during treatment and no surgery predicted worse survival (P<0.01, while patients treated in the last decade had better survival (P = 0.002. In fact, the 5-year OS and PFS for patients diagnosed in the period 2000-2008 were 89% (95% CI 71-96% and 86% (95% CI 66-94%, respectively. CONCLUSION: The axial localization is the most common site of ESFT in pre-scholar children. Patients treated in the most recent period have an excellent outcome.

  13. Blood Lead Levels Among Children Aged <6 Years - Flint, Michigan, 2013-2016.

    Kennedy, Chinaro; Yard, Ellen; Dignam, Timothy; Buchanan, Sharunda; Condon, Suzanne; Brown, Mary Jean; Raymond, Jaime; Rogers, Helen Schurz; Sarisky, John; de Castro, Rey; Arias, Ileana; Breysse, Patrick

    2016-01-01

    During April 25, 2014-October 15, 2015, approximately 99,000 residents of Flint, Michigan, were affected by changes in drinking water quality after their water source was switched from the Detroit Water Authority (DWA), sourced from Lake Huron, to the Flint Water System (FWS), sourced from the Flint River.* Because corrosion control was not used at the FWS water treatment plant, the levels of lead in Flint tap water increased over time. Adverse health effects are associated with lead exposure (1). On January 2, 2015, a water advisory was issued because of detection of high levels of trihalomethanes, byproducts of disinfectants.(†)(,)(§) Studies conducted by local and national investigators detected an increase in the prevalence of blood lead levels (BLLs) ≥5 µg/dL (the CDC reference level) among children aged water lead levels after the water source switch (3). On October 16, 2015, the Flint water source was switched back to DWA, and residents were instructed to use filtered tap water for cooking and drinking. During that time, pregnant and breastfeeding women and children aged water.(¶) To assess the impact on BLLs of consuming contaminated drinking water, CDC examined the distribution of BLLs ≥5 µg/dL among children aged water source. This analysis enabled determination of whether the odds of having BLLs ≥5 µg/dL before the switch differed from the odds during the switch to FWS (before and after the January 2, 2015, water advisory was issued), and after the switch back to DWA. Overall, among 9,422 blood lead tests in children aged water advisory) than during the period before the water switch to FWS. Although unrelated to lead in the water, the water advisory likely reduced tap water consumption and increased consumption of bottled water. Characterizing exposure to lead contaminated drinking water among children aged <6 years living in Flint can help guide appropriate interventions. PMID:27359350

  14. Ultrasound-guided vacuum-assisted excision of breast papillomas: review of 6-years experience

    Aim: To review the outcome of vacuum-assisted removal of breast papillomas performed in the Bolton Breast Unit. Materials and methods: Twenty-six benign breast papillomas were excised using an ultrasound-guided, vacuum-assisted technique under local anaesthetic over a 6-year period. An 8 G Mammotome was used for 12 lesions, an 11 G Mammotome for 13 lesions and a 7 G EnCor for one lesion. The mean lesion size was 9 mm (range 3-17 mm). The mean number of cores taken per case was nine. Results: One patient developed a post-procedure haematoma, which did not require treatment. There were no other short-term complications. None of the papillomas were associated with atypia or malignancy. Subsequent breast imaging (mostly routine screening mammography) was reviewed and evidence of recurrence recorded. To date, 16 patients have received at least one subsequent routine screening mammogram, with a mean follow-up to latest mammogram of 30 months. Mammographic evidence of papilloma regrowth has been observed in two patents, with a third patient presenting with recurrence of the original symptom of a palpable lump. All three recurrent lesions were surgically excised and confirmed to be benign papillomas. These lesions measured 6, 12, and 15 mm prior to the original vacuum-assisted excision. Conclusion: The findings suggests that vacuum-assisted removal is a satisfactory alternative to surgery for the majority of patients, but that particular attention should be paid to ensuring complete lesion removal in view of the relatively high recurrence rate in this series.

  15. Ultrasound-guided vacuum-assisted excision of breast papillomas: review of 6-years experience

    Maxwell, A.J. [Bolton Breast Unit, Royal Bolton Hospital, Bolton (United Kingdom)], E-mail: anthony.maxwell@rbh.nhs.uk

    2009-08-15

    Aim: To review the outcome of vacuum-assisted removal of breast papillomas performed in the Bolton Breast Unit. Materials and methods: Twenty-six benign breast papillomas were excised using an ultrasound-guided, vacuum-assisted technique under local anaesthetic over a 6-year period. An 8 G Mammotome was used for 12 lesions, an 11 G Mammotome for 13 lesions and a 7 G EnCor for one lesion. The mean lesion size was 9 mm (range 3-17 mm). The mean number of cores taken per case was nine. Results: One patient developed a post-procedure haematoma, which did not require treatment. There were no other short-term complications. None of the papillomas were associated with atypia or malignancy. Subsequent breast imaging (mostly routine screening mammography) was reviewed and evidence of recurrence recorded. To date, 16 patients have received at least one subsequent routine screening mammogram, with a mean follow-up to latest mammogram of 30 months. Mammographic evidence of papilloma regrowth has been observed in two patents, with a third patient presenting with recurrence of the original symptom of a palpable lump. All three recurrent lesions were surgically excised and confirmed to be benign papillomas. These lesions measured 6, 12, and 15 mm prior to the original vacuum-assisted excision. Conclusion: The findings suggests that vacuum-assisted removal is a satisfactory alternative to surgery for the majority of patients, but that particular attention should be paid to ensuring complete lesion removal in view of the relatively high recurrence rate in this series.

  16. EQAS for peripheral blood morphology in Spain: a 6-year experience.

    Gutiérrez, G; Merino, A; Domingo, A; Jou, J M; Reverter, J C

    2008-12-01

    The Spanish haematology external quality assessment scheme (EQAS), established in 1984, is run by the Spanish Haematology and Haemotherapy Association (AEHH) [Quality Assurance in Health Care 3 (1991) 75] and functions to evaluate the quality and reproducibility of the assessment of diagnostic samples by clinical laboratories. The Hospital Clinic of the University of Barcelona (HCB) serves as the EQAS Coordination Centre and follows the guidelines established by the International Committee for Standardization in Haematology [Annali dell'Istituto superiore di Sanità 31 (1995) 95; International Journal of Hematology 68 (1998) 45]. During the period 2001-2006, replicates of 25 different blood films were sent to 604 EQAS participants for cell morphology evaluation. Some patient details corresponding to the samples were disclosed, such us age, sex, haemoglobin value and white blood cell count. The participants were asked to select up to four significant morphology features using a coding list, provided by the Coordination Centre, which included significant morphological alterations that appear in haematopoietic cells. For each survey, individual results were assessed against the morphological reference results (MRR) established by the Cytology Group of the AEHH ('true' answers). This paper describes the organization of the 6-year-long study and the evaluation of laboratory performance for blood smear interpretation by the Spanish haematology EQAS. Different performance levels were detected relative to the laboratory category. Laboratories providing services to hospitalized patients showed higher performances compared with laboratories providing services to nonhospitalized patients. Pathological lymphoid cells were the most difficult to identify by the participants. To improve the results in EQAS peripheral blood morphology, the development of specific cytology educational trainings is discussed. PMID:18983297

  17. The pattern of psoriatic arthritis in Kashmir: A 6-year prospective study

    Shagufta Rather

    2015-01-01

    Full Text Available Background: The prevalence, clinical presentation, and patterns of psoriatic arthritis (PsA vary in different parts of the world. The scenario of PsA in west is different from that of Asia. Moreover, the oligoarticular type which was considered most prevalent earlier has been replaced by polyarticular type. Aim: The study was to the clinical profile of psoriasis patients associated with PsA in Kashmir valley of India. Materials and Methods: This was a noninterventional, observational, prospective, hospital-based study involving 150 successive patients of PsA over a span of 6 years. Severity of the skin and nail involvement was assessed by Psoriasis Area and Severity Index (PASI and Nail Psoriasis Severity Index (NAPSI, respectively. PsA was diagnosed by classification criteria for PsA. The number and pattern of swollen and tender joints was counted and classified by Moll and Wright′s classification criteria. Results: Plaque-type psoriasis was the most common clinical type, observed in 122 (81.33% patients followed by erythrodermic psoriasis in 10 (6.66% patients and pustular psoriasis in eight (5.33% patients. PsA occurred between 30 and 40 years of age in 105 (70% patients. The cutaneous involvement occurred before joint involvement in 113 (75.33%, while they occurred simultaneously in 30 (20% cases and the PsA preceded the skin involvement in seven (4.66% cases. Symmetrical polyarthritis was the commonest clinical presentation and was seen in 90 (60% patients. Nail involvement due to psoriasis was present in 120 (80% patients. Commonest nail change found was pitting and seen in 60 (40% patients. Conclusion: The clinical pattern of PsA varies in different parts of the world. Knowledge of the clinical presentation of PsA in a given area is necessary for the successful management of this disease.

  18. Gestational Weight Gain and Overweight in Children Aged 3–6 Years

    Guo, Lianhong; Liu, Jufen; Ye, Rongwei; Liu, Jianmeng; Zhuang, Zhixiong; Ren, Aiguo

    2015-01-01

    Objective To determine whether gestational weight gain (GWG) was associated with increased odds of childhood overweight after accounting for pre-pregnancy BMI. Methods In a prospective cohort study based on a premarital and perinatal health care system in China, data of 100 612 mother-child pairs were obtained. The main exposure was GWG as both a continuous and categorical variable. The outcome measure was overweight, defined by age- and sex-specific cutoff values for body mass index (BMI) in children aged 3–6 years. Results A 1-kg increase in maternal GWG was associated with an increase of 0.009 (95% confidence interval [CI]: 0.007–0.010, P < 0.001) in children’s mean BMI; in the subgroup of pre-pregnancy overweight/obese mothers, the increase in children’s BMI was 0.028 (95% CI, 0.017–0.039, P < 0.001). Excessive GWG played an important role in childhood overweight when adequate GWG was used as the reference, with an odds ratio (OR) of 1.21 (95% CI, 1.12–1.29). The risk was highest (OR 2.22; 95% CI, 1.79–2.76) in the children of mothers who were overweight/obese before pregnancy and gained excessive weight during pregnancy. Conclusions Greater maternal GWG was associated with greater offspring BMI, and the risk of overweight was doubled in children whose mothers were overweight/obese before pregnancy and gained excessive weight during pregnancy. As a result, maintenance of appropriate weight gain during pregnancy and prophylaxis of maternal overweight/obesity before pregnancy should be a strategy for preventing childhood overweight/obesity. PMID:26119288

  19. Gestational Weight Gain and Overweight in Children Aged 3–6 Years

    Lianhong Guo

    2015-08-01

    Full Text Available Objective: To determine whether gestational weight gain (GWG was associated with increased odds of childhood overweight after accounting for pre-pregnancy BMI. Methods: In a prospective cohort study based on a premarital and perinatal health care system in China, data of 100 612 mother-child pairs were obtained. The main exposure was GWG as both a continuous and categorical variable. The outcome measure was overweight, defined by age- and sex-specific cutoff values for body mass index (BMI in children aged 3–6 years. Results: A 1-kg increase in maternal GWG was associated with an increase of 0.009 (95% confidence interval [CI]: 0.007–0.010, P < 0.001 in children’s mean BMI; in the subgroup of pre-pregnancy overweight/obese mothers, the increase in children’s BMI was 0.028 (95% CI, 0.017–0.039, P < 0.001. Excessive GWG played an important role in childhood overweight when adequate GWG was used as the reference, with an odds ratio (OR of 1.21 (95% CI, 1.12–1.29. The risk was highest (OR 2.22; 95% CI, 1.79–2.76 in the children of mothers who were overweight/obese before pregnancy and gained excessive weight during pregnancy. Conclusions: Greater maternal GWG was associated with greater offspring BMI, and the risk of overweight was doubled in children whose mothers were overweight/obese before pregnancy and gained excessive weight during pregnancy. As a result, maintenance of appropriate weight gain during pregnancy and prophylaxis of maternal overweight/obesity before pregnancy should be a strategy for preventing childhood overweight/obesity.

