WorldWideScience

Sample records for bloat

  1. Abdominal bloating

    Science.gov (United States)

    ... acarbose, and medicines or foods containing lactulose or sorbitol, may cause bloating. More serious disorders that may ... from foods with high levels of fructose or sorbitol Avoid foods that can produce gas, such as ...

  2. Plant genome size variation: bloating and purging DNA.

    Science.gov (United States)

    Michael, Todd P

    2014-07-01

    Plant genome size variation is a dynamic process of bloating and purging DNA. While it was thought plants were on a path to obesity through continual DNA bloating, recent research supports that most plants activity purge DNA. Plant genome size research has greatly benefited from the cataloguing of genome size estimates at the Kew Plant DNA C-values Database, and the recent availability of over 50 fully sequenced and published plant genomes. The emerging trend is that plant genomes bloat due to the copy-and-paste proliferation of a few long terminal repeat retrotransposons (LTRs) and aggressively purge these proliferating LTRs through several mechanisms including illegitimate and incomplete recombination, and double-strand break repair through non-homologous end joining. However, ultra-small genomes such as Utricularia gibba (Bladderwort), which is 82 megabases (Mb), purge excess DNA through genome fractionation and neofunctionalization during multiple rounds of whole genome duplication (WGD). In contrast, the largest published genome, Picea abies (Norway Spruce) at 19 800 Mb, has no detectable WGD but has bloated with diverse and diverged LTRs that either have evaded purging mechanisms or these purging mechanism are absent in gymnosperms. Finally, advances in DNA methylation studies suggest that smaller genomes have a more aggressive epigenomic surveillance system to purge young LTR retrotransposons, which is less active or missing in larger genomes like the bloated gymnosperms. While genome size may not reflect genome complexity, evidence is mounting that genome size may reflect evolutionary status. PMID:24651721

  3. Thermal detoxification and bloating of chromium(VI) with bentonite

    Energy Technology Data Exchange (ETDEWEB)

    Wei, Y.-L., E-mail: yulin@thu.edu.t [Department of Environmental Science and Engineering, Tunghai University, Taichung 40704, Taiwan (China); Hsieh, H.-F.; Peng, Y.-S.; Yang, J.-C. [Department of Environmental Science and Engineering, Tunghai University, Taichung 40704, Taiwan (China); Paul Wang, H. [Department of Environmental Engineering, National Cheng Kung University, Tainan 70101, Taiwan (China); Sustainable Environmental Research Center, National Cheng Kung University, Tainan 70101, Taiwan (China); Lin, C.-Y.; Shih, W.-L.; Hsu, C.-C. [Department of Environmental Science and Engineering, Tunghai University, Taichung 40704, Taiwan (China)

    2010-07-21

    This study stabilizes and bloats Cr(VI)-sorbed bentonite by heating at high temperature. Cr leaching decreases with increasing temperatures. Heating the sample at 1100 {sup o}C results in a non-detectable Cr concentration in the leachate, equivalent to a Cr leaching percent less than 0.001% (i.e., Cr TCLP concentration <0.018 mg of Cr L{sup -1} of leachate). Morphology observed with a scanning electron microscopy indicates the occurrence of sintering of the sample heated at 1100 {sup o}C. The heated samples also show the occurrence of a vesicant process at 1100 {sup o}C. X-ray absorption spectroscopy results indicate that heating at 500 {sup o}C for 4 h can convert approximately 87% Cr(VI) into Cr(III) that is negligibly toxic; Cr{sub 2}O{sub 3} was detected to be the most abundant Cr species. After heating at higher temperatures, namely 900-1100 {sup o}C, almost all doped Cr(VI) is reduced to Cr(III) as inferred from the height of the pre-edge peak of XANES spectra and/or from XANES simulation.

  4. [Using Acupressure to Improve Abdominal Bloating in a Hemicolectomy Patient: A Nursing Experience].

    Science.gov (United States)

    Tseng, Yi-Ling; Hsu, Chun-Hung; Tseng, Hui-Chen

    2015-10-01

    This article describes a nursing experience applying the protocol of bilateral Zusanli (ST-36) acupressure to reduce abdominal bloating in a colon cancer patient who had undergone a right hemicolectomy. The period of care was between November 13 and November 23, 2014. Data were collected through direct care, interviews, observation, and physical assessment. The main health problems of the patient included anxiety, surgical wound pain, and abdominal bloating. We provided pre- and postoperative routine nursing care, wound pain management, and the protocol of Zusanli (ST-36) acupressure for reducing abdominal bloating. Results of care recorded the first passage of flatus and intestinal motility during the second postoperative day, with no complaints of bloating from the fourth postoperative day. The subject exhibited a relaxed mood and slept soundly following each acupressure session. Furthermore, the subject reported experiencing no abdominal bloating during the week following discharge, during which he continued to follow the acupressure protocol. This article provides support via an instance of nursing care for the effectiveness of the Zusanli (ST-36) acupressure in improving abdominal bloating and thus reducing the complications of hemicolectomy surgery. PMID:26507632

  5. Linaclotide in Chronic Idiopathic Constipation Patients with Moderate to Severe Abdominal Bloating: A Randomized, Controlled Trial.

    Directory of Open Access Journals (Sweden)

    Brian E Lacy

    Full Text Available Abdominal bloating is a common and bothersome symptom of chronic idiopathic constipation. The objective of this trial was to evaluate the efficacy and safety of linaclotide in patients with chronic idiopathic constipation and concomitant moderate-to-severe abdominal bloating.This Phase 3b, randomized, double-blind, placebo-controlled clinical trial randomized patients to oral linaclotide (145 or 290 μg or placebo once daily for 12 weeks. Eligible patients met Rome II criteria for chronic constipation upon entry with an average abdominal bloating score ≥5 (self-assessment: 0 10-point numerical rating scale during the 14-day baseline period. Patients reported abdominal symptoms (including bloating and bowel symptoms daily; adverse events were monitored. The primary responder endpoint required patients to have ≥3 complete spontaneous bowel movements/week with an increase of ≥1 from baseline, for ≥9 of 12 weeks. The primary endpoint compared linaclotide 145 μg vs. placebo.The intent-to-treat population included 483 patients (mean age=47.3 years, female=91.5%, white=67.7%. The primary endpoint was met by 15.7% of linaclotide 145 μg patients vs. 7.6% of placebo patients (P<0.05. Both linaclotide doses significantly improved abdominal bloating vs. placebo (P<0.05 for all secondary endpoints, controlling for multiplicity. Approximately one-third of linaclotide patients (each group had ≥50% mean decrease from baseline in abdominal bloating vs. 18% of placebo patients (P<0.01. Diarrhea was reported in 6% and 17% of linaclotide 145 and 290 μg patients, respectively, and 2% of placebo patients. AEs resulted in premature discontinuation of 5% and 9% of linaclotide 145 μg and 290 μg patients, respectively, and 6% of placebo patients.Once-daily linaclotide (145 and 290 μg significantly improved bowel and abdominal symptoms in chronic idiopathic constipation patients with moderate-to-severe baseline abdominal bloating; in particular

  6. Molecular characterization of the intestinal microbiota in patients with and without abdominal bloating.

    Science.gov (United States)

    Ringel-Kulka, Tamar; Benson, Andrew K; Carroll, Ian M; Kim, Jaehyoung; Legge, Ryan M; Ringel, Yehuda

    2016-03-15

    Recent studies have demonstrated differences in the intestinal microbiota between patients with irritable bowel syndrome (IBS) and healthy controls (HC), suggesting a role for the intestinal microbiota in the pathogenesis of IBS. Alterations in the microbiota have also been implicated in the pathogenesis of abdominal bloating, a commonly reported symptom in IBS. We investigated the relationship between the intestinal microbiota, abdominal bloating, and altered bowel patterns in a cohort of patients with IBS and HC. The 16S rRNA gene from fresh fecal samples was amplified and pyrosequenced by using Roche-454 Titanium chemistry. A Core Measurable Microbiome (CMM) was generated for Operational Taxonomic Unit (OTU) detected in >75% of all samples and compositional features of CMM were compared between groups by Linear Discriminant Analysis (LDA). IBS differentiated from HC by LDA using continuous variation in the species/OTUs or the CMM genera. When subcategorized based on bloating symptoms and bowel characteristics, the same subjects were also well differentiated from one another and from HC. ANOVA analysis showed quantitative species/OTU differences between the subgroups including IBS with and without bloating, and subtypes based on bowel characteristics. The clear LDA differentiation and the significant microbial taxa differences between the groups imply a significant association of the microbiota with bloating symptoms and bowel characteristics in IBS. These changes in the microbiota may serve as a biomarker for IBS and its clinical subtypes and suggest a role for the intestinal microbiota in the pathogenesis of the main symptoms of the disorder. PMID:26702134

  7. Restriction of FODMAP in the management of bloating in irritable bowel syndrome.

    Science.gov (United States)

    Wong, Wei Mon

    2016-09-01

    Irritable bowel syndrome (IBS) is a common functional bowel disorder. Up to 96% of IBS patients experience bloating, resulting in poor response to conventional therapies and high consultation rates. Many IBS patients report that food triggers symptoms, particularly diets with poorly absorbed, short-chain carbohydrates, and restrict intake of certain foods to control their symptoms. IBS patients are especially susceptible to an attack due to visceral hypersensitivity. An emerging therapeutic strategy excludes fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) from the diet. There is evidence supporting the efficacy of a low FODMAP diet in improving symptoms of bloating in IBS patients. Individualised, structured dietary guidance may benefit those with persistent troublesome symptoms despite traditional therapies. In view of the multifactorial aetiology of the condition, it is probably best to use a multipronged approach, involving combination therapies, to address bloating in IBS patients. PMID:27664186

  8. Holistic Acupuncture approach to idiopathic refractory nausea, abdominal pain and bloating

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    AIM: To evaluate the effectiveness of a holistic acupuncture approach on nausea, pain, bloating and electrogastrogram (EGG) parameters in patients with intractable symptoms. METHODS: Twelve patients with no or mild nausea (those without nausea had bloating or pain) and 10 with a history of moderate to severe nausea were referred for acupuncture. All underwent an EGG and were treated at acupuncture points PC6, SP4 and DU20. Visual analog scales (VAS) assessing severity of nausea, pain and bloating were obtained before and after acupuncture treatment. Nineteen patients received three and three patients received two treatments. RESULTS: VAS scores for nausea reflected the clinical assessment and differed significantly between mild and moderate/severe nausea groups. Acupuncture significantly improved severity of nausea in both groups with improved pre-treatment nausea between the first and third treatments in the moderate/severe nausea group. Pain scores improved with acupuncture in the mild nausea group only and bloating improved only with the first treatment in this group. Patients with bloating with VAS scores greater than 35 pre-treatment improved with acupuncture and over all VAS scores for pain improved with treatment. Acupuncture increased the power in the 2.7 to 3.5 cpm range in the EGG. CONCLUSION: In this uncontrolled clinical study, a holistic acupuncture approach significantly improved nausea in patients with refractory symptoms and increased the power in the 2.7-3.5 cpm component of the electrogastrogram. Bloating and pain VAS scores improved acutely with treatment. This study suggests that acupuncture may be effective in this refractory group of patients and further study using appropriate controls is warranted.

  9. Comparative review of foam formation in biogas plants and ruminant bloat

    Energy Technology Data Exchange (ETDEWEB)

    Moeller, Lucie; Goersch, Kati; Zehnsdorf, Andreas; Mueller, Roland Arno [UFZ - Helmholtz Centre for Environmental Research, Leipzig (Germany). Environmental and Biotechnology Centre; Neuhaus, Juergen [Leipzig Univ. (Germany). Inst. of Bacteriology and Mycology

    2012-12-15

    This review gives an overview of the current knowledge concerning the problem of foam formation in the process of anaerobic digestion in biogas plants that utilize renewable resources or biogenic waste material for biogas production. Process upsets in biogas production induced by foam formation can have a negative impact on the efficiency of biogas plants. The foam can block gas pipes and cause severe damage to the bioreactor equipment, ranging from a failure of the feeders to a damage of the roof of the biogas plant. The most common foam removal methods - stirring in the foam, adding anti-foaming agents, diminishing substrate feeding, and altering the biogas reactor management - are not always successful. However, the reasons for the excessive foam formation during the biogas production process have not yet been elucidated in detail. In contrast, foam building in the rumen of ruminants as a cause for bloat has been studied thoroughly. In general, the interaction between proteins, polysaccharides (mucilage), and small plant particles is assumed to be the crucial factor. As the fermentation process in the rumen has many similarities with the biogas production process, the current research results on bloat in ruminants are summarized and compared with the process of foaming in biogas plants. (orig.)

  10. Bloated stars as agn broad line clouds the emission line spectrum

    CERN Document Server

    Alexander, T; Tal Alexander; Hagai Netzer

    1994-01-01

    The `Bloated Stars Scenario' proposes that AGN broad line emission originates in the winds or envelopes of bloated stars (BS). Its main advantage over BLR cloud models is the gravitational confinement of the gas and its major difficulty the large estimated number of BSs and resulting high mass loss rate. We calculate the emission line spectrum by a detailed numerical photoionization code for a wide range of wind structures and a detailed QSO nucleus model with L(ion)=7E45 erg/s, M(bh)=8E7 Mo. The size and boundary density of the BS wind are determined by various processes: Comptonization by the central continuum source, calculated self consistently, tidal disruption by the black hole and the limit set by the wind's finite mass. We find that the emission spectrum is mainly determined by the conditions at the boundary of the line emitting fraction of the wind rather than by its internal structure. Comptonization results in very high ionization parameters at the boundary which produces an excess of unobserved br...

  11. Self-pathology, the five-factor model, and bloated specific factors: A cautionary tale.

    Science.gov (United States)

    Oltmanns, Joshua R; Widiger, Thomas A

    2016-04-01

    The five-factor model (FFM) is widely regarded as a useful model for the structure of both normal and maladaptive personality traits. However, recent factor analytic studies have suggested that deficits in the sense of self fall outside the FFM. The current study replicates and extends these findings, illustrating that factors can be situated outside a higher-order domain by including a relatively large number of closely related scales, forming what is known as a bloated specific factor. A total of 1,553 participants (M age = 37.8 years, SD = 13.1) were recruited across 3 studies. One measure of self-pathology (including 15 scales) and 2 measures of the FFM were administered, along with 17 measures of anxiousness and 12 measures of social withdrawal/sociability. Across 2 independent samples and 2 different measures of the FFM, deficits in the sense of self separated from neuroticism when all 15 scales of self-pathology were included. However, self-pathology loaded with FFM neuroticism when only a subset of the self-pathology scales was included. This finding was replicated with measures of social withdrawal/sociability, although only partially replicated with measures of anxiousness. Implications of these findings for past and future factor analytic studies of the structure of psychopathology are discussed.

  12. WASP-86b and WASP-102b: super-dense versus bloated planets

    CERN Document Server

    Faedi, F; Pollacco, D; Brown, D J A; Hébrard, G; Smalley, B; Lam, K W F; Veras, D; Anderson, D; Doyle, A P; Gillon, M; Goad, M R; Lendl, M; Mancini, L; McCormac, J; Plauchu-Frayn, I; Prieto-Arranz, J; Scholz, A; Street, R; Triaud, A H M; West, R; Wheatley, P J; Armstrong, D J; Barros, S C C; Boisse, I; Bouchy, F; Boumis, P; Cameron, A Collier; Haswell, C A; Hay, K L; Hellier, C; Kolb, U; Maxted, P F L; Norton, A J; Osborn, H P; Palle, E; Pepe, F; Queloz, D; Ségransan, D; Udry, S; Wilson, P A

    2016-01-01

    We report the discovery of two transiting planetary systems: a super dense, sub-Jupiter mass planet WASP-86b (\\mpl\\ = 0.82 $\\pm$ 0.06 \\mj, \\rpl\\ = 0.63 $\\pm$ 0.01 \\rj), and a bloated, Saturn-like planet WASP-102b (\\mpl\\ = 0.62 $\\pm$ 0.04 \\mj, \\rpl\\=1.27 $\\pm$ 0.03 \\rj). They orbit their host star every $\\sim$5.03, and $\\sim$2.71 days, respectively. The planet hosting WASP-86 is a F7 star (\\teff\\ = 6330$\\pm$110 K, \\feh\\ = $+$0.23 $\\pm$ 0.14 dex, and age $\\sim$0.8--1~Gyr), WASP-102 is a G0 star (\\teff\\ = 5940$\\pm$140 K, \\feh\\ = $-$0.09$\\pm$ 0.19 dex, and age $\\sim$1~Gyr). These two systems highlight the diversity of planetary radii over similar masses for giant planets with masses between Saturn and Jupiter. WASP-102b shows a larger than model-predicted radius, indicating that the planet is receiving a strong incident flux which contributes to the inflation of its radius. On the other hand, with a density of $\\rho_{pl}$ = 3.24$\\pm$~0.3~$\\rho_{jup}$, WASP-86b is the densest gas giant planet among planets with ma...

  13. Self-pathology, the five-factor model, and bloated specific factors: A cautionary tale.

    Science.gov (United States)

    Oltmanns, Joshua R; Widiger, Thomas A

    2016-04-01

    The five-factor model (FFM) is widely regarded as a useful model for the structure of both normal and maladaptive personality traits. However, recent factor analytic studies have suggested that deficits in the sense of self fall outside the FFM. The current study replicates and extends these findings, illustrating that factors can be situated outside a higher-order domain by including a relatively large number of closely related scales, forming what is known as a bloated specific factor. A total of 1,553 participants (M age = 37.8 years, SD = 13.1) were recruited across 3 studies. One measure of self-pathology (including 15 scales) and 2 measures of the FFM were administered, along with 17 measures of anxiousness and 12 measures of social withdrawal/sociability. Across 2 independent samples and 2 different measures of the FFM, deficits in the sense of self separated from neuroticism when all 15 scales of self-pathology were included. However, self-pathology loaded with FFM neuroticism when only a subset of the self-pathology scales was included. This finding was replicated with measures of social withdrawal/sociability, although only partially replicated with measures of anxiousness. Implications of these findings for past and future factor analytic studies of the structure of psychopathology are discussed. PMID:26845254

  14. KOI 1224, a Fourth Bloated Hot White Dwarf Companion Found With Kepler

    CERN Document Server

    Breton, Rene P; van Kerkwijk, Marten H; Carter, Josh A

    2011-01-01

    We present an analysis and interpretation of the Kepler binary system KOI 1224. This is the fourth binary found with Kepler that consists of a thermally bloated, hot white dwarf in a close orbit with a more or less normal star of spectral class A or F. As we show, KOI 1224 contains a white dwarf with Teff = 14400 +/- 1100 K, mass = 0.20 +/- 0.02 Msun, and radius = 0.103 +/- 0.004 Rsun, and an F-star companion of mass = 1.59 +/- 0.07 Msun that is somewhat beyond its terminal-age main sequence. The orbital period is quite short at 2.69802 days. The ingredients that are used in the analysis are the Kepler binary light curve, including the detection of the Doppler boosting effect; the NUV and FUV fluxes from the Galex images of this object; an estimate of the spectral type of the F-star companion; and evolutionary models of the companion designed to match its effective temperature and mean density. The light curve is modelled with a new code named Icarus which we describe in detail. Its features include the full ...

  15. The living dead: bacterial community structure of a cadaver at the onset and end of the bloat stage of decomposition.

    Directory of Open Access Journals (Sweden)

    Embriette R Hyde

    Full Text Available Human decomposition is a mosaic system with an intimate association between biotic and abiotic factors. Despite the integral role of bacteria in the decomposition process, few studies have catalogued bacterial biodiversity for terrestrial scenarios. To explore the microbiome of decomposition, two cadavers were placed at the Southeast Texas Applied Forensic Science facility and allowed to decompose under natural conditions. The bloat stage of decomposition, a stage easily identified in taphonomy and readily attributed to microbial physiology, was targeted. Each cadaver was sampled at two time points, at the onset and end of the bloat stage, from various body sites including internal locations. Bacterial samples were analyzed by pyrosequencing of the 16S rRNA gene. Our data show a shift from aerobic bacteria to anaerobic bacteria in all body sites sampled and demonstrate variation in community structure between bodies, between sample sites within a body, and between initial and end points of the bloat stage within a sample site. These data are best not viewed as points of comparison but rather additive data sets. While some species recovered are the same as those observed in culture-based studies, many are novel. Our results are preliminary and add to a larger emerging data set; a more comprehensive study is needed to further dissect the role of bacteria in human decomposition.

  16. The mitochondrial and plastid genomes of Volvox carteri: bloated molecules rich in repetitive DNA

    Directory of Open Access Journals (Sweden)

    Lee Robert W

    2009-03-01

    Full Text Available Abstract Background The magnitude of noncoding DNA in organelle genomes can vary significantly; it is argued that much of this variation is attributable to the dissemination of selfish DNA. The results of a previous study indicate that the mitochondrial DNA (mtDNA of the green alga Volvox carteri abounds with palindromic repeats, which appear to be selfish elements. We became interested in the evolution and distribution of these repeats when, during a cursory exploration of the V. carteri nuclear DNA (nucDNA and plastid DNA (ptDNA sequences, we found palindromic repeats with similar structural features to those of the mtDNA. Upon this discovery, we decided to investigate the diversity and evolutionary implications of these palindromic elements by sequencing and characterizing large portions of mtDNA and ptDNA and then comparing these data to the V. carteri draft nuclear genome sequence. Results We sequenced 30 and 420 kilobases (kb of the mitochondrial and plastid genomes of V. carteri, respectively – resulting in partial assemblies of these genomes. The mitochondrial genome is the most bloated green-algal mtDNA observed to date: ~61% of the sequence is noncoding, most of which is comprised of short palindromic repeats spread throughout the intergenic and intronic regions. The plastid genome is the largest (>420 kb and most expanded (>80% noncoding ptDNA sequence yet discovered, with a myriad of palindromic repeats in the noncoding regions, which have a similar size and secondary structure to those of the mtDNA. We found that 15 kb (~0.01% of the nuclear genome are homologous to the palindromic elements of the mtDNA, and 50 kb (~0.05% are homologous to those of the ptDNA. Conclusion Selfish elements in the form of short palindromic repeats have propagated in the V. carteri mtDNA and ptDNA, resulting in the distension of these genomes. Copies of these same repeats are also found in a small fraction of the nucDNA, but appear to be inert in this

  17. Preparation and Bloating Mechanism of Porous Ultra-lightweight Ceramsite by Dehydrated Sewage Sludge and Yellow River Sediments

    Institute of Scientific and Technical Information of China (English)

    YUE Dongting; YUE Qinyan; GAO Baoyu; HE Hongtao; YU Hui; SUN Shenglei; LI Qian; WANG Yan; ZHAO Yu

    2014-01-01

    To solve the disposal problems of solid wastes, dehydrated sewage sludge and Yellow River sediments were tested as components for production of ultra-lightweight ceramsite. The effects of Yellow River sediments addition on the characteristics of ceramsite were investigated. Ceramsite with different Yellow River sediments additions was characterized using thermal analysis, X-ray diffraction, morphological structures analyses, pore size distributions and porosity analyses. Chemical components, especially ratios of SiO2 +Al2O3/Flux, were used to explain the glassy shell formation, physical properties and pores distribution of ultra-lightweight ceramsite;physical forces for instance expansion force and frictional resistance which combined with SiO2+Al2O3/Flux ratios were used to explain the bloating mechanism. Results showed that the maximum addition of Yellow River sediments for making ultra-lightweight ceramsite was 35%. Macropores (between 0.226μm and 0.554μm) of ultra-lightweight ceramsite were dominant in the pore structures of ultra-lightweight ceramsite and its porosity was up to 67.7%. Physical force of expansion force was constant with the variation of Yellow River sediments content and physical force of frictional resistance was decreased with the increase of Yellow River sediments addition. The relationship between expansion and frictional resistance could determine the expansion rate of ceramsite. Larger pores inside the ceramsite bodies could be obtained as Yellow River sediments additions ranged from 10%to 30%. Ceramsite with higher Yellow River sediments additions of 40%(SiO2+Al2O3/Flux ratios 4.25) became denser and have lower porosity. Crystal components analysis proved that the sintering process made some components of raw materials transfer into other crystals having better thermostability.

  18. Belching, Bloating and Flatulence

    Science.gov (United States)

    ... ACG on Facebook About ACG ACG Store ACG Patient Education & Resource Center Home GI Health and Disease Recursos en Español What is a Gastroenterologist? Podcasts and Videos GI Health Centers Colorectal Cancer Hepatitis C Inflammatory Bowel Disease Irritable Bowel Syndrome Obesity © ...

  19. WASP-78b and WASP-79b: Two highly-bloated hot Jupiter-mass exoplanets orbiting F-type stars in Eridanus

    CERN Document Server

    Smalley, B; Collier-Cameron, A; Doyle, A P; Gillon, M; Hellier, C; Jehin, E; Lendl, M; Maxted, P F L; Pepe, F; Pollacco, D; Queloz, D; Segransan, D; Smith, A M S; Southworth, J; Triaud, A H M J; Udry, S; West, R G

    2012-01-01

    We report the discovery of WASP-78b and WASP-79b, two highly-bloated Jupiter-mass exoplanets orbiting F-type host stars. WASP-78b orbits its V=12.0 host star (TYC 5889-271-1) every 2.175 days and WASP-79b orbits its V=10.1 host star (CD-30 1812) every 3.662 days. A simultaneous fit to WASP and TRAPPIST transit photometry and CORALIE radial-velocity measurements yields planetary masses of 0.89 +/- 0.08 M_Jup and 0.90 +/- 0.08 M_Jup, and radii of 1.70 +/- 0.11 R_Jup and 2.09 +/- 0.14 R_Jup, for WASP-78b and WASP-79b, respectively. The planetary equilibrium temperature of T_P = 2350 +/- 80 K for WASP-78b makes it one of the hottest of the currently known exoplanets. The radius of WASP-79b suggests that it is potentially the largest known exoplanet.

  20. Timpanismo espumoso em bovinos leiteiros em pastagens de Trifolium spp. (Leg.Caesalpinoideae Leguminous bloat in dairy cattle on Trifolium spp. pastures

    Directory of Open Access Journals (Sweden)

    André Gustavo Cabrera Dalto

    2009-05-01

    Full Text Available O pastejo de plantas leguminosas que provocam fermentação excessiva pode causar surtos de timpanismo e mortes em ruminantes. Em uma propriedade no município de São Francisco de Paula, Rio Grande do Sul, oito bovinos de um total de 66 morreram subitamente, ao haverem sido transferidos de um potreiro de campo nativo, para outro cuja pastagem era composta por Trifolium repens e Trifolium pratense. Os animais foram encontrados mortos no amanhecer do dia seguinte à transferência, não foram observados sinais clínicos prévios. Os principais achados macroscópicos incluíram aumento de volume abdominal, protrusão de vagina e língua, distensão ruminal, fígado de coloração pálida e aumento do baço. Na histologia, havia congestão e edema pulmonares e hiperplasia linfóide difusa e acentuada no baço. A evidência de ingestão das leguminosas associada aos achados patológicos e à ausência de microrganismos no exame bacteriológico confirmaram o diagnóstico de timpanismo.Leguminous bloat may occur in cattle which graze pastures consisting of lush forages. In a dairy farm located on the municipality of São Francisco de Paula, Rio Grande do Sul, eight out of 66 cows died suddenly after being transferred to a paddock whose pastures were composed of Trifolium repens and Trifolium pratense. Animals were found dead in the morning of the next day after being transferred; no clinical signs were noticed. Main gross findings included enhanced abdominal volume, protrusion and congestion of the tongue and vagina, ruminal distension, pale liver, and enhanced spleen. Histologically, there were lung congestion and edema, and splenic lymphoid hyperplasia. The evidence of leguminous forages consumption associated with the pathological findings and the absence of growth on bacteriology confirmed the diagnosis.

  1. How bloated is the Dutch housing market?

    NARCIS (Netherlands)

    M.K. Francke

    2010-01-01

    Is the Dutch housing market overvalued and, if so, to what degree? Are the home prices too steep in comparison to other economic data, such as interest rates and income? Can we expect a bubble to burst, causing a collapse of the market similar to what has happened in the United States of America? Af

  2. Effect observation of ear acupoint seeds burying with Nazi combined moxibustion treatment bloating after gynecological surgery%纳子法耳穴埋籽联合随身灸治疗妇科术后腹胀的效果观察

    Institute of Scientific and Technical Information of China (English)

    张宇娟; 石夏君; 黄天宇

    2015-01-01

    目的:观察纳子法耳穴埋籽联合随身灸在治疗妇科腹部手术术后腹胀的效果。方法:将156例患者随机等分为对照组和观察组,对照组进行常规治疗与护理,术后6 h 内禁食水、早期下床活动、腹部按摩、饮用萝卜汤及橙皮水等方法,观察组患者在采用常规治疗与护理基础上在术后6 h 给予纳子法耳穴埋籽,术后12 h 起予随身灸直至肛门排气或腹胀消失。比较两组患者疗效。结果:观察组患者疗效优于对照组,差异有统计学意义(P ﹤0.05)。结论:纳子法耳穴埋籽联合随身灸能促进肛门矢气,减轻或消除妇科患者术后腹胀。合理运用纳子法耳穴埋籽和随身灸是治疗妇产科术后患者腹胀的关键。%Objective:To observaion the effect of ear acupoint seeds burying with hour - prescription of acupoints combined moxibustion treatment of bloating after gynecological abdominal surgery. Methods:The 156 cases of patients were randomly divided into control group and observation group,the control group received routine treatment and care,within 6 h after water fasting,early ambulation,abdominal massage,drinking carrot soup and orange peel water,while the observation group with conventional treatment and care on the basis of the 6 h after administration with ear acupoint seeds burying,after 12 h since I carry moxibustion until flatus or bloating disappear. Comparison of the efficacy of the two groups of patients. Results:The effect of observation group was better than the control group(P ﹤ 0. 05). Conclusion:Ear acupoint seeds burying with Nazi can promote joint portable moxibustion anus vector gas,gynecological sur-gery patients to reduce or eliminate bloating. Rational use of child law is satisfied ear buried seeds and carry moxibustion is the key to treatment of obstetrics and gynecology postoperative abdominal distention.

  3. 纳子法耳穴埋籽联合随身灸治疗妇科术后腹胀的效果观察%Effect observation of ear acupoint seeds burying with Nazi combined moxibustion treatment bloating after gynecological surgery

    Institute of Scientific and Technical Information of China (English)

    张宇娟; 石夏君; 黄天宇

    2015-01-01

    目的:观察纳子法耳穴埋籽联合随身灸在治疗妇科腹部手术术后腹胀的效果。方法:将156例患者随机等分为对照组和观察组,对照组进行常规治疗与护理,术后6 h 内禁食水、早期下床活动、腹部按摩、饮用萝卜汤及橙皮水等方法,观察组患者在采用常规治疗与护理基础上在术后6 h 给予纳子法耳穴埋籽,术后12 h 起予随身灸直至肛门排气或腹胀消失。比较两组患者疗效。结果:观察组患者疗效优于对照组,差异有统计学意义(P ﹤0.05)。结论:纳子法耳穴埋籽联合随身灸能促进肛门矢气,减轻或消除妇科患者术后腹胀。合理运用纳子法耳穴埋籽和随身灸是治疗妇产科术后患者腹胀的关键。%Objective:To observaion the effect of ear acupoint seeds burying with hour - prescription of acupoints combined moxibustion treatment of bloating after gynecological abdominal surgery. Methods:The 156 cases of patients were randomly divided into control group and observation group,the control group received routine treatment and care,within 6 h after water fasting,early ambulation,abdominal massage,drinking carrot soup and orange peel water,while the observation group with conventional treatment and care on the basis of the 6 h after administration with ear acupoint seeds burying,after 12 h since I carry moxibustion until flatus or bloating disappear. Comparison of the efficacy of the two groups of patients. Results:The effect of observation group was better than the control group(P ﹤ 0. 05). Conclusion:Ear acupoint seeds burying with Nazi can promote joint portable moxibustion anus vector gas,gynecological sur-gery patients to reduce or eliminate bloating. Rational use of child law is satisfied ear buried seeds and carry moxibustion is the key to treatment of obstetrics and gynecology postoperative abdominal distention.