  20. Varicella-zoster virus infections in immunocompromised patients - a single centre 6-years analysis

    Liese Johannes

    2011-05-01

    Full Text Available Abstract Background Infection with varicella-zoster virus (VZV contemporaneously with malignant disease or immunosuppression represents a particular challenge and requires individualized decisions and treatment. Although the increasing use of varicella-vaccines in the general population and rapid initiation of VZV-immunoglobulins and acyclovir in case of exposure has been beneficial for some patients, immunocompromised individuals are still at risk for unfavourable courses. Methods In this single center, 6-year analysis we review incidence, hospitalization and complication rates of VZV-infections in our center and compare them to published data. Furthermore, we report three instructive cases. Results Hospitalization rate of referred children with VZV-infections was 45%, among these 17% with malignancies and 9% under immunosuppressive therapy. Rate of complications was not elevated in these two high-risk cohorts, but one ALL-patient died due to VZV-related complications. We report one 4-year old boy with initial diagnosis of acute lymphoblastic leukemia who showed a rapidly fatal outcome of his simultaneous varicella-infection, one 1.8-year old boy with an identical situation but a mild course of his disease, and an 8.5-year old boy with a steroid-dependent nephrotic syndrome. This boy developed severe hepatic involvement during his varicella-infection but responded to immediate withdrawl of steroids and administration of acyclovir plus single-dose cidofovir after nonresponse to acyclovir after 48 h. Conclusion Our data show that patients with malignant diseases or immunosuppressive therapy should be hospitalized and treated immediately with antiviral agents. Despite these measures the course of VZV-infections can be highly variable in these patients. We discuss aids to individual decision-making for these difficult situations.

  1. Prevalence of Malnutrition in Children under 6 Years in Sistan and Baluchestan Province, Iran

    Mansour Karajibani

    2014-08-01

    Full Text Available Background: The present study was conducted in rural area of Sistan and Baluchestan province, south-east of Iran with aim of determine the prevalence of underweight, stunting, wasting, overweight and obesity among children. Materials and Methods: One thousand five hundred seventy Children were selected from all children less than 6 years covered by healthy and treatment centers of rural area in Sistan and Baluchestan province. Body weight and height were measured using standard methods. Determination of malnutrition performed based on WHO, National Center for Health Statistics and Center for Disease Control and Prevention (NCHS and CDC standard. The indices nutritional status was assessed by Z- Score. Results: The result showed that, based on NCHS and WHO standard: 21.1% and 19.4%, 28.2% and 32.1%, 7.5% and 9.4% of children were underweight, stunted and wasted respectively. The peak of malnutrition based on stunting was more than underweight and wasting. According to CDC standard, the prevalence of underweight, overweight and obesity was 27.8%, 4.2% and 4.1% respectively. The most rate of overweight and obesity was 7.1% and 5% in children aged 3 years using CDC cut-off and also lowest rate of overweight and obesity were 1.5% and 0% in children aged 5 years. Conclusion: This study revealed, underweight, stunting and wasting represents different processes of malnutrition which have different risk factors. However, it might be replaced by overweight as children grow to adolescence. Nevertheless, overweight and obesity are not major problem in the children.

  2. Observing the Interstellar Medium Flow over the Past 6 Years with IBEX-Lo

    Leonard, T.; Moebius, E.; Bzowski, M.; Fuselier, S.; Heirtzler, D.; Kubiak, M. A.; Kucharek, H.; Lee, M. A.; McComas, D. J.; Schwadron, N.; Wurz, P.

    2014-12-01

    The Interstellar Boundary Explorer (IBEX) has observed the interstellar neutral (ISN) gas flow over the past 6 years during the winter/spring when the Earth's motion opposes the ISN flow direction. Since IBEX observes near the perihelion of the interstellar atom trajectories, we are able to use an analytical model (Lee et al. 2012) based upon orbital mechanics to determine characteristics of the interstellar flow. The interstellar inflow latitude, velocity, and temperature are coupled to the inflow longitude and are restricted by the IBEX observations to a narrow valley in this parameter space (McComas et al. 2012). In our original analysis we found that the small spacecraft spin axis pointing out of the ecliptic plane had a significant influence on the determination of the ISN inflow vector (Möbius et al. 2012; Bzowski et al. 2012). Introducing the spacecraft spin axis tilt into the analytical model has shown that IBEX observations with various spin axis tilt orientations can help restrict the natural degeneracy of the ISN flow parameters as a function of inflow longitude. The IBEX operations team was able to successfully point the spin axis to be in the ecliptic during the 2012 and 2013 seasons and about 5 degrees below the ecliptic during the 2014 season. With this robust data set we are able to further test and develop the analytical model while producing a more comprehensive analysis of the ISN Flow parameters. We found that in its current implementation the analytical model describes the ISN flow most precisely for the spin axis orientation exactly in the ecliptic. This analysis refines the derived ISN flow parameters with a possible reconciliation between velocity vectors found with IBEX and Ulysses, but at a substantially higher temperature than previously reported.

  3. Stereotactic body radiotherapy for localized prostate cancer: disease control and quality of life at 6 years

    Stereotactic body radiotherapy (SBRT) may yield disease control for prostate cancer in a brief, hypofractionated treatment regimen without increasing treatment toxicity. Our report presents a 6-year update from 304 low- (n = 211), intermediate- (n = 81), and high-risk (n = 12) prostate cancer patients who received CyberKnife SBRT. The median PSA at presentation was 5.8 ng/ml. Fifty-seven patients received neoadjuvant hormonal therapy for up to one year. The first 50 patients received a total dose of 35 Gy in 5 fractions of 7 Gy. The subsequent 254 patients received a total dose of 36.25 Gy in 5 fractions of 7.25 Gy. Toxicity was assessed with the Expanded Prostate Cancer Index Composite questionnaire and the Radiation Therapy Oncology Group urinary and rectal toxicity scale. Biochemical failure was assessed using the nadir + 2 definition. No patients experienced Grade III or IV acute complications. Fewer than 5% of patients experienced any acute Grade II urinary or rectal toxicities. Late urinary Grade II complications were observed in 4% of patients treated to 35 Gy and 9% of patients treated to 36.25 Gy. Five (2%) late Grade III urinary toxicities occurred in patients who were treated with 36.25 Gy. Late Grade II rectal complications were observed in 2% of patients treated to 35 Gy and 5% of patients treated to 36.25 Gy. Bowel and urinary quality of life (QOL) scores initially decreased, but later returned to baseline values. An overall decrease of 20% in the sexual QOL score was observed. QOL in each domain was not differentially affected by dose. For patients that were potent prior to treatment, 75% stated that they remained sexually potent. Actuarial 5-year biochemical recurrence-free survival was 97% for low-risk, 90.7% for intermediate-risk, and 74.1% for high-risk patients. PSA fell to a median of 0.12 ng/ml at 5 years; dose did not influence median PSA levels. In this large series with long-term follow-up, we found excellent biochemical control rates and

  4. The CryoSat Interferometer after 6 years in orbit: calibration and achievable performance

    Scagliola, Michele; Fornari, Marco; De Bartolomei, Maurizio; Bouffard, Jerome; Parrinello, Tommaso

    2016-04-01

    The main payload of CryoSat is a Ku-band pulse width limited radar altimeter, called SIRAL (Synthetic interferometric radar altimeter). When commanded in SARIn (synthetic aperture radar interferometry) mode, through coherent along-track processing of the returns received from two antennas, the interferometric phase related to the first arrival of the echo is used to retrieve the angle of arrival of the scattering in the across-track direction. In fact, the across-track echo direction can be derived by exploiting the precise knowledge of the baseline vector (i.e. the vector between the two antennas centers of phase) and simple geometry. The end-to-end calibration strategy for the CryoSat interferometer consists on in-orbit calibration campaigns following the approach described in [1]. From the beginning of the CryoSat mission, about once a year the interferometer calibration campaigns have been periodically performed by rolling left and right the spacecraft of about ±0.4 deg. This abstract is aimed at presenting our analysis of the calibration parameters and of the achievable performance of the CryoSat interferometer over the 6 years of mission. Additionally, some further studies have been performed to assess the accuracy of the roll angle computed on ground as function of the aberration (the apparent displacement of a celestial object from its true position, caused by the relative motion of the observer and the object) correction applied to the attitude quaternions, provided by the Star Tracker mounted on-board. In fact, being the roll information crucial to obtain an accurate estimate of the angle of arrival, the data from interferometer calibration campaigns have been used to verify how the application of the aberration correction affects the roll information and, in turns, the measured angle of arrival. [1] Galin, N.; Wingham, D.J.; Cullen, R.; Fornari, M.; Smith, W.H.F.; Abdalla, S., "Calibration of the CryoSat-2 Interferometer and Measurement of Across

  5. Axial lumbar interbody fusion: a 6-year single-center experience

    Zeilstra DJ

    2013-08-01

    Full Text Available Dick J Zeilstra,1 Larry E Miller,2,3 Jon E Block3 1Bergman Clinics, Naarden and NedSpine, Ede, The Netherlands; 2Miller Scientific Consulting, Inc, Arden, NC, USA; 3The Jon Block Group, San Francisco, CA, USA Introduction: The aim of this study is to report our 6-year single-center experience with L5–S1 axial lumbar interbody fusion (AxiaLIF. Methods: A total of 131 patients with symptomatic degenerative disc disease refractory to nonsurgical treatment were treated with AxiaLIF at L5–S1, and were followed for a minimum of 1 year (mean: 21 months. Main outcomes included back and leg pain severity, Oswestry Disability Index score, working status, analgesic medication use, patient satisfaction, and complications. Computed tomography was used to determine postoperative fusion status. Results: No intraoperative complications, including vascular, neural, urologic, or bowel injuries, were reported. Back and leg pain severity decreased by 51% and 42%, respectively, during the follow-up period (both P < 0.001. Back function scores improved 50% compared to baseline. Clinical success, defined as improvement ≥30%, was 67% for back pain severity, 65% for leg pain severity, and 71% for back function. The employment rate increased from 47% before surgery to 64% at final follow-up (P < 0.001. Less than one in four patients regularly used analgesic medications postsurgery. Patient satisfaction with the AxiaLIF procedure was 83%. The fusion rate was 87.8% at final follow-up. During follow-up, 17 (13.0% patients underwent 18 reoperations on the lumbar spine, including pedicle screw fixation (n = 10, total disc replacement of an uninvolved level (n = 3, facet screw fixation (n = 3, facet screw removal (n = 1, and interbody fusion at L4–L5 (n = 1. Eight (6.1% reoperations were at the index level. Conclusion: Single-level AxiaLIF is a safe and effective means to achieve lumbosacral fusion in patients with symptomatic degenerative disc disease. Keywords: Axia

  6. Ethnic differences in cardiometabolic risk profile at age 5-6 years: the ABCD study.

    Marieke L A de Hoog

    Full Text Available BACKGROUND: To examine ethnic differences in cardiometabolic risk profile in early age, and explore whether such differences can be explained by differences in body mass index (BMI or waist circumference (WC. METHOD: Anthropometric measurements, blood pressure and (in a subsample fasting blood were collected during a health check of 2,509 children aged 5-6 years. Four ethnic groups were distinguished: Dutch (n=2,008; blood n=1,300, African descent (n=199; blood n=105, Turkish (n=108; blood n=57 and Moroccan (n=194; blood n=94. Ethnic differences in diastolic and systolic blood pressure (DBP/SBP, fasting glucose, low-density lipoprotein (LDL, high-density lipoprotein (HDL and triglyceride levels were determined and the explanatory role of BMI and WC was examined with regression analysis. RESULTS: After adjustment for confounders, African descent children showed higher DBP (β2.22 mmHg; 95%CI:1.09-3.36 and HDL levels (β:0.09 mmol/l; 95%CI:0.03-0.16 compared to Dutch children (reference group. Turkish children showed higher SBP (β:1.89 mmHg; 95%CI:0.25-3.54, DBP (β:2.62 mmHg; 95%CI:1.11-4.13, glucose (β:0.12 mmol/L; 95%CI:0.00-0.25 and triglyceride levels (β:0.13 mmol/L; 95%CI:0.02-0.25. Higher BMI values were found in all non-Dutch groups (differences ranged from 0.53-1.03 kg/m(2 and higher WC in Turkish (β:1.68 cm; 95%CI:0.99-2.38 and Moroccan (β:1.65 cm; 95%CI:1.11-2.19 children. BMI and WC partly explained the higher SBP/DBP and triglyceride levels in Turkish children. CONCLUSION: Ethnic differences in cardiometabolic profile exist early in life and are partly explained by differences in BMI and WC. African children showed favourable HDL levels and Turkish children the most unfavourable overall profile, whereas their Moroccan peers have less increased cardiometabolic risk in spite of their high BMI and WC.

  7. Dietary Behaviors Predict Glycemic Control in Youth With Type 1 Diabetes

    Mehta, Sanjeev N.; Volkening, Lisa K.; Anderson, Barbara J.; Nansel, Tonja; Weissberg-Benchell, Jill; Wysocki, Tim; Laffel, Lori M. B.; ,

    2008-01-01

    OBJECTIVE—To investigate the association between dietary adherence and glycemic control among youth with type 1 diabetes. RESEARCH DESIGN AND METHODS—We conducted a cross-sectional analysis of 119 youth aged 9–14 years (mean ± SD 12.1 ± 1.6 years) with diabetes duration ≥1 year (5.4 ± 3.1 years). Dietary adherence was assessed using the Diabetes Self-Management Profile diet domain. Higher score defined greater dietary adherence. Glycemic control was determined by A1C. RESULTS—Dietary adherenc...

  8. Daily dietary intake

    As part of study on ''Reference Asian Man'' to strengthen radiation protection, the data on the dietary consumption patterns of the Asian region were collected. Eight provided dietary data - Bangladesh, China, India, Indonesia, Japan, Pakistan, Philippines, and Viet Nam. Whereas the dietary information from Bangladesh, Indonesia, Pakistan and Viet Nam are preliminary in nature, the dietary information from China, India, Japan and Philippines, on the other hand, is quite substantial. The population of the countries from which sufficient dietary data are available represents more than 2/3 of the population of the Asian region. The details of the individual data available on dietary parameters from different Asian countries are listed below

  9. Association between intake of dietary protein and 3-year-change in body growth among normal and overweight 6-year-old boys and girls (CoSCIS)

    van Vught, Anneke Jah; Heitmann, Berit Lilienthal; Nieuwenhuizen, Arie G;

    2010-01-01

    2001-2002, and again 3 years later. Boys and girls were separated into normal weight and overweight, based on BMI quintiles. Fat-free mass index (FFMI) and fat mass index (FMI) were calculated. Associations between change (Delta) in height, FMI and FFMI, respectively, and habitual PROT intake as well...... as ARG and LYS were analysed by multiple linear regressions, adjusted for baseline height, FMI or FFMI and energy intake, age, physical activity and socio-economic status. SETTING: Eighteen schools in two suburban communities in the Copenhagen (Denmark) area participated in the study. SUBJECTS: In...... all, 223 children's data were collected for the present study. RESULTS: High ARG intake was associated with linear growth (beta = 1.09 (se 0.54), P = 0.05) among girls. Furthermore, in girls, DeltaFMI had a stronger inverse association with high ARG intake, if it was combined with high LYS intake...

  10. Cerebral MRI of very low birth weight children at 6 years of age compared with the findings at 1 year

    Background. We have previously reported the results of cerebral MRI examinations in an unselected year cohort of very low birth weight (VLBW) infants at one year of corrected age. Twenty-one (78 %) of 27 infants had abnormal myelination, mainly in the central occipital white matter (COWM) and in the centrum semiovale (CS), seen on T2-weighted images. Twelve infants had irregular and dilated lateral ventricles. We speculated whether these findings indicated perinatal periventricular leukomalacia (PVL). Only two infants had completely normal MRI at age 1 year. Objective. To determine whether the abnormal myelination seen at 1 year of age, was still present, either as delayed myelination or as gliosis caused by perinatal PVL. Materials and methods. In the present study, we report the results of follow-up cerebral MRI in 20 of these infants at 6 years of age. Results. Most of the children with MRI deviations at 1 year still had abnormalities at 6 years. Abnormal myelination in the central occipital white matter combined with abnormalities in the CS or with ventricular dilatation at age 1 year, presented as gliosis in 12 of 13 children at 6 years of age. Abnormalities solely in the COWM at age 1 year had normalised in two of five children and persisted as delayed myelination in three at age 6 years. Gliotic changes in periventricular white matter were found in 12 of 20 children (60 %). Areas most affected were the CS (11 children) and the COWM (9 children). Delayed myelination in COWM was found in six children (30 %), combined with gliosis in CS in three children. Twelve infants had ventricular dilatation both at 1 and 6 years of age. Conclusions. The MRI correlates of PVL, i. e. gliosis and ventricular dilatation, are common findings on cerebral MRI at 6 years of age in VLBW infants. (orig.)

  11. The Effects of SPARK Physical Education Program on Fundamental Motor Skills in 4-6 Year-Old Children

    Mostafavi, Reza; Ziaee, Vahid; Akbari, Hakimeh; Haji-Hosseini, Samaneh

    2013-01-01

    Objective The purpose of this study was to investigate the effect of SPARK Physical Education (PE) program on fundamental motor skills in 4-6 year children. SPARK (Sports, Play, and Active Recreation for Kids) is an evidence based PE program designed in order to promote the lifelong wellbeing. Methods In total, 90 children aged 4 to 6 years were selected randomly. The children were allocated into 3 groups with separate PE programs: 1-SPARK, 2-Gymnastics and 3-Routine activity. Using the Test ...

  12. The Effects of SPARK Physical Education Program on Fundamental Motor Skills in 4-6 Year Children

    Reza Mostafavi; Vahid Ziaee; Hakimeh Akbari; Samaneh Haji-Hosseini

    2013-01-01

    Objective: The purpose of this study was to investigate the effect of SPARK Physical Education (PE) program on fundamental motor skills in 4-6 year children. SPARK (Sports, Play, and Active Recreation for Kids) is an evidence based PE program designed in order to promote the lifelong wellbeing.Methods: In total, 90 children aged 4 to 6 years were selected randomly. The children were allocated into 3 groups with separate PE programs: 1-SPARK, 2-Gymnastics and 3-Routine activity. Using the Test...

  13. High prevalence of overweight and obesity among 6-year-old children in Finnmark County, North Norway

    Kokkvoll, Ane Sofie; Jeppesen, Elisabeth; Juliusson, Petur Benedikt; Flægstad, Trond; Njølstad, Inger

    2012-01-01

    Aim:  The aim was to determine the prevalence of overweight and obesity among 6-year-old children in Finnmark, the northernmost county of Norway. Methods:  This is a survey of 1774 children born during 1999 and 2000 from 18 of 19 child healthcare centres in Finnmark. Body mass index data extracted retrospectively in 2007 from health records at the age of 6 years were compared with international definitions of over- and underweight. The prevalence figures were further compared wit...

  14. Management of Sjogren’s Syndrome Patient: A Case Report of Prosthetic Rehabilitation with 6-Year Follow-Up

    Marcos de Mendonça Invernici

    2014-01-01

    Full Text Available Completely and partially edentulous patients with Sjogren’s syndrome (SS experience severe hyposalivation, xerostomia, and considerable difficulty in using tissue-supported prosthesis. This clinical paper describes the management, treatment, and 6-year follow-up of a patient diagnosed with SS type II, who uses corticosteroids and antihyperglycemic drugs. The patient received restorative, periodontal, and surgical treatments followed by implant-supported fixed prosthesis. Radiographic evaluation and probing depth showed gingival health and no bone loss after 6 years. Treatment with implant-retained dental prosthesis greatly increased comfort and function, offering an alternative to patients with SS.

  15. Reliability and Validity of “Parents’ Evaluation of Responsible Behaviors of 5-6 Year Old Children” Scale

    Ozgul Polat; Asude B. Dağal

    2013-01-01

    This study is aimed at developing a scale (Parents’ Evaluation of Responsible Behaviors Of 5-6 Year Old Children) for measuring parents’ evaluation of their 5-6 year-old children’s responsible behaviors . The construct validity of the scale was tested by Factor Analysis. Factor analysis determined that the scale can be clustered under 10 factors. Item total correlations were calculated and independent samples t-test was conducted in order to determine the presence of a meaningful difference b...

  16. Obesity and motor skills among 4 to 6-year-old children in the united states: nationally-representative surveys

    Castetbon Katia; Andreyeva Tatiana

    2012-01-01

    Abstract Background Few population-based studies have assessed relationships between body weight and motor skills in young children. Our objective was to estimate the association between obesity and motor skills at 4 years and 5-6 years of age in the United States. We used repeated cross-sectional assessments of the national sample from the Early Childhood Longitudinal Survey-Birth Cohort (ECLS-B) of preschool 4-year-old children (2005-2006; n = 5 100) and 5-6-year-old kindergarteners (2006-2...

  17. Brief Family Intervention Effects on Adolescent Substance Initiation: School-Level Growth Curve Analyses 6 Years Following Baseline.

    Spoth, Richard; Redmond, Cleve; Shin, Chungyeol; Azevedo,Kari

    2004-01-01

    This study examines the effects of 2 brief family-focused interventions on the trajectories of substance initiation over a period of 6 years following a baseline assessment. The 2 interventions, designed for general-population families of adolescents, were the 7-session Iowa Strengthening Families Program (ISFP) (Molgaard & Spoth, 2001) and the…

  18. Changes in Externalizing and Internalizing Behaviours over a School-Year: Differences between 6-Year-Old Boys and Girls

    Hammarberg, Annie; Hagekull, Berit

    2006-01-01

    The purpose of this study was to investigate changes in externalizing and internalizing problem behaviours in 6-year-olds with a focus on sex differences. Teachers rated problem behaviours at the beginning and at the end of the school year, 8 months apart, in 370 children (197 boys and 173 girls) attending 22 school preparatory classrooms.…

  19. A Common Representational System Governed by Weber's Law: Nonverbal Numerical Similarity Judgments in 6-Year-Olds and Rhesus Macaques

    Jordan, Kerry E.; Brannon, Elizabeth M.

    2006-01-01

    This study compared nonverbal numerical processing in 6-year-olds with that in nonhuman animals using a numerical bisection task. In the study, 16 children were trained on a delayed match-to-sample paradigm to match exemplars of two anchor numerosities. Children were then required to indicate whether a sample intermediate to the anchor values was…

  20. Temporal Learning in 4 1/2- and 6-Year-Old Children: Role of Instructions and Prior Knowledge.

    Droit, Sylvie; And Others

    1990-01-01

    Examined the role of prior temporal knowledge of 4 1/2- and 6-year-olds through the use of high-rate, interval, and minimal instructions in a fixed-interval training schedule. Determined that the subjects' learning depended on their verbal self-control skills. (BC)

  1. Why the 18.6 year tide cannot explain the change of sign observed in j2

    F. Deleflie

    2003-01-01

    Full Text Available Recent studies show a change, starting in 1998, in the behavior of the variation of the dynamical flattening of the Earth (J2, supposed to be constant (secular, and mainly due to the post glacial rebound effect. In this paper, we study to what extent this behavior can be correlated or not with the 18.6 year tide: with more than twenty years of tracking data on LAGEOS-1, that is to say more than a period of 18.6 years, this effect can now be separated from the secular variation. We use our theory of mean orbital motion, dedicated to studies of the long period effects on the orbital motion. We build one single arc of LAGEOS-1 from 1980 to 2002, which provides a continuous description of the orbital parameters. This is the great originality of our approach. We focus our attention on the ascending node of LAGEOS-1, and we show that the change observed in j2 cannot be attributed to a statistical error due to a correlation, in short arcs results, between the secular variation of J2 and the 18.6 year tide. The proof is based on the adjustment of amplitudes and phases of the long period tides, and on the shape of the residuals.Key words. secular variation of J2, 18.6 year tide, mean orbital motione

  2. Elevated Eosinophil Protein X in Urine from Healthy Neonates Precedes Development of Atopy in the First 6 Years of Life

    Chawes, Bo Lund Krogsgaard; Bønnelykke, Klaus; Bisgaard, Hans

    2011-01-01

    untill age 6 years. Associations between urinary biomarkers and development of atopic traits were investigated using general estimating equations, logistic regression and Cox regression. Measurements and Main Results Eosinophil protein-X in the urine of the asymptomatic 1-month-old neonates......Rationale Biomarkers predicting development of atopic disease are needed for targeted preventive measures and to study if disease pathology may be active prior to onset of symptoms. Objective To investigate whether eosinophil protein-X, leukotriene-C4/D4/E4 and 11ß-prostaglandin-F2a (prostaglandin...... D2 metabolite) assessed in urine from healthy at-risk neonates precede development of atopic disease during the first 6 years of life. Methods We measured eosinophil protein-X (N=369), leukotriene-C4/D4/E4 (N=367), and 11ß-prostaglandin-F2a (N=366) in urine from 1-month-old children participating...

  3. Illness in Returned Travelers and Immigrants/Refugees: The 6-Year Experience of Two Australian Infectious Diseases Units.

    O'Brien, Daniel P.; Leder, Karin; Matchett, Elizabeth; Brown, Graham V.; Torresi, Joseph

    2008-01-01

    BACKGROUND: Data comparing returned travelers and immigrants/refugees managed in a hospital setting is lacking. METHODS: We prospectively collected data on 1,106 patients with an illness likely acquired overseas who presented to two hospital-based Australian infectious diseases units over a 6-year period. RESULTS: Eighty-three percent of patients were travelers and 17% immigrants/refugees. In travelers, malaria (19%), gastroenteritis/diarrhea (15%), and upper respiratory tract infection (URTI...

  4. Prevalence of onchocerciasis in the Fundong Health District, Cameroon after 6 years of continuous community-directed treatment with ivermectin

    Henri Lucien Fouamno Kamga

    2011-11-01

    Full Text Available <0.001. The greatest rate of infection was found among farmers (2.5% followed by students (0.7% and businessmen (0.25%. CONCLUSION: This study shows that the study area is now hypo-endemic for onchocerciasis, following 6 years of continuous treatment with ivermectin. Careful monitoring of onchocerciasis should however be continued to avoid that the area returns to its initial hyper endemicity.