  4. Bloat and colic in horses experimentally induced by the ingestion of Panicum maximum cv. ‘Mombaça’ Timpanismo e cólica em equinos induzidos experimentalmente pela ingestão de Panicum maximum cv. ‘Mombaça’

    Directory of Open Access Journals (Sweden)

    Valíria Duarte Cerqueira

    2012-11-01

    Full Text Available In the Amazon region, sprouting pastures of Panicum maximum cause colic and death in horses and mules. To produce the disease two experiments were performed with growing P. maximum cv. 'Mombaça' in penned horses. In Experiment 1, at the beginning of the raining season, 10 horses were fed with recently harvested sprouting P. maximum. Two horses showed colic on the 5th and 11th day after start of the ingestion. In Experiment 2, also during the raining season, the same 10 horses used in Experiment 2 were divided into two groups of 5 horses each. Group 1 received sprouting P. maximum immediately after harvested and Group 2 received the grass 24 hours after harvested. The control group consisted of four animals which were placed in individual pens and fed with Pennisetum purpureum and commercial ration twice a day. One horse from Group 2 showed colic on day 13th after the start of feeding. The other horses of both groups showed intestinal bloat. In both experiments affected horses recovered after the end of the administration. The control group did not showed clinical signs. These results demonstrated that the disease is caused by the ingestion of sprouting P. maximum during the rainy season. The results in experiment 2 showed that P. maximum do not loss toxicity 24 hours after harvesting. Clinical signs suggest that primary alteration caused by P. maximum is intestinal fermentation followed by bloat.Na região Amazônica, Panicum maximum em brotação causa cólica em equinos durante o período chuvoso. Com o objetivo de reproduzir experimentalmente a doença, foram realizados dois experimentos com P. maximum cv. 'Mombaça' em brotação. No Experimento 1, 10 equinos receberam o capim em brotação, ofertado no coxo. Dois animais apresentaram cólica, um no 5° dia e outro no 11° dia de experimento. No Experimento 2, também durante a época de chuvas, os mesmos 10 animais foram separados em dois grupos de 5, um grupo recebia P. maximum rec

  5. VLT transit and occultation photometry for the bloated planet CoRoT-1b

    CERN Document Server

    Gillon, M; Triaud, A H M J; Barman, T; Hebb, L; Montalban, J; Maxted, P F L; Queloz, D; Deleuil, M; Magain, P

    2009-01-01

    We present VLT eclipse photometry for the giant planet CoRoT-1b. We observed a transit in the R-band filter and an occultation in a narrow filter centered on 2.09 microns. Our analysis of this new photometry and published radial velocities, in combination with stellar-evolutionary modeling, leads to a planetary mass and radius of 1.07 (+0.13,-0.18) M_Jup and 1.45 (+0.07,-0.13) R_Jup, confirming the very low density previously deduced from CoRoT photometry. The large occultation depth that we measure at 2.09 microns (0.278 (+0.043,-0.066) %) is consistent with thermal emission and is better reproduced by an atmospheric model with no redistribution of the absorbed stellar flux to the night side of the planet.

  6. Three irradiated and bloated hot Jupiters: WASP-76b, WASP-82b & WASP-90b

    CERN Document Server

    West, R G; Anderson, D R; Bouchy, F; Brown, D J A; Cameron, A Collier; Deleuil, M; Delrez, L; Doyle, A P; Faedi, F; Fumel, A; Gillon, M; Hebrard, G; Hellier, C; Jehin, E; Lendl, M; Maxted, P F L; Pepe, F; Pollacco, D; Queloz, D; Segransan, D; Smalley, B; Smith, A M S; Triaud, A H M J; Udry, S

    2016-01-01

    We report three new transiting hot-Jupiter planets discovered from the WASP surveys combined with radial velocities from OHP/SOPHIE and Euler/CORALIE and photometry from Euler and TRAPPIST. All three planets are inflated, with radii 1.7-1.8 Rjup. All orbit hot stars, F5-F7, and all three stars have evolved, post-MS radii (1.7-2.2 Rsun). Thus the three planets, with orbits of 1.8-3.9 d, are among the most irradiated planets known. This reinforces the correlation between inflated planets and stellar irradiation.

  7. While the BBC is bloated in some parts, the desire by some to gut it may make us all poorer

    OpenAIRE

    Choudhury, Barnie

    2011-01-01

    Today the BBC announced massive cuts to its services and has plans to shed 2,000 more jobs. The Lincoln School of Journalism’s Barnie Choudhury worked for the BBC for 24 years and reflects on today’s news and what it might mean for the future of broadcasting in the UK.

  8. WASP-71b: a bloated hot Jupiter in an 2.9-day, prograde orbit around an evolved F8 star

    CERN Document Server

    Smith, A M S; Bouchy, F; Cameron, A Collier; Doyle, A P; Fumel, A; Gillon, M; Hébrard, G; Hellier, C; Jehin, E; Lendl, M; Maxted, P F L; Moutou, C; Pepe, F; Pollacco, D; Queloz, D; Santerne, A; Segransan, D; Smalley, B; Triaud, A H M J; Udry, S; West, R G

    2012-01-01

    We report the discovery by the WASP transit survey of a highly-irradiated, massive (2.258 +/- 0.072 MJup) planet which transits a bright (V = 10.6), evolved F8 star every 2.9 days. The planet, WASP-71b, is larger than Jupiter (1.50 +/- 0.11 RJup), but less dense (0.67 +/- 0.14 {\\rho}Jup). We also report spectroscopic observations made during transit with the CORALIE spectrograph, which allow us to detect the Rossiter-McLaughlin effect. We determine the sky-projected angle between the stellar-spin and planetary-orbit axes to be {\\lambda} = 19.8 +/- 9.9 degrees.

  9. Medications (for IBS)

    Medline Plus

    Full Text Available ... IBS Pain in IBS IBS with Constipation Constipated Diarrhea IBS with Diarrhea Nausea and IBS Bloating in IBS Sleep and ... IBS Pain in IBS IBS with Constipation Constipated Diarrhea IBS with Diarrhea Nausea and IBS Bloating in ...

  10. 21 CFR 558.465 - Poloxalene free-choice liquid Type C feed.

    Science.gov (United States)

    2010-04-01

    ... use. (1) For control of legume (alfalfa, clover) and wheat pasture bloat in cattle, use 7.5 grams of... (alfalfa, clover) bloat in cattle grazing of prebloom legumes, use 10.00 grams of poloxalene per pound...

  11. Medications (for IBS)

    Medline Plus

    Full Text Available ... with Diarrhea Nausea and IBS Bloating in IBS Sleep and Irritable Bowel Syndrome Gynecological Aspects of Irritable ... with Diarrhea Nausea and IBS Bloating in IBS Sleep and Irritable Bowel Syndrome Gynecological Aspects of Irritable ...

  12. EST Table: FS888260 [KAIKOcDNA[Archive

    Lifescience Database Archive (English)

    Full Text Available FS888260 E_FL_ftes_41L16_F_0 10/09/28 35 %/160 aa ref|NP_001137203.1| bloated tubul...es [Tribolium castaneum] gb|ACH86322.1| bloated tubules [Tribolium castaneum] 10/09/12 32 %/163 aa FBpp01275...:AGAP004932 10/09/10 low homology 10/09/10 35 %/160 aa gi|198386300|gb|ACH86322.1| bloated tubules [Tribolium castaneum] FS928389 ftes ...

  13. EST Table: FS878759 [KAIKOcDNA[Archive

    Lifescience Database Archive (English)

    Full Text Available FS878759 E_FL_ftes_13I21_F_0 10/09/28 36 %/150 aa ref|NP_001137203.1| bloated tubul...es [Tribolium castaneum] gb|ACH86322.1| bloated tubules [Tribolium castaneum] 10/09/11 32 %/160 aa FBpp01275...:AGAP004932 10/09/10 low homology 10/09/10 36 %/150 aa gi|198386300|gb|ACH86322.1| bloated tubules [Tribolium castaneum] FS928389 ftes ...

  14. EST Table: DC545455 [KAIKOcDNA[Archive

    Lifescience Database Archive (English)

    Full Text Available DC545455 E_FL_phe-_03C18_F_0 10/09/28 36 %/150 aa ref|NP_001137203.1| bloated tubul...es [Tribolium castaneum] gb|ACH86322.1| bloated tubules [Tribolium castaneum] 10/09/02 32 %/160 aa FBpp01275...:AGAP004932 10/09/10 low homology 10/09/10 36 %/150 aa gi|198386300|gb|ACH86322.1| bloated tubules [Tribolium castaneum] FS928389 phe- ...

  15. Chlordiazepoxide and Clidinium

    Science.gov (United States)

    ... and clidinium bromide are common and include: upset stomach drowsiness weakness or tiredness excitement sleeplessness dry mouth heartburn bloated feeling eyes more sensitive to sunlight than usual ...

  16. NCBI nr-aa BLAST: CBRC-DMEL-03-0064 [SEVENS

    Lifescience Database Archive (English)

    Full Text Available CBRC-DMEL-03-0064 ref|NP_524125.2| bloated tubules CG3897-PB, isoform B [Drosophila... melanogaster] ref|NP_730263.1| bloated tubules CG3897-PD, isoform D [Drosophila melanogaster] gb|AAN11707.1

  17. NCBI nr-aa BLAST: CBRC-DYAK-03-0079 [SEVENS

    Lifescience Database Archive (English)

    Full Text Available CBRC-DYAK-03-0079 ref|NP_524125.2| bloated tubules CG3897-PB, isoform B [Drosophila... melanogaster] ref|NP_730263.1| bloated tubules CG3897-PD, isoform D [Drosophila melanogaster] gb|AAN11707.1

  18. NCBI nr-aa BLAST: CBRC-DSIM-03-0065 [SEVENS

    Lifescience Database Archive (English)

    Full Text Available CBRC-DSIM-03-0065 ref|NP_524125.2| bloated tubules CG3897-PB, isoform B [Drosophila... melanogaster] ref|NP_730263.1| bloated tubules CG3897-PD, isoform D [Drosophila melanogaster] gb|AAN11707.1

  19. 21 CFR 520.1840 - Poloxalene.

    Science.gov (United States)

    2010-04-01

    ... section. (c) (d) Conditions of use. (1) For treatment of legume (alfalfa, clover) bloat in cattle... pounds of body weight. (2) For control of legume (alfalfa, clover) bloat in cattle. Administer, in...) per 100 lbs. of body weight per day. (3) For prevention of legume (alfalfa, clover) and wheat...

  20. EST Table: FS932894 [KAIKOcDNA[Archive

    Lifescience Database Archive (English)

    Full Text Available FS932894 E_FL_fwgP_35I15_F_0 10/09/28 36 %/150 aa ref|NP_001137203.1| bloated tubul...es [Tribolium castaneum] gb|ACH86322.1| bloated tubules [Tribolium castaneum] 10/09/13 32 %/160 aa FBpp01275...:AGAP004932 10/09/10 low homology 10/09/10 36 %/150 aa gi|198386300|gb|ACH86322.1| bloated tubules [Tribolium castaneum] FS928389 fwgP ...

  1. Osteoporosis

    Science.gov (United States)

    ... that is found in dairy products like milk. Lactose intolerance means your body has a hard time digesting ... like gas, bloating, stomach cramps, diarrhea, and nausea. Lactose intolerance can start at any age but often starts ...

  2. Food Allergies

    Science.gov (United States)

    ... digesting the sugar in milk. This is called "lactose intolerance," and it isn't an allergy because it ... t involve the immune system. The symptoms of lactose intolerance are bloating, cramping, nausea, gas and diarrhea. Symptoms ...

  3. Ostomy Surgery of the Bowel

    Science.gov (United States)

    ... sustain life. Diarrhea is the main symptom of short bowel syndrome. Other symptoms may include cramping bloating heartburn weakness and fatigue vomiting excessive gas foul-smelling stool Short bowel syndrome is uncommon and can occur with Crohn’s ...

  4. Hangekobokuto (Banxia-houpo-tang, a Kampo Medicine that Treats Functional Dyspepsia

    Directory of Open Access Journals (Sweden)

    Tetsuro Oikawa

    2009-01-01

    Full Text Available Although abdominal bloating is one of the most bothersome symptoms experienced by patients with functional dyspepsia (FD, therapeutic drugs to relieve abdominal bloating have not been established. We investigated the Kampo (Chinese herbal medicine, Hangekobokuto (Banxia-houpo-tang, HKT for patients with FD from the standpoint of bowel gas retention. The bowel gas volume calculated from a plain abdominal radiogram (gas volume score, GVS in FD patients was significantly higher than that in healthy subjects. Two week administration of HKT in the FD patients showed a significant decrease of GVS. Furthermore, gastrointestinal symptoms, especially symptoms of abdominal pain, indigestion and constipation, all of which are closely related to abdominal bloating, improved significantly in FD patients after the administration of HKT. These results suggest that HKT improves abdominal bloating accompanied by the reduction of bowel gas in FD patients.

  5. Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD)

    Science.gov (United States)

    ... discomfort and headaches and mild diuretics such as Spironolactone to lessen bloating and mood changes. If depression ... health care provider as soon as possible. Tags: acne , cramps , period , period tracker , pms , stress Related Content ...

  6. Surgical Webcast for Treatment of Acid Reflux

    Medline Plus

    Full Text Available ... surgical audience, pledgets can be made of a number of different types of material. Basically it’s a ... do. We try to decrease their air intake, number one, so that they don’t have bloating. ...

  7. Chromium in diet

    Science.gov (United States)

    The best source of chromium is brewer's yeast. However, many people do not use brewer's yeast because it causes bloating ( abdominal distention ) and nausea . Other good sources of chromium include ...

  8. Multiple endocrine neoplasia (MEN) I

    Science.gov (United States)

    ... may include: Abdominal pain Anxiety Black, tarry stools Bloated feeling after meals Burning, aching, or hunger discomfort ... cases. Medicine is available to decrease the excess stomach acid production caused by some tumors (gastrinomas), and ...

  9. Changing your ostomy pouch

    Science.gov (United States)

    ... you have chills. You feel sick to your stomach, or you are vomiting. Your stools are looser than normal. You have a lot of pain in your belly, or you are bloated (puffy or swollen). You have had no gas ...

  10. Gas - flatulence

    Science.gov (United States)

    ... body digests food. Gas can make you feel bloated. It can cause crampy or colicky pains in ... you have: Gas and other symptoms such as stomach pain, rectal pain, heartburn, nausea, vomiting, diarrhea, constipation, ...

  11. Tubal ligation - discharge

    Science.gov (United States)

    ... Shoulder pain Scratchy or sore throat Swollen belly (bloated) and crampy Some discharge or bleeding from your ... normal foods. If you feel sick to your stomach, try dry toast or crackers with tea.

  12. MedlinePlus: Gas

    Science.gov (United States)

    ... Here Belching, Bloating and Flatulence (American College of Gastroenterology) Available in Spanish Gas and Gas Pains (Mayo ... in Spanish Find an Expert American College of Gastroenterology Find a Gastroenterologist (American College of Gastroenterology) National ...

  13. Microscopic Colitis: Collagenous Colitis and Lymphocytic Colitis

    Science.gov (United States)

    ... movement or a need to go to the bathroom quickly pain, cramping, or bloating in the abdomen— ... review of the symptoms, a description of eating habits, and a list of prescription and over-the- ...

  14. Bugs on the brain; brain in the gut--seeking explanations for common gastrointestinal symptoms.

    LENUS (Irish Health Repository)

    Quigley, E M M

    2013-03-01

    Gastrointestinal symptoms such as heartburn, indigestion (or dyspepsia), bloating, distension, constipation, abdominal pain, abdominal discomfort and diarrhoea are extremely common worldwide. For some, such symptoms can prove to be chronic and disabling.

  15. Abdominal Pain Syndrome

    Science.gov (United States)

    ... inspection of a drop of urine), and urine culture for bacterial infection. Stools can be analyzed for ... Hepatitis C Inflammatory Bowel Disease Irritable Bowel Syndrome Obesity Digestive Health Topics Abdominal Pain Syndrome Belching, Bloating, ...

  16. Uterine Fibroid Embolization

    Medline Plus

    Full Text Available ... injected some x-ray dye into the main pipe, if you will, the main artery in the ... swelling and bloating can go away. And the pressure that's on the bladder gets relieved, so the ...

  17. Medications (for IBS)

    Medline Plus

    Full Text Available ... to Avoid Foods That Cause Cramping and Diarrhea Foods that Cause Gas and Bloating Dietary Fiber 12 Week Elimination Diet for IBS Rice-Based Foods Low-FODMAP Diet What Are FODMAPs? Effects of ...

  18. Sertraline

    Science.gov (United States)

    Zoloft® ... Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and ... including mood swings, irritability, bloating, and breast tenderness. Sertraline is in a class of antidepressants called selective ...

  19. Indigestion

    Science.gov (United States)

    ... meal. Relax and get rest if indigestion is caused by stress. Avoid aspirin and other NSAIDs. If you must ... 2011:chap 139. Read More Abdominal bloating Belching Depression - overview Fiber Heart attack Nausea and vomiting - adults Stress and your health Patient Instructions Taking antacids Update ...

  20. A Randomised Controlled Trial on hypnotherapy for Irritable Bowel Syndrome : design and methodological challenges (the IMAGINE study)

    NARCIS (Netherlands)

    Flik, Carla E.; van Rood, Yanda R.; Laan, Wijnand; Smout, Andre J. P. M.; Weusten, Bas L. A. M.; Whorwell, Peter J.; de Wit, Niek J.

    2012-01-01

    Background: Irritable Bowel Syndrome (IBS) is a common gastro-intestinal disorder in primary and secondary care, characterised by abdominal pain, discomfort, altered bowel habits and/or symptoms of bloating and distension. In general the efficacy of drug therapies is poor. Hypnotherapy as well as Co

  1. Carbohydrate digestion in congenital sucrase isomaltase deficient and recurrent abdominal pain children assesed by 13C- starch breath test

    Science.gov (United States)

    Starches contribute about half of the food energy needs to the weaned child's diet. Malabsorption of sucrose is associated with abdominal pain, bloating and diarrhea. A genetic disorder called Congenital Sucrase-Isomaltase Deficiency (CSID) is suspected when these symptoms follow sugar ingestion and...

  2. İç Hastalıkları Pratiğinde Çölyak Hastalığı: Olgu Sunumu

    OpenAIRE

    YILDIZ, Pinar; TEMEL, Tuncer; Pasaoglu, Ozgul

    2015-01-01

    SUMMARY: Introduction: Celiac Disease is a chronic gluten-sensitive enteropathy. Celiac disease in patient with abdominal pain, flatulence, bloating, diarrhea, such as gastrointestinal symptoms, as well as anemia, osteoporosis, hypothyroidism, hyperparathyrodism, peripheral neuropathy, ataxia, epilepsy, stomatitis, dermatitis herpetiformis, resistant transaminase levels, infertility extraintestinal symptoms and signs can be seen. Case Report: He were report two cases, 49 and 50 years old woma...

  3. Deepening Corporate Integrity in the Nigerian University System

    Science.gov (United States)

    Ejiogu, Aloy; Onyene, Virgy

    2008-01-01

    The quest and agitation for the enthronement of corporate integrity in the nation's universities by the stakeholders have become almost hysterical given the often alleged, sometimes proven, cases of mal-administration, fund embezzlement and or misappropriation, over bloated or even fake invoicing, unbridled favoritism, sexual harassment, bribery,…

  4. Apyretic gastrointestinal disorders due to giardiasis contracted in Morocco

    OpenAIRE

    Michael K. Hole; Meunier, Yann A.

    2011-01-01

    We present the case of a 32-year-old French man who presented with morning nausea, bloating, frequent flatulence, burping, occasional pyrosis, and alternating diarrhea and constipation two weeks after a trip to Morocco. The diagnosis was established by a parasitological stool exam that revealed cysts of Giardia lamblia. He was successfully treated with tinidazole.

  5. What Is Celiac Disease? How Do I Live with It?

    Science.gov (United States)

    Blaska, Joan

    2007-01-01

    Celiac disease, also known as celiac sprue, is a hereditary, autoimmune disease that causes a sensitivity to gluten, which is a protein found in wheat, rye, and barley. The key symptoms of celiac disease are diarrhea, constipation, gas, bloating, backaches, stomachaches, nausea, anemia, fatigue, osteoporosis, stunted growth in children, and weight…

  6. Problems of the Digestive System

    Science.gov (United States)

    ... day •exercising • not holding your stool—using the bathroom when you feel the urge to have a ... the following: •Cramps •Gas •Bloating • Changes in bowel habits—constipation, diarrhea, or both • An urge to have ...

  7. Non-pharmacological treatments in the irritable bowel syndrome

    Institute of Scientific and Technical Information of China (English)

    A Leahy; O Epstein

    2001-01-01

    @@INTRODUCTION The irritable bowel syndrome (IBS) is a gastrointestinal disorder characteried by chronic lower abdominal pain and disordered defaecation associated with bloating ,tenesmus and extra-intestinal symptoms including and functional upper gastrointestinal symptoms .Currently there is nounifying hypothesis which adepuately explains the pathogenesis of the disorder although a number of physiological and psychological abmormalites have been described.

  8. Fibre intake and faeces quality in leaf-eating primates

    NARCIS (Netherlands)

    Nijboer, Joeke

    2006-01-01

    A high incidence of gastrointestinal disorders as diarrhea, phytobezoars, bloated conditions and weight loss have been observed in captive langurs. This thesis focuses on the effect of the food intake in captive langurs in relation to the quality of faeces and its implications for langurs kept in ca

  9. Administrative Costs in Higher Education: How Fast Are They Really Growing?

    Science.gov (United States)

    Hedrick, David W.; Wassell, Charles S., Jr.; Henson, Steven E.

    2009-01-01

    It is widely believed that administrative expenditures in US higher education are growing too rapidly, particularly in relation to expenditures that are directly related to instruction, and that this so-called "administrative bloat" is a major factor in the rising cost of higher education. We argue that this perception of rapid growth is…

  10. Small intestinal bacterial overgrowth and lactose intolerance contribute to irritable bowel syndrome symptomatology in Pakistan

    OpenAIRE

    Javed Yakoob; Zaigham Abbas; Rustam Khan; Saeed Hamid; Safia Awan; Wasim Jafri

    2011-01-01

    Background /Aim: The symptoms of irritable bowel syndrome resemble those of small intestinal bacterial overgrowth (SIBO). The aim of this study was to determine the frequency of SIBO and lactose intolerance (LI) occurrence in patients with diarrhea-predominant irritable bowel syndrome (IBS-D) according to Rome III criteria. Patients and Methods: In this retrospective case-control study, patients over 18 years of age with altered bowel habit, bloating, and patients who had lactose Hydrogen bre...

  11. A pilot trial on subjects with lactose and/or oligosaccharides intolerance treated with a fixed mixture of pure and enteric-coated α- and ß-galactosidase

    OpenAIRE

    Di Pierro, Francesco; Bertuccioli, Alexander; Marini, Eleonora; Ivaldi, Leandro

    2015-01-01

    Francesco Di Pierro,1 Alexander Bertuccioli,2 Eleonora Marini,3 Leandro Ivaldi4 1Velleja Research, Milan, Italy; 2Italian Association Fitness and Medicine, Fano, PU, Italy; 3Pharmextracta, Pontenure, Piacenza, Italy; 4Digestive Endoscopic Department, Ceva Hospital, Ceva, Cuneo, Italy Aim: Lactose and complex carbohydrates maldigestion, common food intolerances due to low gut content of α- and ß-galactosidase, lead to abdominal symptoms including pain, diarrhea, bloating, ...

  12. A pilot trial on subjects with lactose and/or oligosaccharides intolerance treated with a fixed mixture of pure and enteric-coated α- and ß-galactosidase

    OpenAIRE

    Di Pierro F; Bertuccioli A; Marini E; Ivaldi L

    2015-01-01

    Francesco Di Pierro,1 Alexander Bertuccioli,2 Eleonora Marini,3 Leandro Ivaldi4 1Velleja Research, Milan, Italy; 2Italian Association Fitness and Medicine, Fano, PU, Italy; 3Pharmextracta, Pontenure, Piacenza, Italy; 4Digestive Endoscopic Department, Ceva Hospital, Ceva, Cuneo, Italy Aim: Lactose and complex carbohydrates maldigestion, common food intolerances due to low gut content of α- and ß-galactosidase, lead to abdominal symptoms including pain, diarrhea, bloating, flatulen...

  13. Correlation between symptoms developed after the oral ingestion of 50 g lactose and results of hydrogen breath testing for lactose intolerance

    OpenAIRE

    Beyerlein, L; Pohl, D.; Delco, F; Stutz, B; Fried, M; Tutuian, R

    2008-01-01

    BACKGROUND: Lactase deficiency is a common condition responsible for various abdominal symptoms. Lactose hydrogen breath test is currently the gold standard in diagnosing lactose intolerance. AIM: To assess sensitivity and specificity of symptoms developed after oral lactose challenge. METHODS: Intensity of nausea, abdominal pain, borborygmi, bloating and diarrhoea was recorded every 15 min up to 3 h after ingestion of 50 g lactose in patients with positive (i.e. breath H2-concentration > or ...

  14. Lactose malabsorption and intolerance: pathogenesis, diagnosis and treatment

    OpenAIRE

    Misselwitz, B.; Pohl, D.; Fruhauf, H; Fried, M; Vavricka, S R; Fox, Mark

    2013-01-01

    Lactose malabsorption is a common condition caused by reduced expression or activity of lactase in the small intestine. In such patients, lactose intolerance is characterized by abdominal symptoms (e.g. nausea, bloating, and pain) after ingestion of dairy products. The genetic basis of lactose malabsorption is established and several tests for this condition are available, including genetic, endoscopic, and H2-breath tests. In contrast, lactose intolerance is less well understood. Recent stud...

  15. Fructose and/or Sorbitol Intolerance in a Subgroup of Lactose Intolerant Patients

    OpenAIRE

    Mishkin, SR; Sablauskas, L; Mishkin, S.

    1994-01-01

    The diagnosis and treatment of lactose intolerance often does not resolve all the symptoms of postcibal bloating and flatulence. Included in this study were 104 lactose intolerant patients (71 female, 33 male) who complained of residual postcibal discomfort in spite of adherence to and benefit from appropriate measures for their documented lactose intolerance (at least 20 ppm H2 after 25 g lactose as well as appropriate symptomatic discomfort). Clinical characteristics common to this group in...

  16. Improving lactose digestion and symptoms of lactose intolerance with a novel galacto-oligosaccharide (RP-G28): a randomized, double-blind clinical trial

    OpenAIRE

    Savaiano, Dennis; Ritter, Andrew J; Klaenhammer, Todd R.; James, Gareth M.; Longcore, Amy T; Chandler, Justin R; Walker, W. Allan; Foyt, Howard L

    2013-01-01

    Background Lactose intolerance (LI) is a common medical problem with limited treatment options. The primary symptoms are abdominal pain, diarrhea, bloating, flatulence, and cramping. Limiting dairy foods to reduce symptoms contributes to low calcium intake and the risk for chronic disease. Adaptation of the colon bacteria to effectively metabolize lactose is a novel and potentially useful approach to improve lactose digestion and tolerance. RP-G28 is novel galacto-oligosaccharide (GOS) bei...

  17. Lactose Intolerance and the Irritable Colon

    OpenAIRE

    McSherry, J.A.

    1982-01-01

    Symptoms of lactase deficiency include nausea, abdominal pain, distension, bloating and diarrhea after ingesting foods which contain lactose. Lactose intolerance and bowel motility disorders have similar symptoms, and people with irritable bowel syndrome and unexplained abdominal pain may have lactose intolerance. A definite diagnosis can be made by detecting hydrogen in the breath after a lactose load, by lactase assay from a small bowel biopsy specimen or by lactose intolerance testing. Lac...

  18. Effects of Rifaximin on Transit, Permeability, Fecal Microbiome, and Organic Acid Excretion in Irritable Bowel Syndrome

    OpenAIRE

    Acosta, Andrés; Camilleri, Michael; Shin, Andrea; Linker Nord, Sara; O'Neill, Jessica; Gray, Amber V; Lueke, Alan J; Donato, Leslie J; Burton, Duane D.; Szarka, Lawrence A.; Zinsmeister, Alan R.; Golden, Pamela L.; Fodor, Anthony

    2016-01-01

    Objectives: Rifaximin relieves irritable bowel syndrome (IBS) symptoms, bloating, abdominal pain, and loose or watery stools. Our objective was to investigate digestive functions in rifaximin-treated IBS patients. Methods: In a randomized, double-blind, placebo-controlled, parallel-group study, we compared the effects of rifaximin, 550 mg t.i.d., and placebo for 14 days in nonconstipated IBS and no evidence of small intestinal bacterial overgrowth (SIBO). All subjects completed baseline and o...

  19. Tegaserod in the treatment of irritable bowel syndrome (IBS) with constipation as the prime symptom

    OpenAIRE

    Layer, Peter; Keller, Jutta; Loeffler, Helena; Kreiss, Andreas

    2007-01-01

    Irritable bowel syndrome with constipation (IBS-C) as the predominant bowel symptom is a prevalent disorder, characterized by recurring abdominal pain/discomfort, bloating, and constipation, and imposes a significant socio-economic burden. Traditional treatments generally address just one of the multiple IBS symptoms. The efficacy and safety profile of tegaserod, a serotonin 5-HT4 receptor agonist, has been demonstrated in several randomized, placebo-controlled, and open-label trials. This re...

  20. A randomised controlled trial on hypnotherapy for irritable bowel syndrome: design and methodological challenges (the IMAGINE study)

    OpenAIRE

    Flik Carla E; van Rood Yanda R; Laan Wijnand; Smout André JPM; Weusten Bas LAM; Whorwell Peter J; de Wit Niek J

    2011-01-01

    Abstract Background Irritable Bowel Syndrome (IBS) is a common gastro-intestinal disorder in primary and secondary care, characterised by abdominal pain, discomfort, altered bowel habits and/or symptoms of bloating and distension. In general the efficacy of drug therapies is poor. Hypnotherapy as well as Cognitive Behaviour Therapy and short Psychodynamic Therapy appear to be useful options for patients with refractory IBS in secondary care and are cost-effective, but the evidence is still li...

  1. Diet and effects of diet management on symptoms and quality of life in patients with irritable bowel syndrome

    OpenAIRE

    Østgaard, Hege

    2011-01-01

    Background: Irritable bowel syndrome (IBS) is a gastrointestinal disorder manifested by abdominal discomfort or pain, bloating and abdominal distension, and changes in the defecation pattern between diarrhoea and constipation. A significant proportion of IBS patients attribute their symptoms to food items and food intolerance. More information is needed on the effect of diet management in the treatment of IBS and this thesis is a contribution with effort to adva...

  2. Refining Ovarian Cancer Test accuracy Scores (ROCkeTS): protocol for a prospective longitudinal test accuracy study to validate new risk scores in women with symptoms of suspected ovarian cancer

    OpenAIRE

    Sundar, Sudha; Rick, Caroline; Dowling, Francis; Au, Pui; Snell, Kym I E; Rai, Nirmala; Champaneria, Rita; Stobart, Hilary; Neal, Richard; Davenport, Clare; Mallett, Susan; Sutton, Andrew; Kehoe, Sean; Timmerman, Dirk; Bourne, Tom

    2016-01-01

    Introduction Ovarian cancer (OC) is associated with non-specific symptoms such as bloating, making accurate diagnosis challenging: only 1 in 3 women with OC presents through primary care referral. National Institute for Health and Care Excellence guidelines recommends sequential testing with CA125 and routine ultrasound in primary care. However, these diagnostic tests have limited sensitivity or specificity. Improving accurate triage in women with vague symptoms is likely to improve mortality...

  3. Refining Ovarian Cancer Test accuracy Scores (ROCkeTS): protocol for a prospective longitudinal test accuracy study to validate new risk scores in women with symptoms of suspected ovarian cancer.

    OpenAIRE

    Sundar, S; Rick, C; Dowling, F.; Au, P; Snell, K.; Rai, N.; Champaneria, R; Stobart, H; Neal, R.; Davenport, C; Mallett, S; Sutton, A.; Kehoe, S.; Timmerman, D; Bourne, T.