  5. Examining a conceptual model of parental nurturance, parenting practices and physical activity among 5–6 year olds

    Sebire, Simon J.; Jago, Russell; Wood, Lesley; Thompson, Janice; Zahra, Jesmond; Debbie A Lawlor

    2016-01-01

    Rationale: Parenting is an often-studied correlate of children’s physical activity, however there is little research examining the associations between parenting styles, practices and the physical activity of younger children.Objective: This study aimed to investigate whether physical activity-based parenting practices mediate the association between parenting styles and 5 to 6 year-old children’s objectively-assessed physical activity.Methods: 770 parents self-reported parenting style (nurtu...

  6. The socio-emotional responses to ostracism of 4-6 years children with autism spectrum disorder

    Sham, Oi-tao, Tiffany; 沈愛道

    2014-01-01

    Children with Autism Spectrum Disorders (ASD) have social-communication deficits and are often targets of bullying or ostracism. However, in the past, little has been done to examine these children’s response to negative social interactions. This study investigated how children with Autism Spectrum Disorder detect and respond to ostracism. Thirty 4-6 years old children with Autism Spectrum Disorder were either included or excluded via an online ball-tossing game. Participant’s detection, feel...

  7. Auditory ERP Differences in the Perception of Anticipated Speech Sequences in 5 - 6 Years Old Children and Adults

    Portnova Galina; Martynova Olga

    2014-01-01

    The perception of complex auditory information such as complete speech sequences develops during human ontogeny. In order to explore age differences in the auditory perception of predictable speech sequences we compared event-related potentials (ERPs) recorded in 5- to 6-year-old children (N = 15) and adults (N = 15) in response to anticipated speech sequences as successive and reverse digital series with randomly omitted digits. The ERPs obtained from the omitted digits significantly differe...

  8. Language processing during natural sleep in a 6-year-old boy as assessed by functional MRI

    Wilke, Marko; Holland, Scott K.; Ball, William S.

    2003-01-01

    Functional magnetic resonance imaging was performed on a 6-year-old child prior to neuro surgical intervention. A stories-listening task was used, revealing a left-lateralized language network. The task was repeated during the same session when the child had fallen asleep and surprisingly yielded strong activation in similar language areas. Our findings suggest that language processing does occur during natural sleep even in young children, potentially allowing for an assessment of language f...

  9. Oral health in 4-6 years children with cleft lip/palate: A case control study

    Amandeep Chopra

    2014-01-01

    Full Text Available Background: Oro-facial clefts are a major public health problem. Children with clefts rarely escape dental complications. Aims: This study was to determine differences in the dental caries experience, gingival health, and prevalence malocclusion, enamel defects and oral mucosal lesions among 4-6 year old children with and without cleft in Panchkula. Materials and Methods: The sampling frame consisted of 4-6 year old children with clefts visiting Swami Devi Dyal Hospital and Dental College, Panchkula, India. As a control group an age (±3 months and gender-matched sample from the same geographical areas were recruited. Dental caries status, gingival health status, developmental defect of enamel, malocclusion and oral mucosal health were assessed and compared between the two groups. Results: Significant differences in dental caries and gingival health status were found between children with and without cleft. Anterior open-bite, increased overjet and oral mucosal lesions (P 0.05. Conclusion: Differences of oral health status exist among 4-6 year old children with and without clefts. Children fare worse in terms of dental caries, gingival health, oral mucosal health and malocclusion.

  10. Dietary determinants of obesity

    Huaidong, D.U.; Feskens, E.J.M.

    2010-01-01

    Obesity has become a serious public health problem worldwide, and dietary composition can play a role in its prevention and treatment. However, available literature on the impacts of different dietary factors on weight change is inconsistent, or even conflicting. In this review, we briefly summarized the mechanisms and influences of several major dietary determinants of weight change, with a focus on their potential in the prevention of weight gain or regain. We discussed the intake of fat, p...

  11. Dietary Patterns in Childhood

    Andersen, Louise Beltoft Borup

    childhood. These associations might contribute to the identification of families, who would benefit from guidance to help them establish healthy dietary patterns for their infants. Finding tracking for some infants and changes in adherence to dietary patterns for others as well as the association between...

  12. Dietary Fibre and Prebiotics

    Bellei G; Haslberger A

    2012-01-01

    Dietary fibre intake is associated with a myriad of health benefits. Among others, their fermentation by the microbiota results in the formation of short chain fatty acids, which protect against pathogenic bacteria. Together with dietary fibres, prebiotics are colonic nutrients but prebiotics are degraded and utilized only by beneficial bacteria, namely bifidobacteria and/or lactobacilli. (S. Macfarlane, 2010)

  13. Dietary intake of phytoestrogens

    Bakker MI; SIR

    2004-01-01

    The dietary intake of phytoestrogens supposedly influences a variety of diseases, both in terms of beneficial and adverse effects. This report describes current knowledge on dietary intakes of phytoestrogens in Western countries, and briefly summarizes the evidence for health effects. The predominan

  14. Promoting Healthy Dietary Behaviors.

    Perry, Cheryl L.; Story, Mary; Lytle, Leslie A.

    This chapter reviews the research on promoting healthy dietary behaviors in all youth, not just those who exhibit problems such as obesity or eating disorders. The first section of this chapter presents a rationale for addressing healthy dietary behavior with children and adolescents, on the basis of the impact of these behaviors on short- and…

  15. Examining a conceptual model of parental nurturance, parenting practices and physical activity among 5–6 year olds

    Sebire, Simon J.; Jago, Russell; Wood, Lesley; Thompson, Janice L.; Zahra, Jezmond; Lawlor, Deborah A.

    2016-01-01

    Rationale Parenting is an often-studied correlate of children's physical activity, however there is little research examining the associations between parenting styles, practices and the physical activity of younger children. Objective This study aimed to investigate whether physical activity-based parenting practices mediate the association between parenting styles and 5–6 year-old children's objectively-assessed physical activity. Methods 770 parents self-reported parenting style (nurturance and control) and physical activity-based parenting practices (logistic and modeling support). Their 5–6 year old child wore an accelerometer for five days to measure moderate-to-vigorous physical activity (MVPA). Linear regression was used to examine direct and indirect (mediation) associations. Data were collected in the United Kingdom in 2012/13 and analyzed in 2014. Results Parent nurturance was positively associated with provision of modeling (adjusted unstandardized coefficient, β = 0.11; 95% CI = 0.02, 0.21) and logistic support (β = 0.14; 0.07, 0.21). Modeling support was associated with greater child MVPA (β = 2.41; 0.23, 4.60) and a small indirect path from parent nurturance to child's MVPA was identified (β = 0.27; 0.04, 0.70). Conclusions Physical activity-based parenting practices are more strongly associated with 5–6 year old children's MVPA than parenting styles. Further research examining conceptual models of parenting is needed to understand in more depth the possible antecedents to adaptive parenting practices beyond parenting styles. PMID:26647364

  16. Inference of strong magnetic fields inside the earth's core from the detection of torsional waves with a 6-year period

    Complete text of publication follows. From geomagnetic observations recorded above the Earth's surface, down ward continuation of a potential magnetic field gives r.m.s. radial field values of the order 0.3 mT at the core-mantle boundary (CMB). Further assumptions are needed to infer the field sustaining the geodynamo inside the conducting Earth's core, which strength cannot be directly probed. A few mT is found by applying scaling laws derived from either force balance or power dissipation arguments in numerical simulations. Nutation data and theory indicate 7 mT at the inner core boundary (ICB) to account for the dissipation in the Earth's core. Recently, the magnetostrophic balance applied to quasi-geostrophic core flow models indicated as well a few mT inside the core. However, a 60-year signal found in the length-of-day variation (lod) has been associated with torsional waves carried by a much weaker internal field, of amplitude similar to that obtained at the CMB. Instead, we find in the present study a 6-year period torsional oscillation that predicts well both the phase and the amplitude of the 6-year lod signal detected over the second half of the twentieth century. Triggered every 6 years at the ICB, the waves propagate outwards through the Earth's core in a few years time. It suggests a large internal magnetic field strength that reconciles with previous estimates from geodynamo simulations, and supports the idea of a gravitational coupling between the inner core and the mantle.

  17. Association of Sugar-Sweetened Beverage Intake during Infancy with Dental Caries in 6-year-olds

    Park, Sohyun; Lin, Mei; Onufrak, Stephen; Li, Ruowei

    2014-01-01

    To examine whether sugar-sweetened beverage (SSB) intake during infancy is associated with dental caries by age 6, a longitudinal analysis of 1,274 U.S. children was conducted using data from the 2005-2007 Infant Feeding Practices Study II and the 2012 Follow-up Study at 6 years of age. The exposure variables were maternal-reported SSB intakes during infancy (i.e., any SSB intake during infancy, age at SSB introduction during infancy, and average frequency of SSB intake during 10-12 months of...

  18. Dietary Iron Intake and Risk of Parkinson's Disease

    Logroscino, Giancarlo; Gao, Xiang; Chen, Honglei; Wing, Al; Ascherio, Alberto

    2008-01-01

    Dietary iron is the most important source of iron stores. Several case-control studies have described the association of high dietary iron and Parkinson's disease, but prospective data are lacking. The authors prospectively followed 47,406 men and 76,947 women from the United States who provided information through a mailed questionnaire on their diet, medical history, and lifestyle practices between 1984 and 2000. The authors documented 422 new cases of Parkinson's disease. Total iron intake...

  19. Bohmian Histories and Decoherent Histories

    Hartle, James B.

    2002-01-01

    The predictions of the Bohmian and the decoherent (or consistent) histories formulations of the quantum mechanics of a closed system are compared for histories -- sequences of alternatives at a series of times. For certain kinds of histories, Bohmian mechanics and decoherent histories may both be formulated in the same mathematical framework within which they can be compared. In that framework, Bohmian mechanics and decoherent histories represent a given history by different operators. Their ...

  20. The Effects of SPARK Physical Education Program on Fundamental Motor Skills in 4-6 Year Children

    Reza Mostafavi

    2013-04-01

    Full Text Available Objective: The purpose of this study was to investigate the effect of SPARK Physical Education (PE program on fundamental motor skills in 4-6 year children. SPARK (Sports, Play, and Active Recreation for Kids is an evidence based PE program designed in order to promote the lifelong wellbeing.Methods: In total, 90 children aged 4 to 6 years were selected randomly. The children were allocated into 3 groups with separate PE programs: 1-SPARK, 2-Gymnastics and 3-Routine activity. Using the Test of Gross Motor Development (TGMD-2, a pretest was done in all groups. Afterwards, SPARK and Gym PE programs were performed for 8 weeks and 3 sessions each week. The third group used to do the routine physical education program in their daycare. After 8 weeks (24 sessions, the post tests were done for all groups with the same scoring system as the pretest.Findings: The results showed that the SPARK program had a higher efficacy on the promotion of the fundamental motor skills comparing to the routine physical education programs or gymnastics PE group.Conclusion: SPARK can be used as an appropriate alternative in order to promote the children’s motor skills.

  1. Maternal Plasma Phosphatidylcholine Fatty Acids and Atopy and Wheeze in the Offspring at Age of 6 Years

    Katharine C. Pike

    2012-01-01

    Full Text Available Variation in exposure to polyunsaturated fatty acids (PUFAs might influence the development of atopy, asthma, and wheeze. This study aimed to determine whether differences in PUFA concentrations in maternal plasma phosphatidylcholine are associated with the risk of childhood wheeze or atopy. For 865 term-born children, we measured phosphatidylcholine fatty acid composition in maternal plasma collected at 34 weeks’ gestation. Wheezing was classified using questionnaires at 6, 12, 24, and 36 months and 6 years. At age of 6 years, the children underwent skin prick testing, fractional exhaled nitric oxide (FENO measurement, and spirometry. Maternal n-6 fatty acids and the ratio of n-3 to n-6 fatty acids were not associated with childhood wheeze. However, higher maternal eicosapentaenoic acid, docosahexaenoic acid, and total n-3 fatty acids were associated with reduced risk of non-atopic persistent/late wheeze (RR 0.57, 0.67 and 0.69, resp. P=0.01, 0.015, and 0.021, resp.. Maternal arachidonic acid was positively associated with FENO (P=0.024. A higher ratio of linoleic acid to its unsaturated metabolic products was associated with reduced risk of skin sensitisation (RR 0.82, P=0.013. These associations provide some support for the hypothesis that variation in exposure to n-6 and n-3 fatty acids during pregnancy influences the risk of childhood wheeze and atopy.

  2. Assessment of dental caries predictors in 6-year-old school children - results from 5-year retrospective cohort study

    Masood Mohd

    2012-11-01

    Full Text Available Abstract Background This was a retrospective cohort study undertaken to assess the rate and pattern of dental caries development in 6-year-old school children followed-up for a period of 5 years, and to identify baseline risk factors that were associated with 5 years caries experience in Malaysian children. Methods This 5-years retrospective cohort study comprised primary school children initially aged 6 years in 2004. Caries experience of each child was recorded annually using World Health Organization criteria. The rates of dental caries were recorded in prevalence and incidence density of carious lesions from baseline to final examination. Risk assessment was done to assess relative risk for caries after 5 years in children with baseline caries status. Simple and multiple logistic regression analysis were performed to identify significant independent risk factors for caries. Results The sample consisted of 1830 school children. All components of DMFT showed significant differences between baseline and final examination. Filled teeth (FT component of the DMFT showed the greatest increases. Results revealed the initial baseline caries level in permanent dentition was a strong predictor for future caries after 5 years (RR=3.78, 95% CI=3.48-4.10, P0.001. Logistic regression analysis showed significant association between caries occurrence and residence (urban/rural (OR=1.80, Pp observed from baseline and after 5 years was 5.80 persons/100 person-year of observation. The rate of new caries-affected tooth (IDt in the period from baseline and after 5-years was 0.76 teeth/100 teeth-year of observation. Conclusion The majority of 12-year-old school children (70% were caries-free and most of the caries were concentrated in only a small proportion (30% of them. We found that the presence of caries in permanent teeth at the age of 6 years was a strong predictor of future caries development in this population. The strong evidence of early permanent teeth

  3. Immediate Nonfunctional Loading of Two Single-Maxillary Postextractive Implants: 6-Year Postloading Results of Two Case Reports

    Ariano, Vincenzo; Mancini, Manuele; Cardi, Andrea; Condò, Roberta; Cerroni, Loredana; Pasquantonio, Guido

    2016-01-01

    Objectives. The aim of the study was to evaluate and compare crestal bone loss of single-maxillary immediate postextractive implants and immediate nonfunctional loading (INFL) during 72 months of follow-up. Material and Methods. Two single titanium implants (Certain Prevail, Biomet 3I, USA) were placed in two patients using INFL technique. Implant stability and crestal bone level were measured on periapical radiographs at 1, 3, and 6 months after surgery. Results. All osseointegrated implants were clinically successful after 6 years of functional loading. Conclusion. Within the limit of the present case report, the paper supports the concept that INFL of single dental implant can be a successful treatment procedure. PMID:27293915

  4. Influence of postdischarge nutrition on body composition at 6 years of age among children born very preterm

    Toftlund, Line Hedegaard; Agertoft, Lone; Halken, Susanne;

    Background: New research has shown that type of nutrition in early life may affect not only growth but also later body composition and risk of developing metabolic syndrome. Method: A prospective, randomized, interventional multicentre trial on nutrition of a preterm birth cohort has been...... established and described previously2. Inclusion criteria were gestational age ≤32+0 weeks. From hospital discharge to 4 month corrected aged, the infants received 3 different types of nutrition: A: human milk (HM) B: HM enriched with fortifier C: preterm formula. At 6 years of age, a dexa scan was performed......: It seems that HM is the preferable nutrition for preterm born children if a lower fat mass and higher muscle mass is regarded optimal. The results are not all significant, which might be due to the small sample size. Investigations of the remaining infants are awaited....

  5. The relation between measures of cognitive and motor functioning in 5- to 6-year-old children.

    Stöckel, Tino; Hughes, Charmayne M L

    2016-07-01

    Specific relations between executive functions (working memory capacity, planning and problem-solving, inhibitory control) and motor skill performance (anticipatory motor planning, manual dexterity) were examined in 5- to 6-year-old children (N = 40). Results showed that the two motor skill components were not correlated. Additionally, it was found that response planning performance was a significant predictor of anticipatory motor planning performance, whereas inhibitory control and working memory capacity measures were significant predictors of manual dexterity scores. Taken together, these results suggest that cognitive and motor skills are linked, but that manual dexterity and anticipatory motor planning involve different specialized skills. The current study provides support for specific relations between cognitive and motor performance, which has implications for early childhood cognitive-motor training and intervention programs. PMID:25820330

  6. Incidental Radiographic Discovery of a Screw in a Primary Molar: An Unusual Case Report in a 6 Year Old Child

    Farhin Katge

    2013-01-01

    Full Text Available Dentists often find foreign bodies in the primary dentition of children who habitually place objects in their mouths. The objects are frequently embedded in exposures that result from carious or traumatic lesions or from endodontic procedures that have been left open for drainage. Such bodies are often detected on routine radiographs and, less frequently, during clinical examination. We report a case of a 6-year-old boy who had inadvertently embedded a screw in his mandibular right first primary molar and had forgotten about it until it became symptomatic. The screw was impacted in the exposed pulp chamber due to a large carious lesion in the affected molar. This case report considers the possible medical and dental consequences of placing foreign bodies in the mouth.

  7. The development of joke and irony understanding: a study with 3- to 6-year-old children.

    Angeleri, Romina; Airenti, Gabriella

    2014-06-01

    Previous research suggests that comprehending ironic utterances is a relatively late-developing skill, emerging around 5-6 years of age. This study investigated whether younger children might show an earlier understanding when ironic utterances are performed in familiar communicative situations, and investigated the relationships among irony comprehension, language, and theory of mind (ToM) abilities. A group of 100 children aged 3.0-6.5 years was presented with 4 types of puppet scenarios depicting different communicative interactions: control, joke, contingent irony and background irony stories. Results suggested that (a) even younger children easily understand jokes, and may sometimes understand ironies; (b) children's comprehension of irony continues to develop across early childhood; and (c) receptive vocabulary scores had simultaneous effects on irony comprehension and ToM performance. PMID:24364812

  8. Work Incapacity and Treatment Costs After Severe Accidents: Standard Versus Intensive Case Management in a 6-Year Randomized Controlled Trial.

    Scholz, Stefan M; Andermatt, Peter; Tobler, Benno L; Spinnler, Dieter

    2016-09-01

    Purpose Case management is widely accepted as an effective method to support medical rehabilitation and vocational reintegration of accident victims with musculoskeletal injuries. This study investigates whether more intensive case management improves outcomes such as work incapacity and treatment costs for severely injured patients. Methods 8,050 patients were randomly allocated either to standard case management (SCM, administered by claims specialists) or intensive case management (ICM, administered by case managers). These study groups differ mainly by caseload, which was approximately 100 cases in SCM and 35 in ICM. The setting is equivalent to a prospective randomized controlled trial. A 6-year follow-up period was chosen in order to encompass both short-term insurance benefits and permanent disability costs. All data were extracted from administrative insurance databases. Results Average work incapacity over the 6-year follow-up, including contributions from daily allowances and permanent losses from disability, was slightly but insignificantly higher under ICM than under SCM (21.6 vs. 21.3 % of pre-accident work capacity). Remaining work incapacity after 6 years of follow-up showed no difference between ICM and SCM (8.9 vs. 8.8 % of pre-accident work incapacity). Treatment costs were 43,500 Swiss Francs (CHF) in ICM compared to 39,800 in SCM (+9.4 %, p = 0.01). The number of care providers involved in ICM was 10.5 compared to 10.0 in ICM (+5.0 %, p reintegration of accident victims. PMID:26687330

  9. A Retrospective Analysis of Maxillofacial Trauma in Shiraz, Iran: a 6-Year- Study of 768 Patients (2004-2010

    Arabion HR.

    2014-03-01

    Full Text Available Statement of Problem: Information about etiology and incidence of maxillofacial trauma is important for prevention and appropriate treatments of such injuries. Purpose: The purpose of this retrospective study was to conduct an analysis of maxillofacial injuries transferred and/or referred to the department of maxillofacial Surgery at Chamran emergency hospital, Shiraz, over a 6-year-period with special reference to age, gender, occupation, date, type, site, etiology and clinical management. Materials and Method: The data for this study were collected and reviewed retrospec-tively from the records and radiographs of 768 patients who were treated for maxillofacial trauma in the department of maxillofacial surgery at the Shiraz Chamran Emergency Hospital, Iran, between 2004 and 2010. Results: A total of 730 of the subjects were the patients with fractures of the facial skeleton. The mean age was 26.6± 12.6 years, ranging from 2 to 81 years. Traffic accident was the most frequent etiological factor of maxillofacial fractures irrespective of gender (69.9% for men and 54.2% for women, whereas the second most frequent cause of injuries was falling down (9.8% for men and 21.5% for women .The other etiologies were assault (5.2%, sport related injuries (1.3% and firearm injuries (1%. Regarding the head injuries in patients with maxillofacial fractures, brain contusion was seen in 227(29.6% patients and 13.5% of patients had lacerations in the facial soft tissue. The monthly distribution peaked in October, with 81 cases (10.5%, which seems to have been due to schools opening. The next highest incidence was in December, with 80 cases (10.4%, probably because of the changing weather's effect on road traffic. Conclusion: Isolated mandibular fracture due to the road traffic accident was the most common type of maxillofacial injuries in the city of Shiraz.

  10. Obesity and motor skills among 4 to 6-year-old children in the united states: nationally-representative surveys

    Castetbon Katia

    2012-03-01

    Full Text Available Abstract Background Few population-based studies have assessed relationships between body weight and motor skills in young children. Our objective was to estimate the association between obesity and motor skills at 4 years and 5-6 years of age in the United States. We used repeated cross-sectional assessments of the national sample from the Early Childhood Longitudinal Survey-Birth Cohort (ECLS-B of preschool 4-year-old children (2005-2006; n = 5 100 and 5-6-year-old kindergarteners (2006-2007; n = 4 700. Height, weight, and fine and gross motor skills were assessed objectively via direct standardized procedures. We used categorical and continuous measures of body weight status, including obesity (Body Mass Index (BMI ≥ 95th percentile and BMI z-scores. Multivariate logistic and linear models estimated the association between obesity and gross and fine motor skills in very young children adjusting for individual, social, and economic characteristics and parental involvement. Results The prevalence of obesity was about 15%. The relationship between motor skills and obesity varied across types of skills. For hopping, obese boys and girls had significantly lower scores, 20% lower in obese preschoolers and 10% lower in obese kindergarteners than normal weight counterparts, p p Conclusions Based on objective assessment of children's motor skills and body weight and a full adjustment for confounding covariates, we find no reduction in overall coordination and fine motor skills in obese young children. Motor skills are adversely associated with childhood obesity only for skills most directly related to body weight.

  11. Dietary determinants of obesity.

    Du, Huaidong; Feskens, Edith

    2010-08-01

    Obesity has become a serious public health problem worldwide, and dietary composition can play a role in its prevention and treatment. However, available literature on the impacts of different dietary factors on weight change is inconsistent, or even conflicting. In this review, we briefly summarized the mechanisms and influences of several major dietary determinants of weight change, with a focus on their potential in the prevention of weight gain or regain. We discussed the intake of fat, protein, total carbohydrates, fruits and vegetables, fibre, free sugars, fructose and sugar sweetened beverages, dietary energy density, portion size, eating outside home, glycaemic index and glycaemic load. Popular weight loss diets, including the Atkins diet, Weight Watchers, Ornish diet and Zone diet, are also briefly discussed for their safety and efficacy in the maintenance of weight loss. PMID:20821929

  12. Dietary Supplements for Toddlers

    ... Listen Español Text Size Email Print Share Dietary Supplements for Toddlers Page Content Article Body If you ... a diet recommended for children), she may need supplements of vitamins B12 and D as well as ...

  13. Relationship between alcohol intake and dietary pattern:Findings from NHANES Ⅲ

    Suthat; Liangpunsakul

    2010-01-01

    AIM:To examine the association between macronutrient dietary patterns and alcohol consumption using the Third National Health and Nutritional Examination Survey METHODS:A total of 9877 subjects(5144 males) constituted the study cohort.Dietary interviews were conducted with all examinees by a trained dietary interviewer in a mobile examination center(MEC).Subjects reported all foods and beverages consumed except plain drinking water for the previous 24-h time period.Physical examination and history of alcoho...

  14. Dietary treatment of nephrolithiasis

    Nouvenne, Antonio; Meschi, Tiziana; Guerra, Angela; Allegri, Franca; Prati, Beatrice; Borghi, Loris

    2008-01-01

    The prevalence of idiopathic nephrolithiasis is increasing in rich countries. Dietary manipulation could contribute to the prevention of both its first appearance and the recurrence of the disease. The target of dietary treatment is to decrease the “urinary lithogenic risk factors” such as low urine volume, hypercalciuria, hyperoxaluria, hyperuricosuria, hyperphosphaturia, hypocitraturia, hypomagnesuria and excessively alkaline or acid urinary pH. Due to the lack of randomized controlled tria...