    2016-01-01

    INTRODUCTION: Ovarian cancer (OC) is associated with non-specific symptoms such as bloating, making accurate diagnosis challenging: only 1 in 3 women with OC presents through primary care referral. National Institute for Health and Care Excellence guidelines recommends sequential testing with CA125 and routine ultrasound in primary care. However, these diagnostic tests have limited sensitivity or specificity. Improving accurate triage in women with vague symptoms is likely to improve mortalit...

  4. Carbon Dioxide Insufflation in Routine Colonoscopy Is Safe and More Comfortable: Results of a Randomized Controlled Double-Blinded Trial

    Directory of Open Access Journals (Sweden)

    M. Geyer

    2011-01-01

    Full Text Available Many patients experience pain and discomfort after colonoscopy. Carbon dioxide (CO2 can reduce periprocedural pain although air insufflation remained the standard procedure. The objective of this double-blinded, randomized controlled trial was to evaluate whether CO2 insufflation does decrease pain and bloating during and after colonoscopy compared to room air. Methods. 219 consecutive patients undergoing colonoscopy were randomized to either CO2 or air insufflation. Propofol was used in all patients for sedation. Transcutaneous CO2 was continuously measured with a capnograph as a safety parameter. Pain, bloating, and overall satisfaction were assessed at regular intervals before and after the procedure. Results(data are mean ±SD. 110 patients were randomized to CO2 and 109 to room air. The baseline characteristics were similar in both groups. The mean propofol dose was not different between the treatments, as were the time to reach the ileum and the withdrawal time. pCO2 at the end of the procedure was 35.2±4.3 mmHg (CO2 group versus 35.6±6.0 mmHg in the room air group (>.05. No relevant complication occurred in either group. There was significantly less bloating for the CO2 group during the postprocedural recovery period (<.001 and over the 24-hour period (<.001. Also, patients with CO2 insufflation experienced significantly less pain (=.014. Finally, a higher overall satisfaction (=.04 was found in the CO2 group. Conclusions. This trial provides compelling evidence that CO2 insufflation significantly reduces bloating and pain after routine colonoscopy in propofol-sedated patients. The procedure is safe with no significant differences in CO2 between the two groups.

  5. Carbon dioxide insufflation in routine colonoscopy is safe and more comfortable: results of a randomized controlled double-blinded trial.

    Science.gov (United States)

    Geyer, M; Guller, U; Beglinger, C

    2011-01-01

    Many patients experience pain and discomfort after colonoscopy. Carbon dioxide (CO(2)) can reduce periprocedural pain although air insufflation remained the standard procedure. The objective of this double-blinded, randomized controlled trial was to evaluate whether CO(2) insufflation does decrease pain and bloating during and after colonoscopy compared to room air. Methods. 219 consecutive patients undergoing colonoscopy were randomized to either CO(2) or air insufflation. Propofol was used in all patients for sedation. Transcutaneous CO(2) was continuously measured with a capnograph as a safety parameter. Pain, bloating, and overall satisfaction were assessed at regular intervals before and after the procedure. Results(data are mean ±SD). 110 patients were randomized to CO(2) and 109 to room air. The baseline characteristics were similar in both groups. The mean propofol dose was not different between the treatments, as were the time to reach the ileum and the withdrawal time. pCO(2) at the end of the procedure was 35.2 ± 4.3 mmHg (CO(2) group) versus 35.6 ± 6.0 mmHg in the room air group (P > .05). No relevant complication occurred in either group. There was significantly less bloating for the CO(2) group during the postprocedural recovery period (P < .001) and over the 24-hour period (P < .001). Also, patients with CO(2) insufflation experienced significantly less pain (P = .014). Finally, a higher overall satisfaction (P = .04 ) was found in the CO(2) group. Conclusions. This trial provides compelling evidence that CO(2) insufflation significantly reduces bloating and pain after routine colonoscopy in propofol-sedated patients. The procedure is safe with no significant differences in CO(2) between the two groups. PMID:21747649

  6. Immunomodulation of enteric neural function in irritable bowel syndrome

    OpenAIRE

    O’Malley, Dervla

    2015-01-01

    Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder which is characterised by symptoms such as bloating, altered bowel habit and visceral pain. It’s generally accepted that miscommunication between the brain and gut underlies the changes in motility, absorpto-secretory function and pain sensitivity associated with IBS. However, partly due to the lack of disease-defining biomarkers, understanding the aetiology of this complex and multifactorial disease remains elusi...

  7. Convergence of neuro-endocrine-immune pathways in the pathophysiology of irritable bowel syndrome

    OpenAIRE

    Buckley, Maria M; O’Mahony, Siobhain M.; O’Malley, Dervla

    2014-01-01

    Disordered signalling between the brain and the gut are generally accepted to underlie the functional bowel disorder, irritable bowel syndrome (IBS). However, partly due to the lack of disease-defining biomarkers, understanding the aetiology of this complex and multifactorial disease remains elusive. This common gastrointestinal disorder is characterised by alterations in bowel habit such as diarrhoea and/or constipation, bloating and abdominal pain, and symptom exacerbation has been linked w...

  8. Treatment of Diabetic Gastroparesis by Complementary and Alternative Medicines

    OpenAIRE

    Hao Liu; Bo Yu; Meng Zhang; Kun Liu; Fu-Chun Wang; Xin-Yan Gao

    2015-01-01

    Gastroparesis is a common gastrointestinal complication in diabetes, induced by hyperglycemia and characterized by delayed gastric emptying and upper abdominal symptoms, such asnausea, vomiting, early satiety, bloating and epigastric pain. Diabetic gastroparesis (DGP) affects life quality and glycemic control, and is a challenge to treat in both Western and Eastern medicine. Routine treatment in Western medicine includes gastric emptying promoted by prokinetic agents, gastric pacemaking, or s...

  9. Pharmacologic and Complementary and Alternative Medicine Therapies for Irritable Bowel Syndrome

    OpenAIRE

    Chey, William D; Maneerattaporn, Monthira; Saad, Richard

    2011-01-01

    Irritable bowel syndrome (IBS) is a chronic functional gastrointestinal disorder characterized by episodic abdominal pain or discomfort in association with altered bowel habits (diarrhea and/or constipation). Other gastrointestinal symptoms, such as bloating and flatulence, are also common. A variety of factors are believed to play a role in the development of IBS symptoms, including altered bowel motility, visceral hypersensitivity, psychosocial stressors, altered brain-gut interactions, imm...

  10. Diverticulum of the midthoracic oesophagus and left diaphragmatic relaxation

    OpenAIRE

    Antonacci, Nicola; Sciannamea, Gianluca; Antonacci, Filippo; Casadei, Riccardo; Ricci, Claudio; Di Saverio, Salomone; Minni, Francesco

    2010-01-01

    The case of a 58-year-old man with a large midthoracic oesophageal diverticulum and a left diaphragmatic relaxation who presented with night regurgitations, abdominal bloating, epigastric burning and a sensation of fullness after meals is reported. The patient underwent a successful thoracotomic diverticulectomy with left diaphragmatic plicature. The postoperative course was uneventful. To our knowledge this is the first reported case of an association between midthoracic oesophageal divertic...

  11. Ovarian Sertoli-Leydig cell tumor with heterologous elements of gastrointestinal type associated with elevated serum alpha-fetoprotein level: an unusual case and literature review

    OpenAIRE

    Horta, Mariana; Cunha, Teresa Margarida; Marques, Rita Canas; Félix, Ana

    2014-01-01

    Here we describe the case of a 19-year-old woman with a poorly differentiated ovarian Sertoli-Leydig cell tumor and an elevated serum alpha-fetoprotein level. The patient presented with diffuse abdominal pain and bloating. Physical examination, ultrasound, and magnetic resonance imaging revealed a right ovarian tumor that was histopathologically diagnosed as a poorly differentiated Sertoli-Leydig cell tumor with heterologous elements. Her alpha-fetoprotein serum level was undetectable after t...

  12. A Rare Adrenal Incidentaloma: Adrenal Schwannoma

    OpenAIRE

    Adas, Mine; Ozulker, Filiz; Adas, Gokhan; Koc, Bora; Ozulker, Tamer; Sahin, Ilknur Mansuroglu

    2013-01-01

    Adrenal schwannoma is an extremely uncommon cause of incidentaloma. It originates from neural sheath Schwann cells of the adrenal gland. We report the case of a left adrenal schwannoma incidentally discovered in a 32-year-old woman during examination of bloated feeling and stomach ache. The patient was incidentally found to have a left adrenal mass of 9 cm on abdominal ultrasonography. Computed tomography (CT) of the abdomen and [18F] fluorodeoxyglucose positron emission tomography (PET) were...

  13. Coccidia of rabbits

    OpenAIRE

    Myšáková, Irena

    2012-01-01

    Rabbit coccidia occurs each year in thousands of rabbits and very frequently ends with death. Rabbits suffer apathy, overall fatigue, lack of appetite, wieght loss, diarrhoea, aching bloated stomach or bulging eyes. Antoni van Leeuwebhoek first documented coccidia in rabbits in 1674. Single cell parasites, coccidia, attack the liver and intestine of rabbits 6 - 10 weeks after birth, when they show interest for other food than mother milk. The parasites undergo a very complex developement b...

  14. Hernia of Morgagni – Case Report

    OpenAIRE

    Zadro, Zvonko; Frketic, Ivan; Boban, Zdenko; Sostaric Zadro, Ana; Fuduric, Jurica; Veir, Zoran; Jurjevic, Zoran

    2012-01-01

    Morgagni’s hernia is result of penetration of the abdominal contents into the chest through an anterior retrocostoxiphoid defect in the anterior midline of the diaphragm. It can be manifested with symptoms since birth as a bloated feeling, nausea and belching after meals. We present a patient with symptomatic herniation of the torqued antral part of stomach and loops of the transverse colon. In our case, chest and abdominal radiography after oral intake of contrast are used to diagnose this c...

  15. Celiac disease

    OpenAIRE

    Holtmeier, Wolfgang; Caspary, Wolfgang F

    2006-01-01

    Celiac disease is a chronic intestinal disease caused by intolerance to gluten. It is characterized by immune-mediated enteropathy, associated with maldigestion and malabsorption of most nutrients and vitamins. In predisposed individuals, the ingestion of gluten-containing food such as wheat and rye induces a flat jejunal mucosa with infiltration of lymphocytes. The main symptoms are: stomach pain, gas, and bloating, diarrhea, weight loss, anemia, edema, bone or joint pain. Prevalence for cli...

  16. Celiac disease

    OpenAIRE

    Holtmeier Wolfgang; Caspary Wolfgang F

    2006-01-01

    Abstract Celiac disease is a chronic intestinal disease caused by intolerance to gluten. It is characterized by immune-mediated enteropathy, associated with maldigestion and malabsorption of most nutrients and vitamins. In predisposed individuals, the ingestion of gluten-containing food such as wheat and rye induces a flat jejunal mucosa with infiltration of lymphocytes. The main symptoms are: stomach pain, gas, and bloating, diarrhea, weight loss, anemia, edema, bone or joint pain. Prevalenc...

  17. Gluten-free diet adherence in adult coeliac disease: Exploring multiple perspectives

    OpenAIRE

    Flaherty, Helen

    2014-01-01

    Background: Coeliac disease is an autoimmune disease triggered by an inappropriate immune response to dietary gluten. This condition affects around 1% of the population and can lead to serious health complications, including nutrient deficiencies, infertility, osteoporosis and cancer. Symptoms, such as diarrhoea, pain, fatigue and bloating, can be debilitating. The only treatment is a life-long gluten-free diet. Up to 58% of adult patients have sub-optimal adherence to a gluten-free diet, yet...

  18. Small intestinal bacterial overgrowth in irritable bowel syndrome: are there any predictors?

    OpenAIRE

    McCallum Richard W; Sostarich Sandra; Reddymasu Savio C

    2010-01-01

    Abstract Background Small intestinal bacterial overgrowth (SIBO) is a condition in which excessive levels of bacteria, mainly the colonic-type species are present in the small intestine. Recent data suggest that SIBO may contribute to the pathophysiology of Irritable bowel syndrome (IBS). The purpose of this study was to identify potential predictors of SIBO in patients with IBS. Methods Adults with IBS based on Rome II criteria who had predominance of bloating and flatulence underwent a gluc...

  19. Small Intestinal Bacterial Overgrowth: A Case-Based Review

    OpenAIRE

    Kristen H. Reynolds

    2015-01-01

    Small intestinal bacterial overgrowth (SIBO) is a condition of increased microbial load in the small intestine. The microbes feed on dietary carbohydrates and starches via fermentation, leading to gas production, inflammation and damage to the lining of the small intestine. Clinical presentation is varied, including abdominal pain, bloating, malabsorption and systemic symptoms. SIBO is associated with many challenging and chronic conditions such as fibromyalgia, chronic fatigue and chronic pa...

  20. Diet in irritable bowel syndrome

    OpenAIRE

    El-Salhy, Magdy; Gundersen, Doris Irene

    2015-01-01

    Irritable bowel syndrome (IBS) is a common chronic gastrointestinal disorder that is characterized by intermittent abdominal pain/discomfort, altered bowel habits and abdominal bloating/distension. This review aimed at presenting the recent developments concerning the role of diet in the pathophysiology and management of IBS. There is no convincing evidence that IBS patients suffer from food allergy/intolerance, and there is no evidence that gluten causes the debated new diagnosis of non-coel...

  1. Electrochemical measurements of serotonin (5-HT) release from the guinea pig mucosa using continuous amperometry with a boron-doped diamond microelectrode

    OpenAIRE

    Zhao, Hong; Bian, Xiaochun; Galligan, James J.; Swain, Greg M.

    2010-01-01

    Irritable bowel syndrome (IBS) is a common gastrointestinal (GI) disorder characterized by chronic abdominal discomfort, including pain, bloating and changes in bowel habits. The exact cause of IBS is not entirely understood. Recent studies have shown that IBS may be associated with altered serotonin (5-hydroxytryptamine, 5-HT) levels within the GI tract. About 90% of 5-HT in the human body is produced and stored in enterochromaffin (EC) cells that reside in the mucosal layer of the intestine...

  2. Intestinal myiasis caused by Muscina stabulans

    OpenAIRE

    Shivekar S; Senthil K; Srinivasan R; Sureshbabu L; Chand P; Shanmugam J; Gopal R

    2008-01-01

    Intestinal maggots were isolated from a patient, who had reported to the Department of General Medicine of Sri Manakula Vinayagar Medical College, Puducherry, in southern India with complaints of abdominal distress, bloating of abdomen and intestinal hurry following a meal. He was diagnosed as a case of intestinal myiasis. Maggots obtained from his stool were identified to be Muscina stabulans based on characteristic patterns of posterior spiracles. He was treated with purgatives and albend...

  3. The Expanding Universe: Dark Energy

    Science.gov (United States)

    Lincoln, Don; Nord, Brian

    2014-01-01

    As is true of a far more famous story, it all began a long time ago, in a galaxy far, far away. It even involved a binary star system. A small star, called a white dwarf, had become a burned out husk of its former self and it turned to gorging on hydrogen and helium from its bloated red giant neighbor. The transferred gas reignited the fires of…

  4. Barber Pole Sign in CT Angiography, Adult Presentation of Midgut Malrotation: A Case Report

    OpenAIRE

    Garcelan-Trigo; Tello-Moreno; Rabaza-Espigares; Talavera-Martinez

    2015-01-01

    Adult midgut volvulus is a challenging diagnosis because of its low incidence and nonspecific symptoms. Diagnostic delay and long-term complaints are frequent in this clinical scenario. We reported a patient referred to our diagnostic imaging unit with intermittent abdominal pain, bloating and episodic vomiting for several years. He underwent barium gastrointestinal transit and abdominal ultrasound, which revealed severe gastric dilatation, food retention and slow transit until a depressed du...

  5. ECOLOGICAL SUCCESSION PATTERN OF THE INSECT SPECIES ASSOCIATED WITH THE CARCASS OF THE FREE-RANGING URBAN DOG, Canis domesticus (L.: A TOOL FOR FORENSIC ENTOMOLOGY

    Directory of Open Access Journals (Sweden)

    FARZANA PERVEEN

    2013-01-01

    Full Text Available The free-ranging urban dog, Canis domesticus (L. carcass decomposition in tropical region, i.e., Takht-i-Bahi, Mardan, Khyber Pakhtunkhwa, Pakistan during 15-25 May 2011 was characterized by 5 stages, i.e., fresh (12 h, bloated (13-48 h, active (49-96 h, advanced (97-144 h and dry (145-265 h and the ecological succession pattern of insect species collected were identified into 11 species of 3 orders. The insect species associated with the carcass of C. domesticus found that the blow flies, Chrysomya rufifacies (Macquart and house fly, Musca domestica (Linnaeus, 1758 were found in the fresh, bloat and active decay stages. However, the blow fly, C. megacephala (Fabricius; flesh fly, Parasarcophaga ruficornis (Meigen and the hornet wasp, Vespa orientalis (Linnaeus were existed in the fresh and bloat stages. Moreover, cheese fly, Piophila casei (Linnaeus was found bloat and active decay stages. Further, the hide beetle, Dermestes maculates (Geer, clown beetle, Hister sp. (Gullenhal; ham beetle, Necrobia rufipes (Fabricus and skin beetle, Trox sp. (Harold completed their life cycle in active decay, advance decay and dry stages. Furthermore, the jummper ant, Myrmecia pilosula (Smith was collected from only fresh stage. The specimens of insect species were collected minimum 0.8% of V. orientalis and maximum 21.3% of 2 species, i.e., C. rufifacies and M. domestica. The temperature, humidity and rainfalls were found affected insect larvae, pupae and adults, and rate of decomposition of C. domesticus. The average temperature, humidity and rainfalls were 35.34±1.54, 38.8% and 3.8 mm, respectively, of 11 experimental days. This research will be helpful for forensic entomologist for a case study of death to investigate of crimes in tropical region of Pakistan.

  6. Gastroesophageal junction adenocarcinoma. A case report Adenocarcinoma de la unión gastroesofágica. Presentación de un caso

    OpenAIRE

    Nelia Maria Quintana Garcia; Jesús Iván Gonzalez Batista; Marcos Félix Osorio Pagola

    2010-01-01

    The case of a 68 years old patient, smoking since adolescence, with urban origins, obesity history and gastroesophageal reflux symptoms is presented. The patient was diagnosed with gastroesophageal junction adenocarcinoma type III in the Gastroenterology Department of the Provincial University Hospital of Cienfuegos where he arrived with weight loss of about 20 pounds in four months along with dyspeptic manifestations such as stomach acidity, slow digestion, bloating and epigastric pain unrel...

  7. Gastroesophageal junction adenocarcinoma. A case report

    OpenAIRE

    Marcos Félix Osorio Pagola; Jesús Iván Gonzalez Batista; Nelia Maria Quintana Garcia

    2010-01-01

    The case of a 68 years old patient, smoking since adolescence, with urban origins, obesity history and gastroesophageal reflux symptoms is presented. The patient was diagnosed with gastroesophageal junction adenocarcinoma type III in the Gastroenterology Department of the Provincial University Hospital of Cienfuegos where he arrived with weight loss of about 20 pounds in four months along with dyspeptic manifestations such as stomach acidity, slow digestion, bloating and epigastric pain unrel...

  8. RBUIS: simplifying enterprise application user interfaces through engineering role-based adaptive behavior

    OpenAIRE

    P. Akiki; Bandara, A. K.; Yu, Y.

    2013-01-01

    Enterprise applications such as customer relationship management (CRM) and enterprise resource planning (ERP) are very large scale, encompassing millions of lines-of-code and thousands of user interfaces (UI). These applications have to be sold as feature-bloated off-the-shelf products to be used by people with diverse needs in required feature-set and layout preferences based on aspects such as skills, culture, etc. Although several approaches have been proposed for adapting UIs to various c...

  9. Intestinal obstruction due to Vasconcellea seeds: Report of three cases and literature review

    OpenAIRE

    Montoya-González, Juliana; Vasco, Alejandra; Hoyos-Figueroa, Francisco; Osorio-Cadavid, Natalia; Marín-Agudelo, Alejandro; Jaramillo-Bustamante, Juan Camilo

    2015-01-01

    Vasconcellea spp., is a species of Andean papaya commonly cultivated in rural communities close to Medellín, Colombia. Due to the pleasant and sweet flavor of its fruits, children frequently ingest its seeds accidentally. After ingestion, the seeds are engaged in the colonic lumen and block the exit of stools, causing pain and bloating, and promoting bacterial translocation. Diagnosis is based on clinical history and rectal examination. Treatment depends on the degree of local and systemic in...

  10. Fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) and nonallergic food intolerance: FODMAPs or food chemicals?

    OpenAIRE

    Barrett, Jacqueline S.; Gibson, Peter R

    2012-01-01

    Food intolerance in irritable bowel syndrome (IBS) is increasingly being recognized, with patients convinced that diet plays a role in symptom induction. Evidence is building to implicate fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) in the onset of abdominal pain, bloating, wind and altered bowel habit through their fermentation and osmotic effects. Hypersensitivity to normal levels of luminal distension is known to occur in patients with IBS, with consid...

  11. Lactose intolerance – current state of knowledge

    OpenAIRE

    Edyta Mądry; Ewa Fidler; Jarosław Walkowiak

    2010-01-01

    Lactase-phlorizin hydrolase (LCT), more commonly known as lactase, is an enzyme responsible for cleaving lactose into absorbable monosaccharides, glucose and galactose. LCT deficiency (hypolactasia – HL) is caused by a decreased activity of LCT in the small intestinal villi and potentially results in lactose malabsorption what may lead to the development of clinical symptoms (diarrhea, bloating, flatulence and cramps) andavoiding milk products in the diet. HL is the world’...

  12. The impact of laxative use upon symptoms in patients with proven slow transit constipation

    Directory of Open Access Journals (Sweden)

    Dinning Phil G

    2011-11-01

    Full Text Available Abstract Background Constipation severity is often defined by symptoms including feelings of complete evacuation, straining, stool frequency and consistency. These descriptors are mostly obtained in the absence of laxative use. For many constipated patients laxative usage is ubiquitous and long standing. Our aim was to determine the impact of laxative use upon the stereotypic constipation descriptors. Methods Patients with confirmed slow transit constipation completed 3-week stool diaries, detailing stool frequency and form, straining, laxative use and pain and bloating scores. Each diary day was classified as being under laxative affect (laxative affected days or not (laxative unaffected days. Unconditional logistic regression was used to assess the affects of laxatives on constipation symptoms. Results Ninety four patients with scintigraphically confirmed slow transit constipation were enrolled in the study. These patients reported a stool frequency of 5.6 ± 4.3 bowel motions/week, only 21 patients reported P P Conclusions The reporting of frequent and loose stools with abdominal pain and/or bloating is common in patients with slow transit constipation. While laxative use is a significant contributor to altering stool frequency and form, laxatives have no apparent affect on pain or bloating or upon a patients feeling of complete evacuation. These factors need to be taken into account when using constipation symptoms to define this population.

  13. Clinical trial: Lactobacillus plantarum 299v (DSM 9843) improves symptoms of irritable bowel syndrome

    Institute of Scientific and Technical Information of China (English)

    Philippe Ducrotté; Prabha Sawant; Venkataraman Jayanthi

    2012-01-01

    AIM:To assess the symptomatic efficacy of Lactobacillus plantarum 299v (L.plantarum 299v) (DSM 9843) for the relief of abdominal symptoms in a large subset of irritable bowel syndrome (IBS) patients fulfilling the Rome Ⅲ criteria.METHODS:In this double blind,placebo-controlled,parallel-designed study,subjects were randomized to daily receive either one capsule of L.plantarum 299v (DSM 9843) or placebo for 4 wk.Frequency and intensity of abdominal pain,bloating and feeling of incomplete rectal emptying were assessed weekly on a visual analogue scale while stool frequency was calculated.RESULTS:Two hundred and fourteen IBS patients were recruited.After 4 wk,both pain severity (0.68+ 0.53 vs 0.92 + 0.57,P < 0.05) and daily frequency (1.01 + 0.77 vs 1.71 + 0.93,P < 0.05) were lower with L.plantarum 299v (DSM 9843) than with placebo.Similar results were obtained for bloating.At week 4,78.1% of the patients scored the L.plantarum 299v (DSM 9843) symptomatic effect as excellent or good vs only 8.1% for placebo (P < 0.01).CONCLUSION:A 4-wk treatment with L.plantarum 299v (DSM 9843) provided effective symptom relief,particularly of abdominal pain and bloating,in IBS patients fulfilling the Rome Ⅲ criteria.

  14. Calcium polycarbophil compared with placebo in irritable bowel syndrome.

    Science.gov (United States)

    Toskes, P P; Connery, K L; Ritchey, T W

    1993-02-01

    Calcium polycarbophil was compared with placebo in 23 patients with irritable bowel syndrome in a six-month, randomized double-blind crossover study. Patients received polycarbophil tablets at a dosage of 6 g/day (twelve 0.5-g tablets) or matching placebo tablets. At study end, among patients expressing a preference, 15 of 21 (71%) chose polycarbophil over placebo for relief of the symptoms of irritable bowel syndrome. Statistically significant differences favouring polycarbophil were found among the following patient subgroups: 15 (79%) of 19 with constipation: all six with alternating diarrhoea and constipation; 13 (87%) of 15 with bloating: and 11 (92%) of 12 with two or more symptoms. Polycarbophil was rated better than placebo in monthly global responses to therapy. Patient diary entries showed statistically significant improvement for ease of passage with polycarbophil. Polycarbophil was rated better than placebo for relief of nausea, pain, and bloating. The data suggest that calcium polycarbophil can benefit irritable bowel syndrome patients with constipation or alternating diarrhoea and constipation and may be particularly useful in patients with bloating as a major complaint.

  15. New therapeutic option for irritable bowel syndrome: serum-derived bovine immunoglobulin.

    Science.gov (United States)

    Good, Larry; Rosario, Roxanne; Panas, Raymond

    2015-03-21

    Oral prescription medical foods have long been used in hospital settings but are also appropriate therapies for gastrointestinal disorders in outpatient medical practice. Oral serum-derived bovine immunoglobulin/protein isolate (SBI) has been shown in clinical studies to reduce loose stools and improve stool consistency as well as other symptoms (i.e., abdominal pain, bloating, and urgency) in patients with irritable bowel syndrome with diarrhea (IBS-D) and human immunodeficiency virus-associated enteropathy. This case series reports the outcomes of 14 IBS patients who received SBI as an addition to standard of care at an individual physician's clinical practice. The patients: 2 IBS with constipation (IBS-C), 7 IBS-D, 2 mixed diarrhea and constipation IBS (IBS-M) and 3 undefined IBS (IBS-U; also described by some physicians as IBS-Bloating), ranged in age from 22-87 years. SBI (5 g or 10 g daily dose) was added to the patient's current standard care and followed for several weeks to determine if symptoms were improved with the addition of SBI. Overall, 12 of the 14 patients indicated some level of improvement through direct questioning of the patients regarding changes from the prior visit. One IBS-Bloating patient had a resolution of symptoms and two patients (1 IBS-Bloating and 1 IBS-C) discontinued therapy because of insufficient relief. The 12 patients who continued on therapy reported an overall improvement in symptoms with better stool consistency, decreased frequency as well as reductions in abdominal pain, bloating, distention, and incontinence. In most cases, therapeutic effects of SBI were seen within the first four weeks of therapy with continued improvements at subsequent visits. SBI has a multifaceted mechanism of action and may help to manage IBS by providing a distinct protein source required to normalize bowel function, gastrointestinal microbiota, and nutritionally enhance tight junction protein expression between intestinal epithelial cells. SBI

  16. Molecular epidemiology of Blastocystis

    Directory of Open Access Journals (Sweden)

    Fadime Eroğlu

    2015-12-01

    Full Text Available Blastocystis pathogenicity and classification was newly illuminated with molecular genetic studies and recently the parasite was found in the focus of many researchers. Several molecular methods such as; polymerase chain reaction (PCR, PCR-restriction fragment length polymorphism, random amplified polymorphic DNA, real-time polymerase chain reaction and DNA sequencing analyses can be used in genotyping of Blastocystis. Blastocystis parasites may cause diarrhea, abdominal pain, bloating, gas, irritability, anorexia, cramps, vomiting, dehydration, insomnia, nausea, loss of appetite, weight loss, fatigue symptoms and also could be asymptomatic cases. In this review, it was aimed to summarize the associations between Blastocystis subtypes and pathogenicity.

  17. The clinical consequences of sucrase-isomaltase deficiency.

    Science.gov (United States)

    Cohen, Stanley A

    2016-12-01

    Primary sucrase-isomaltase deficiency, originally thought to be a homozygous recessive disorder, has been found to have numerous genetic variants that alone or in combination (compound heterozygosity) express varying degrees of clinical illness, most commonly causing chronic diarrhea, abdominal pain, and bloating. These symptoms are also present with secondary sucrase-isomaltase deficiency. Recent investigations are providing evidence that sucrase-isomaltase deficiency is more prevalent and of greater clinical significance than previously suspected. Further research is required to correlate the specific genotypes and phenotypes with their clinical expressions and to determine the most appropriate treatment algorithm for these patients.

  18. [Effect of metoclopramide on gastric distension and lethal toxicity of cisplatin in mice].

    Science.gov (United States)

    Lee, K E; Kubota, T; Sawamura, M; Kadowaki, K

    1986-05-01

    Mice treated with cisplatin (cDDP), were found to have considerably bloated stomachs presumably resulting from paralysis of gastric emptying without appetite suppression and emesis. Repeated administration of metoclopramide (MCP) not only reduced gastric distension, but also the number of toxic deaths after 13 mg/kg of cisplatin i.p. The mechanism of action by which MCP increased the resistance of mice to cDDP seemed to be alleviation of systemic dehydration by means of enhanced gastric emptying. PMID:3707151

  19. The Advantage of Rumen Fluid Collection Technique Using Trocar in Animal Welfare

    OpenAIRE

    Nafly Comilo Tiven

    2014-01-01

    Trocar, a tool to remove the gas in livestock that have bloated stomach, has been modified for rumen fluid collection, as an alternative methods in animal welfare aspects. Rumen fluid collection with trocar modification can be made very easy, cheap and fast at the local sheep, both in vitro and in vivo. After the collection, the trocar does not leave permanent scars because scars on the rumen wall and skin will heal and return to normal. The animal relatively does not suffer from pain and str...

  20. Hernia of Morgagni--case report.

    Science.gov (United States)

    Zadro, Zvonko; Frketić, Ivan; Boban, Zdenko; Zadro, Ana Sostarić; Fudurić, Jurica; Veir, Zoran; Jurjević, Zoran

    2012-12-01

    Morgagni's hernia is result of penetration of the abdominal contents into the chest through an anterior retrocostoxiphoid defect in the anterior midline of the diaphragm. It can be manifested with symptoms since birth as a bloated feeling, nausea and belching after meals. We present a patient with symptomatic herniation of the torqued antral part of stomach and loops of the transverse colon. In our case, chest and abdominal radiography after oral intake of contrast are used to diagnose this condition. Herniation was reduced surgically by a transabdominal approach. At the control examination one year after surgery in our patient all symptoms have disappeared, and was given 15 kg of body weight. PMID:23390852

  1. Nutrition and the gastrointestinal tract

    OpenAIRE

    Forbes, Alastair; Correia, Isabel

    2014-01-01

    In this year’s issue, we again have a high-calibre collection of topical reviews. Gracie and Ford (pp. xxx–xxx) commence with an assessment of the role of symbiotics (i.e. probiotics and prebiotics given together) in patients with irritable bowel syndrome. They first review the many randomized trials of probiotics and the significant and persistent reductions in symptoms that (on balance) these yield – that may persist after the end of treatment. Pain, bloating and flatulence are all better t...

  2. When to reconsider the diagnosis of irritable bowel syndrome.

    Science.gov (United States)

    Hammerle, Christopher W; Crowe, Sheila E

    2011-06-01

    Irritable bowel syndrome (IBS) is a highly prevalent disorder characterized by nonspecific symptoms that can mimic other common medical conditions. A careful history and physical examination may reveal clues that suggest a coexisting or alternative diagnosis, such as small intestinal bacterial overgrowth or celiac disease (CD). Testing for bacterial overgrowth has limitations, but emerging data suggest that antibiotics may be of some benefit in patients with IBS with diarrhea and bloating. CD seems to have a higher prevalence in patients with IBS. Some patients with IBS may have symptomatic improvement on gluten-restricted diets, without histologic or serologic evidence of CD. PMID:21601781

  3. Intestinal myiasis caused by Muscina stabulans

    Directory of Open Access Journals (Sweden)

    Shivekar S

    2008-01-01

    Full Text Available Intestinal maggots were isolated from a patient, who had reported to the Department of General Medicine of Sri Manakula Vinayagar Medical College, Puducherry, in southern India with complaints of abdominal distress, bloating of abdomen and intestinal hurry following a meal. He was diagnosed as a case of intestinal myiasis. Maggots obtained from his stool were identified to be Muscina stabulans based on characteristic patterns of posterior spiracles. He was treated with purgatives and albendazole. This intestinal myiasis case caused by M. stabulans is reported here because of its rare occurrence and the need to establish a correct diagnosis.