  15. Dietary Exposure to Benzyl Butyl Phthalate in China

    ZHANG Lei; JIANG Ding Guo; SUI Hai Xia; WU Ping Gu; LIU Ai Dong; YANG Da Jin; LIU Zhao Ping; SONG Yan; LI Ning

    2016-01-01

    ObjectiveBenzyl butyl phthalate (BBP) is a plasticizer used in food contact materials. Dietary exposure to BBP might lead to reproduction and developmental damages to human. The present paper was aimed to assess the health risk of BBP dietary exposure in Chinese population. MethodsThe BBP contents were detected in 7409 food samples from 25 foodcategories by gas chromatography-mass spectrometry operated in selected ion monitoring (SIM) mode. The dietary exposures of BBP in different age and sex groups were estimated by combining the content data with food consumption data derived from 2002 China National Nutrient and Health Survey, and evaluated according to the tolerable daily intake (TDI) of BBP established by European Food safety Agency. ResultsIt was found that BBP was undetectable in most samples and the highest level was 1.69 mg/kg detected in a vegetable oil sample. The average dietary exposure of BBP in people aged≥2 years was 1.03 μg/kgbw perday and the highest average exposure was found in 2-6 years old children (1.98 μg/kg bw perday). The BBP exposure in 7-12 months old children excessed 10% of tolerable daily intake (TDI) in worst scenario. ConclusionThe health risk of BBP dietary exposure in Chinese population is low and, considering BBP alone, there is no safety concern.

  16. Family History

    ... Brain Aneurysm Statistics and Facts Seeking Medical Attention Pediatric Aneurysms Brain Aneurysm Causes and Risk Factors Family History ... Brain Aneurysm Statistics and Facts Seeking Medical Attention Pediatric Aneurysms Brain Aneurysm Causes and Risk Factors Family History ...

  17. Nutrition in adolescence. A longitudinal study in dietary patterns from teenager to adult.

    Post, G.B.

    1989-01-01

    This thesis reports the longitudinal changes in dietary intake of a group of Dutch adolescents, 103 girls and 97 boys from about 12 to 21 years of age (part of 'The Amsterdam Growth and Health Study'). The subjects were pupils of a secondary school, and measured five times. A dietary history method

  18. Dietary Intake Research in Asian Children: Significance and Challenges.

    Henry, Christiani Jeyakumar

    2015-01-01

    Food intake studies have a long history. However, until a few decades ago, there was limited quantitative data on feeding patterns and food intake in infants and children living in South Asia. The recent SEANUT study and MING study have provided several new insights into the dietary patterns of children living in China, Indonesia, Malaysia, Thailand and Vietnam. The complexity and variety of Asian diets makes the collation of dietary information a challenge. The double burden of under-nutrition and over-nutrition is prevalent in many Asian countries. Compared to obesity, stunting is widespread in South East Asia. Our future challenge is to develop food intake assessment techniques which can be refined and made available as a common dietary assessment tool across this region. Successful nutritional intervention can only be achieved if we know what Asian children eat. Dietary intake research will be a key factor in realizing our goal to eradicate malnutrition in this region. PMID:26598852

  19. Is dietary pattern of schizophrenia patients different from healthy subjects?

    Amani Reza

    2007-05-01

    Full Text Available Abstract Background There are limited findings about dietary patterns and food preferences among patients suffering from schizophrenia. The main objective of this study was therefore to compare the nutritional pattern of schizophrenia patients with that of matched healthy subjects. Methods The dietary pattern of 30 hospitalized 16–67 years old schizophrenic patients (11 female was compared with that of 30 healthy age and sex matched individuals as control group. Subjects' anthropometric measurements including weight, height and body mass index (BMI, semi-quantitative food frequency (FFQ, medical and food history questionnaires were also collected and FFQs were then scored using Food Guide Pyramid to obtain the dietary scores. Percent body fat (%BF was measured using bioelectrical impedance analysis (BIA method. Results Female patients had more %BF and lower dietary pattern scores than that of their controls (32 ± 3.6 vs 27.7 ± 4.6 percent and 43.2 ± 11.9 vs 54.5 ± 10.7 points; respectively, p Conclusion Schizophrenia patients have poor nutritional patterns. In particular, female patients have more percent body fat and lower dietary pattern scores compared with their healthy controls. All patients used to consume more fats and sweet drinks frequently. The findings of this study suggest that schizophrenia patients need specific medical nutrition therapies through limiting dietary fats and sugars intakes and weight control. Whether obesity is the consequence of disease, dietary preference or medications used remains to be cleared.

  20. The Effect of Distraction Technique on the Pain of Dressing Change among 3-6 Year-old Children

    Sima Kaheni

    2016-04-01

    Full Text Available Background Burn dressings, debridement, surgical incisions, skin grafting and physical therapy are some of painful treatments of burn. According to the studies, distraction techniques have a significant effect on patients’ pain. The present study was designed and conducted to determine the effect of distraction on pain of dressing change in second degree burn in 3-6 year-old children. Materials and Methods This randomized controlled trial study, was conducted on 80 hospitalized children with second degree burn in 2015. Playing a video computer game for children during the dressing change procedure was the intervention for the interventional group. Also the intensity of pain was measured by behavioral pain scale for children (FLCC scale during dressing. This scale was completed for patients without no intervention in the control group during dressing. Results Pain intensity mean in the interventional group (2.575 ± 1.807 had significant changes in comparison with the control group (8.025 ± 1.187 (P

  1. Swift-XRT 6-year monitoring of the ultraluminous X-ray source M33-X8

    La Parola, V; Cusumano, G; Mineo, T

    2016-01-01

    The long term evolution of ULX with their spectral and luminosity variations in time give important clues on the nature of ULX and on the accretion process that powers them. We report here the results of a Swift-XRT 6-year monitoring campaign of the closest example of a persistent ULX, M33 X-8, that extends to 16 years the monitoring of this source in the soft X-rays. The luminosity of this source is a few 10^39 erg/s, marking the faint end of the ULX luminosity function. We analysed the set of 15 observations collected during the Swift monitoring. We searched for differences in the spectral parameters at different observing epochs, adopting several models commonly used to fit the X-ray spectra of ULX. The source exhibits flux variations of the order of 30%. No significant spectral variations are observed along the monitoring. The average 0.5-10 keV spectrum can be well described by a thermal model, either in the form of a slim disk, or as a combination of a Comptonized corona and a standard accretion disk.

  2. Update on GOSAT TANSO-FTS performance, operations, and data products after more than 6 years in space

    Kuze, Akihiko; Suto, Hiroshi; Shiomi, Kei; Kawakami, Shuji; Tanaka, Makoto; Ueda, Yoko; Deguchi, Akira; Yoshida, Jun; Yamamoto, Yoshifumi; Kataoka, Fumie; Taylor, Thomas E.; Buijs, Henry L.

    2016-06-01

    A data set containing more than 6 years (February 2009 to present) of radiance spectra for carbon dioxide (CO2) and methane (CH4) observations has been acquired by the Greenhouse gases Observing SATellite (GOSAT, available at http://data.gosat.nies.go.jp/GosatUserInterfaceGateway/guig/GuigPage/open.do), nicknamed "Ibuki", Thermal And Near infrared Sensor for carbon Observation Fourier Transform Spectrometer (TANSO-FTS). This paper provides updates on the performance of the satellite and TANSO-FTS sensor and describes important changes to the data product, which has recently been made available to users. With these changes the typical accuracy of retrieved column-averaged dry air mole fractions of CO2 and CH4 (XCO2 and XCH4, respectively) are 2 ppm or 0.5 % and 13 ppb or 0.7 %, respectively. Three major anomalies of the satellite system affecting TANSO-FTS are reported: a failure of one of the two solar paddles in May 2014, a switch to the secondary pointing system in January 2015, and most recently a cryocooler shutdown and restart in August 2015. The Level 1A (L1A) (raw interferogram) and the Level 1B (L1B) (radiance spectra) of version V201 described here have long-term uniform quality and provide consistent retrieval accuracy even after the satellite system anomalies. In addition, we discuss the unique observation abilities of GOSAT made possible by an agile pointing mechanism, which allows for optimization of global sampling patterns.

  3. The 3-6-year results of a modular noncemented low-bending stiffness hip implant. A preliminary study.

    Cameron, H U

    1993-06-01

    A review of the 3-6-year clinical and radiographic results of a modular noncemented stem has been carried out. This is a three-part stem consisting of a head, stem, and proximal sleeve. The stems are split distally like a clothespin in the coronal plane to reduce bending stiffness. No mechanical failures have occurred, including no bead separation from the single-layer porous-coated taper lock sleeves. Of the 48 cases, 13 had smooth stems distally while the rest were fluted. Five of the fluted stems were solid, that is, nonsplit. Clinical results are 93.7% excellent, 4.2% good, and 2.1% poor with the Harris hip rating. There have been no revisions. Thigh pain incidence with the distal split stem was 4.4%. Radiographic follow-up evaluations revealed nonprogressive radiolucency around one of the ingrowth sleeves. When inserted in varus the smooth stems developed some radiolucency around the distal end. Fluting of the stem appeared to prevent this. PMID:8326303

  4. Pronounced lipoatrophy in HIV-infected men receiving HAART for more than 6 years compared with the background population

    Hansen, AB; Lindegaard, B; Obel, N; Andersen, Ove; Nielsen, H; Gerstoft, J

    2006-01-01

    OBJECTIVES: To establish the prevalence and quantify the severity of body fat redistribution and dyslipidaemia in HIV-infected men after long-term highly active antiretroviral therapy (HAART) compared with the background population. METHODS: In a cross-sectional study, we included 87 HIV-infected......OBJECTIVES: To establish the prevalence and quantify the severity of body fat redistribution and dyslipidaemia in HIV-infected men after long-term highly active antiretroviral therapy (HAART) compared with the background population. METHODS: In a cross-sectional study, we included 87 HIV......-infected men who had received HAART for at least 6 years and 34 HIV-negative men. Regional body composition was assessed using dual-energy X-ray absorptiometry. Fasting metabolic parameters were obtained. Associations between regional body fat distribution and metabolic parameters were evaluated. RESULTS: HIV...... ratio (1.7 versus 1.2, P<0.001). Also, patients without clinical lipodystrophy had reduced amounts of limb andtrunk fat. In HIV-infected men, triglyceride levels were higher (2.0 versus 1.2 mmol/L, P<0.001), high-density lipoprotein (HDL)-cholesterol levels were lower (1.2 versus 1.3 mmol/L, P<0.05) and...

  5. Pronounced lipoatrophy in HIV-infected men receiving HAART for more than 6 years compared with the background population

    Hansen, AB; Lindegaard, B; Obel, N; Andersen, Ove; Nielsen, H; Gerstoft, J

    2006-01-01

    OBJECTIVES: To establish the prevalence and quantify the severity of body fat redistribution and dyslipidaemia in HIV-infected men after long-term highly active antiretroviral therapy (HAART) compared with the background population. METHODS: In a cross-sectional study, we included 87 HIV-infected......OBJECTIVES: To establish the prevalence and quantify the severity of body fat redistribution and dyslipidaemia in HIV-infected men after long-term highly active antiretroviral therapy (HAART) compared with the background population. METHODS: In a cross-sectional study, we included 87 HIV......-infected men who had received HAART for at least 6 years and 34 HIV-negative men. Regional body composition was assessed using dual-energy X-ray absorptiometry. Fasting metabolic parameters were obtained. Associations between regional body fat distribution and metabolic parameters were evaluated. RESULTS: HIV...... ratio (1.7 versus 1.2, P<0.001). Also, patients without clinical lipodystrophy had reduced amounts of limb and trunk fat. In HIV-infected men, triglyceride levels were higher (2.0 versus 1.2 mmol/L, P<0.001), high-density lipoprotein (HDL)-cholesterol levels were lower (1.2 versus 1.3 mmol/L, P<0...

  6. Clinical, Bacteriological, and Histopathological Findings of a Testicular Fibrosis in a 6-Year-Old Lusitano Stallion

    A. Rocha

    2012-01-01

    Full Text Available A 6-year-old Lusitano stallion was referred to our centre due to an enlarged left testicle. Anamnesis indicated that the stallion had a chronic hypertrophy of the left testicle, with no apparent ill effect on work (dressage training or semen production. Prolonged use of anti-inflammatory drugs (NSAIDs and antibiotics were probable. Upon examination of the animal, it was found that clinical signs were compatible with chronic testicular degeneration or fibrosis. Ultrasound scanning did not evidence the exuberant macroscopic lesions seen upon hemicastration of the left testicle, but it showed in the left spermatic cord a conspicuous absence of the typical hypoechogenic areas representing the pampiniform plexus. Swabbing of the penis, prepuce, and distal urethra resulted in the isolation of Rhodococcus equi and Corynebacterium spp. However, histopathological examination did not support infectious orchitis as cause of the lesions and no bacterial growth was obtained from swabbing of the parenchyma in the excised testicle. Histopathological findings were compatible with chronic orchitis with fibrosis and necrosis, probably secondary to ischemia of the testicular parenchyma. After hemi-castration, the stallion resumed semen production at acceptable levels.

  7. Cutaneous adverse drug reactions: clinical pattern and causative agents--a 6 year series from Chandigarh, India.

    Sharma V

    2001-04-01

    Full Text Available AIM: To study the different clinical spectrum of cutaneous adverse drug reactions (ADR and to determine the causative drugs. MATERIALS & METHODS: A prospective, hospital based study was carried out over a period of 6 years recording various cutaneous ADR. RESULTS: A total of 500 patients with cutaneous ADR were enrolled in the study. The most common types of cutaneous ADR patterns were maculopapular rash (34.6%, fixed drug eruption (FDE (30% and urticaria (14%. The drugs most often incriminated for the various cutaneous ADR were antimicrobials (42.6%, anticonvulsants (22.2% and NSAIDs (18%. Anticonvulsants were implicated in 41.6% of maculopapular rashes. Sulfonamides accounted for 43.3% and NSAIDs for 30.7% of FDE. Urticaria was caused mainly by NSAIDs(24.3% and penicillins(20%. Anticonvulsants were responsible for 43.8% of life-threatening toxic epidermal necrolysis and Stevens Johnson syndrome. CONCLUSIONS: The clinical pattern and drugs causing cutaneous ADR are similar to those observed in other countries except for minor variations. Cutaneous ADR patterns and the drugs causing various reactions are changing every year, which may be due to the emergence of newer molecules and changing trends in the use of drugs.

  8. The Impact of Tobacco Smoke Exposure on Wheezing and Overweight in 4–6-Year-Old Children

    Regina Grazuleviciene

    2014-01-01

    Full Text Available Aim. To investigate the association between maternal smoking during pregnancy, second-hand tobacco smoke (STS exposure, education level, and preschool children’s wheezing and overweight. Methods. This cohort study used data of the KANC cohort—1,489 4–6-year-old children from Kaunas city, Lithuania. Multivariate logistic regression was employed to study the influence of prenatal and postnatal STS exposure on the prevalence of wheezing and overweight, controlling for potential confounders. Results. Children exposed to maternal smoking during pregnancy had a slightly increased prevalence of wheezing and overweight. Postnatal exposure to STS was associated with a statistically significantly increased risk of wheezing and overweight in children born to mothers with lower education levels (OR 2.12; 95% CI 1.04–4.35 and 3.57; 95% CI 1.76–7.21, accordingly. Conclusions. The present study findings suggest that both maternal smoking during pregnancy and STS increase the risk of childhood wheezing and overweight, whereas lower maternal education might have a synergetic effect. Targeted interventions must to take this into account and address household smoking.

  9. Inflexible parents, inflexible kids: a 6-year longitudinal study of parenting style and the development of psychological flexibility in adolescents.

    Williams, Kathryn E; Ciarrochi, Joseph; Heaven, Patrick C L

    2012-08-01

    Parenting behaviors have been linked to children's self regulation, but it is less clear how they relate to adolescent psychological flexibility. Psychological flexibility is a broad construct that describes an individual's ability to respond appropriately to environmental demands and internal experiences in the service of their goals. We examined the longitudinal relationships between perceived parenting style and psychological flexibility among students at five Australian schools (N= 749) over 6 years, beginning in Grade 7 (50.3% female, mean age 12.39 years). Parenting style was measured in Grades 7 and 12, and psychological flexibility from Grade 9 through 12. Psychological flexibility decreased, on average, with age. Multi-level modelling indicated that authoritarian parenting (low warmth, high control) in Grade 7 predicted later (low) psychological flexibility. Moreover, increases in authoritarian parenting and decreases in authoritative parenting (high warmth and control) were associated with adolescent psychological flexibility across the high school years. Change in parenting predicted future psychological flexibility but did not predict change over time. Structural Equation Modelling revealed that adolescent psychological flexibility in Grade 9 predicted later decreases in authoritarian and increases in authoritative parenting. We discuss the implications of these findings for understanding how parenting changes and the consequences of such change for the development of psychological flexibility. PMID:22311519

  10. Antimicrobial resistance in Pseudomonas sp. causing infections in trauma patients: A 6 year experience from a south asian country

    Nonika Rajkumari

    2014-01-01

    Full Text Available Drug resistance to Pseudomonas sp. has spread to such a level irrespective of the type of patients, that its pattern of distribution and antibiotic resistance needs to be studied in detail, especially in trauma patients and hence the study. A 6 year study was carried out among trauma patients to see the trend and type of resistance prevalent in the apex hospital for trauma care in India among nonduplicate isolates where multidrug-resistance (MDR, cross-resistance and pan-drug resistance in Pseudomonas sp. were analyzed. Of the total 2,269 isolates obtained, the species, which was maximally isolated was Pseudomonas aeruginosa (2,224, 98%. The highest level of resistance was seen in tetracycline (2,166, 95.5%, P < 0.001 and chloramphenicol (2,160, 95.2%, P < 0.001 and least in meropenem (1,739, 76.7%, P < 0.003. Of the total, 1,692 (74.6% isolates were MDR in which P. aeruginosa (75% were maximum. MDR Pseudomonas is slowing increasing since the beginning of the study period. Of 1,797 imipenem-resistant P. aeruginosa isolated during the study period, 1,763 (98% showed resistance to ciprofloxacin or levofloxacin, suggesting that cross-resistance may have developed for imipenem due to prior use of fluoroquinolones. Antibiotic resistance in Pseudomonas sp. is fast becoming a problem in trauma patients, especially in those who requires prolong hospital stay, which calls for proper antimicrobial stewardship.

  11. Dietary Supplements: What Is Safe?

    ... articles window. My Saved Articles » My ACS » Dietary Supplements: What Is Safe? Download Printable Version [PDF] » Dietary supplements include things like vitamins, minerals, herbs, or products ...

  12. Hypothesis-oriented food patterns and incidence of hypertension: 6-year follow-up of the SUN (Seguimiento Universidad de Navarra) prospective cohort

    Toledo, E. (Estefanía); Carmona-Torre, F. (Francisco de A.); Alonso, A; Puchau, B. (Blanca); Zulet, M A; Martinez, J. A.; Martinez-Gonzalez, M.A. (Miguel Angel)

    2010-01-01

    Objective To study the association between adherence to several a priori-defined healthy food patterns and the risk of hypertension. Design Prospective, multipurpose, dynamic cohort study (recruitment permanently open). We followed up 10 800 men and women (all of them university graduates), who were initially free of hypertension, for a variable period (range 2–6 years, median 4·6 years). During follow-up, 640 participants reported a new medical diagnosis of hypertension. Baseline diet wa...

  13. Study of occlusal characteristics of primary dentition and the prevalence of maloclusion in 4 to 6 years old children in India

    Bhayya, Deepak P.; Shyagali, Tarulatha R.; Dixit, Uma B.; Shivaprakash

    2012-01-01

    Background : To assess the prevalence of malocclusion and to determine the different occlusal characteristics in primary dentition of 4 to 6 years old children in India. Materials and Methods : The target population comprised 4 to 6 years old children attending different nursery, kindergarten and primary schools of Bagalkot city. Stratified cluster random sampling procedure was executed to collect the representative sample. Each subject was assessed for various occlusal characteristics. ...

  14. Ozone variability in the troposphere and the stratosphere from the first 6 years of IASI observations (2008-2013)

    Wespes, Catherine; Hurtmans, Daniel; Emmons, Louisa K.; Safieddine, Sarah; Clerbaux, Cathy; Edwards, David P.; Coheur, Pierre-François

    2016-05-01

    In this paper, we assess how daily ozone (O3) measurements from the Infrared Atmospheric Sounding Interferometer (IASI) on the MetOp-A platform can contribute to the analyses of the processes driving O3 variability in the troposphere and the stratosphere and, in the future, to the monitoring of long-term trends. The temporal evolution of O3 during the first 6 years of IASI (2008-2013) operation is investigated with multivariate regressions separately in four different layers (ground-300, 300-150, 150-25, 25-3 hPa), by adjusting to the daily time series averaged in 20° zonal bands, seasonal and linear trend terms along with important geophysical drivers of O3 variation (e.g. solar flux, quasi-biennial oscillation (QBO)). The regression model is shown to perform generally very well with a strong dominance of the annual harmonic terms and significant contributions from O3 drivers, in particular in the equatorial region where the QBO and the solar flux contribution dominate. More particularly, despite the short period of the IASI data set available up to now, two noticeable statistically significant apparent trends are inferred from the daily IASI measurements: a positive trend in the upper stratosphere (e.g. 1.74 ± 0.77 DU year-1 between 30 and 50° S), which is consistent with other studies suggesting a turnaround for stratospheric O3 recovery, and a negative trend in the troposphere at the mid-latitudes and high northern latitudes (e.g. -0.26 ± 0.11 DU year-1 between 30 and 50° N), especially during summer and probably linked to the impact of decreasing ozone precursor emissions. The impact of the high temporal sampling of IASI on the uncertainty in the determination of O3 trend has been further explored by performing multivariate regressions on IASI monthly averages and on ground-based Fourier transform infrared (FTIR) measurements.

  15. Incidence of Complications Developed after the Insertion of Ventilation Tube in Children under 6 years old in 2008-2009

    Nader Saki

    2012-01-01

    Full Text Available Introduction: One of the main treatments of chronic otitis media with effusion is ventilation of the middle ear with a ventilation tube (VT. The objective of this study was to determine the incidence and the types of VT complications in children with otitis media with effusion in Ahwaz. Materials and Methods: In this prospective study, the medical records of 208 children (52 male and 35 female in Imam Khomeini and Apadana hospitals were reviewed. The children were between 10 months and 6 years old. The patients were followed up 12-18 months after ventilation tube insertion. We reviewed age, sex, postoperative otorrhea, eardrum atrophy, tympanosclerosis and persistent perforation. In all these patients, the indication for surgery was chronic middle ear effusion. The data were analyzed and presented as numbers and percentages using SPSS17.0. Results: Transient otorrhea occurred in 12.5% and delayed otorrhea in 8.2%. Otorrhea non-responsive to medical treatment was seen in 1.9%. Complications after tympanostomy tube extrusion included atrophy (27.8% myringosclerosis (37.9%, and persistent perforation (2.4%.The average extrusion time was 10.5 ±5 months (ranging between 3-22 months. Conclusion: After extrusion of the ventilation tube, patients should be followed up regularly for recurrence of OME. Myringosclerosis, tympanic membrane atrophy and otorrhea are the most common complications of otitis media with effusion. However, they are generally insignificant. Consequently, in the majority of these complications, there is no need for any treatment.

  16. Infliximab therapy for moderately severe Crohn’s disease and ulcerative colitis: a retrospective comparison over 6 years

    Raed Alzafiri

    2011-01-01

    Full Text Available Raed Alzafiri1, Christina A Holcroft2, Paula Malolepszy1, Albert Cohen1, Andrew Szilagyi11Jewish General Hospital, Division of Gastroenterology, Department of Medicine, McGill University School of Medicine, Montreal, Quebec, Canada; 2Centre for Clinical Epidemiology and Community Studies, McGill University School of Medicine, Montreal, Quebec, CanadaBackground: Infliximab has shown benefit in Crohn’s disease (CD and ulcerative colitis (UC.Objective: Evaluation of long-term outcome of therapy for both diseases.Methods: We analyzed retrospectively patients treated at infusion centers from one institution. Demographic, laboratory parameters leading up to biologic therapy and the subsequent pattern of outcomes in either disease were established as a database. Initial failure, subsequent need to change therapy, or need to adjust therapy were evaluated. Kruskal–Wallis (nonparametric tests to compare two groups and Kaplan–Meier survival curve analysis were used to compare outcomes.Results: Over approximately 6 years, 71 CD and 26 UC patients received 999 and 215 infusions, respectively, for a median of 62 months. Of these, 17% for CD and 19% for UC patients were primary failures. Following the start of infliximab, 18% of CD and 11% of UC patients required stoppage and switching to another type of therapy. In either CD or UC patients, 54% or 62%, respectively, continued therapy without the need to change to other treatments. Few serious side effects were noted. No important statistically significant differences in treatment patterns or outcome were observed between the groups.Discussion: Long-term treatment of both inflammatory bowel diseases reflects outcomes of clinical trials.Conclusions: This study emphasizes similarities between CD and UC and reports therapeutic success for an extended time.Keywords: infliximab, inflammatory bowel diseases

  17. Iron deficiency anaemia in pre-school (1- 6 years) in Al Shigla area (Khartoum State) :Prevalence and Aetiology

    iron deficiency anaemia (IDA) is a public health problem throughout the world. Childhood iron deficiency anaemia. A prospective survey (systematic, cluster sampling) was carried out among pre-school children in Alshigla area (Khartoum State), to study the prevalence and aetological factors of IDA. 170 children selected for general nutritional evaluation, 110 of them for haemoglobin levels and morphological classification of anaemia, 70 for further investigations(serum iron, unsaturated iron binding capacity, total iron binding capacity). The population at Alshigla were living in poor condition 85.3% relied on water brought by tankers which showed poor hygienic standard, 90% lived in extended families 54.1% had income level less than LS 3000/day irrespective of family size or mode of spending. A sample of 170 children showed (84.1%) normal nutritional status with 4.7% severe cases with high consumption of cereals low meat, fish and poultry group and vitamin C(22.9%). Disease episodes showed 67.7% had diarrhoea, 22.4% had giardia, 12.9% had malaria and 10.6% had worm infestation. This most probably due to unsanitary living condition. Haemoglobin analysis using Enzyme Linked Immunosorbent assay technique (ELISA) for 110 of the children, showed high prevalence of anaemia (96.4%), 66% prevalence of IDA. Further haematological investigations of 50 of the children confirmed them as IDA cases.Thus the high prevalence of IDA in Alshigla was multi-factorial, inadequate take of dietary iron and of vitamin C, high intake of cereals and legumes, low intake of meat, poultry and fish group (MPF),and high tea consumption, thus food provides inadequate supply of iron and were rich in inhibitors of iron absorption. In addition episodes of diseases that may influence food (hence iron) utilisation contributed to the prevalence of IDA

  18. Dietary fat and carcinogenesis

    Woutersen, R.A.; Appel, M.J.; Garderen-Hoetmer, A. van; Wijnands, M.V.W.