  4. [Mesenteric cyst in the Instituto Nacional de Salud del Niño, Lima, Peru: a case report].

    Science.gov (United States)

    Cucho, Janetliz; Ormeño, Alexis; Valdivieso Falcon, Lidia; Pereyra, Sonia; Ramos Rodríguez, Karen

    2013-01-01

    Mesenteric cysts are rare abdominal tumors. About 60% of these cysts occurs before 5 years of age and can be located anywhere in the gastrointestinal tract, but are most often found in the small bowel mesentery. The clinical presentation depends on the location and size of the cyst and many cases are asymptomatic and are diagnosed incidentally. The most common symptoms are abdominal pain, bloating, abdominal mass, nausea, vomiting, constipation, diarrhea, weight loss, fever and peritonitis. Complications include torsion, infarction, volvulus formation, perforation, infection, anemia, intracystic hemorrhage, intestinal obstruction and obstructive uropathy. They are typically treated by simple excision, marsupialization or segmental bowel resection and have excellent long-term prognosis.

  5. Idiopathic accelerated gastric emptying presenting in adults with post-prandial diarrhea and reactive hypoglycemia: a case series

    Directory of Open Access Journals (Sweden)

    Middleton Stephen J

    2012-05-01

    Full Text Available Abstract Introduction We have previously reported the association of gastrointestinal and hypoglycemic symptoms, with idiopathic accelerated gastric emptying. We now report the first series of six similar cases. Case presentations Patient 1: A 24-year-old Caucasian man presented to our facility with a six-month history of post-prandial nausea, flatulence, bloating, abdominal discomfort and associated diarrhea. He had associated episodes of fatigue, sweating, anxiety, confusion and craving for sweet foods. Patient 2: A 52-year-old Caucasian woman presented to our facility with a 15-year history of post-prandial bloating, abdominal pain and diarrhea, often associated with nausea, severe sweating, and fatigue. Patient 3: An 18-year-old Caucasian woman presented to our facility with a nine-year history of post-prandial diarrhea, abdominal bloating and pain. There was associated nausea, tremor, lethargy, and craving for sweet foods. Patient 4: A 77-year-old Caucasian woman presented to our facility with a four-month history of epigastric distension, pain after eating and a change in bowel habit. She experienced intermittent severe diarrhea and marked fatigue, nausea and sweating. Patient 5: A 23-year-old Caucasian woman presented to our facility with a two-year history of early satiety, and diarrhea after eating. She also complained of feeling faint and weak between meals, when she became cold and clammy, and on several occasions lost consciousness during these episodes. Patient 6: A 64-year-old Caucasian woman presented to our facility with a 10-year history of nausea, early satiety and profound bloating followed by diarrhea. All symptoms predominantly occurred in the first three hours after eating, when she felt faint, lethargic, and had a craving for sweet foods. In all cases, symptoms were alleviated or resolved by taking sweet food or drink and response to treatment was 90% or greater in all cases. Conclusions This series extends our description

  6. Diverticular disease: A therapeutic overview

    Institute of Scientific and Technical Information of China (English)

    Antonio; Tursi

    2010-01-01

    Formation of colonic diverticula, via herniation of the colonic wall, is responsible for the development of diverticulosis. When diverticulosis becomes symptomatic, it becomes diverticular disease. Diverticular disease is common in Western and industrialized countries, and it is associated with numerous abdominal symptoms (including pain, bloating, nausea, diarrhea, and constipation). Standard medical therapies with antibiotics are currently recommended for patients affected by diverticular disease. However, changing concepts on the pathophysiology of the disease suggest that diverticular disease may share many of the hallmarks of inflammatory bowel diseases. On this basis, the addition of therapies using mesalazine and probiotics may enhance treatment eff icacy by shortening the course of the disease and preventing recurrences.

  7. A Case of Multicentric Carcinoid in a Patient with Psoriatic Spondyloarthropathy

    Directory of Open Access Journals (Sweden)

    Nabil George

    2015-01-01

    Full Text Available We describe the first case of a patient presenting with multicentric carcinoid occurring in the lung and subsequently in the rectum, with chronic psoriatic arthritis. Although reports have been published regarding carcinoid syndrome occurring alongside rheumatoid arthritis, no reports have been made on such a case. Initial presentation of carcinoid syndrome in this patient was insidious and atypical with few symptoms, including shortness of breath and long standing abdominal bloating. Several years later a sudden change in bowel habit prompted a colonoscopy with biopsy that revealed a carcinoid rectal polyp. The case we report describes a rare presentation of carcinoid syndrome in chronic psoriatic arthropathy.

  8. Current perspectives on the management of gastroparesis

    Directory of Open Access Journals (Sweden)

    Rattansingh A

    2005-01-01

    Full Text Available Gastroparesis is a condition of abnormal gastric motility characterised by delayed gastric emptying in the absence of mechanical outlet obstruction. It is seen commonly in people with diabetes but is idiopathic in a third of patients. Symptoms include nausea and vomiting, post-prandial fullness and early satiety, and abdominal bloating and discomfort. Investigations fall into three categories: gastric emptying studies, intraluminal pressure measurements and recording of gastric myoelectrical activity. Nuclear scintigraphy is considered the gold standard for diagnosing and quantifying delayed gastric emptying. Treatment options include diet and behavioural changes, prokinetic drugs and surgical interventions. New advances in drug therapy and gastric electrical stimulation techniques hold considerable promise.

  9. Android quick APIs reference

    CERN Document Server

    Cinar, Onur

    2015-01-01

    The Android Quick APIs Reference is a condensed code and APIs reference for the new Google Android 5.0 SDK. It presents the essential Android APIs in a well-organized format that can be used as a handy reference. You won't find any technical jargon, bloated samples, drawn out history lessons, or witty stories in this book. What you will find is a software development kit and APIs reference that is concise, to the point and highly accessible. The book is packed with useful information and is a must-have for any mobile or Android app developer or programmer. In the Android Quick APIs Refe

  10. Inclusion of sainfoin (Onobrychis viciifolia) silage in dairy cow rations affects nutrient digestibility, nitrogen utilization, energy balance, and methane emissions

    DEFF Research Database (Denmark)

    Huyen, N.T.; Desrues, O; Alferink, S.J.J;

    2016-01-01

    Sainfoin (Onobrychis viciifolia) is a tanniniferous legume forage that has potential nutritional and health benefits preventing bloating, reducing nematode larval establishment, improving N utilization, and reducing greenhouse gas emissions. However, the use of sainfoin as a fodder crop in dairy...... (DM) of the CON diet was exchanged for sainfoin silage. The cows were adapted to 95% of ad libitum feed intake for a 21-d period before being housed in climate-controlled respiration chambers for 4 d, during which time feed intake, apparent total-tract digestibility, N and energy balance, and CH4...

  11. Colloidal bismuth subcitrate in non-ulcer dyspepsia.

    OpenAIRE

    Khanna M; Abraham P; Nair N; Mistry F; Vora I

    1992-01-01

    The effect of colloidal bismuth subcitrate (De-Nol) on symptoms, Helicobacter pylori status and histological features was studied in 35 patients with non-ulcer dyspepsia. Pain (34 cases) and gas bloat (18) were the predominant symptoms. H pylori was present in 26 (74.3%) patients. Gastritis and duodenitis were present in 29 of 32 and 22 of 31 cases respectively in whom biopsies were available. Relief in symptoms after treatment was seen in 29 (82.8%) cases. Improvement in gastri...

  12. Creating Flash advertising from concept to tracking-microsites, video ads and more

    CERN Document Server

    Fincanon, Jason

    2007-01-01

    Create awe-inspiring, mind-blowing Flash ads and microsites that engage consumers and demonstrate their worth to clients. The Hands-On Guide to Creating Flash Advertising delivers the nuts and bolts of the development process from initial design conception to ad completion. You'll learn the best practices for:* Mastering the myriad of ad specs, deadlines, quality and version control issues* Creating ads that balance campaign goals with design constraints* Preparing and building ads with team and QC standards* Using forms and data in ads without file bloat* File optimization techniques for swf

  13. Rare Presentation of Gastroesophageal Carcinoma with Rectal Metastasis: A Case Report

    Science.gov (United States)

    Makker, Jasbir; Karki, Niraj; Sapkota, Binita; Niazi, Masooma; Remy, Prospere

    2016-01-01

    Patient: Female, 60 Final Diagnosis: Gastroesophageal carcinoma with rectal metastasis Symptoms: Bloating • constipation • weight loss Medication: — Clinical Procedure: Endoscopy • flexible sigmoidoscopy • lower endoscopic ultrasound Specialty: Gastroenterology and Hepatology Objective: Unusual clinical course Background: Gastroesophageal cancers, previously considered rare, are rapidly increasing worldwide. We present here a unique case of gastroesophageal carcinoma with metastasis to the rectum. Case Report: A 60-year-old female patient presented with constipation, bloating, and weight loss of 4-month duration. She had undergone sleeve gastrectomy 6 years before. Endoscopies performed revealed a friable-looking mucosa in the lower esophagus and a polypoid rectal mass. Histopathological examination from both the esophageal and rectal lesions revealed poorly differentiated adenocarcinoma cells. Immunohistochemistry stain from both specimens was positive for CK7 supporting the gastric site primary with metastasis to the rectum. Further evaluation also revealed metastasis to bone and malignant pleural effusion. Chemotherapy with palliative intent was initiated. Conclusions: Colorectal metastasis is commonly seen from cancers of the breast, stomach, melanoma, kidney, prostate, and ovaries. However, colorectal metastasis from gastroesophageal cancer has never been reported in the medical literature. Diagnosis relies on histopathologic examination and immunohistochemical staining of the tumor. Treatment depends on the tumor stage. Tumors with widespread metastatic disease are candidates for palliative chemotherapy. PMID:27558656

  14. Effect of levan supplement in orange juice on weight, gastrointestinal symptoms and metabolic profile of healthy subjects: results of an 8-week clinical trial.

    Science.gov (United States)

    Niv, Eva; Shapira, Yami; Akiva, Ira; Rokhkind, Evgenia; Naor, Etty; Arbiv, Mira; Vaisman, Nachum

    2012-07-01

    Levan is a commonly used dietary fiber of the fructans group. Its impact on health remains undetermined. This double blind controlled study aimed to investigate the effect of 8 weeks' daily consumption of 500 mL of natural orange juice enriched with 11.25 g of levan compared to the same amount of natural orange juice without levan on weight, gastrointestinal symptoms and metabolic profiles of 48 healthy volunteers. The statistical analyses compared between- and within-group findings at baseline, 4 weeks and study closure. The compared parameters were: weight, blood pressure, blood laboratory tests, daily number of defecations, scores of stool consistency, abdominal pain, bloating, gas, dyspepsia, vomiting and heartburn. Despite a higher fiber level recorded in the study group, there was no significant difference in the effect of the two kinds of juices on the studied parameters. Both juices decreased systolic and diastolic pressures, increased sodium level (within normal range), stool number, and bloating scores, and decreased gas scores. In conclusion, levan itself had no effect on weight, gastrointestinal symptoms or metabolic profile of healthy volunteers. Its possible effect on obese, hypertensive or hyperlipidemic patients should be investigated in further studies. PMID:22852055

  15. Effect of Levan Supplement in Orange Juice on Weight, Gastrointestinal Symptoms and Metabolic Profile of Healthy Subjects: Results of an 8-Week Clinical Trial

    Directory of Open Access Journals (Sweden)

    Nachum Vaisman

    2012-07-01

    Full Text Available Levan is a commonly used dietary fiber of the fructans group. Its impact on health remains undetermined. This double blind controlled study aimed to investigate the effect of 8 weeks’ daily consumption of 500 mL of natural orange juice enriched with 11.25 g of levan compared to the same amount of natural orange juice without levan on weight, gastrointestinal symptoms and metabolic profiles of 48 healthy volunteers. The statistical analyses compared between- and within-group findings at baseline, 4 weeks and study closure. The compared parameters were: weight, blood pressure, blood laboratory tests, daily number of defecations, scores of stool consistency, abdominal pain, bloating, gas, dyspepsia, vomiting and heartburn. Despite a higher fiber level recorded in the study group, there was no significant difference in the effect of the two kinds of juices on the studied parameters. Both juices decreased systolic and diastolic pressures, increased sodium level (within normal range, stool number, and bloating scores, and decreased gas scores. In conclusion, levan itself had no effect on weight, gastrointestinal symptoms or metabolic profile of healthy volunteers. Its possible effect on obese, hypertensive or hyperlipidemic patients should be investigated in further studies.

  16. Seasonality of insect succession on exposed rabbit carrion in Guangzhou,China

    Institute of Scientific and Technical Information of China (English)

    Yan-Wei Shi; Xiao-Shan Liu; Hai-Yang Wang; Run-Jie Zhang

    2009-01-01

    Succession patterns for insect fauna,spanning four seasons,on rabbit carcasses were studied in Guangzhou China from 2006 to 2008.A total of 49 taxa belonging to three orders and 15 families were collected and identified.Four decomposition stages were recognized:fresh,bloated,decay and dry stage.Taxa diversity was higher in bloated and decay stages than fresh and dry stages.Internal and ambient temperatures were measured.Maximum internal temperature arrived earlier in warmer seasons.The sequence of insect succession in this study follows the same general patterns:the Diptera peaked initially,and the Coleoptera peaked later.Chrysomya megacephala was the dominant species in four seasons.Its time point of different development stages on carrion could be the most important indicators for PMI (postmaortem interval) estimation in Guangzhou.Yearly and seasonal differences in activities of insects were compared.Alpha diversity indices were calculated.There were no significant differences in Shannon-Wiener index,evenness (J) and dominance (C) between seasons and years.From the Jaccard similarity index,the highest similarity was between winter and spring,while the lowest was between summer and winter.Some species occurring exclusively in one season may be important to characterize different seasons.A list of the insect taxa associated with above-ground rabbit carrion during the four seasons was compiled,which can be used for estimating time since death in similar bio-climate areas.

  17. Delayed gastric emptying and reduced postprandial small bowel water content of equicaloric whole meal bread versus rice meals in healthy subjects: novel MRI insights

    Science.gov (United States)

    Marciani, L; Pritchard, S E; Hellier-Woods, C; Costigan, C; Hoad, C L; Gowland, P A; Spiller, R C

    2013-01-01

    Background/Objectives: Postprandial bloating is a common symptom in patients with functional gastrointestinal (GI) diseases. Whole meal bread (WMB) often aggravates such symptoms though the mechanisms are unclear. We used magnetic resonance imaging (MRI) to monitor the intragastric fate of a WMB meal (11% bran) compared with a rice pudding (RP) meal. Subjects/Methods: Twelve healthy volunteers completed this randomised crossover study. They fasted overnight and after an initial MRI scan consumed a glass of orange juice with a 2267 kJ WMB or an equicaloric RP meal. Subjects underwent serial MRI scans every 45 min up to 270 min to assess gastric volumes and small bowel water content, and completed a GI symptom questionnaire. Results: The MRI intragastric appearance of the two meals was markedly different. The WMB meal formed a homogeneous dark bolus with brighter liquid signal surrounding it. The RP meal separated into an upper liquid layer and a lower particulate layer allowing more rapid emptying of the liquid compared with solid phase (sieving). The WMB meal had longer gastric half-emptying times (132±8 min) compared with the RP meal (104±7 min), Pstomach, which inhibits gastric sieving and hence empties slower than the equicaloric rice meal. These properties may explain why wheat causes postprandial bloating and could be exploited to design foods that prolong satiation. PMID:23594839

  18. Recycling of air pollution control residues from municipal solid waste incineration into lightweight aggregates.

    Science.gov (United States)

    Quina, Margarida J; Bordado, João M; Quinta-Ferreira, Rosa M

    2014-02-01

    This work focuses on the assessment of technological properties and on the leaching behavior of lightweight aggregates (LWA) produced by incorporating different quantities of air pollution control (APC) residues from municipal solid waste (MSW) incineration. Currently this hazardous waste has been mostly landfilled after stabilization/solidification. The LWA were produced by pelletizing natural clay, APC residues as-received from incineration plant, or after a washing treatment, a small amount of oil and water. The pellets were fired in a laboratory chamber furnace over calcium carbonate. The main technological properties of the LWA were evaluated, mainly concerning morphology, bulk and particle densities, compressive strength, bloating index, water adsorption and porosity. Given that APC residues do not own expansive (bloating) properties, the incorporation into LWA is only possible in moderate quantities, such as 3% as received or 5% after pre-washing treatment. The leaching behavior of heavy metals from sintered LWA using water or acid solutions was investigated, and despite the low acid neutralization capacity of the synthetic aggregates, the released quantities were low over a wide pH range. In conclusion, after a washing pre-treatment and if the percentage of incorporation is low, these residues may be incorporated into LWA. However, the recycling of APC residues from MSW incineration into LWA does not revealed any technical advantage.

  19. A pilot trial on subjects with lactose and/or oligosaccharides intolerance treated with a fixed mixture of pure and enteric-coated α- and β-galactosidase

    Science.gov (United States)

    Di Pierro, Francesco; Bertuccioli, Alexander; Marini, Eleonora; Ivaldi, Leandro

    2015-01-01

    Aim Lactose and complex carbohydrates maldigestion, common food intolerances due to low gut content of α- and β-galactosidase, lead to abdominal symptoms including pain, diarrhea, bloating, flatulence, and cramping. Commonly, intolerant patients are advised by physicians to avoid the offending foods (dairy foods, cereals, beans, etc). This food-limiting option, however, has possible nutritional risks. We have therefore evaluated the impact of using pure, enteric-coated α- plus β-galactosidase on gut symptoms in intolerant subjects instead of avoidance of the offending foods. Methods Sixteen subjects intolerant to lactose and/or complex carbohydrates were enrolled and evaluated in terms of gut symptoms with 1) uncontrolled diet, 2) diet devoid of offending foods, and 3) uncontrolled diet along with pure, enteric-coated α- and β-galactosidase (DDM Galactosidase®). Results Even with the uncontrolled diet, intolerant subjects treated with DDM Galactosidase® exhibited reduced gut symptoms (bloating, flatulence, diarrhea, and constipation) significantly better than the control treatment as well as having a diet devoid of offending foods. Conclusion DDM Galactosidase® is a valid and safe optional treatment to counteract lactose and complex carbohydrate intolerance in subjects who prefer not to avoid, at least partially, offending foods. PMID:25733920

  20. The Role of Proanthocyanidins Complex in Structure and Nutrition Interaction in Alfalfa Forage.

    Science.gov (United States)

    Jonker, Arjan; Yu, Peiqiang

    2016-01-01

    Alfalfa (Medicago sativa L.) is one of the main forages grown in the world. Alfalfa is a winter hardy, drought tolerant, N-fixing legume with a good longevity, high yield, high nutrient levels, high digestibility, unique structural to non-structural components ratio, high dry matter intake, and high animal productivity per hectare. However, its main limitation is its excessively rapid initial rate of protein degradation in the rumen, which results in pasture bloat and inefficient use of protein with consequent excessive excretions of nitrogen into the environment. Proanthocyanidins are secondary plant metabolites that can bind with protein and thereby reduce the rate and extent of ruminal protein degradation. However, these secondary metabolites do not accumulate in alfalfa. This review aims to firstly describe the events involved in the rapid release of protein from alfalfa and its effect on ruminant nutrition, environmental pollution, and pasture bloat; secondly, to describe occurrence, structure, functions and benefits of moderate amounts of proanthocyanidin; and finally, to describe the development of alfalfa which accumulates moderate amounts of proanthocyanidins. The emphasis of this review focuses on the role of proanthocyanidins compounds in structure and nutrition interaction in ruminant livestock systems. PMID:27223279

  1. Effects of Lactobacillus gasseri OLL2716 on Helicobacter pylori-Associated Dyspepsia: A Multicenter Randomized Double-Blind Controlled Trial.

    Science.gov (United States)

    Takagi, Atsushi; Yanagi, Hidetaka; Ozawa, Hideki; Uemura, Naomi; Nakajima, Shigemi; Inoue, Kazuhiko; Kawai, Takashi; Ohtsu, Toshihiro; Koga, Yasuhiro

    2016-01-01

    Some Lactobacillus spp. suppress Helicobacter pylori in the stomach and have potential therapeutic applications for the treatment of gastrointestinal conditions. In this study, the effects of Lactobacillus strains on functional dyspepsia associated with H. pylori infection were examined. Volunteers were screened using the (13)C-urea breath test (UBT) and H. pylori stool test, and 131 participants who met the selection criteria (mean age: 48.9 years) were randomly given L. gasseri OLL2716-containing yogurt or placebo yogurt once daily for 12 weeks. Gastrointestinal symptoms (epigastric pain, bloating, postprandial fullness, nausea, and heartburn) and the levels of serum pepsinogen (PG), (13)C-UBT, and H. pylori stool antigen were assessed. No significant differences were observed between the groups in UBT results, H. pylori stool antigens, or the serum PGI/II ratio. In the L. gasseri group, postprandial fullness was significantly lower at the end of the trial compared to the initial level (p 10 for bloating compared to the placebo group (p yogurt may effectively suppress dyspeptic symptoms in H. pylori-infected patients. This study was registered at the University Hospital Medical Network Clinical Trial Registry (UMIN000016746). PMID:27478434

  2. Preliminary study of insects associated to indoor body decay in Colombia

    Directory of Open Access Journals (Sweden)

    Yardany Ramos-Pastrana

    2014-12-01

    Full Text Available Preliminary study of insects associated to indoor body decay in Colombia. This is the first report studying insects associated to indoor body decay process of a white pig (Sus scrofa (Artiodactyla, Suidae in a controlled indoor environment in an urban area of Florencia city, Amazonia Piedmont, Colombia. For a period of 54 days, 9,220 individuals (immature and adults, distributed in 3 orders, 5 families, 10 genera, and 10 species were collected using entomological nets and tweezers. Five decaying stages are described (fresh, bloated, active decay, advanced decay and remains. During the fresh stage we recorded Cochliomyia macellaria (Fabricius, 1775, Chrysomya albiceps (Wiedemann, 1819, Ophyra aenescens (Wiedemann, 1830, Oxysarcodexia sp., Lepidodexia sp. and Lasiophanes sp.; during the bloating stage C. macellaria, C. albiceps, Lucilia eximia (Wiedemann, 1819, Hemilucillia semidiaphana (Rondani, 1850, Musca domestica Linnaeus, 1758, O. aenescens, Oxysarcodexia sp., Lepidodexia sp., Dermestes maculatus De Geer, 1774 and Lasiphanes sp.; during the active decay C. macellaria, C. albiceps, L. eximia, M. domestica, O. aenescens, Lepidodexia sp. D. maculatus and Lasiophanes sp.; during the advanced decay C. macellaria, C. albiceps, M. domestica, Lepidodexia sp. and Lasiophanes sp.; and during the remains stage C. albiceps, D. maculatus and Lasiophanes sp. The insects were sorted out in 3 ecological categories; necrophagous, predators and parasites and sarco-saprophagous. According to Chao and Jack estimators, total richness was observed on day 20, with 100% of the expected species.

  3. The Role of Proanthocyanidins Complex in Structure and Nutrition Interaction in Alfalfa Forage

    Directory of Open Access Journals (Sweden)

    Arjan Jonker

    2016-05-01

    Full Text Available Alfalfa (Medicago sativa L. is one of the main forages grown in the world. Alfalfa is a winter hardy, drought tolerant, N-fixing legume with a good longevity, high yield, high nutrient levels, high digestibility, unique structural to non-structural components ratio, high dry matter intake, and high animal productivity per hectare. However, its main limitation is its excessively rapid initial rate of protein degradation in the rumen, which results in pasture bloat and inefficient use of protein with consequent excessive excretions of nitrogen into the environment. Proanthocyanidins are secondary plant metabolites that can bind with protein and thereby reduce the rate and extent of ruminal protein degradation. However, these secondary metabolites do not accumulate in alfalfa. This review aims to firstly describe the events involved in the rapid release of protein from alfalfa and its effect on ruminant nutrition, environmental pollution, and pasture bloat; secondly, to describe occurrence, structure, functions and benefits of moderate amounts of proanthocyanidin; and finally, to describe the development of alfalfa which accumulates moderate amounts of proanthocyanidins. The emphasis of this review focuses on the role of proanthocyanidins compounds in structure and nutrition interaction in ruminant livestock systems.

  4. Recycling of air pollution control residues from municipal solid waste incineration into lightweight aggregates.

    Science.gov (United States)

    Quina, Margarida J; Bordado, João M; Quinta-Ferreira, Rosa M

    2014-02-01

    This work focuses on the assessment of technological properties and on the leaching behavior of lightweight aggregates (LWA) produced by incorporating different quantities of air pollution control (APC) residues from municipal solid waste (MSW) incineration. Currently this hazardous waste has been mostly landfilled after stabilization/solidification. The LWA were produced by pelletizing natural clay, APC residues as-received from incineration plant, or after a washing treatment, a small amount of oil and water. The pellets were fired in a laboratory chamber furnace over calcium carbonate. The main technological properties of the LWA were evaluated, mainly concerning morphology, bulk and particle densities, compressive strength, bloating index, water adsorption and porosity. Given that APC residues do not own expansive (bloating) properties, the incorporation into LWA is only possible in moderate quantities, such as 3% as received or 5% after pre-washing treatment. The leaching behavior of heavy metals from sintered LWA using water or acid solutions was investigated, and despite the low acid neutralization capacity of the synthetic aggregates, the released quantities were low over a wide pH range. In conclusion, after a washing pre-treatment and if the percentage of incorporation is low, these residues may be incorporated into LWA. However, the recycling of APC residues from MSW incineration into LWA does not revealed any technical advantage. PMID:24238798

  5. Results of laparoscopic reoperation for failed antireflux surgery: does the indication for redo surgery affect the outcome?

    Science.gov (United States)

    Safranek, P M; Gifford, C J; Booth, M I; Dehn, T C B

    2007-01-01

    Short and medium term outcomes from laparoscopic antireflux surgery are generally excellent. A small number of patients suffer recurrent reflux or intolerable side-effects and may require reoperation. In this paper we describe our experience of 35 laparoscopic reoperations from a single center. Data on patients undergoing antireflux surgery in our unit has been prospectively collected and includes more than 600 primary laparoscopic antireflux operations since 1993. Laparoscopic reoperations have been performed between 1996 and 2005 for patients suffering recurrent reflux, dysphagia or severe gas bloat symptomatic despite medical treatment. All patients underwent preoperative barium studies and endoscopy with selective manometry and pH studies. Symptomatic outcomes were evaluated at 6 weeks and 12 months with Visick scores. Anatomical results were assessed with barium studies at between 6 and 12 months. Thirty-five laparoscopic reoperations were performed in 20 women and 13 men (median age 56 years). Primary surgery had been performed in our unit in 27 (77%) and elsewhere in eight (23%). Median time from primary surgery was 28.5 months (5-360). Two patients underwent a second reoperation. Indication was recurrent reflux in 28 (80%), dysphagia in five (14%) and gas bloat in two (6%). Thirty-two of the 35 reoperations (91.4%) were completed laparoscopically, median operating time was 120.5 min (65-210) and median hospital stay 2 days. There was no mortality and there were only five minor complications. Twelve-month follow-up was available for 32 reoperations (91%). Overall good symptomatic outcomes were obtained in 26 (74%) Visick I or II at 6 weeks and 24 of 32 (75%) at 12 months. In reoperations for dysphagia/gas bloat there was a relative risk of 4.26 of a poor symptomatic outcome (Visick III or IV) at 12 months compared to those for recurrent reflux (P < 0.05, Fisher's exact test). Laparoscopic reoperation is feasible with low conversion rates and minimal

  6. 食管阻塞法在腹腔镜胆囊切除术麻醉中的应用

    Institute of Scientific and Technical Information of China (English)

    谢丰永; 贺涛; 袁向华

    2016-01-01

    目的:观察食管阻塞法在腹腔镜胆囊切除术患者全身麻醉诱导插管期对胃胀气的应用效果及安全性。方法选取行全麻腹腔镜下胆囊切除术患者100例,ASAⅠ或Ⅱ级。随机分为食管阻塞组(E组)和对照组(C组),每组50例。术者在腹腔镜直视下观察判断是否有胃胀气的发生,并评价记录其程度。结果食管阻塞组(E组)无1例胃胀气,占0.00%,空胃50例;对照组(C组)胃胀气12例,占为24.00%,空胃38例;组间胃胀气比例差异有统计学意义(P<0.01)。结论食管阻塞法可有效预防腹腔镜胆囊切除术患者全身麻醉诱导所致的胃胀气,改善麻醉质量与提高手术安全性。%Objective To observe the esophageal occlusion in laparoscopic resection in patients undergoing general anesthesia induction and tracheal intubation period the bloating application effect and safety.Methods 100 cases of patients with laparoscopic cholecystectomy under general anesthesia were selected from the Department of hepatobiliary surgery, ASA I or II. Randomly divided into esophageal obstruction group (E group) and control group (group C), with 50 cases in each group. Observed to determine whether there is lfatulence occurred in laproscope, and record the degree of evaluation.Results The esophageal obstruction group (Group E) without a case of gastric lfatulence, 0.00% accounted for, 50 cases of empty stomach; Control group (Group C) bloating in 12 cases, accounted for 24.00%, 38 cases of empty stomach; Group bloating is proportional to the difference has statistical significance (P<0.01).Conclusion Esophageal obstruction method can be effective in preventing laparoscopic gallbladder resection in patients with induction of general anesthesia induced by gastric distention, improve the quality of anesthesia and to improve the safety of operation.

  7. Carbon dioxide insufflation during colonoscopy in deeply sedated patients

    Institute of Scientific and Technical Information of China (English)

    Rajvinder Singh; Eu Nice Neo; Nazree Nordeen; Ganesananthan Shanmuganathan; Angelie Ashby; Sharon Drummond; Garry Nind

    2012-01-01

    AIM:To compare the impact of carbon dioxide (CO2) and air insufflation on patient tolerance/safety in deeply sedated patients undergoing colonoscopy.METHODS:Patients referred for colonoscopy were randomized to receive either CO2 or air insufflation during the procedure.Both the colonoscopist and patient were blinded to the type of gas used.During the procedure,insertion and withdrawal times,caecal intubation rates,total sedation given and capnography readings were recorded.The level of sedation and magnitude of patient discomfort during the procedure was assessed by a nurse using a visual analogue scale (VAS) (0-3).Patients then graded their level of discomfort and abdominal bloating using a similar VAS.Complications during and after the procedure were recorded.RESULTS:A total of 142 patients were randomized with 72 in the air arm and 70 in the CO2 arm.Mean age between the two study groups were similar.Insertion time to the caecum was quicker in the CO2 group at 7.3 min vs 9.9 min with air (P =0.0083).The average withdrawal times were not significantly different between the two groups.Caecal intubation rates were 94.4% and 100% in the air and CO2 groups respectively (P =0.012).The level of discomfort assessed by the nurse was 0.69 (air) and 0.39 (CO2) (P =0.0155) and by the patient 0.82 (air) and 0.46 (CO2) (P =0.0228).The level of abdominal bloating was 0.97 (air) and 0.36 (CO2) (P =0.001).Capnography readings trended to be higher in the CO2 group at the commencement,caecal intubation,and conclusion of the procedure,even though this was not significantly different when compared to readings obtained during air insufflation.There were no complications in both arms.CONCLUSION:CO2 insuffiation during colonoscopy is more efficacious than air,allowing quicker and better cecal intubation rates.Abdominal discomfort and bloating were significantly less with CO2 insufflation.

  8. Profound opiate toxicity in gastroparesis following therapeutic dose.

    Science.gov (United States)

    Craven, Henry; Iftikhar, Hina; Bhatnagar, Pallav

    2016-01-01

    Gastroparesis is defined by the presence of delayed gastric emptying without mechanical obstruction. Patients may present with severe discomfort that can mimic an acute abdomen including abdominal pain, vomiting, nausea, bloating, fullness and early satiety. The prevalence of gastroparesis is estimated at 24 per 100 000 and women are more commonly affected than men. It is associated with a number of conditions including diabetes, Parkinson's disease, multiple sclerosis, previous abdominal surgeries and connective tissue disorders, including scleroderma and Ehlers-Danlos syndrome. Drugs known to prolong gastric transit time, such as opiates, have been shown to exacerbate symptoms. We report a case of a 20-year-old woman with Ehlers-Danlos syndrome who developed respiratory depression after being administered a therapeutic dose of morphine. This occurred due to opiate toxicity confounded by gastroparesis. The patient required further support from intensive care until she recovered, and eventually underwent a gastric pacing procedure for symptomatic relief. PMID:27147632

  9. Lactose intolerance: from diagnosis to correct management.

    Science.gov (United States)

    Di Rienzo, T; D'Angelo, G; D'Aversa, F; Campanale, M C; Cesario, V; Montalto, M; Gasbarrini, A; Ojetti, V

    2013-01-01

    This review discusses one of the most relevant problems in gastrointestinal clinical practice: lactose intolerance. The role of lactase-persistence alleles the diagnosis of lactose malabsorption the development of lactose intolerance symptoms and its management. Most people are born with the ability to digest lactose, the major carbohydrate in milk and the main source of nutrition until weaning. Approximately, 75% of the world's population loses this ability at some point, while others can digest lactose into adulthood. Symptoms of lactose intolerance include abdominal pain, bloating, flatulence and diarrhea with a considerable intraindividual and interindividual variability in the severity. Diagnosis is most commonly performed by the non invasive lactose hydrogen breath test. Management of lactose intolerance consists of two possible clinical choice not mutually exclusive: alimentary restriction and drug therapy. PMID:24443063

  10. EFSA NDA Panel ( EFSA Panel on Dietetic Products, Nutrition and Allergies), 2013. Scientific Opinion on the substantiation of a health claim related to Bimuno ® GOS and reducing gastro - intestinal discomfort pursuant to Article 13(5) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Tetens, Inge

    on the scientific substantiation of a health claim related to Bimuno® GOS and reducing gastro-intestinal discomfort. The food constituent, Bimuno® GOS, a mixture of β-galacto-oligosaccharides, which is the subject of the health claim, is sufficiently characterised. The claimed effect proposed by the applicant...... is “reduce bloating, flatulence and abdominal pain. These effects can be described collectively as abdominal discomfort” and the target population proposed by the applicant is the general adult population. Reducing gastro-intestinal discomfort is a beneficial physiological effect. A health claim on Bimuno......® GOS and reducing gastro-intestinal discomfort has already been assessed by the Panel with an unfavourable outcome. The supplementary information submitted by the applicant in this application did not provide evidence that could be used for the scientific substantiation of this claim. © European Food...

  11. Abstract Expression Grammar Symbolic Regression

    Science.gov (United States)

    Korns, Michael F.

    This chapter examines the use of Abstract Expression Grammars to perform the entire Symbolic Regression process without the use of Genetic Programming per se. The techniques explored produce a symbolic regression engine which has absolutely no bloat, which allows total user control of the search space and output formulas, which is faster, and more accurate than the engines produced in our previous papers using Genetic Programming. The genome is an all vector structure with four chromosomes plus additional epigenetic and constraint vectors, allowing total user control of the search space and the final output formulas. A combination of specialized compiler techniques, genetic algorithms, particle swarm, aged layered populations, plus discrete and continuous differential evolution are used to produce an improved symbolic regression sytem. Nine base test cases, from the literature, are used to test the improvement in speed and accuracy. The improved results indicate that these techniques move us a big step closer toward future industrial strength symbolic regression systems.

  12. Irritable Bowel Syndrome: Yoga as Remedial Therapy

    Directory of Open Access Journals (Sweden)

    Vijaya Kavuri

    2015-01-01

    Full Text Available Irritable bowel syndrome (IBS is a group of symptoms manifesting as a functional gastrointestinal (GI disorder in which patients experience abdominal pain, discomfort, and bloating that is often relieved with defecation. IBS is often associated with a host of secondary comorbidities such as anxiety, depression, headaches, and fatigue. In this review, we examined the basic principles of Pancha Kosha (five sheaths of human existence concept from an Indian scripture Taittiriya Upanishad and the pathophysiology of a disease from the Yoga approach, Yoga Vasistha’s Adhi (originated from mind and Vyadhi (ailment/disease concept. An analogy between the age old, the most profound concept of Adhi-Vyadhi, and modern scientific stress-induced dysregulation of brain-gut axis, as it relates to IBS that could pave way for impacting IBS, is emphasized. Based on these perspectives, a plausible Yoga module as a remedial therapy is provided to better manage the primary and secondary symptoms of IBS.

  13. Intended care seeking for ovarian cancer symptoms among U.S. women.

    Science.gov (United States)

    Cooper, Crystale Purvis; Gelb, Cynthia A; Trivers, Katrina F; Stewart, Sherri L

    2016-06-01

    To investigate U.S. women's intended care seeking for symptoms associated with ovarian cancer, data from the 2012 HealthStyles Fall survey of U.S. adults were examined. Analyses were limited to women with no history of gynecologic cancer (N = 1726). Logistic regression models for intended care seeking within 2 weeks of symptom onset were developed. A minority of women recognized that unexplained pelvic or abdominal pain (29.9%), unexplained bloating (18.1%), and feeling full after eating a small amount of food (10.1%) can indicate ovarian cancer, and 31.1% mistakenly believed that the Papanicolaou (Pap) test screens for the disease. In the multivariate regression models, the most consistent, significant predictors (p educational efforts should emphasize that symptoms associated with ovarian cancer may also result from benign conditions. PMID:27419020

  14. Treating 12 cases of fever in children with simple food by abdominal massage%腹部按摩治疗小儿单纯性食积发热12例

    Institute of Scientific and Technical Information of China (English)

    张茂亮

    2013-01-01

    Children dyspepsia fever, is a common disease in pediatrics, the thermal potential not too high, on a low calorie, with stomach bloating, belching acid, do not think of eating, restless, restless sleep,not nearly clothing, poor stool symptoms, abdominal massage therapy, 12 patients with dyspepsia in children with fever were alleviated.%小儿食积发热,是当今小儿科的一种常见病,此病热势多不太高,以低热为主,多伴有肚腹胀热,嗳气酸腐,不思饮食,烦躁不安,睡眠不安,不近衣被,大便不畅诸症,经腹部按摩治疗,12例单纯性食积发热的患儿均得到了缓解。

  15. Lactose intolerance: from diagnosis to correct management.

    Science.gov (United States)

    Di Rienzo, T; D'Angelo, G; D'Aversa, F; Campanale, M C; Cesario, V; Montalto, M; Gasbarrini, A; Ojetti, V

    2013-01-01

    This review discusses one of the most relevant problems in gastrointestinal clinical practice: lactose intolerance. The role of lactase-persistence alleles the diagnosis of lactose malabsorption the development of lactose intolerance symptoms and its management. Most people are born with the ability to digest lactose, the major carbohydrate in milk and the main source of nutrition until weaning. Approximately, 75% of the world's population loses this ability at some point, while others can digest lactose into adulthood. Symptoms of lactose intolerance include abdominal pain, bloating, flatulence and diarrhea with a considerable intraindividual and interindividual variability in the severity. Diagnosis is most commonly performed by the non invasive lactose hydrogen breath test. Management of lactose intolerance consists of two possible clinical choice not mutually exclusive: alimentary restriction and drug therapy.

  16. Carum copticum L.: A Herbal Medicine with Various Pharmacological Effects

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Boskabady

    2014-01-01

    Full Text Available Carum copticum L. commonly known as “Ajwain” is cultivated in many regions of the world including Iran and India, states of Gujarat and Rajasthan. Traditionally, C. copticum has been used in the past for various therapeutic effects including bloating, fatigue, diarrhea, abdominal tumors, abdominal pain, respiratory distress, and loss of appetite. It has other health benefits such as antifungal, antioxidant, antibacterial, antiparasitic, and hypolipidemic effects. This plant contains different important components such as carbohydrates, glucosides, saponins and phenolic compounds (carvacrol, volatile oils (thymol, terpiene, paracymene and beta-pinene, protein, fat, fiber, and minerals including calcium, phosphorus, iron, and nicotinic acid (niacin. In the previous studies, several pharmacological effects were shown for C. copticum. Therefore, in this paper, the pharmacological effects of the plant were reviewed.

  17. It is possible to classify non-erosive reflux disease (NERD) patients into endoscopically normal groups and minimal change groups by subjective symptoms and responsiveness to rabeprazole -- a report from a study with Japanese patients.

    Science.gov (United States)

    Kusano, Motoyasu; Shirai, Naohito; Yamaguchi, Kanako; Hongo, Michio; Chiba, Tsutomu; Kinoshita, Yoshikazu

    2008-12-01

    The hypothesis that non-erosive reflux disease (NERD) patients comprise various subgroups is gaining popularity. This study was conducted to investigate the possibility of categorizing NERD patients according to symptom types and response to acid-suppressive drug rabeprazole (RPZ) 10 mg/day. NERD patients were classified as grade N (endoscopically normal), M (minimal change), or erosive GERD, and answered a 51-item, yes-or-no questionnaire pre and post-treatment. Compared to erosive GERD, clear differences existed in pretreatment prevalence of symptoms and responsiveness to RPZ in grades N and M; the results suggested stomachaches (especially at night) were significant symptoms in grade N and dysmotility-like symptoms like bloated stomach were significant in grade M while gastroesophageal reflux symptoms were significant in erosive GERD. Clinical significance of classifying NERD was indicated from different symptoms and responsiveness to PPI. PMID:18465242

  18. Giant hepatic hemangioma presenting as gastric outlet obstruction.

    Science.gov (United States)

    Aydin, Cemalettin; Akbulut, Sami; Kutluturk, Koray; Kahraman, Aysegul; Kayaalp, Cuneyt; Yilmaz, Sezai

    2013-01-01

    Hemangioma, a most frequently encountered primary benign tumor of the liver, is generally determined incidentally during the course of radiologic tests for other reasons. Most lesions are less than 3 cm and a significant proportion of patients are asymptomatic, although the size and location of the lesion in some patients may be associated with the onset of symptoms. Pressure on the stomach and duodenum of giant hemagiomas developing in the left lobe of the liver, in particular, may result in the development of abdominal pain, nausea, vomiting, and feeling bloated, which are characteristic of a gastric outlet obstruction. A 42-year-old man presented with findings of gastric outlet obstruction and weight loss as a result of a giant hepatic hemangioma. PMID:23438272

  19. The Advantage of Rumen Fluid Collection Technique Using Trocar in Animal Welfare

    Directory of Open Access Journals (Sweden)

    Nafly Comilo Tiven

    2014-12-01

    Full Text Available Trocar, a tool to remove the gas in livestock that have bloated stomach, has been modified for rumen fluid collection, as an alternative methods in animal welfare aspects. Rumen fluid collection with trocar modification can be made very easy, cheap and fast at the local sheep, both in vitro and in vivo. After the collection, the trocar does not leave permanent scars because scars on the rumen wall and skin will heal and return to normal. The animal relatively does not suffer from pain and stress; feed intake and body weight do not decrease drastically and animal can live normal. The rumen fluid sampling technique with trocar is better than fistulation in animal welfare aspect.

  20. [Trichobezoar as a rare cause of ileus of the small intestine].

    Science.gov (United States)

    Delsmann, B M; Nikolaidis, N; Schomacher, P H

    1993-09-24

    For several weeks a 15-year-old girl had complained of increasing abdominal pain with vomiting. On admission to hospital the bloated abdomen was diffusely sensitive to pressure and the bowel sounds were high pitched and loud. Erythrocyte sedimentation rate was increased to 23/40 mm and the white cell count to 12,000/microliters. Ultrasound examination revealed an echo-dense area with dorsal echo loss at the gastric side of the pylorus. X-ray films of the stomach showed fluid levels and a soft-tissue mass in the left upper abdomen. At laparotomy a large (12 x 6 cm) trichobezoar was found in the middle of the small intestine and two smaller ones at the pylorus. Subsequently the patient admitted to trichophagia but refused any psychological treatment. PMID:8404477

  1. Guidelines for the diagnosis and treatment of celiac disease in children.

    Science.gov (United States)

    Jackson Allen, Patricia L

    2004-01-01

    Jennifer, age 2 years, is being seen for her regular 2-year well child visit. You note her weight is only at the 5% and has been dropping percentiles over the past year When you ask her mother about Jennifer's diet, she reports Jennifer is a "picky eater" and often complains of a "stomach ache." Her mother reports her stomach looks "bloated. " Steven, age 7 years, is brought into the clinic because of recurrent abdominal pain with occasional constipation or diarrhea. Steven's mother had been told in the past that he probably had "irritable bowel syndrome" but changes in his diet, occasional use of a laxative, and relaxation techniques have not improved his symptoms. Rebecca, age 12 years, is brought into your clinic because her mother has recently learned that two first cousins have been diagnosed with celiac disease. She is wondering if Rebecca should be screened for this condition since she has heard it runs in families. PMID:15704596

  2. Celiac disease and its effect on human reproduction: a review.

    Science.gov (United States)

    Soni, Shelly; Badawy, Shawky Z A

    2010-01-01

    Celiac disease is an intestinal inflammatory disease that is triggered by gluten in the diet. Patients present with a wide array of symptoms due to malabsorption that include diarrhea, abdominal pain, bloating and weight loss. In women, this disease may have implications on menstrual and reproductive health. The symptom complex includes delayed menarche, early menopause, secondary amenorrhea, infertility, recurrent miscarriages and intrauterine growth restriction. These women benefit from early diagnosis and treatment. Therefore, celiac disease should be considered and screening tests performed on women presenting with menstrual and reproductive problems and treated accordingly. The objective of this article is to review the current literature on celiac disease and its association with the above-mentioned disorders. PMID:20337200

  3. Endoscopic Options for Gastroesophageal Reflux: Where Are We Now and What Does the Future Hold?

    Science.gov (United States)

    Triadafilopoulos, George

    2016-09-01

    Early in the twenty-first century, novel endoscopic techniques were introduced for the management of gastroesophageal reflux disease, providing minimally invasive ways to eliminate pharmacologic acid inhibition and avoid the need for anti-reflux surgery. These techniques do not significantly alter the anatomy of the gastroesophageal junction, minimizing short- and long-term adverse effects, such as dysphagia and bloating. After extensive clinical testing, many endoscopic therapies were abandoned due to either lack of durable efficacy or unfavorable safety profile. Today, only four such therapies remain clinically available, each with variable levels of clinical validation and market penetration. This review will provide an assessment of these endoscopic therapies, highlighting their respective strengths and weaknesses and their present and future applicability to patients with gastroesophageal reflux disease. PMID:27424219

  4. Mild protein hydrolysation of lactose-free milk further reduces milk-related gastrointestinal symptoms.

    Science.gov (United States)

    Turpeinen, Anu; Kautiainen, Hanna; Tikkanen, Marja-Leena; Sibakov, Timo; Tossavainen, Olli; Myllyluoma, Eveliina

    2016-05-01

    Gastrointestinal symptoms associated with milk are common. Besides lactose, milk proteins may cause symptoms in sensitive individuals. We have developed a method for mild enzymatic hydrolysation of milk proteins and studied the effects of hydrolysed milk on gastrointestinal symptoms in adults with a self-diagnosed sensitive stomach. In a double blind, randomised placebo-controlled study, 97 subjects consumed protein-hydrolysed lactose-free milk or commercially available lactose-free milk for 10 d. Frequency of gastrointestinal symptoms during the study period was reported and a symptom score was calculated. Rumbling and flatulence decreased significantly in the hydrolysed milk group (P < 0·05). Also, the total symptom score was lower in subjects who consumed hydrolysed milk (P < 0·05). No difference between groups was seen in abdominal pain (P = 0·47) or bloating (P = 0·076). The results suggest that mild enzymatic protein hydrolysation may decrease gastrointestinal symptoms in adults with a sensitive stomach.

  5. Preparation of low water-sorption lightweight aggregates from harbor sediment added with waste glass.

    Science.gov (United States)

    Wei, Yu-Ling; Lin, Chang-Yuan; Ko, Kuan-Wei; Wang, H Paul

    2011-01-01

    A harbor sediment is successfully recycled at 1150 °C as low water-absorption lightweight aggregate via addition of waste glass powder. Sodium content in the waste glass is responsible for the formation of low-viscosity viscous phases during firing process to encapsulate the gases generated for bloating pellet samples. Water sorption capacity of the lightweight products can be considerably reduced from 5.6% to 1.5% with the addition of waste glass powder. Low water-absorption property of lightweight products is beneficial for preparing lightweight concrete because the water required for curing the cement would not be seized by lightweight aggregate filler, thus preventing the failure of long-term concrete strength. PMID:21367431

  6. The role of the evaluation of gastric emptying in anorexia nervosa and bulimia

    International Nuclear Information System (INIS)

    Anorexia nervosa and bulimia are common eating disorders that are frequently associated with symptoms of bloating, belching, nausea, and vomiting. The authors currently studying this population with Tc-99m TETA to determine the gastric emptying time (ET) and response to metoclopramide. The authors' findings to date show that the majority (80%) of anorexics have a normal ET; the remainder are delayed. The bulimics demonstrate a normal ET in 34%, delayed in 45%, and rapid in 21%. The response to metoclopramide was good in the delayed anorexic patients and in 71% of bulimic patients treated. The extent of rapidity or delay in ET is being compared with the clinical data including age, weight/height, length and degree of disorder, diet, degree of symptoms, and response to drug and diet therapy. This correlation will help determine the incidence and severity of ET abnormality, the relation of disease and symptom severity to ET, and the effect of different treatments based on the ET

  7. Use of rifaximin in gastrointestinal and liver diseases.

    Science.gov (United States)

    Shayto, Rani H; Abou Mrad, Rachel; Sharara, Ala I

    2016-08-01

    Rifaximin is a broad spectrum oral antibiotic with antimicrobial activity against Gram-positive and Gram-negative aerobic and anaerobic bacteria. It is poorly absorbed and thus has a highly favorable safety profile. Rifaximin has been shown to be effective in the treatment of traveler's diarrhea, functional bloating and irritable bowel syndrome, small bowel bacterial overgrowth and in the prevention of recurrent overt hepatic encephalopathy. In addition, there is emerging evidence for a possible beneficial effect of rifaximin in the treatment of uncomplicated diverticular disease and in the prevention of recurrent diverticulitis. The use of rifaximin is associated with a low incidence of development, or persistence of spontaneous bacterial mutants. Moreover, the development of important drug resistance among extra-intestinal flora during rifaximin therapy is unlikely because of minimal systemic absorption and limited cross-resistance of rifaximin with other antimicrobials. This review addresses the current and emerging role of rifaximin in the treatment of gastrointestinal and liver disorders. PMID:27547007

  8. Forensic entomology of decomposing humans and their decomposing pets.

    Science.gov (United States)

    Sanford, Michelle R

    2015-02-01

    Domestic pets are commonly found in the homes of decedents whose deaths are investigated by a medical examiner or coroner. When these pets become trapped with a decomposing decedent they may resort to feeding on the body or succumb to starvation and/or dehydration and begin to decompose as well. In this case report photographic documentation of cases involving pets and decedents were examined from 2009 through the beginning of 2014. This photo review indicated that in many cases the pets were cats and dogs that were trapped with the decedent, died and were discovered in a moderate (bloat to active decay) state of decomposition. In addition three cases involving decomposing humans and their decomposing pets are described as they were processed for time of insect colonization by forensic entomological approach. Differences in timing and species colonizing the human and animal bodies were noted as was the potential for the human or animal derived specimens to contaminate one another at the scene.

  9. Explosions Triggered by Violent Binary-Star Collisions: Application to Eta Carinae and other Eruptive Transients

    CERN Document Server

    Smith, Nathan

    2010-01-01

    This paper discusses a model where a violent periastron collision of stars in an eccentric binary system induces an eruption or explosion seen as a brief transient source, attributed to LBVs, SN impostors, or other transients. The key ingredient is that an evolved primary increases its photospheric radius on relatively short timescales, to a point where the radius is comparable to or larger than the periastron separation in an eccentric binary. In such a configuration, a violent and sudden collision would ensue, possibly leading to substantial mass ejection instead of a binary merger. Repeated periastral grazings in an eccentric system could quickly escalate to a catastrophic encounter, wherein the companion star actually plunges deep inside the photosphere of a bloated primary during periastron, as a result of the primary star increasing its own radius. This is motivated by the case of $\\eta$~Carinae, where such a collision must have occured if conventional estimates of the present-day orbit are correct, and...

  10. Rational Use of Antibiotics in the Treatment of Functional Bowel Disorders

    Directory of Open Access Journals (Sweden)

    Roberta Fasulo

    2010-07-01

    Full Text Available Functional gastrointestinal symptoms such us bloating, fullness, flatulence, diarrhea, and constipation due to irritable bowel syndrome (IBS were recently attributed to small bowel bacterial overgrowth, a condition depending on the presence of an increased number of bacteria in the small bowel. However, the methodology used to describe this association may be harshly criticized, since it has already been shown to be quite inaccurate. As a result an inappropriate use of antibiotics was consequently generated. In fact, antibiotics could be effective in the treatment of functional complaints, but only in a limited subgroup of patients, characterized by an increase of fermentation at colonic level. In this review, we have examined the papers suggesting a pathophysiological link between IBS and small bowel bacterial overgrowth, underlining its inappropriateness, and put forth our personal view on the rationale for antibiotic use in IBS.

  11. Dietary fructose intolerance, fructan intolerance and FODMAPs.

    Science.gov (United States)

    Fedewa, Amy; Rao, Satish S C

    2014-01-01

    Dietary intolerances to fructose, fructans and FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) are common, yet poorly recognized and managed. Over the last decade, they have come to the forefront because of new knowledge on the mechanisms and treatment of these conditions. Patients with these problems often present with unexplained bloating, belching, distension, gas, abdominal pain, or diarrhea. Here, we have examined the most up-to-date research on these food-related intolerances, discussed controversies, and have provided some guidelines for the dietary management of these conditions. Breath testing for carbohydrate intolerance appears to be standardized and essential for the diagnosis and management of these conditions, especially in the Western population. While current research shows that the FODMAP diet may be effective in treating some patients with irritable bowel syndrome, additional research is needed to identify more foods items that are high in FODMAPs, and to assess the long-term efficacy and safety of dietary interventions.

  12. Theory of planet formation and comparison with observation

    Directory of Open Access Journals (Sweden)

    Klahr H.

    2011-02-01

    Full Text Available The planetary mass-radius diagram is an observational result of central importance to understand planet formation. We present an updated version of our planet formation model based on the core accretion paradigm which allows us to calculate planetary radii and luminosities during the entire formation and evolution of the planets. We first study with it the formation of Jupiter, and compare with previous works. Then we conduct planetary population synthesis calculations to obtain a synthetic mass-radius diagram which we compare with the observed one. Except for bloated Hot Jupiters which can be explained only with additional mechanisms related to their proximity to the star, we find a good agreement of the general shape of the observed and the synthetic M − R diagram. This shape can be understood with basic concepts of the core accretion model.

  13. Mantle cell lymphoma: a rare cause of a solitary duodenal mass.

    Science.gov (United States)

    Moussaide, Ghita; Kazemi, Ali; Mitre, Ricardo; Mitre, Marcia C

    2014-01-01

    Mantle cell lymphoma is a very aggressive lymphoma with a very poor prognosis. It commonly involves the gastrointestinal tract but rarely presents as primary gastrointestinal lymphoma. The most notable cases of primary gastrointestinal mantle cell lymphomas have been described as multiple lymphomatous polyposis and have a very poor prognosis. We report a case of primary gastrointestinal mantle cell lymphoma that was discovered by endoscopic biopsy of a single duodenal polyp in a 70-year-old woman who was previously treated for Helicobacter pylori gastritis. She presented with a 6-month history of indigestion, heartburn and abdominal bloating. A subsequent workup revealed one extranodal site of involvement, lymphatic involvement below the diaphragm and a normal bone marrow biopsy. We followed a wait-and-watch approach including serial CT scans and blood tests. Two years later, her symptoms have not progressed and her disease has remained stable. PMID:24759605

  14. An open-label pilot study to assess the effectiveness of krill oil with added vitamins and phytonutrients in the relief of symptoms of PMS

    Directory of Open Access Journals (Sweden)

    Wakeman MP

    2013-09-01

    Full Text Available Michael P Wakeman School of Cancer Sciences, University of Birmingham, Edgbaston, Birmingham, West Midlands, UK Abstract: An open-label pilot study over 4 months to evaluate the effectiveness of a compound formulation of ingredients, which individually have been demonstrated to be implicated in the pathogenesis of premenstrual syndrome to ameliorate the most troublesome symptoms of the condition. The supplement provided thiamine, riboflavin, pyridoxine, vitamin D, soy isoflavones, rosemary extract, and krill oil and was taken each day for the 3 months of the trial. Statistically significant effect was reported by the 29 women who completed the study in relief of anxiety, bloating, mood swings, breast tenderness, skin outbreaks, food cravings, fatigue, forgetfulness, insomnia, and headache after 3 months of treatment compared with baseline. This pilot study indicates the formulation to be effective, and a larger placebo-controlled trial is now planned. Keywords: thiamine, riboflavin, pyridoxine, vitamin D, soy isoflavones, rosemary extract, premenstrual syndrome

  15. Beyond HMOs: understanding the next wave of change in health-care organization.

    Science.gov (United States)

    Gottlieb, S; Einhorn, T A

    1998-01-01

    The growing strength of managed care has diminished the financial and clinical autonomy of many orthopaedic surgeons. In part to offset these negative trends, new relationships are being developed to define doctors' methods of contracting with health-maintenance organizations. These include physician practice management companies (PPMs), independent practice associations, management service organizations, and physician-sponsored organizations. Each entity offers distinct advantages and disadvantages. While the PPM is the most popular new vehicle to offset adverse market trends, it carries with it some of the greatest potential pitfalls. In every case, before negotiating to join one of these new entities, it is important for a physician to have a solid understanding of the competing claims made by each entity, as well as insight into the fiscal health of the particular company in question. For some doctors, these arrangements offer a solution to current woes. For others, PPMs interpose another meddlesome intermediary in a market already bloated by layers of bureaucracy. PMID:9682069

  16. Orbital angular momentum loss in PSR 1957 + 20

    Science.gov (United States)

    Banit, Menashe; Shaham, Jacob

    1992-01-01

    It is suggested that the companion winds, excited by the radiation from the neutron star in PSR 1957 + 20 form only through the combined action of the radiation heat on the companion's atmosphere and the radiation force on the slowly lifting wind. Ballistic simulations suggest that these winds leave only from selected areas of the illuminated surface of the companion; surface currents channel into these regions relatively hot (but altogether cooler than the companion escape velocity) 'coronal' matter from the whole illuminated area. Under suitable conditions, wind particles spend some time trailing the companion at close distances before taking off to escape from the system. This can torque the binary into angular momentum loss that will be as efficient as the one recently observed in PSR 1957 + 20 if the companion is bloated to dimensions close to that of the Roche lobe.

  17. Tolerance of probiotics and prebiotics.

    Science.gov (United States)

    Marteau, Philippe; Seksik, Philippe

    2004-07-01

    The clinical efficacy of probiotics and prebiotics has been proved in several clinical settings. The authors review their proved or potential side effects. Probiotics as living microorganisms may theoretically be responsible for 4 types of side effects in susceptible individuals: infections, deleterious metabolic activities, excessive immune stimulation, and gene transfer. Very few cases of infection have been observed. These occurred mainly in very sick patients who received probiotic drugs because of severe medical conditions. Prebiotics exert an osmotic effect in the intestinal lumen and are fermented in the colon. They may induce gaseousness and bloating. Abdominal pain and diarrhea only occur with large doses. An increase in gastroesophageal reflux has recently been associated with large daily doses. Tolerance depends on the dose and individual sensitivity factors (probably the presence of irritable bowel syndrome or gastroesophageal reflux), and may be an adaptation to chronic consumption. PMID:15220662

  18. Gastroesophageal junction adenocarcinoma. A case report

    Directory of Open Access Journals (Sweden)

    Marcos Félix Osorio Pagola

    2010-12-01

    Full Text Available The case of a 68 years old patient, smoking since adolescence, with urban origins, obesity history and gastroesophageal reflux symptoms is presented. The patient was diagnosed with gastroesophageal junction adenocarcinoma type III in the Gastroenterology Department of the Provincial University Hospital of Cienfuegos where he arrived with weight loss of about 20 pounds in four months along with dyspeptic manifestations such as stomach acidity, slow digestion, bloating and epigastric pain unrelated to food consumption. No dysphagia was observed as presentation form of the disease. The patient underwent surgery and chemotherapy and has had a favourable outcome up until today. It was decided to publish this article because of the few cases of gastroesophageal junction adenocarcinoma and especially type III that are commonly presented and also because the diagnosis is, unlike this case, usually made at an advanced stage of the disease

  19. Pancreatic Lymphoepithelial Cyst with an Intracystic Papillary Projection. Report of a Case

    Directory of Open Access Journals (Sweden)

    Hiroshi Maekawa

    2009-11-01

    Full Text Available Context Lymphoepithelial cysts of the pancreas show various presentations on imaging studies often making a differential diagnosis difficult. Case report A 58-year-old man was admitted to our hospital with epigastric discomfort and abdominal bloating. Abdominal US was carried out and demonstrated a cystic lesion 5 cm in diameter which included an intracystic projection into the pancreatic body. This intracystic projection was also seen on CT and MR images. On FDG-PET images, the projection was positively visualized. Since we could not exclude a pancreatic cystic neoplasm, a distal pancreatectomy was performed. Postoperative pathological examination demonstrated that the lesion was a lymphoepithelial cyst of the pancreas. There were no atypical cells in the intracystic projection. Conclusion Resection is inevitable when a true pancreatic neoplasm cannot be excluded.

  20. Fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) and nonallergic food intolerance: FODMAPs or food chemicals?

    Science.gov (United States)

    Barrett, Jacqueline S; Gibson, Peter R

    2012-07-01

    Food intolerance in irritable bowel syndrome (IBS) is increasingly being recognized, with patients convinced that diet plays a role in symptom induction. Evidence is building to implicate fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) in the onset of abdominal pain, bloating, wind and altered bowel habit through their fermentation and osmotic effects. Hypersensitivity to normal levels of luminal distension is known to occur in patients with IBS, with consideration of food chemical intolerance likely to answer many questions about this physiological process. This paper summarizes the evidence and application of the most common approaches to managing food intolerance in IBS: the low-FODMAP diet, the elimination diet for food chemical sensitivity and others including possible noncoeliac gluten intolerance. PMID:22778791

  1. Colloidal bismuth subcitrate in non-ulcer dyspepsia.

    Directory of Open Access Journals (Sweden)

    Khanna M

    1992-07-01

    Full Text Available The effect of colloidal bismuth subcitrate (De-Nol on symptoms, Helicobacter pylori status and histological features was studied in 35 patients with non-ulcer dyspepsia. Pain (34 cases and gas bloat (18 were the predominant symptoms. H pylori was present in 26 (74.3% patients. Gastritis and duodenitis were present in 29 of 32 and 22 of 31 cases respectively in whom biopsies were available. Relief in symptoms after treatment was seen in 29 (82.8% cases. Improvement in gastritis and duodenitis was noted in 60.8% and 58.8% respectively; over 70% of H pylori positive patients cleared the organism. These changes did not correlate with the relief in symptoms. We conclude that colloidal bismuth subcitrate is effective in the short term treatment of non-ulcer dyspepsia. It also clears H pylori infection and results in improvement of histological features.

  2. [Chronic Duodenitis and Celiac Disease: a path between the nonspecific and the early stages of Marsh].