    1999-01-01

    Epidemiologic investigations have suggested a relationship between dietary fat intake and various types of cancer incidences. Furthermore, epidemiologic studies as well as studies with animal models have demonstrated that not only the amount but also the type of fat consumed is important. At present

  19. Determinants of dietary supplement use - healthy individuals use dietary supplements

    Kofoed, Christina L F; Christensen, Jane; Dragsted, Lars Ove;

    2015-01-01

    The prevalence of dietary supplement use varies largely among populations, and previous studies have indicated that it is high in the Danish population compared with other European countries. The diversity in supplement use across countries indicates that cultural and environmental factors could...... influence the use of dietary supplements. Only few studies investigating the use of dietary supplements have been conducted in the Danish population. The present cross-sectional study is based on 54 948 Danes, aged 50-64 years, who completed self-administrated questionnaires on diet, dietary supplements and...... intake of dietary supplements. We found that 71 % of the participants were dietary supplement users; female sex, older age groups and higher educated participants were more likely to be users of any dietary supplements. One additional point in the health index was associated with 19, 16 and 9 % higher...

  20. Dietary supplements in sport.

    Burke, L M; Read, R S

    1993-01-01

    Studies of the dietary practices of athletes report that nutritional supplements are commonly used. Supplementation practices vary between sports and individual athletes; however, there is evidence that at least some athletes use a large number of supplements concurrently, often in doses that are very high in comparison with normal dietary intakes. In exploring supplementation practices we propose a classification system separating the supplements into dietary supplements and nutritional erogogenic aids. The dietary supplement is characterised as a product which can be used to address physiological or nutritional issues arising in sport. It may provide a convenient or practical means of consuming special nutrient requirements for exercise, or it may be used to prevent/reverse nutritional deficiencies that commonly occur among athletes. The basis of the dietary supplement is an understanding of nutritional requirements and physiological effects of exercise. When the supplement is used to successfully meet a physiological/nutritional goal arising in sport it may be demonstrated to improve sports performance. While there is some interest in refining the composition or formulation of some dietary supplements, the real interest belongs to the use or application of the supplement; i.e. educating athletes to understand and achieve their nutritional needs in a specific sports situation. The sports drink (carbohydrate-electrolyte replacement drink) is a well known example of a dietary supplement. Scientific attitudes towards the sports drink have changed over the past 20 years. Initial caution that carbohydrate-electrolyte fluids compromise gastric emptying during exercise has now been shown to be unjustified. Numerous studies have shown that 5 to 10% solutions of glucose, glucose polymers (maltodextrins) and other simple sugars all have suitable gastric emptying characteristics for the delivery of fluid and moderate amounts of carbohydrate substrate. The optimal

  1. Romerrigets historie

    Christiansen, Erik

    Romerrigets historie fra Roms legendariske grundlæggelse i 753 f.v.t. til Heraklios' tronbestigelse i 610 e.v.t.......Romerrigets historie fra Roms legendariske grundlæggelse i 753 f.v.t. til Heraklios' tronbestigelse i 610 e.v.t....

  2. Intellectual History

    In the 5 Questions book series, this volume presents a range of leading scholars in Intellectual History and the History of Ideas through their answers to a brief questionnaire. Respondents include Michael Friedman, Jacques le Goff, Hans Ulrich Gumbrecht, Jonathan Israel, Phiip Pettit, John Pocock...

  3. 上海市0~6岁儿童单纯性肥胖的现状及流行变化趋势%The status and variation tendency of prevalence of simple obesity among the children aged 0~6 years old in Shanghai

    张晶; 魏梅; 姚国英; 方秉华

    2011-01-01

    目的:对上海市儿童单纯性肥胖症流行病学调查资料进行分析,以掌握0~6岁儿童单纯性肥胖症发展的变化规律,并探讨儿童单纯性肥胖症的影响因素.方法:采用分阶段、不等比例、随机整群抽样的方法,3岁以下以居委会为单位,3~6岁以幼儿园为单位整群抽样,原则上与1995年调查点一致.对402名单纯性肥胖儿童和394名配对健康儿童的体格测量值、个人史、喂养和饮食习惯、生活习惯、家庭情况和家长认知等方面信息进行分析,并与1996年、1986年,以及2006年全国九市调查结果相比较.结果:上海儿童单纯性肥胖检小率为3.26%,20年间增长6.76倍,增长主要发生在前10年.儿童单纯性肥胖的检出率随年龄增长而呈上升趋势,4岁后开始明显增高,6岁组为发病高峰,其发病率为7.84%.0~6岁儿童单纯性肥胖发生率男童高于女童,以轻度为主,占肥胖儿童总数的61.68%.随着儿童年龄的增长,肥胖度加重.儿童肥胖与主要照看人、进食速度、摄食蔬菜等因素相关.结论:随着社会经济的发展,儿童肥胖的发生率呈上升趋势.应加强对儿童期肥胖的研究和干预工作.%Objective: To analyze the epidemiological survey data of simple obesity among the children in Shanghai, in order to grasp the change regularity of simple obesity among the children aged 0 ~ 6 years old, and explore the effect factors of simple obesity among children.Methods: A disproportionate stratified randomized cluster sampling method was used in the study; for the children under 3 years,a neighborhood committee was a survey unit, for the children aged 3 ~6 years old, a kindergarten was a unit, which were consistent with the survey points in 1995.The data including measured values of physical examination, individual histories, feeding and dietary habits, living habits, family situations and cognitive levels of parents were analyzed among 402 children with simple

  4. No association between dietary patterns and depressive symptoms among a community-dwelling population in Japan

    Sugawara Norio

    2012-09-01

    Full Text Available Abstract Background Studies of the associations between diet and depression have primarily focused on single nutrients or foods. Recently, dietary patterns representing a combination of foods have attracted more interest than individual nutrient. The objective of this study was to examine the association between dietary patterns and depressive symptoms among a community-dwelling population in Japan. Methods We examined the association between dietary patterns and the risk of depression among 791 Japanese community-dwelling individuals. Diet was assessed with a validated brief-type self-administered diet history questionnaire (BDHQ. Dietary patterns from 52 predefined food groups [energy-adjusted food (g/d] were extracted by principal component analysis. The Center for Epidemiologic Studies Depression Scale (CES-D with a cut-off point of 16 was used to assess the prevalence of depression. Results A total of 97 subjects (12.3% were classified as having depression. Four dietary patterns were identified: “Healthy”, “Western”, “Bread and confectionery”, and “Alcohol and accompanying” dietary patterns. After adjusting for potential confounders, the dietary patterns were not related to the risk of depression. Conclusions The present study failed to find associations between dietary patterns and the risk of depression. However, the interpretation of our results was hampered by the lack of certain data, including employment physical activity and longitudinal observations. Potential associations between dietary patterns and depressive symptoms were not completely ruled out. Future research exploring dietary patterns and depressive symptoms is warranted.

  5. Family History

    Your family history includes health information about you and your close relatives. Families have many factors in common, including their genes, ... as heart disease, stroke, and cancer. Having a family member with a disease raises your risk, but ...

  6. Dietary Macronutrients and Sleep.

    Lindseth, Glenda; Murray, Ashley

    2016-08-01

    This study examined the effects of macronutrient diets on sleep quantity and quality. Using a repeated-measures, randomized crossover study design, 36 young adults served as their own control, and consumed high protein, carbohydrate, fat, and control diets. Treatment orders were counterbalanced across the dietary groups. Following consumption of the study diets, sleep measures were examined for within-subject differences. Fatty acid intakes and serum lipids were further analyzed for differences. Sleep actigraphs indicated wake times and wake minutes (after sleep onset) were significantly different when comparing consumption of macronutrient diets and a control diet. Post hoc testing indicated high carbohydrate intakes were associated with significantly shorter (p Sleep Quality Index© post hoc results indicated high fat intake was associated with significantly better (p sleep in comparison with the other diets. These results highlight the effects that dietary manipulations may have on sleep. PMID:27170039

  7. Dietary Supplements Use and Related Factors of Preschoolers in 3 Korean Cities

    Kim, Hye Sil; Lee, Hye Young; Kim, Mi Kyung

    2013-01-01

    Purpose To estimate the prevalence of dietary supplement (DS) use, investigate the related factors associated with DS use among preschoolers and support the adequate nutrition. Methods We conducted a questionnaire survey of mothers of children aged between 1 and 6 years who visited pediatric clinics in 3 Korean cities (Jeonju, Suncheon, Jeongeup) between October and November 2012 at Presbyterian Medical Center. The responses from 929 questionnaires were analyzed. Results Approximately 45.1% o...

  8. Carbohydrates and dietary fiber.

    Suter, P M

    2005-01-01

    The most widely spread eating habit is characterized by a reduced intake of dietary fiber, an increased intake of simple sugars, a high intake of refined grain products, an altered fat composition of the diet, and a dietary pattern characterized by a high glycemic load, an increased body weight and reduced physical activity. In this chapter the effects of this eating pattern on disease risk will be outlined. There are no epidemiological studies showing that the increase of glucose, fructose or sucrose intake is directly and independently associated with an increased risk of atherosclerosis or coronary heart disease (CHD). On the other hand a large number of studies has reported a reduction of fatal and non-fatal CHD events as a function of the intake of complex carbohydrates--respectively 'dietary fiber' or selected fiber-rich food (e.g., whole grain cereals). It seems that eating too much 'fast' carbohydrate [i.e., carbohydrates with a high glycemic index (GI)] may have deleterious long-term consequences. Indeed the last decades have shown that a low fat (and consecutively high carbohydrate) diet alone is not the best strategy to combat modern diseases including atherosclerosis. Quantity and quality issues in carbohydrate nutrient content are as important as they are for fat. Multiple lines of evidence suggest that for cardiovascular disease prevention a high sugar intake should be avoided. There is growing evidence of the high impact of dietary fiber and foods with a low GI on single risk factors (e.g., lipid pattern, diabetes, inflammation, endothelial function etc.) as well as also the development of the endpoints of atherosclerosis especially CHD. PMID:16596802

  9. Dietary Therapies for Epilepsy

    Kossoff, Eric H.; Huei-Shyong Wang

    2013-01-01

    Since their introduction in 1921, high-fat, low-carbohydrate "ketogenic" diets have been used worldwide for refractory childhood epilepsy. Approximately half of the children have at least half their seizures reduced, including 15% who are seizure free. The mechanisms of action of dietary therapies are under active investigation and appear to involve mitochondria. Once perceived as a last resort, modifications to initiation and maintenance, as well as the widespread use of pre-made ketogenic f...

  10. Dietary Teatment of Galactosemia

    H. Ehsani; M Kabiri

    1986-01-01

    For the time being, dietary treatment is the only available therapy for Galactosemia. This article indicates, with regard to the daily requirements of normal infants and children for protein, carbohydrates, fat, minerals and vitamins, the possibilities of preparing appropriate diets for Galactosemic patients. Few instructions for preparing lactose and galactose free infant foods using MBF formula have been given. A list of foods not allowed for Galactosemic patients is also presented.