    Science.gov (United States)

    Passera, Andrea Helena; Passera, Mario Luis; Higa, Antonio Luis; Nuñez, Maria; Armando, Lucas; Barzón, Silvia

    2015-01-01

    Given the advances in diagnosis for CD, some patients are detected with symptoms and signs of food intolerance, which have positive antibodies and autoantibodies for coeliac disease, whom present proximal bowel biopsies with chronic nonspecific duodenitis and are not associated with stages 0 and 1 Marsh. On the other hand, patients with bloating, abdominal pain, pondostatural delay, negative antibodies for CD, and chronic nonspecific duodenitis in whom removing cow's milk or gluten, the symptoms remit. There are also celiac patients with biopsies before diagnosis, with chronic nonspecific duodenitis. In this paper, we summarize three brothers with different degrees of chronic duodenitis, one with chronic nonspecific duodenitis, and two with histopathological sings of coeliac disease. It is an invitation to think that chronic nonspecific duodenitis in some patients may be an earlier manifestation of celiac disease. PMID:26544059

  3. AdSplit: Separating smartphone advertising from applications

    CERN Document Server

    Shekhar, Shashi; Wallach, Dan S

    2012-01-01

    A wide variety of smartphone applications today rely on third-party advertising services, which provide libraries that are linked into the hosting application. This situation is undesirable for both the application author and the advertiser. Advertising libraries require additional permissions, resulting in additional permission requests to users. Likewise, a malicious application could simulate the behavior of the advertising library, forging the user's interaction and effectively stealing money from the advertiser. This paper describes AdSplit, where we extended Android to allow an application and its advertising to run as separate processes, under separate user-ids, eliminating the need for applications to request permissions on behalf of their advertising libraries. We also leverage mechanisms from Quire to allow the remote server to validate the authenticity of client-side behavior. In this paper, we quantify the degree of permission bloat caused by advertising, with a study of thousands of downloaded ap...

  4. PREVALENCE OF HELICOBACTER PYLORI INFECTION IN PATIENTS WITH DYSPEPSIA

    Directory of Open Access Journals (Sweden)

    Chandrashekar

    2015-08-01

    Full Text Available Dyspepsia is synonymous with commonly used non - medical term indigestion . It includes symptoms like pain , bloating , nausea & early satiety . I t is now recognized that the large majority of duodenal and gastric ulcers are caused by H. pylori infection and/or NSAID use . H. pylori infection is associated with poverty, household crowding & limited education. Colonization rates exceed 70% in some groups and vary from less than 10% to more than 80% worldwide. Several studies have revealed the association of H. pylori in 70 – 75% of patients with dyspepsia. The aim o f this study is t o study the prevalence of H. pylori infection in dyspeptic patients. To study the various upper GI endoscopy findings in dyspeptic patients.

  5. Progressive systemic sclerosis with intraoral manifestations: A case report and review

    Science.gov (United States)

    Srivastava, Rahul; Jyoti, Bhuvan; Bihari, Manorama; Pradhan, Shobhit

    2016-01-01

    The word scleroderma comes from two Greek words, “sclero” meaning hard and “derma” meaning skin. Scleroderma or progressive systemic sclerosis (PSS), a rare condition, was first characterized as a single condition in 1752 by Curzio of Naples. It generally affects woman between 30 and 50 years of age and has a low prevalence. Scleroderma is a disease of the immune system, blood vessels, and connective tissue. Dermal manifestations include stiff, tight, and shiny skin usually of the hands and feet due to swelling and thickening of the connective tissue as they become fibrotic or scarred. Other symptoms include difficulty in swallowing, bloating, abdominal pain, tiredness, lack of energy, weight loss, aching muscles, joints, and bones. The vital organs that may get involved are lungs, heart, and kidneys. We present a case report of PSS in a 45-year-old female patient with characteristic systemic and oral manifestations. PMID:27433054

  6. An evolutionary model with Turing machines

    CERN Document Server

    Feverati, Giovanni

    2007-01-01

    The development of a large non-coding fraction in eukaryotic DNA and the phenomenon of the code-bloat in the field of evolutionary computations show a striking similarity. This seems to suggest that (in the presence of mechanisms of code growth) the evolution of a complex code can't be attained without maintaining a large inactive fraction. To test this hypothesis we performed computer simulations of an evolutionary toy model for Turing machines, studying the relations among fitness and coding/non-coding ratio while varying mutation and code growth rates. The results suggest that, in our model, having a large reservoir of non-coding states constitutes a great (long term) evolutionary advantage.

  7. Lactose intolerance in Indonesian children.

    Science.gov (United States)

    Hegar, Badriul; Widodo, Ariani

    2015-01-01

    "Lactose intolerance (LI)" is considered a common problem in Asians, and in many parts of the world. Its prevalence and age of manifestation varies between by Asian country, for possible genetic or cultural reasons. Studies in Indonesian children 3-15 years old (y) are available within the past two decades, using a pure lactose tolerance test. The prevalences of lactose malabsorption (LM) in pre-elementary (3-5 y), elementary (6-11 y), and junior high (12-14 y) school-children were 21.3%, 57.8%, and 73%, respectively. An increasing trend for LM prevalence was seen within the pre-elementary group, from 9.1% at 3 y to 28.6% at 5 y. The most frequent symptoms of LI in junior high school (JHS) group were abdominal pain (64.1%), abdominal distention (22.6%), nausea (15.1%), flatulence (5.7%), and diarrhea (1.9%), mostly within one hour of lactose ingestion. In children with regular and irregular milk drinking, LM occurred in 81.2% and 69.6%; LI was found in 56.2% and 52.1%, respectively. Most JHS children with dairy-associated recurrent abdominal pain (RAP) symptoms proved to be malabsorbers. Dairy products most related to RAP were milk and yogurt. LI was found in 81% of RAP children with abdominal pain most frequently, followed by nausea, bloating, diarrhea, borborygmi, and flatulence. Symp-tom onset occurred 30 minutes after lactose ingestion, especially nausea, bloating, and abdominal pain. In RAP children LI symptoms mostly found in breath hydrogen concentration>20 ppm. More LI symptoms were found in lactose malabsorbers, but symptoms were mild and generally disappeared in 7 hours, and in most by 15 hours. PMID:26715082

  8. Temperature Impact on the Forage Quality of Two Wheat Cultivars with Contrasting Capacity to Accumulate Sugars

    Directory of Open Access Journals (Sweden)

    Máximo Lorenzo

    2015-08-01

    Full Text Available Wheat is increasingly used as a dual-purpose crop (for forage and grain production worldwide. Plants encounter low temperatures in winter, which commonly results in sugar accumulation. High sugar levels might have a positive impact on forage digestibility, but may also lead to an increased risk of bloat. We hypothesized that cultivars with a lower capacity to accumulate sugars when grown under cold conditions may have a lower bloat risk than higher sugar-accumulating genotypes, without showing significantly lower forage digestibility. This possibility was studied using two wheat cultivars with contrasting sugar accumulation at low temperature. A series of experiments with contrasting temperatures were performed in controlled-temperature field enclosures (three experiments and growth chambers (two experiments. Plants were grown at either cool (8.1 °C–9.3 °C or warm (15.7 °C–16.5 °C conditions in field enclosures, and at either 5 °C or 25 °C in growth chambers. An additional treatment consisted of transferring plants from cool to warm conditions in the field enclosures and from 5 °C to 25 °C in the growth chambers. The plants in the field enclosure experiments were exposed to higher irradiances (i.e., 30%–100% than those in the growth chambers. Our results show that (i low temperatures led to an increased hemicellulose content, in parallel with sugar accumulation; (ii low temperatures produced negligible changes in in vitro dry matter digestibility while leading to a higher in vitro rumen gas production, especially in the higher sugar-accumulating cultivar; (iii transferring plants from cool to warm conditions led to a sharp decrease in in vitro rumen gas production in both cultivars; and (iv light intensity (in contrast to temperature appeared to have a lower impact on forage quality.

  9. Formation of Massive Primordial Stars: Intermittent UV Feedback with Episodic Mass Accretion

    Science.gov (United States)

    Hosokawa, Takashi; Hirano, Shingo; Kuiper, Rolf; Yorke, Harold W.; Omukai, Kazuyuki; Yoshida, Naoki

    2016-06-01

    We present coupled stellar evolution (SE) and 3D radiation-hydrodynamic (RHD) simulations of the evolution of primordial protostars, their immediate environment, and the dynamic accretion history under the influence of stellar ionizing and dissociating UV feedback. Our coupled SE RHD calculations result in a wide diversity of final stellar masses covering 10 {M}ȯ ≲ M * ≲ 103 {M}ȯ . The formation of very massive (≳250 {M}ȯ ) stars is possible under weak UV feedback, whereas ordinary massive (a few ×10 {M}ȯ ) stars form when UV feedback can efficiently halt the accretion. This may explain the peculiar abundance pattern of a Galactic metal-poor star recently reported by Aoki et al., possibly the observational signature of very massive precursor primordial stars. Weak UV feedback occurs in cases of variable accretion, in particular when repeated short accretion bursts temporarily exceed 0.01 {M}ȯ {{{yr}}}-1, causing the protostar to inflate. In the bloated state, the protostar has low surface temperature and UV feedback is suppressed until the star eventually contracts, on a thermal adjustment timescale, to create an H ii region. If the delay time between successive accretion bursts is sufficiently short, the protostar remains bloated for extended periods, initiating at most only short periods of UV feedback. Disk fragmentation does not necessarily reduce the final stellar mass. Quite the contrary, we find that disk fragmentation enhances episodic accretion as many fragments migrate inward and are accreted onto the star, thus allowing continued stellar mass growth under conditions of intermittent UV feedback. This trend becomes more prominent as we improve the resolution of our simulations. We argue that simulations with significantly higher resolution than reported previously are needed to derive accurate gas mass accretion rates onto primordial protostars.

  10. Beetle succession and diversity between clothed sun-exposed and shaded pig carrion in a tropical dry forest landscape in Southern Mexico.

    Science.gov (United States)

    Caballero, Ubaldo; León-Cortés, Jorge L

    2014-12-01

    Over a 31-day period, the decomposition process, beetle diversity and succession on clothed pig (Sus scrofa L.) carcasses were studied in open (agricultural land) and shaded habitat (secondary forest) in Southern Mexico. The decomposition process was categorised into five stages: fresh, bloated, active decay, advanced decay and remains. Except for the bloated stage, the elapsed time for each decomposition stage was similar between open and shaded habitats, all carcasses reached an advanced decay stage in seven days, and the fifth stage (remains) was not recorded in any carcass during the time of this study. A total of 6344 beetles, belonging to 130 species and 21 families, were collected during the entire decomposition process, and abundances increased from fresh to advanced decay stages. Staphylinidae, Scarabaeidae and Histeridae were taxonomically and numerically dominant, accounting for 61% of the species richness and 87% of the total abundance. Similar numbers of species (87 and 88 species for open and shaded habitats, respectively), levels of diversity and proportions (open 49%; shaded 48%) of exclusive species were recorded at each habitat. There were significantly distinct beetle communities between habitats and for each stage of decomposition. An indicator species analysis ("IndVal") identified six species associated to open habitats, 10 species to shaded habitats and eight species to advanced decay stages. In addition, 23 beetle species are cited for the first time in the forensic literature. These results showed that open and shaded habitats both provide suitable habitat conditions for the carrion beetle diversity with significant differences in community structure and identity of the species associated to each habitat. This research provides the first empirical evidence of beetle ecological succession and diversity on carrion in Mexican agro-pastoral landscapes. PMID:25447187

  11. Association and symptom characteristics of irritable bowel syndrome among bronchial asthma patients in Kuwait

    Directory of Open Access Journals (Sweden)

    Panicker Radhakrishna

    2010-01-01

    Full Text Available Context : Excess prevalence of irritable bowel syndrome in asthma has been reported, suggesting a link between these two conditions. Aims: To investigate the association between irritable bowel syndrome (IBS and asthma, and explore the symptoms of IBS among asthma patients in Kuwait. Settings and Design: Case control study. Methods: In a tertiary center, for allergy and asthma, 138 patients aged 20-65 years, with asthma, diagnosed clinically and by spirometry,were compared with 145 healthy, non-asthmatic controls matched for age, gender and nationality. Cases and controls completed a self-administered questionnaire of irritable bowel syndrome diagnosis (ROME II criteria. Statistical Analysis Used: The data were analyzed using SPSS software, and proportions were tested with Chi-square or Fisher′s test. Odds ratio (OR with 95% Confidence Interval (CI were calculated to identify the associated risk factors. The demographic variables were selected for logistic regression analysis. Results : A significantly large proportion (39.13% of asthmatics had IBS as compared to 7.93% controls (P < 0.001. A higher proportion of females with IBS were observed in cases and controls (74%, 61.54%. IBS was seen in 87% cases using inhalers, and in 13% with additional oral theophylline (P < 0.001. As many as 66.6% cases, had IBS with relatively short duration of asthma (1-5 years, P < 000. Predominant symptoms of IBS in asthmatics were abdominal discomfort or distension (64.8% vs. 11.5%, (P < 0.000, OR = 14.1; 95%CI: 3.748-53.209, bloated feeling of abdomen (74.1% vs. 34.62% (P < 0.001, OR = 5.38; 95%CI:1.96-14.84, increased frequency of stools (63%, P < 0.006. Conclusions: Irritable bowel syndrome in asthmatics was significantly high, more in the female asthmatics. Abdominal discomfort, persistent bloated feeling, increased frequency of passing stools were the most common IBS symptoms observed.

  12. Helicobacter pylori infection in patients with calcular cholecystitis: a hospital based study

    International Nuclear Information System (INIS)

    Background: Helicobacter pylori, a gram negative bacillus has been recognised as a public health problem and approximately half of the world population has H. pylori infection causes chronic gastritis, peptic ulcer disease and gastric malignancies. Objective of this study was to determine the frequency of H. pylori infection in patients of chronic calcular cholecystitis. Methods: This cross-sectional descriptive study was conducted at Liaquat University Hospital, Hyderabad, Pakistan from April 2010 to September 2010. All patients with history of gallstone presented with acute abdominal pain, dyspepsia, bloating and epigastric discomfort and diagnosed as calcular cholecystitis were further evaluated for the detection of H. pylori by serology and histopathology. Frequency and percentage of H. pylori infection in patients with calcular cholecystitis was calculated. Result: Total 100 patients of cholelithiasis underwent laparoscopic cholecystectomy were recruited. The pain in upper right part of the abdomen was observed in all 100 patients, fever in 75%, nausea and vomiting in 68%, loss of appetite in 45%, feeling of tiredness or weakness in 22%, headache in 38%, chills in 52%, backache in 58%, pain under the right shoulder in 45%, heartburn in 67%, belching in 54%, indigestion in 80%, dyspepsia in 90%, bloating in 88%, and epigastric discomfort in 85% patients. Eighty-two percent patients had family history of gallstones. The mean age of overall study population was 48.72 +- 8.78 years and mean age of H. pylori infected calcular cholecystitis patients was 47.98 +- 5.43 years in male and 48.76 +- 6.68 years in females. The H. pylori infection was identified in 55% patients with calcular cholecystitis, of which 32.7% were males and 67.3% were females (p=0.03, statistically significant). Majority of females (60%) had =40 U/ml antibody titre (p=0.917, non-significant). Conclusion: A possible relationship was identified between Helicobacter pylori and calcular

  13. A pilot trial on subjects with lactose and/or oligosaccharides intolerance treated with a fixed mixture of pure and enteric-coated α- and ß-galactosidase

    Directory of Open Access Journals (Sweden)

    Di Pierro F

    2015-02-01

    Full Text Available Francesco Di Pierro,1 Alexander Bertuccioli,2 Eleonora Marini,3 Leandro Ivaldi4 1Velleja Research, Milan, Italy; 2Italian Association Fitness and Medicine, Fano, PU, Italy; 3Pharmextracta, Pontenure, Piacenza, Italy; 4Digestive Endoscopic Department, Ceva Hospital, Ceva, Cuneo, Italy Aim: Lactose and complex carbohydrates maldigestion, common food intolerances due to low gut content of α- and ß-galactosidase, lead to abdominal symptoms including pain, diarrhea, bloating, flatulence, and cramping. Commonly, intolerant patients are advised by physicians to avoid the offending foods (dairy foods, cereals, beans, etc. This food-limiting option, however, has possible nutritional risks. We have therefore evaluated the impact of using pure, enteric-coated α- plus ß-galactosidase on gut symptoms in intolerant subjects instead of avoidance of the offending foods. Methods: Sixteen subjects intolerant to lactose and/or complex carbohydrates were enrolled and evaluated in terms of gut symptoms with 1 uncontrolled diet, 2 diet devoid of offending foods, and 3 uncontrolled diet along with pure, enteric-coated α- and ß-galactosidase (DDM Galactosidase®. Results: Even with the uncontrolled diet, intolerant subjects treated with DDM Galactosidase® exhibited reduced gut symptoms (bloating, flatulence, diarrhea, and constipation significantly better than the control treatment as well as having a diet devoid of offending foods. Conclusion: DDM Galactosidase® is a valid and safe optional treatment to counteract lactose and complex carbohydrate intolerance in subjects who prefer not to avoid, at least partially, offending foods. Keywords: lactase, lactose intolerance, complex carbohydrate intolerance

  14. Lactose intolerance in Indonesian children.

    Science.gov (United States)

    Hegar, Badriul; Widodo, Ariani

    2015-01-01

    "Lactose intolerance (LI)" is considered a common problem in Asians, and in many parts of the world. Its prevalence and age of manifestation varies between by Asian country, for possible genetic or cultural reasons. Studies in Indonesian children 3-15 years old (y) are available within the past two decades, using a pure lactose tolerance test. The prevalences of lactose malabsorption (LM) in pre-elementary (3-5 y), elementary (6-11 y), and junior high (12-14 y) school-children were 21.3%, 57.8%, and 73%, respectively. An increasing trend for LM prevalence was seen within the pre-elementary group, from 9.1% at 3 y to 28.6% at 5 y. The most frequent symptoms of LI in junior high school (JHS) group were abdominal pain (64.1%), abdominal distention (22.6%), nausea (15.1%), flatulence (5.7%), and diarrhea (1.9%), mostly within one hour of lactose ingestion. In children with regular and irregular milk drinking, LM occurred in 81.2% and 69.6%; LI was found in 56.2% and 52.1%, respectively. Most JHS children with dairy-associated recurrent abdominal pain (RAP) symptoms proved to be malabsorbers. Dairy products most related to RAP were milk and yogurt. LI was found in 81% of RAP children with abdominal pain most frequently, followed by nausea, bloating, diarrhea, borborygmi, and flatulence. Symp-tom onset occurred 30 minutes after lactose ingestion, especially nausea, bloating, and abdominal pain. In RAP children LI symptoms mostly found in breath hydrogen concentration>20 ppm. More LI symptoms were found in lactose malabsorbers, but symptoms were mild and generally disappeared in 7 hours, and in most by 15 hours.

  15. Formation of Massive Primordial Stars: Intermittent UV Feedback with Episodic Mass Accretion

    Science.gov (United States)

    Hosokawa, Takashi; Hirano, Shingo; Kuiper, Rolf; Yorke, Harold W.; Omukai, Kazuyuki; Yoshida, Naoki

    2016-06-01

    We present coupled stellar evolution (SE) and 3D radiation-hydrodynamic (RHD) simulations of the evolution of primordial protostars, their immediate environment, and the dynamic accretion history under the influence of stellar ionizing and dissociating UV feedback. Our coupled SE RHD calculations result in a wide diversity of final stellar masses covering 10 {M}⊙ ≲ M * ≲ 103 {M}⊙ . The formation of very massive (≳250 {M}⊙ ) stars is possible under weak UV feedback, whereas ordinary massive (a few ×10 {M}⊙ ) stars form when UV feedback can efficiently halt the accretion. This may explain the peculiar abundance pattern of a Galactic metal-poor star recently reported by Aoki et al., possibly the observational signature of very massive precursor primordial stars. Weak UV feedback occurs in cases of variable accretion, in particular when repeated short accretion bursts temporarily exceed 0.01 {M}⊙ {{{yr}}}-1, causing the protostar to inflate. In the bloated state, the protostar has low surface temperature and UV feedback is suppressed until the star eventually contracts, on a thermal adjustment timescale, to create an H ii region. If the delay time between successive accretion bursts is sufficiently short, the protostar remains bloated for extended periods, initiating at most only short periods of UV feedback. Disk fragmentation does not necessarily reduce the final stellar mass. Quite the contrary, we find that disk fragmentation enhances episodic accretion as many fragments migrate inward and are accreted onto the star, thus allowing continued stellar mass growth under conditions of intermittent UV feedback. This trend becomes more prominent as we improve the resolution of our simulations. We argue that simulations with significantly higher resolution than reported previously are needed to derive accurate gas mass accretion rates onto primordial protostars.

  16. Menopausal complaints in Slovak midlife women and the impact of CYP1B1 polymorphism on their incidence.

    Science.gov (United States)

    Luptáková, Lenka; Sivtáková, Daniela; Cernanová, Veronika; Cvicelová, Marta

    2012-01-01

    A wide variety of symptoms have been attributed to menopause, negatively influencing women's physical and psychological health. In addition to lifestyle parameters and personal history, genetic factors are considered to be the main source of this variation. This study aims to investigate the incidence of menopausal symptoms among midlife women according to their menopausal status, and to evaluate the contribution to their manifestation from CYP1B1 Leu432Val polymorphism as a predisposing factor for menopausal symptoms. The studied cohort consisted of 299 women ranging from 39 to 59 years of age. Women were recruited from the western and middle parts of Slovakia, and all participants completed a menopause-specific questionnaire and provided blood or saliva samples for genotyping. Our results indicated that all women are at risk of typical menopausal symptoms, but there is a higher number of postmenopausal women affected than premenopausal ones. Regression analysis showed that the CYP1B1 Leu/Leu genotype can increase the experience of bloated stomach and facial hair increase in all the sampled women, while the Leu/Leu genotype may increase experience of palpitations and involuntary urination in the premenopausal women. The Leu/Leu genotype may increase the experience of nausea, bloated stomach, and vaginal dryness in peri- and postmenopausal women. We determined that women with the Leu/Leu, or Leu/Val genotypes were approximately five times more likely to suffer from vaginal dryness than the Val/Val women (OR = 4.948; 95% CI, 1.259-19.447). We therefore suggest that CYP1B1 Leu432Val polymorphism could be involved in individual susceptibility to menopausal symptoms in Slovak midlife women. PMID:23350153

  17. [Irritable Bowel Syndrome treatment: a multidisciplinary approach].

    Science.gov (United States)

    Shani-Zur, Dana; Wolkomir, Keren

    2015-01-01

    Irritable Bowel Syndrome affects 9-23% of the general population. This diagnosis contributes to more frequent doctor visits and multiple consultations by patients. The current approach to treating IBS is symptomatic and consists of a regimen of first line pharmacological treatment options; the use of anti-depressant drugs is also common. The efficiency of complementary medicine in the treatment of IBS has been studied in the last few years. Qualitative multidisciplinary approach studies, using personalized medicines with complementary therapies are needed. We present the case of a 39-year-old woman with a diagnosis of IBS since 2009, who complained about gastrointestinal symptoms since the age of 13 and severe episodes of spasmodic stomach aches in the last year self-ranked as 10, on a 0-10 scale; 3-4 episodes a month, which last for 5 days, accompanied by severe flatulence and bloating. In addition, she has constipation (one bowel movement every 10 days), alternating with multiple diarrheic bowel movements (6 times a day). Using a multidisciplinary approach, including medicinal care, Chinese medicine, reflexology and naturopathy resulted in significant improvement in symptoms and quality of life, as well as gradual reduction of drugs, approved by her physician. Stomach ache self-ranked now as 1, on a 0-10 scale; and flatulence and bloating self-ranked as mild. Bowel movement frequency increased and is now every other day. She no longer has diarrheic and/or multiple bowel movements. This case report emphasizes the importance of integrative treatment in IBS and its benefit in improving patients' quality of life.

  18. Risk factors for sebaceous gland diseases and their relationship to gastrointestinal dysfunction in Han adolescents.

    Science.gov (United States)

    Zhang, Hong; Liao, Wanqing; Chao, Woon; Chen, Qiaoling; Zeng, Hanxiang; Wu, Chipeng; Wu, Shaoxi; Ho, Hon In

    2008-09-01

    Sebaceous gland diseases are a group of common dermatological diseases with multiple causes. To date, a systematic report of the risk factors for sebaceous gland diseases in adolescents has not been published. The aim of this study was to assess the prevalence and risk factors for certain sebaceous gland diseases (seborrhea, seborrheic dermatitis, acne, androgenetic alopecia and rosacea) and their relationship to gastrointestinal dysfunction in adolescents. From August-October, 2002-2005, a questionnaire survey was carried out to obtain epidemiological data about sebaceous gland diseases. Using random cluster sampling, 13 215 Han adolescents aged 12-20 years were recruited from four countries or districts (Macau; Guangzhou, China; Malaysia; and Indonesia). The statistical software SPSS ver. 13.0 was used to analyze the data. The prevalence of seborrhea, seborrheic dermatitis, acne, androgenetic alopecia and rosacea was 28.27%, 10.17%, 51.03%, 1.65% and 0.97%, respectively. Based on multivariate logistic regression analysis, the risk factors for sebaceous gland diseases included: age; duration of local residency; halitosis; gastric reflux; abdominal bloating; constipation; sweet food; spicy food; family history of acne; late night sleeping on a daily basis; excessive axillary, body and facial hair; excessive periareolar hair; and anxiety. There was a statistically significant difference in the prevalence of gastrointestinal symptoms (halitosis; gastric reflux; abdominal bloating; constipation) between patients with and without sebaceous gland diseases (chi(2) = 150.743; P = 0.000). Gastrointestinal dysfunction is an important risk factor for diseases of the sebaceous glands and is correlated with their occurrence and development. PMID:18837699

  19. Characteristics of Children Admitted to Hospital for Constipation

    Directory of Open Access Journals (Sweden)

    Sevim Savaşer

    2011-12-01

    Full Text Available Introduction: The aim of this study was to determine the sociodemographic characteristics of children with constipation, the causes of constipations in these children and the common practices of the parents to solve the problem of constipation.Materials and Methods: The population of the study was comprised of children aged 1 to 16 years followed with the diagnosis of functional constipation in the outpatient clinics of pediatric surgery at a university hospital in Istanbul between 1 June 2009-1 June 2010. A total of 146 children and their parents who agreed to participate in the study were included. The data of this descriptive cross-sectional study were obtained by using a questionnaire which was evaluated by appropriate statistical analysis.Results: About half of the children in the study were between 1-3 years old and females. We detected that in approximately half of the children constipation problem began during transition period from solid foods before age 1. The majority of children experienced abdominal pain, bloating, stool retention, fear and anxiety during bowel movements, hard/painful defecation, increased stool volume and fecal mass; and that though it varied according to age groups, most of the children drank olive oil and fruit juice to overcome constipation. Families of children in all age groups affected in similar proportions by constipation problem and this problem did not affect sibling relations.Discussion: Risk factors for constipation were found to be under 4 years of age, starting additional/solid foods before 6 months, starting school, having family members with constipation, feeling fear and anxiety during defecation and having symptoms arising from stool retention such as abdominal pain, abdominal bloating, and hard and painful defecation. (Journal of Current Pediatrics 2011; 9: 103-9

  20. [Effectiveness of pinaverium bromide therapy on colonic motility disorders in irritable bowel syndrome].

    Science.gov (United States)

    Wittmann, T; Fehér, A; Rosztóczy, A; Jánosi, J

    1999-02-28

    The special patterns of the slow wave activity in irrittable bowel syndrome by means of surface electromyography were examined and the effect of pinaverium bromide on the symptoms and on the colonic motility in this disease was estimated. Twenty two patients with irritable bowel syndrome and 7 healthy controls were selected to the study. The clinical symptoms were abdominal pain and bloating in all patients, constipation in 9, and diarrhoea in 6 cases. Surface electromyography was carried out before and on the 14th day of the treatment with pinaverium bromide (50 mg t. i. d). The colonic motility was analysed in a 2 hour fasting and a 2 hour postprandial period following a standard (800 kCal) meal. The slow wave frequency of 0.01-0.04 Hz were selected and analysed. The mean frequency of activity peaks (n/10 min) and power-index (area under curve, microV 10 min) were measured. For statistical analysis Student's t-test was applied. Electromyogram of patients with irritable bowel syndrome showed a significant increase of the measured colonic motility parameters both in fasting and postprandial states. Fourteen days of pinaverium bromide treatment was able to significantly reduce the intensity of the colonic motor activity. Administration of pinaverium bromide completely released in 6 and significantly improved the abdominal pain in other 12 patients, while the bloating disappeared in 12 and was significantly improved in 5 from 22 patients. Pinaverium bromide was able to normalise the stool frequency: the weekly number of stools was decreased from 16 to 7 in the patients complaining diarrhoea ant it was increased from 2 to 6 in the patients with constipation. PMID:10204402

  1. Functional results after repair of large hiatal hernia by use of a biologic mesh

    Directory of Open Access Journals (Sweden)

    Filimon eAntonakis

    2016-03-01

    Full Text Available Background: The aim of this observational study is to analyze the results of patients with large hiatal hernia and upside-down stomach after surgical closure with a biologic mesh (Permacol®, Covidien, Neustadt an der Donau, Germany. Biologic mesh is used to prevent long-term detrimental effects of artificial meshes and to reduce recurrence rates. Methods: A total of 13 patients with a large hiatal hernia and endothoracic stomach, who underwent surgery between 2010 and 2014, were included. Interviews and upper endoscopy were conducted to determine recurrence, lifestyle restrictions and current complaints. Results: After a mean follow-up of 26+18 months (range 3-58 months 10 patients (three men, mean age 73+13, range 26-81 years were evaluated. A small recurrent axial hernia was found in one patient postoperatively. Dysphagia was the most common complaint (four cases, while in one case the problem was solved after endoscopic dilatation. In three cases bloat and postprandial pain were documented. In one case explantation of the mesh was necessary due to mesh migration and painful adhesions. In one further case with gastroparesis pyloroplasty was performed without success.Conclusion: Recurrence was rare after hernia repair with the biologic mesh Permacol®. Dysphagia, gas bloat and intraabdominal pain were frequent complaints. Despite the small number of patients it can be concluded that a biologic mesh may be an alternative to synthetic meshes to reduce recurrences. Long-term results should be studied in the future in order to assess the potential of biologic meshes to preserve esophageal function as well. This is important since artificial meshes are known to erode the esophagus after 5–10 years.

  2. Probiotics reduce symptoms of antibiotic use in a hospital setting: a randomized dose response study.

    Science.gov (United States)

    Ouwehand, Arthur C; DongLian, Cai; Weijian, Xu; Stewart, Morgan; Ni, Jiayi; Stewart, Tad; Miller, Larry E

    2014-01-16

    Probiotics are known to reduce antibiotic associated diarrhea (AAD) and Clostridium difficile associated diarrhea (CDAD) risk in a strain-specific manner. The aim of this study was to determine the dose-response effect of a four strain probiotic combination (HOWARU(®) Restore) on the incidence of AAD and CDAD and severity of gastrointestinal symptoms in adult in-patients requiring antibiotic therapy. Patients (n=503) were randomized among three study groups: HOWARU(®) Restore probiotic 1.70×10(10) CFU (high-dose, n=168), HOWARU(®) Restore probiotic 4.17×10(9) CFU (low-dose, n=168), or placebo (n=167). Subjects were stratified by gender, age, and duration of antibiotic treatment. Study products were administered daily up to 7 days after the final antibiotic dose. The primary endpoint of the study was the incidence of AAD. Secondary endpoints included incidence of CDAD, diarrhea duration, stools per day, bloody stools, fever, abdominal cramping, and bloating. A significant dose-response effect on AAD was observed with incidences of 12.5, 19.6, and 24.6% with high-dose, low-dose, and placebo, respectively (p=0.02). CDAD was the same in both probiotic groups (1.8%) but different from the placebo group (4.8%; p=0.04). Incidences of fever, abdominal pain, and bloating were lower with increasing probiotic dose. The number of daily liquid stools and average duration of diarrhea decreased with higher probiotic dosage. The tested four strain probiotic combination appears to lower the risk of AAD, CDAD, and gastrointestinal symptoms in a dose-dependent manner in adult in-patients.

  3. The attraction of virgin female hide beetles (Dermestes maculatus to cadavers by a combination of decomposition odour and male sex pheromones

    Directory of Open Access Journals (Sweden)

    von Hoermann Christian

    2012-08-01

    Full Text Available Abstract Introduction The hide beetle Dermestes maculatus (Coleoptera: Dermestidae feeds as an adult and larva on decomposing animal remains and can also be found on human corpses. Therefore, forensic entomological questions with regard to when and how the first receptive females appear on carcasses are important, as the developmental stages of their larvae can be used to calculate the post-mortem interval. To date, we know that freshly emerged males respond to the cadaver odour of post-bloated carcasses (approximately 9 days after death at Tmean = 27°C, being attracted by benzyl butyrate. This component occurs at its highest concentration at this stage of decay. The aim of our study was to determine the principle of attraction of virgin females to the feeding and breeding substrate. For this purpose, we tested the response of these females to headspace samples of piglet cadavers and male sex pheromones [(Z9-unsaturated fatty acid isopropyl esters] in a Y-olfactometer. Because we expected that such an odour combination is of importance for virgin female attraction, we tested the following two questions: 1 Are virgin female hide beetles attracted by a combination of cadaver odour and male sex pheromones? 2 During which decomposition stage do the first virgin females respond to cadaver odour when combined with male sex pheromones? Results We found that young virgin females were attracted to the cadaver by a combination of cadaver odour and male sex pheromones. Neither cadaver odour alone nor male sex pheromones alone was significantly more attractive than a solvent control. Our results also gave a weak indication that the first young virgin females respond as early as the post-bloating stage to its associated decomposition odour when combined with male sex pheromones. Conclusions Our results indicate that freshly emerged males possibly respond to cadaver odour and visit carcasses before virgin females. Being attracted to cadavers when male sex

  4. Immunomodulation for treatment of drug and device refractory gastroparesis

    Science.gov (United States)

    Soota, Kaartik; Kedar, Archana; Nikitina, Yana; Arendale, Evelyn; Vedanarayanan, Vetta; Abell, Thomas L.

    2016-01-01

    Objective Patients with generalized autoimmune dysautonomia may also present with gastroparesis. Immune dysfunction in such patients can be evaluated using antibodies to glutamic acid decarboxylase (GAD) and full thickness biopsy of stomach. In this study, we utilize immunotherapy for treatment of drug and Gastric Electrical Stimulation (GES) resistant gastroparetic patients with evidence of neuroinflammation on full thickness gastric biopsy and had positive GAD65 autoantibodies. Material and methods We conducted a retrospective chart review of 11 female patients with drug and device resistant gastroparesis. Patients were treated for a total of 8–12 weeks with either intravenous immunoglobulin (IVIg), or combined mycophenolate mofetil (MM) and methylprednisolone, or only MM. Patients were excluded if they had previous side effects from steroid therapy, low scores on dual-energy X-ray absorptiometry (DEXA) scan results, immune-compromised conditions with infections like tuberculosis and zoster. Symptoms of nausea, vomiting, abdominal pain, early satiety/anorexia, bloating and total symptom score (TSS) as reported by the patients were recorded before and after the treatment at a follow up visit 2 to 16 weeks after initiation of therapy. Results Maximum symptom improvement was seen in patients treated with IVIg (67%). 6 patients (55%) had improvement in vomiting, whereas 5 patients (45%) had improvements in nausea, abdominal pain and bloating. Conclusions Immunomodulatory therapy shows positive outcomes in improving vomiting symptom in some gastroparetic patients who have coexisting positive autoimmune profiles. This preliminary data suggests the need for further investigations in immunotherapy targeted to patients with gastroparetic symptoms refractory to approved drug and device therapies. PMID:27014566

  5. High-fibre diet and Lactobacillus paracasei B21060 in symptomatic uncomplicated diverticular disease

    Institute of Scientific and Technical Information of China (English)

    Edith Lahner; Gianluca Esposito; Angelo Zullo; Cesare Hassan; Claudio Cannaviello; Maria Carla Di Paolo; Lorella Pallotta

    2012-01-01

    AIM:TO investigate in symptomatic uncomplicated diverticular disease the efficacy of symbiotics associated with a high-fibre diet on abdominal symptoms.METHODS:This study was a multicentre,6-mo randomized,controlled,parallel-group intervention with a preceding 4-wk washout period.Consecutive outpatients with symptomatic uncomplicated diverticular disease,aged 40-80 years,evaluated in 4 Gastroenterology Units,were enrolled.Symptomatic uncomplicated diverticular disease patients were randomized to two treatment arms A or B.Treatment A (n =24 patients)received 1 symbiotic sachet Flortec(c) (Lactobacillus paracasei B21060) once daily plus high-fibre diet for 6 mo.Treatment B (n =21 patients) received high-fibre diet alone for 6 mo.The primary endpoint was regression of abdominal symptoms and change of symptom severity after 3 and 6 mo of treatment.RESULTS:In group A,the proportion of patients with abdominal pain < 24 h decreased from 100% at baseline to 35% and 25% after 3 and 6 mo,respectively (P< 0.001).In group B the proportion of patients with this symptom decreased from 90.5% at baseline to 61.9% and 38.1% after 3 and 6 mo,respectively (P =0.001).Symptom improvement became statistically significant at 3 and 6 mo in group A and B,respectively.The proportion of patients with abdominal pain >24h decreased from 60% to 20% then 5% after 3 and 6 mo,respectively in group A (P < 0.001) and from 33.3% to 9.5% at both 3 and 6 mo in group B (P =0.03).In group A the proportion of patients with abdominal bloating significantly decreased from 95% to 60% after 3 mo,and remained stable (65%) at 6-mo follow-up (P =0.005) while in group B,no significant changes in abdominal bloating was observed (P =0.11).After 6 mo of treatment,the mean visual analogic scale (VAS) values of both short-lasting abdominal pain (VAS,mean ± SD,group A:4.6 ± 2.1 vs 2.2 ± 0.8,P =0.02;group B:4.6±2.9 vs 2.0 ± 1.9,P =0.03) and abdominal bloating (VAS,mean ± SD

  6. Nucleotide supplementation: a randomised double-blind placebo controlled trial of IntestAidIB in people with Irritable Bowel Syndrome [ISRCTN67764449

    Directory of Open Access Journals (Sweden)

    Attree EA

    2006-06-01

    Full Text Available Abstract Background Dietary nucleotide supplementation has been shown to have important effects on the growth and development of cells which have a rapid turnover such as those in the immune system and the gastrointestinal tract. Work with infants has shown that the incidence and duration of diarrhoea is lower when nucleotide supplementation is given, and animal work shows that villi height and crypt depth in the intestine is increased as a result of dietary nucleotides. Dietary nucleotides may be semi-essential under conditions of ill-health, poor diet or stress. Since people with Irritable Bowel Syndrome tend to fulfil these conditions, we tested the hypothesis that symptoms would be improved with dietary nucleotide supplementation. Methods Thirty-seven people with a diagnosis of Irritable Bowel gave daily symptom severity ratings for abdominal pain, diarrhoea, urgency to have a bowel movement, incomplete feeling of evacuation after a bowel movement, bloating, flatulence and constipation for 28 days (baseline. They were then assigned to either placebo (56 days followed by experimental (56 days or the reverse. There was a four week washout period before crossover. During the placebo and experimental conditions participants took one 500 mg capsule three times a day; in the experimental condition the capsule contained the nutroceutical substances. Symptom severity ratings and psychological measures (anxiety, depression, illness intrusiveness and general health were obtained and analysed by repeated measures ANOVAs. Results Symptom severity for all symptoms (except constipation were in the expected direction of baseline>placebo>experimental condition. Symptom improvement was in the range 4 – 6%. A feeling of incomplete evacuation and abdominal pain showed the most improvement. The differences between conditions for diarrhoea, bloating and flatulence were not significant at the p Conclusion Dietary nucleotide supplementation improves some of the

  7. Therapeutic Observation of Auricular Point Sticking plus Moxibustion in Preventing Spleen-stomach Disharmony Due to Intravenous Analgesia Pump%耳穴贴压配合艾灸预防静脉镇痛泵所致脾胃失和证疗效观察

    Institute of Scientific and Technical Information of China (English)

    孙艳; 黄文红

    2015-01-01

    目的:观察耳穴贴压配合足三里艾灸预防静脉镇痛泵所致脾胃失和证的临床疗效。方法将120例留置静脉镇痛泵的手术患者随机分为治疗组和对照组,每组60例。对照组术后采用给予半卧位、协助床上翻身和早期起床活动指导等常规术后护理。治疗组在对照组基础上给予耳穴贴压配合足三里艾灸治疗。观察两组患者术后恶心、呕吐及腹胀的发生率。结果治疗组恶心、呕吐及腹胀发生率为11.7%,对照组为33.3%,两组比较差异具有统计学意义(P<0.05)。结论耳穴贴压配合足三里艾灸能有效预防静脉镇痛泵所致的脾胃失和证,能减轻患者痛苦,并减少并发症。%Objective To observe the clinical efficacy of auricular point sticking plus moxibustion at Zusanli (ST 36) in preventing spleen-stomach disharmony due to intravenous analgesia pump.Method Totally 120 post-operation patients with intravenous analgesia pump were randomized into a treatment group and a control group, 60 in each group. Patients in the control group were asked to take a semireclining position, and to turn over the body and do morning exercise under assistance. In addition to the intervention given to the control group, the treatment group received auricular point sticking plus moxibustion at Zusanli (ST 36). The occurrence rate of post-operation nausea, vomiting and abdominal bloating was observed.Result The occurrence rate of nausea, vomiting and abdominal bloating was 11.7% in the treatment group, versus 33.3% in the control group, and the difference was statistically significant (P<0.05).Conclusion Auricular point sticking plus moxibustion at Zusanli (ST 36) is effective in preventing spleen-stomach disharmony due to intravenous analgesia pump, and can reduce pain and complications.

  8. Epidemiologic and demographic survey of celiac disease in khuzestan province.

    Science.gov (United States)

    Alavinejad, Pezhman; Hajiani, Eskandar; Masjedizadeh, Rahim; Hashemi, Seyed Jalal; Faramarzi, Mohammad; Sebghatollahi, Vahid; Shayesteh, Ali Akbar; Kadkhodae, Ahmad; Jasemi Zergani, Farzad; Asghari, Shahnaz; Farsi, Farnaz

    2014-04-01

    BACKGROUND Celiac disease presents with a wide spectrum of symptoms. This study clarifies different aspects of celiac disease along with the most common patterns of celiac presentation in Khuzestan Province, Iran. METHODS Patients' information was obtained by evaluation of their files from the archives of the Khuzestan Celiac Society and records at gastroenterologists' offices in this province. RESULTS Overall, there were 103 (40 males, 63 females) patients included in this study. Patients' mean ages were 33 ± 11 years (males) and 31.6 ± 11.7 years (females). In terms of geographic distribution, 54.1% resided in the center of the province followed by 26.5% who were residents of the northern area. The rate of employment among men was 70.6% whereas it was 8.3% for women. In terms of education, 21.9% of men and 33.3% of women had academic educations. The rate of matrimony was 80.6% (n=29) for men, 65.4% (n=38) for women and 3.4% (n=2) who were divorced. Mean height was 164 ± 14 cm in men and 157.5 ± 10 cm in women. Mean BMI at the time of presentation was 22.7 in men and 22.6 in women. The most common gastrointestinal (GI) complaints in male patients were diarrhea (35%), reflux (20%), bloating (17.5%), abdominal pain (15%), vomiting (15%) and constipation (7.5%). Female patients experienced diarrhea (49.2%), abdominal pain (31.7%), bloating (31.7%), vomiting (19%), constipation(9.5%) and reflux (7.9%). The most common concomitant non-GI disorders among male patients were anemia (17.1%), thyroid disease (14.3%), and weight loss (14.3%); women experienced anemia (33.9%), thyroid disease (12.5%), and weight loss (7.1%). Approximately half of the patients exhibited symptoms for more than five years prior to diagnosis and 90% were diagnosed by gastroenterologists. Of these, 43% had normal endoscopy results. The most common serologic markers were anti-TTG (69.9%), anti-EMA (27.7%). CONCLUSION Physicians, prior to attributing patients' symptoms to irritable bowel

  9. Small intestinal bacterial overgrowth in irritable bowel syndrome: are there any predictors?

    Directory of Open Access Journals (Sweden)

    McCallum Richard W

    2010-02-01

    Full Text Available Abstract Background Small intestinal bacterial overgrowth (SIBO is a condition in which excessive levels of bacteria, mainly the colonic-type species are present in the small intestine. Recent data suggest that SIBO may contribute to the pathophysiology of Irritable bowel syndrome (IBS. The purpose of this study was to identify potential predictors of SIBO in patients with IBS. Methods Adults with IBS based on Rome II criteria who had predominance of bloating and flatulence underwent a glucose breath test (GBT to determine the presence of SIBO. Breath samples were obtained at baseline and at 30, 45, 60, 75 and 90 minutes after ingestion of 50 g of glucose dissolved in 150 mL of water. Results of the glucose breath test, which measures hydrogen and methane levels in the breath, were considered positive for SIBO if 1 the hydrogen or methane peak was >20 ppm when the baseline was Results Ninety-eight patients were identified who underwent a GBT (mean age, 49 y; 78% female. Thirty-five patients (36% had a positive GBT result suggestive of SIBO. A positive GBT result was more likely in patients >55 years of age (odds ratio [OR], 3.6; 95% confidence interval [CI], 1.4-9.0 and in females (OR, 4.0; 95% CI, 1.1-14.5. Hydrogen was detected more frequently in patients with diarrhea-predominant IBS (OR, 8; 95% CI, 1.4-45, and methane was the main gas detected in patients with constipation-predominant IBS (OR, 8; 95% CI, 1.3-44. There was no significant correlation between the presence of SIBO and the predominant bowel pattern or concurrent use of tegaserod, proton pump inhibitors, or opiate analgesics. Conclusions Small intestinal bacterial overgrowth was present in a sizeable percentage of patients with IBS with predominance of bloating and flatulence. Older age and female sex were predictors of SIBO in patients with IBS. Identification of possible predictors of SIBO in patients with IBS could aid in the development of successful treatment plans.

  10. Stopping or reducing dietary fiber intake reduces constipation and its associated symptoms

    Institute of Scientific and Technical Information of China (English)

    Kok-Sun Ho; Charmaine You Mei Tan; Muhd Ashik Mohd Daud; Francis Seow-Choen

    2012-01-01

    AIM:To investigate the effect of reducing dietary fiber on patients with idiopathic constipation.METHODS:Sixty-three cases of idiopathic constipation presenting between May 2008 and May 2010 were enrolled into the study after colonoscopy excluded an organic cause of the constipation.Patients with previous colon surgery or a medical cause of their constipation were excluded.All patients were given an explanation on the role of fiber in the gastrointestinal tract.They were then asked to go on a no fiber diet for 2 wk.Thereafter,they were asked to reduce the amount of dietary fiber intake to a level that they found acceptable.Dietary fiber intake,symptoms of constipation,difficulty in evacuation of stools,anal bleeding,abdominal bloating or abdominal pain were recorded at 1 and 6 mo.RESULTS:The median age of the patients (16 male,47 female) was 47 years (range,20-80 years).At 6 mo,41 patients remained on a no fiber diet,16 on a reduced fiber diet,and 6 resumed their high fiber diet for religious or personal reasons.Patients who stopped or reduced dietary fiber had significant improvement in their symptoms while those who continued on a high fiber diet had no change.Of those who stopped fiber completely,the bowel frequency increased from one motion in 3.75 d (± 1.59 d) to one motion in 1.0 d (± 0.0 d) (P < 0.001);those with reduced fiber intake had increased bowel frequency from a mean of one motion per 4.19 d (± 2.09 d)to one motion per 1.9 d (± 1.21 d) on a reduced fiber diet (P < 0.001); those who remained on a high fiber diet continued to have a mean of one motion per 6.83 d (± 1.03 d) before and after consultation.For no fiber,reduced fiber and high fiber groups,respectively,symptoms of bloating were present in 0%,31.3% and 100% (P < 0.001) and straining to pass stools occurred in 0%,43.8% and 100% (P < 0.001).CONCLUSION:Idiopathic constipation and its associated symptoms can be effectively reduced by stopping or even lowering the intake

  11. 大黄粉贴敷神阙穴治疗不完全性肠梗阻的临床研究%Clinical Study onDa Huang (Rheum Officinale) Powder Application at Shenque (CV 8) for Incomplete Intestinal Obstruction

    Institute of Scientific and Technical Information of China (English)

    喻明蕾

    2016-01-01

    Objective To observe the clinical efficacy ofDa Huang (Rheum Officinale) powder application at Shenque (CV 8) in treating incomplete intestinal obstruction.Method Fifty-eight patients with incomplete intestinal obstruction were randomized into a treatment group and a control group, 29 cases in each group. The control group was by enema with laxative medicine, while the treatment group was byDa Huang (Rheum Officinale) application at Shenque (CV 8) in addition to enema. The time of gassing and defecation, and abdominal bloating intensity were observed.Result The time of gassing and defecation and abdominal bloating intensity in the treatment group were significantly different from that in the control group (P<0.05).ConclusionDa Huang (Rheum Officinale) application at Shenque (CV 8) is an effective approach in treating incomplete intestinal obstruction.%目的:观察大黄粉贴敷神阙穴治疗不完全性肠梗阻的临床疗效。方法将58例不完全性肠梗阻患者随机分为治疗组和对照组,每组29例。对照组采用排便合剂灌肠治疗,治疗组在对照组基础上采用大黄粉贴敷神阙穴治疗。观察两组治疗后肛门排气时间、肛门排便时间及腹胀情况。结果治疗组治疗后肛门排气时间、肛门排便时间及腹胀情况与对照组比较,差异均具有统计学意义(P<0.05)。结论大黄粉贴敷神阙穴是一种治疗不完全性肠梗阻的有效方法。

  12. Faecal retention: a common cause in functional bowel disorders, appendicitis and haemorrhoids--with medical and surgical therapy.

    Science.gov (United States)

    Raahave, Dennis

    2015-03-01

    The present studies explored whether faecal retention in the colon is a causative factor in functional bowel disease, appendicitis, and haemorrhoids. Faecal retention was characterized by colon transit time (CTT) after radio-opaque marker ingestion and estimation of faecal loading on abdominal radiographs at 48 h and 96 h. Specific hypotheses were tested in patients (n = 251 plus 281) and in healthy random controls (n = 44). A questionnaire was completed for each patient, covering abdominal and anorectal symptoms and without a priori grouping. Patients with functional bowel disorders, predominantly women, had a significantly increased CTT and faecal load compared to controls. The CTT was significantly and positively correlated with segmental and total faecal loading. The faecal load was equal at 48 h and 96 h, mirroring the presence of permanent faecal reservoirs. In these first clinical studies to correlate bowel symptoms with CTT and colon faecal loading, abdominal bloating was significantly correlated with faecal loading in the right colon, total faecal load, and CTT. Abdominal pain was significantly and positively correlated to distal faecal loading and significantly associated with bloating. A new phenomenon with a high faecal load and a normal CTT was observed in a subset of patients (n = 90), proving faecal retention as hidden constipation. The CTT and faecal load were significantly higher in the right-side compared to the left and distal segments. Within the control group of healthy persons, the right-sided faecal load was significantly greater than the left and distal load. The CTT and faecal load significantly positively correlated with a palpable mass in the left iliac fossa and meteorism. Cluster analysis revealed that CTT and faecal load positively correlated with a symptom factor consisting of bloating, proctalgia and infrequent defecation of solid faeces. On the other hand, CTT and faecal load negatively correlated with a symptom factor comprising

  13. 城市水处理污泥陶粒的制备与性能表征%Preparation and Characterization of Keramzite Using Sewage Sludge from Municipal Sewage Treatment Plant

    Institute of Scientific and Technical Information of China (English)

    陈伟; 樊传刚; 王健; 裴立宅

    2011-01-01

    The lightweight keramzite was prepared using sewage sludge from municipal sewage treatment plant with the gangue sludge and fly ash as aids.The fabrication process simulated the practical manufacturing in the factory, and the properties of the kerarnzite samples were characterized. The results indicated that bloating keramzite could be prepared at 1 040 ℃ with short stay time. Although the addition of 10% sludge didn' t benefit bloating but it improved the sintering behavior of the sample and therefore enhanced the cylindrical compress strength. When the green sample comprised of 50% sewage sludge, 25% fly ash, and 25% gangue sludge, the prepared keramzite had a granule density of 0.76 g/cm3, a weight loss in hydrochloric acid of 1.86%, and a cylindrical compress strength of 5.2 MPa, respectively.%以城市污水处理厂的湿态剩余污泥为主原料,辅以集料尾泥(主要成分为粘土)和粉煤灰配料,在模拟实际加工工况的条件下制备烧结污泥陶粒样品,对其性能进行表征.研究结果表明以湿态污泥为主原料,经1 040℃的短时烧结可获得烧胀陶粒.还发现少量(质量分数为10%)污泥的加入虽不起烧胀作用,但有明显的助烧结作用,相对于无污泥样品,陶粒样品的筒压强度有显著提高.当陶粒坯体中污泥质量分数为50%、粉煤灰质量分数为25%、集料尾泥质量分数为25%时,在1 040℃烧结后的污泥陶粒样品具有较为理想的轻集料性能:堆积密度为0.76g/cm3;盐酸可溶率为1.86%;筒压强度为5.2MPa.

  14. WASP-South transiting exoplanets: WASP-130b, WASP-131b, WASP-132b, WASP-139b, WASP-140b, WASP-141b & WASP-142b

    CERN Document Server

    Hellier, Coel; Cameron, A Collier; Delrez, L; Gillon, M; Jehin, E; Lendl, M; Maxted, P F L; Neveu-VanMalle, M; Pepe, F; Pollacco, D; Queloz, D; Segransan, D; Smalley, B; Southworth, J; Triaud, A H M J; Udry, S; Wagg, T; West, R G

    2016-01-01

    We describe seven new exoplanets transiting stars of V = 10.1 to 12.4. WASP-130b is a "warm Jupiter" having an orbital period of 11.6 d, the longest yet found by WASP. It transits a V = 11.1, G6 star with [Fe/H] = +0.26. Warm Jupiters tend to have smaller radii than hot Jupiters, and WASP-130b is in line with this trend (1.23 Mjup; 0.89 Rjup). WASP-131b is a bloated Saturn-mass planet (0.27 Mjup; 1.22 Rjup). Its large scale height coupled with the V = 10.1 brightness of its host star make the planet a good target for atmospheric characterisation. WASP-132b is among the least irradiated and coolest of WASP planets, being in a 7.1-d orbit around a K4 star. It has a low mass and a modest radius (0.41 Mjup; 0.87 Rjup). The V = 12.4, [Fe/H] = +0.22 star shows a possible rotational modulation at 33 d. WASP-139b is the lowest-mass planet yet found by WASP, at 0.12 Mjup and 0.80 Rjup. It is a "super-Neptune" akin to HATS-7b and HATS-8b. It orbits a V = 12.4, [Fe/H] = +0.20, K0 star. The star appears to be anomalously...

  15. The low-FODMAP diet for irritable bowel syndrome: Lights and shadows.

    Science.gov (United States)

    Molina-Infante, Javier; Serra, Jordi; Fernandez-Bañares, Fernando; Mearin, Fermín

    2016-02-01

    Irritable bowel syndrome (IBS) affects 10-15% of the western population. Drug therapy for this entity has shown limited efficacy. The low Fermentable Oligo-, Di-, Monosaccharides And Polyols (FODMAP) diet has recently emerged as an effective intervention for reducing gastrointestinal symptoms in IBS. Currently, several mechanistic studies have proven the rational basis of carbohydrate restriction. In addition, high-quality evidence (prospective studies and randomized controlled trials) from a variety of countries supports the high effectiveness of a low-FODMAP diet for IBS symptoms (70%), especially abdominal bloating, pain, and diarrhea. Importantly, this diet seems to be superior to a gluten-free diet for patients with non-celiac gluten sensitivity. The most controversial features of the low FODMAP diet are its short- and long-term limitations (a high level of restriction, the need for monitoring by an expert dietitian, potential nutritional deficiencies, significant gut microbiota reduction, lack of predictors of response), as well as the potential lack of advantage over alternative dietary, pharmacological and psychological interventions for IBS. Although liberalization of carbohydrate intake is recommended in the long-term, the reintroduction process remains to be clarified as, theoretically, global carbohydrate restriction is deemed to be necessary to avoid additive effects. PMID:26548734

  16. Sensitivity to wheat, gluten and FODMAPs in IBS: facts or fiction?

    Science.gov (United States)

    De Giorgio, Roberto; Volta, Umberto; Gibson, Peter R

    2016-01-01

    IBS is one of the most common types of functional bowel disorder. Increasing attention has been paid to the causative role of food in IBS. Food ingestion precipitates or exacerbates symptoms, such as abdominal pain and bloating in patients with IBS through different hypothesised mechanisms including immune and mast cell activation, mechanoreceptor stimulation and chemosensory activation. Wheat is regarded as one of the most relevant IBS triggers, although which component(s) of this cereal is/are involved remain(s) unknown. Gluten, other wheat proteins, for example, amylase-trypsin inhibitors, and fructans (the latter belonging to fermentable oligo-di-mono-saccharides and polyols (FODMAPs)), have been identified as possible factors for symptom generation/exacerbation. This uncertainty on the true culprit(s) opened a scenario of semantic definitions favoured by the discordant results of double-blind placebo-controlled trials, which have generated various terms ranging from non-coeliac gluten sensitivity to the broader one of non-coeliac wheat or wheat protein sensitivity or, even, FODMAP sensitivity. The role of FODMAPs in eliciting the clinical picture of IBS goes further since these short-chain carbohydrates are found in many other dietary components, including vegetables and fruits. In this review, we assessed current literature in order to unravel whether gluten/wheat/FODMAP sensitivity represent 'facts' and not 'fiction' in IBS symptoms. This knowledge is expected to promote standardisation in dietary strategies (gluten/wheat-free and low FODMAP) as effective measures for the management of IBS symptoms.

  17. Pinned OS/Services: A Case Study of XML Parsing on Intel SCC

    Institute of Scientific and Technical Information of China (English)

    Jie Tang; Pollawat Thanarungroj; Chen Liu; Shao-Shan Liu; Zhi-Min Gu; Jean-Luc Gaudiot

    2013-01-01

    Nowadays,we are heading towards integrating hundreds to thousands of cores on a single chip.However,traditional system software and middleware are not well suited to manage and provide services at such large scale.To improve the scalability and adaptability of operating system and middleware services on future many-core platform,we propose the pinned OS/services.By porting each OS and runtime system (middleware) service to a separate core (special hardware acceleration),we expect to achieve maximal performance gain and energy efficiency in many-core environments.As a case study,we target on XML (Extensible Markup Language),the commonly used data transfer/store standard in the world.We have successfully implemented and evaluated the design of porting XML parsing service onto Intel 48-core Single-Chip Cloud Computer (SCC) platform.The results show that it can provide considerable energy saving.However,we also identified heavy performance penalties introduced from memory side,making the parsing service bloated.Hence,as a further step,we propose the memory-side hardware accelerator for XML parsing.With specified hardware design,we can further enhance the performance gain and energy efficiency,where the performance can be improved by 20% with 12.27%energy reduction.

  18. [Empacho: An historical review of popular Chilean childhood disease (1674-2014)].

    Science.gov (United States)

    Campos Navarro, Roberto

    2016-01-01

    "Empacho" (abdominal pain and bloating), "mal de ojo" (evil eye), "los aires" (illnesses said to be caught by catching draughts), "el susto" or "espanto" (fright or panic), are the principal and most well-known popular Latin American illnesses. As regards empacho, the medical, historical and ethnographic information is extensive and detailed, since there documents recording it from the 16th century until recent times (2014), and in the case of Chile since 1674. For this review, 109 source documents from libraries in Chile, including some foreign ones, were consulted. It was found that the illness is known all over the country. It is a digestive system disorder caused by over-eating and the ingestion of products difficult to digest or indigestible, which cause problems in gastrointestinal transit. The most significant clinical data are gastralgia, diarrhoea or constipation, vomiting, fever, and other discomforts. The illness is treated at home, and if necessary, popular specialists are employed, with a visit to a qualified doctor being exceptional. There are many complex and combined treatments, which go from herbal products to ritual elements, not forgetting the so-called "quebradura del empacho". This review summary of empacho in Chile should enable the paediatrician to enter the world of popular knowledge and practices with the aim of improving the care of child patients and their families. It should also lead to the serious and systematic study of this nosological condition that will continue to exist in the future.

  19. The therapeutic potential of truffle fungi: a patent survey

    Directory of Open Access Journals (Sweden)

    Małgorzata Gajos

    2014-12-01

    Full Text Available The purpose of this article is to research and retrieve patent information regarding the therapeutic use of truffles. Truffles have a unique value as a foodstuff and impact positively on human health and well-being. They are applied in such industries as the pharmaceutical industry and the cosmetic industry. Patent documentation available in the Espacenet network and the Patentscope service were analyzed by key word and patent specifications were examined to describe state of the art and to identify scientific research trends in therapeutic applications of truffles. Medicinal properties of truffles such as the anticancer or cardiovascular effect, a reduction in blood lipids, immunological resistance and increased energy were identified. Other therapeutic benefits include sedative action, prevention of hormonal imbalances in women, pre-menopause symptom relief, senile urethritis and prostate disorders, sleep disorders and increased absorption of calcium from milk. Truffles can also be used to alleviate symptoms of milk intolerance such as diarrhoea or bloating, to ease rheumatic pains and to treat and prevent further development or recurrence of senile cataract.

  20. A review of the gastroprotective effects of ginger (Zingiber officinale Roscoe).

    Science.gov (United States)

    Haniadka, Raghavendra; Saldanha, Elroy; Sunita, Venkatesh; Palatty, Princy L; Fayad, Raja; Baliga, Manjeshwar Shrinath

    2013-06-01

    The rhizomes of Zingiber officinale Roscoe (Zingiberaceae), commonly known as ginger is an important kitchen spice and also possess a myriad health benefits. The rhizomes have been used since antiquity in the various traditional systems of medicine to treat arthritis, rheumatism, sprains, muscular aches, pains, sore throats, cramps, hypertension, dementia, fever, infectious diseases, catarrh, nervous diseases, gingivitis, toothache, asthma, stroke and diabetes. Ginger is also used as home remedy and is of immense value in treating various gastric ailments like constipation, dyspepsia, belching, bloating, gastritis, epigastric discomfort, gastric ulcerations, indigestion, nausea and vomiting and scientific studies have validated the ethnomedicinal uses. Ginger is also shown to be effective in preventing gastric ulcers induced by nonsteroidal anti-inflammatory drugs [NSAIDs like indomethacin, aspirin], reserpine, ethanol, stress (hypothermic and swimming), acetic acid and Helicobacter pylori-induced gastric ulcerations in laboratory animals. Various preclinical and clinical studies have also shown ginger to possess anti-emetic effects against different emetogenic stimuli. However, conflicting reports especially in the prevention of chemotherapy-induced nausea and vomiting and motion sickness prevent us from drawing any firm conclusion on its effectiveness as a broad spectrum anti-emetic. Ginger has been shown to possess free radical scavenging, antioxidant; inhibition of lipid peroxidation and that these properties might have contributed to the observed gastroprotective effects. This review summarizes the various gastroprotective effects of ginger and also emphasizes on aspects that warranty future research to establish its activity and utility as a gastroprotective agent in humans.

  1. Prevalence of Celiac Disease and Helicobacter Pylori in Patients Referred to Endoscopy Section of Taleghani Hospital

    Directory of Open Access Journals (Sweden)

    P Mohammadi

    2012-07-01

    Full Text Available Introduction: According to previous studies celiac disease(CD is frequently associated with chronic gastritis. The aim of this study was to assess the prevalence of CD and Helicobacter pylori in patients with dyspepsia. Methods: 325 patients were studied from April 2008 to April 2009 who underwent endoscopic procedures for dyspepsia. Gastric antrum, duodenal biopsies, serology with tissue Transglutaminase Antibodies(tTGA and total IgA were performed for detection of H. pylori and CD. Results: Out of 325 patients 312(96% had a positive H. pylori. Heart burn and bloating were the most prevalent symptoms in this study. Twenty one of 25 patients with positive histology for CD who had gastric biopsies were positive for H. pylori(84%. Duodenal biopsy specimens results have shown normal histology in 213(65.5%, hyperplastic polyps in 1(0.4%, duodenitis in 79(24.3% and abnormality in small bowel (Marsh I-IIIc in 25(10%. In term of the serological analysis, 9 of 26 tTGA positive patients had abnormal histology (Marsh I-IIIc(2.7%. Conclusion: Similar to previous reports, we found a high prevalence of H. pylori infection and celiac disease in dyspeptic patients. Therefore, further studies for screening occult CD in dyspeptic patients is seems necessary.

  2. Short Term (14 Days Consumption of Insoluble Wheat Bran Fibre-Containing Breakfast Cereals Improves Subjective Digestive Feelings, General Wellbeing and Bowel Function in a Dose Dependent Manner

    Directory of Open Access Journals (Sweden)

    Louise Dye

    2013-04-01

    Full Text Available This study investigated whether increasing insoluble (predominantly wheat bran fibre over 14 days improves subjective digestive feelings, general wellbeing and bowel function. A single centre, multi-site, open, within subjects design with a 14 day non-intervention (baseline monitoring period followed by a 14 day fibre consumption (intervention period was performed. 153 low fibre consumers (<15 g/day AOAC 985.29 completed a daily symptom diary for 14 days after which they consumed one bowl of ready-to-eat breakfast cereal containing at least 5.4 g fibre (3.5 g from wheat bran for 14 days and completed a daily symptom diary. Significant improvements were demonstrated in subjective perception of bowel function (e.g., ease of defecation and digestive feelings (bloating, constipation, feeling sluggish and digestive discomfort. Significant improvements were also found in subjective perception of general wellbeing (feeling less fat, more mentally alert, slim, happy and energetic whilst experiencing less stress, mental and physical tiredness, difficulty concentrating and fewer headaches. In general, improvements in study outcomes increased with increasing cereal/fibre consumption. However, consuming an additional minimum 5.4 g of fibre (3.5 g wheat bran per day was shown to deliver measurable and significant benefits for digestive health, comfort and wellbeing. Encouraging consumption of relatively small amounts of wheat bran could also provide an effective method of increasing overall fibre consumption.

  3. A Preliminary Analysis of Insects of Medico-legal Importance in Curitiba, State of Paraná

    Directory of Open Access Journals (Sweden)

    Mauricio Osvaldo Moura

    1997-03-01

    Full Text Available A survey of the carrion fauna was made at two sites in Curitiba, State of Paraná, with the objective of describing the insects associated with carrion and setting up a preliminary data-base for medico-legal purposes in south Brazil. Vertebrate exclusion experiments were carried out in each season between 1994 and 1995 with a 250 g laboratory-bred rat (Rattus norvegicus. Five stages of decomposition were identified: fresh, bloated, decaying, dry and adipocere-like. Some species showed seasonal and site preference and so could be used to identify the probable place and season where death took place. Sarconesia chlorogaster (Diptera, Calliphoridae was restricted to an open field site and to cooler months. Hemilucilia semidiaphana (Diptera, Calliphoridae and Pattonella resona (Diptera, Sarcophagidae were restricted to the forest site and warmer months. Phaenicia eximia (Diptera, Calliphoridae and Oxyletrum discicolle (Coleoptera, Silphidae were present at both sites throughout the year and could be useful for population level analysis. Dissochaetus murray (Coleoptera, Cholevidae was present throughout the year at the forest site and was associated with the adipocere-like stage. Ants played an important role producing post-mortem injuries to the carcasses. Insects of 32 species are reported as being useful in community level approaches

  4. Buffer management in wireless full-duplex systems

    KAUST Repository

    Bouacida, Nader

    2015-10-19

    Wireless full-duplex radios can simultaneously transmit and receive using the same frequency. In theory, this can double the throughput. In fact, there is only little work addressing aspects other than throughput gains in full-duplex systems. Over-buffering in today\\'s networks or the so-called “bufferbloat” phenomenon creates excessive end-to-end delays resulting in network performance degradation. Our analysis shows that full-duplex systems may suffer from high latency caused by bloated buffers. In this paper, we address the problem of buffer management in full-duplex networks by using Wireless Queue Management (WQM), which is an active queue management technique for wireless networks. Our solution is based on Relay Full-Duplex MAC (RFD-MAC), an asynchronous media access control protocol designed for relay full-duplexing. We compare the performance of WQM in full-duplex environment to Drop Tail mechanism over various scenarios. Our solution reduces the end-to-end delay by two orders of magnitude while achieving similar throughput in most of the cases.

  5. Participatory surveillance of livestock and poultry diseases in Agidi development area of Nasarawa state Nigeria

    Directory of Open Access Journals (Sweden)

    Victor Haruna

    2012-08-01

    Full Text Available A participatory surveillance of livestock and poultry diseases was carried out in Agidi Development Area of Nasarawa State among 123 farmers, 29 of the respondent were female, while 94 were male. Open-ended interviews were utilized where necessary to clarify information that needed clarifications by the respondents; physical examination of the some affected animals and it surroundings were carried out during the surveillance. The following diseases were established in the study area: Peste des peptits ruminants, Foot rot, helminthosis, mite/lice/flea infestation, tick infestation, bloat, Orf (Contagious ecthyma, poison, mange, Newcastle disease, fowl pox, coccidiosis, infectious bursal disease (Gumboro, chronic respiratory disease, African Swine Fever (ASF, abortion, Dystocia, sudden death, foot and mouth disease, Fascioliasis, trypanosomosis, black quarter disease, babesiosis, and wounds. Some of these diseases have specific period (season of outbreak, while some occurs at all season. Analysis of data indicated that Newcastle disease was the most important disease of poultry, Peste des peptits ruminants was the disease that lead to high mortality in small ruminants, while African Swine Fever (ASF is the most devastating disease of pigs, and Lice/flea infestation is the most common disease to poultry, small ruminants and pigs, in the study area.

  6. Clinical evaluation, biochemistry and genetic polymorphism analysis for the diagnosis of lactose intolerance in a population from northeastern Brazil

    Directory of Open Access Journals (Sweden)

    Paulo Roberto Lins Ponte

    2016-02-01

    Full Text Available OBJECTIVE: This work aimed to evaluate and correlate symptoms, biochemical blood test results and single nucleotide polymorphisms for lactose intolerance diagnosis. METHOD: A cross-sectional study was conducted in Fortaleza, Ceará, Brazil, with a total of 119 patients, 54 of whom were lactose intolerant. Clinical evaluation and biochemical blood tests were conducted after lactose ingestion and blood samples were collected for genotyping evaluation. In particular, the single nucleotide polymorphisms C>T-13910 and G>A-22018 were analyzed by restriction fragment length polymorphism/polymerase chain reaction and validated by DNA sequencing. RESULTS: Lactose-intolerant patients presented with more symptoms of flatulence (81.4%, bloating (68.5%, borborygmus (59.3% and diarrhea (46.3% compared with non-lactose-intolerant patients (pT-13910 and G>A-22018 with lactose tolerance in this population and suggest clinical management for patients with lactose intolerance that considers single nucleotide polymorphism detection and a change in the biochemical blood test cutoff from <25 mg/dL to <15 mg/dL.

  7. Strongyloidiasis: prevalence, risk factors, clinical and laboratory features among diarrhea patients in Ibadan Nigeria.

    Science.gov (United States)

    Dada-Adegbola, H O; Oluwatoba, O A; Bakare, R A

    2010-12-01

    Strongyloidiasis is a parasitic infection caused by Strongyloides stercoralis. The infection is usually mild or asymptomatic in normal immunocompetent individuals, but could be very severe or even fatal due to hyper infection in individuals who are immunosuppressed. This study aimed at determining the prevalence, risk factors and features of strongyloidiasis among diarrhea patients in Ibadan. This is a descriptive cross-sectional study of diarrhea patients from a teaching hospital, three major government hospitals and one mission hospital in Ibadan. Self administered questionnaire, clinical assessment and laboratory investigations were used to confirm health status and presence of S. stercoralis. Diagnosis was made by microscopic examination of stool in saline preparation and formol-ether concentration. One thousand and ninety patients, (562 (51.6%) males and 528 (48.4%) females) consisting 380 (34.9%) children and 710 (65.1%) adults who had diarrhea were studied. The prevalence rate for the parasite among diarrhea patients was 3.0%. While the risk factor for infection remains contact with contaminated soil, malnutrition, steroid therapy, HIV/AIDS, lymphomas, tuberculosis, and chronic renal failure. Others are maleness, institutionalism and alcoholism. Predominant clinical presentations are abdominal pain, chronic diarrhea, and bloating and weight loss, Strongyloides stercoralis should be considered in diarrhea patients who are either malnourished or immunosuppressed.

  8. Increase number of mitochondrion-like organelle in symptomatic Blastocystis subtype 3 due to metronidazole treatment.

    Science.gov (United States)

    Raman, Kalyani; Kumar, Suresh; Chye, Tan Tian

    2016-01-01

    Blastocystis sp., an intestinal organism is known to cause diarrhea with metronidazole regarded as the first line of treatment despite reports of its resistance. The conflicting reports of variation in drug treatment have been ascribed to subtype differences. The present study evaluated in vitro responses due to metronidazole on ST3 isolated from three symptomatic and asymptomatic patients, respectively. Symptomatic isolates were obtained from clinical patients who showed symptoms such as diarrhea and abdominal bloating. Asymptomatic isolates from a stool survey carried out in a rural area. These patients had no other pathogens other than Blastocystis. Ultrastructural studies using transmission electron microscopy (TEM) and scanning electron microscopy (SEM) revealed drug-treated ST3 from symptomatic patients were irregular and amoebic with surface showing high-convoluted folding when treated with metronidazole. These organisms had higher number of mitochondrion-like organelle (MLO) with prominent cristae. However, the drug-treated ST3 from asymptomatic persons remained spherical in shape. Asymptomatic ST3 showed increase in the size of its central body with the MLO located at the periphery. PMID:26481491

  9. Parasites in Mexican patients with irritable bowel syndrome: a case-control study

    Directory of Open Access Journals (Sweden)

    Gonzalez-Angulo Alberto

    2010-10-01

    Full Text Available Abstract One hundred and fifteen patients with symptoms suggestive of irritable bowel syndrome (IBS according to Rome III criteria and 209 patients with gastrointestinal symptoms different from IBS (control were identified through medical records from the Gastroenterology Clinic of the "Dr. Manuel Gea Gonzalez General Hospital" from January 2008 to March 2010. No statistical differences in IBS data as compared with control groups were observed except in bloating, that was more frequent in the IBS group (P = 0.043. Although the pathogenicity of specific intestinal protozoa could not be demonstrated due to lack of association with the development of gastrointestinal symptoms, Blastocystis spp, in the IBS group, exhibited a trend of association to diarrhoea (odds ratio = 2.73, 95% confidence interval = 0.84-8.80, P = 0.053, while having any parasite and diarrhoea was significant (odds ratio = 3.38, 95% confidence interval = 1.33-8.57, P = 0.008. The association between Blastocystis and diarrhoea in IBS patients although not conclusive is an interesting finding; nonetheless more extensive case-controlled studies are required to clearly define the role of some "non-pathogenic" parasites in intestinal disease and IBS.

  10. Blastocystis hominis in hospital employees.

    Science.gov (United States)

    Grossman, I; Weiss, L M; Simon, D; Tanowitz, H B; Wittner, M

    1992-06-01

    Several reports have appeared that either support or deny the importance of the protozoan Blastocystis hominis as an intestinal pathogen in humans. In this report, we describe the clinical characteristics of B. hominis and its response to therapy in hospital employees found to have the parasite on routine screening of stools. During the study, 49 patients with B. hominis were identified, and 413 stools were examined from these patients. Twenty-nine patients were asymptomatic (59%), and 20 had symptoms of bloating, flatulence, soft/loose stools, or constipation. Of these 20 patients, 10 had symptoms that correlated with the presence or absence of B. hominis, four had symptoms that were independent of B. homonis, and six had other intestinal parasites that could account for their symptoms. Nineteen percent of patients without treatment had eradication of B. hominis from stool on follow-up examination. Metronidazole did not increase this rate. Iodoquinol treatment eradicated the organism in 41% of patients (p less than 0.05), and resulted in the reduction or eradication of the parasite in 62%, as determined by follow-up examination. PMID:1590309

  11. Three sub-Jupiter-mass planets: WASP-69b & WASP-84b transit active K dwarfs and WASP-70Ab transits the evolved primary of a G4+K3 binary

    CERN Document Server

    Anderson, D R; Delrez, L; Doyle, A P; Faedi, F; Fumel, A; Gillon, M; Chew, Y Gómez Maqueo; Hellier, C; Jehin, E; Lendl, M; Maxted, P F L; Pepe, F; Pollacco, D; Queloz, D; Ségransan, D; Skillen, I; Smalley, B; Smith, A M S; Southworth, J; Triaud, A H M J; Turner, O D; Udry, S; West, R G

    2013-01-01

    We report the discovery of the transiting exoplanets WASP-69b, WASP-70Ab and WASP-84b, each of which orbits a bright star (V~10). WASP-69b is a bloated Saturn-mass planet (0.26 M$_{\\rm Jup}$, 1.06 R$_{\\rm Jup}$) in a 3.868-d period around an active mid-K dwarf. We estimate a stellar age of 1 Gyr from both gyrochronological and age-activity relations, though an alternative gyrochronological relation suggests an age of 3 Gyr. ROSAT detected X-rays at a distance of 60$\\pm$27 arcsec from WASP-69. If the star is the source then the planet could be undergoing mass-loss at a rate of ~10$^{12}$ g s$^{-1}$. This is 1-2 orders of magnitude higher than the evaporation rate estimated for HD 209458b and HD 189733b, both of which have exhibited anomalously-large Lyman-{\\alpha} absorption during transit. WASP-70Ab is a sub-Jupiter-mass planet (0.59 M$_{\\rm Jup}$, 1.16R$_{\\rm Jup}$) in a 3.713-d orbit around the primary of a spatially-resolved G4+K3 binary, with a separation of 3.3 arcsec ($\\geq$800 AU). We exploit the binar...

  12. Eosinophilic enteritis demonstrated on 99mTc HMPAO white cell imaging

    International Nuclear Information System (INIS)

    Full text: A 46-year-old male with a 10-year history of biopsy proven Eosinophilic Gastroenteritis presented with a refractory exacerbation consisting of symptoms of severe lower abdominal pain, bloating and intermittent diarrhoea. Previous investigations during attacks had shown a blood eosinophilia, and earlier serial barium studies had demonstrated small bowel thickening and narrowing. The condition had previously responded to oral steroids. A 99mTc HMPAO labelled white cell scan was performed to assess for an inflammatory focus. The standard cell labelling technique was performed using 55ml of patient's whole blood, and labelled white cells reinjected approximately 2.5 hours later. Imaging was performed using a Siemens Ecam dual head gamma camera. Anterior, Posterior, right and left lateral images were acquired at 90 minutes and 3 hours post injection. All images were acquired using a 128W matrix for 5 minutes, with a 140kev peak and 20% window. Images demonstrated diffuse increased activity in the ileum on both the 90-minute and 3 hours images consistent with inflammatory changes. A recent barium swallow and follow through study was normal. The patient was successfully treated with a course of high dose intravenous steroids. Eosinophilic Enteritis is an extremely rare and poorly understood condition of unknown aetiology. This case study demonstrates that Nuclear Medicine white cell imaging may play a role in the diagnosis and management of patients diagnosed with this condition. Copyright (2002) The Australian and New Zealand Society of Nuclear Medicine Inc

  13. Contributions of upper gut hormones and motility to the energy intake-suppressant effects of intraduodenal nutrients in healthy, lean men - a pooled-data analysis.

    Science.gov (United States)

    Schober, Gudrun; Lange, Kylie; Steinert, Robert E; Hutchison, Amy T; Luscombe-Marsh, Natalie D; Landrock, Maria F; Horowitz, Michael; Seimon, Radhika V; Feinle-Bisset, Christine

    2016-09-01

    We have previously identified pyloric pressures and plasma cholecystokinin (CCK) concentrations as independent determinants of energy intake following administration of intraduodenal lipid and intravenous CCK. We evaluated in healthy men whether these parameters also determine energy intake in response to intraduodenal protein, and whether, across the nutrients, any predominant gastrointestinal (GI) factors exist, or many factors make small contributions. Data from nine published studies, in which antropyloroduodenal pressures, GI hormones, and GI /appetite perceptions were measured during intraduodenal lipid or protein infusions, were pooled. In all studies energy intake was quantified immediately after the infusions. Specific variables for inclusion in a mixed-effects multivariable model for determination of independent predictors of energy intake were chosen following assessment for collinearity, and within-subject correlations between energy intake and these variables were determined using bivariate analyses adjusted for repeated measures. In models based on all studies, or lipid studies, there were significant effects for amplitude of antral pressure waves, premeal glucagon-like peptide-1 (GLP-1) and time-to-peak GLP-1 concentrations, GLP-1 AUC and bloating scores (P energy intake. In the model including the protein studies, only BPP was identified as an independent determinant of energy intake (P energy intake by lipid and protein, their contribution to the latter is much less. Moreover, the effects are likely to reflect small, cumulative contributions from a range of interrelated factors.

  14. Extrinsic Sensory Innervation of the Gut: Structure and Function.

    Science.gov (United States)

    Brookes, Simon; Chen, Nan; Humenick, Adam; Spencer, Nick J; Costa, Marcello

    2016-01-01

    Extrinsic sensory neurons play a key role in the function of the gastrointestinal tract. They are responsible for the sensations that arise in the gut and can initiate automatic reflexes. In some cases, disordered sensation is clinically problematic-pain, bloating, excessive urgency and nausea are well-known examples. Major advances have been made in understanding the function of somatic sensory neurons in the last 50 years. However, the sensory neurons that mediate sensations from the viscera remain less well understood. This is partly because viscera receive a dense autonomic innervation that can be difficult to separate from extrinsic sensory neurons. A key requirement to understand the genesis of sensation is to distinguish the different classes of sensory neurons and the types of stimuli which they encode. The aim of this short paper is to summarise what was known about these matters 30 years ago and highlight some of the major advances in the understanding of the types of extrinsic sensory neurons to the gut. Necessarily, the choice of papers is somewhat idiosyncratic, but they illustrate the range of advances that have been made in distinguishing the different classes of gastrointestinal afferent nerves. PMID:27379635

  15. WASP-54b, WASP-56b and WASP-57b: Three new sub-Jupiter mass planets from SuperWASP

    CERN Document Server

    Faedi, F; Barros, S C C; Brown, D; Cameron, A Collier; Doyle, A P; Gillon, M; Chew, Y Gomez Maqueo; Hebrard, G; Lendl, M; Liebig, C; Smalley, B; Triaud, A H M J; West, R G; Wheatley, P J; Alsubai, K A; Anderson, D R; Armstrong, D J; Bento, J; Bochinski, J; Bouchy, F; Busuttil, R; Fossati, L; Fumel, A; Haswell, C A; Hellier, C; Holmes, S; Jehin, E; Kolb, U; McCormac, J; Miller, G R M; Moutou, C; Norton, A J; Parley, N; Queloz, D; Skillen, I; Smith, A M S; Udry, S; Watson, C

    2012-01-01

    We present three newly discovered sub-Jupiter mass planets from the SuperWASP survey: WASP-54b is a heavily bloated planet of mass 0.636$^{+0.025}_{-0.024}$ \\mj and radius 1.653$^{+0.090}_{-0.083}$ \\rj. It orbits a F9 star, evolving off the main sequence, every 3.69 days. Our MCMC fit of the system yields a slightly eccentric orbit ($e=0.067^{+0.033}_{-0.025}$) for WASP-54b. We investigated further the veracity of our detection of the eccentric orbit for WASP-54b, and we find that it could be real. However, given the brightness of WASP-54 V=10.42 magnitudes, we encourage observations of a secondary eclipse to draw robust conclusions on both the orbital eccentricity and the thermal structure of the planet. WASP-56b and WASP-57b have masses of 0.571$^{+0.034}_{-0.035}$ \\mj and $0.672^{+0.049}_{-0.046}$ \\mj, respectively; and radii of $1.092^{+0.035}_{-0.033}$ \\rj for WASP-56b and $0.916^{+0.017}_{-0.014}$ \\rj for WASP-57b. They orbit main sequence stars of spectral type G6 every 4.67 and 2.84 days, respectively...

  16. Partial versus complete fundoplication for the correction of pediatric GERD: a systematic review and meta-analysis.

    Directory of Open Access Journals (Sweden)

    Peter Glen

    Full Text Available There is no consensus as to what extent of "wrap" is required in a fundoplication for correction of gastroesophageal reflux disease (GERD.To evaluate if a complete (360 degree or partial fundoplication gives better control of GERD.A systematic search of MEDLINE and Scopus identified interventional and observational studies of fundoplication in children. Screening identified those comparing techniques. The primary outcome was recurrence of GERD following surgery. Dysphagia and complications were secondary outcomes of interest. Meta-analysis was performed when appropriate. Study quality was assessed using the Cochrane Risk of Bias Tool.2289 abstracts were screened, yielding 2 randomized controlled trials (RCTs and 12 retrospective cohort studies. The RCTs were pooled. There was no difference in surgical success between partial and complete fundoplication, OR 1.33 [0.67,2.66]. In the 12 cohort studies, 3 (25% used an objective assessment of the surgery, one of which showed improved outcomes with complete fundoplication. Twenty-five different complications were reported; common were dysphagia and gas-bloat syndrome. Overall study quality was poor.The comparison of partial fundoplication with complete fundoplication warrants further study. The evidence does not demonstrate superiority of one technique. The lack of high quality RCTs and the methodological heterogeneity of observational studies limits a powerful meta-analysis.

  17. Swollen hindgut syndrome (SHG of tiger shrimp Penaeus monodon (Crustacea, Malacostraca, Penaeidae post larvae: Identification of causing pathogenic bacteria and their sensitivity to some antibiotics

    Directory of Open Access Journals (Sweden)

    Sheikh Aftabuddin

    2011-01-01

    Full Text Available Swollen Hindgut syndrome (SHG of black tiger shrimp Penaeus monodon Fabricius, 1798post larvae has been reported from Bangladesh shrimp hatcheries in recent years. At present SHG is abudding problem causing significant economic loss to the shrimp hatcheries in Bangladesh. Unlike therapid mortalities associated with viral disease such as white spot syndrome and yellow head virus,progression of SHG is gradual leading to low level mortalities without affecting swimming activity. Thesign of SHG are a bloated or swollen in hind gut area, with the posterior digestive tract convolutingthrough the last abdominal segment. This syndrome tends to occur at later PL stages, typically afterPL10. Two types of Vibrio spp. were isolated from the swollen hindgut syndrome post larvae, identified asVibrio harveyi (Johnson and Shunk 1936and Vibrio alginolyticus (Miyamoto, Nakamura & Takizawa1961. Among these V. alginolyticus was dominant to V. harveyi. The bacterial isolates showed sensitiveto oxytetracycline (OTC, norfloxacin and ciprofloxacin and resistant to penicillin, ampicillin andamoxycillin. The luminous V. harveyi showed resistant to many antibiotics and susceptibility to only twodrugs. The cause of swollen hindgut syndrome (SHG was probably bacterial infections and poor waterquality, possibly heavy metal i.e. iron, the presence of toxic substances from chemical prophylactics andlow quality or diseased nauplii.

  18. Ovarian Cancer Stroma: Pathophysiology and the Roles in Cancer Development

    International Nuclear Information System (INIS)

    Ovarian cancer represents one of the cancers with the worst prognostic in adult women. More than half of the patients who present with clinical signs such as abdominal bloating and a feeling of fullness already show advanced stages. The majority of ovarian cancers grow as cystic masses, and cancer cells easily spread into the pelvic cavity once the cysts rupture or leak. When the ovarian cancer cells disseminate into the peritoneal cavity, metastatic nests may grow in the cul-de-sac, and in more advanced stages, the peritoneal surfaces of the upper abdomen become the next largest soil for cancer progression. Ascites is also produced frequently in ovarian cancers, which facilitates distant metastasis. Clinicopathologic, epidemiologic and molecular studies on ovarian cancers have improved our understanding and therapeutic approaches, but still further efforts are required to reduce the risks in the patients who are predisposed to this lethal disease and the mortality of the patients in advanced stages. Among various molecules involved in ovarian carcinogenesis, special genes such as TP53, BRCA1 and BRCA2 have been well investigated. These genes are widely accepted as the predisposing factors that trigger malignant transformation of the epithelial cells of the ovary. In addition, adnexal inflammatory conditions such as chronic salpingitis and ovarian endometriosis have been great research interests in the context of carcinogenic background of ovarian cancers. In this review, I discuss the roles of stromal cells and inflammatory factors in the carcinogenesis and progression of ovarian cancers

  19. A case report of incisional hernia through a 5 mm lateral port site following laparoscopic cholecystectomy

    Directory of Open Access Journals (Sweden)

    Audrius Dulskas

    2011-01-01

    Full Text Available Introduction: Less than 10 mm port-site herniation is a rare complication after laparoscopic surgery. We report a case of complicated herniation through the 5-mm lateral trocar port site. Case Report: A 63-year old obese female was admitted due to intestinal obstruction. She has undergone the laparoscopic cholecystectomy 1 year ago. On examination, abdomen was bloated and roughly 10 cm size mass was palpable on the right subcostal area. Plane radiogram of the abdomen showed signs of intestinal obstruction. Since conservative treatment was ineffective, the patient was operated on. The laparotomy revealed a protrusion of a part of right large intestine and greater omentum into the subcutaneous space through the abdominal wall defect below right subcostal margin. There was a dilatation of intestines proximally incarcerated colon. It was released and a part of omentum was resected. The peritoneum and fascia-muscular defect was closed by interrupted vicryl sutures. Conclusion: Acute herniation through a 5 mm size most lateral trocar port site is a rare complication of laparoscopic surgery requiring prompt differential diagnosis.

  20. Treatment of Diabetic Gastroparesis by Complementary and Alternative Medicines

    Directory of Open Access Journals (Sweden)

    Hao Liu

    2015-08-01

    Full Text Available Gastroparesis is a common gastrointestinal complication in diabetes, induced by hyperglycemia and characterized by delayed gastric emptying and upper abdominal symptoms, such asnausea, vomiting, early satiety, bloating and epigastric pain. Diabetic gastroparesis (DGP affects life quality and glycemic control, and is a challenge to treat in both Western and Eastern medicine. Routine treatment in Western medicine includes gastric emptying promoted by prokinetic agents, gastric pacemaking, or surgery combined with lifetime hormono-therapy, all of which have unavoidable side effects and limitations, and are very expensive. Complementary and alternative medical treatments like acupuncture, moxibustion, and massage are becoming more and more attractive because of their effectiveness, fewer side effects, and reliable safety. This article aims to introduce representative methods of complementary and alternative medicine to treat DGP, which were searched in English through Pubmed and in Chinese through CNKI (China Knowledge Resource Integrated Database. Several lines of evidence demonstrated the effects of single or combined complementary alternative therapies on DGP outcomes; however, the mechanisms were rarely investigated. Randomized controlled trials are undoubtedly required in future studies.

  1. New strategies for diagnosis and management of celiac disease.

    Science.gov (United States)

    Westerberg, Dyanne P; Gill, James M; Dave, Bhavin; DiPrinzio, Marie J; Quisel, Anna; Foy, Andrew

    2006-03-01

    Celiac disease is a gastrointestinal disorder characterized by inflammation, leading to injury to the mucosal lining of the small intestine. The inflammation occurs when gliadin, a protein found in such gluten-containing foods as wheat, rye, and barley, is ingested by genetically susceptible individuals. The mucosal damage and subsequent malabsorption of nutrients leads to various complications. Researchers estimate that more than 2 million people in the United States have celiac disease-a prevalence that is greater than was previously believed. Approximately 60,000 Americans are diagnosed annually with celiac disease. Until recently, diagnosis has been complicated by the fact that the indicators of celiac disease are nonspecific. However, because of the development of new, easy-to-administer serology tests, diagnosis has become much less complicated. After conducting a review of the literature, the authors recommend a serologic testing sequence for diagnosis of celiac disease and urge that adults and children with an assortment of symptoms be tested for this disease. Common signs and symptoms of celiac disease include anemia, arthralgia, fatigue, infertility, neuropathy, and weight loss, in addition to such gastrointestinal symptomatology as abdominal pain, anorexia, bloating, constipation, and diarrhea. The only treatment for patients with celiac disease remains a gluten-free diet.

  2. The environment of the strongest galactic methanol maser

    CERN Document Server

    Sanna, A; Carrasco-Gonzalez, C; Reid, M J; Ellingsen, S P; Brunthaler, A; Moscadelli, L; Cesaroni, R; Krishnan, V

    2015-01-01

    The high-mass star-forming site G009.62-00.20E hosts the 6.7 GHz methanol maser source with the greatest flux density in the Galaxy which has been flaring periodically over the last ten years. We performed high-resolution astrometric measurements of the CH3OH, H2O, and OH maser emission and 7 mm continuum in the region. The radio continuum emission was resolved in two sources separated by 1300 AU. The CH3OH maser cloudlets are distributed along two north-south ridges of emission to the east and west of the strongest radio continuum component. This component likely pinpoints a massive young stellar object which heats up its dusty envelope, providing a constant IR pumping for the Class II CH3OH maser transitions. We suggest that the periodic maser activity may be accounted for by an independent, pulsating, IR radiation field provided by a bloated protostar in the vicinity of the brightest masers. We also report about the discovery of an elliptical distribution of CH3OH maser emission in the region of periodic v...

  3. Bowel obstruction from wild bananas: a neglected health problem in Laos.

    Science.gov (United States)

    Slesak, Günther; Mounlaphome, Kaisouksavanh; Inthalad, Saythong; Phoutsavath, Ounheaun; Mayxay, Mayfong; Newton, Paul N

    2011-04-01

    We investigated the significance and risk factors of bowel obstruction caused by the consumption of wild bananas (BOWB) in Laos. Of six patients with BOWB in Luang Namtha, North Laos, five required enterotomy for phytobezoars. All had eaten wild banana (WB) seeds. Of 227 other patients/relatives: 91.2% had eaten WB; 46.3% had also eaten the seeds and 45.4% knew of complications resulting from eating WB; 42.3% were aware of the complications of ingesting the seeds (constipation [37.9%], appendicitis/abdominal pain/vomiting [2.6% each] and bloated stomach/death [1.3% each]). Middle/highland Lao ethnicity was associated with WB and seed consumption (odds ratio [OR] 9.91 and 2.33), male sex with WB consumption and unawareness (OR 4.31 and 1.78). At all surgically-equipped hospitals in Laos, 33/44 doctors knew of BOWB, describing patients as young adults (16/30), male (24/30) and from middleland Lao (18/30). Countrywide, 46/48 patients with BOWB required laparotomy in 2009 (incidence 0.8/100,000). All consumed WB seeds. BOWB is widespread in Laos, especially among young middleland Lao men consuming WB seeds on an empty stomach. PMID:21421885

  4. Mortality and morbidity in African clawed frogs (Xenopus laevis) associated with construction noise and vibrations.

    Science.gov (United States)

    Felt, Stephen A; Cowan, Andrea M; Luong, Richard; Green, Sherril L

    2012-03-01

    In Spring 2008, 175 adult female Xenopus laevis were exposed to construction-related vibrations that caused overt water rippling in the frog tanks. The 3 affected tanks were custom-built static, 300-gal 'pond-style' tanks that sat on the floor of the housing room. The water in the tank developed visible ripples as a result of the vibrations transmitted through the floor during jack-hammering in an adjacent room that was approximately 10 ftaway. All frogs in the tanks displayed buoyancy problems, excessive air gulping, and skin sloughing; ultimately 7 frogs died. In addition, these 7 animals were bloated, and 5 of these 7 had regurgitated and everted their stomach and distal esophagus into the oral cavity, resulting in airway obstruction and death. Gross pathologic findings included regurgitation and eversion of the stomach of the distal portion of the esophagus into the oral cavity, obstruction of the airway, and lung overinflation. No significant histologic lesions were observed. Construction vibrations transmitted through the water appeared to have disrupted the mechanoreceptive function of the lateral line system, resulting in overstimulation of the noxious feeding response, regurgitation, and eversion of the stomach and distal esophagus into the oral cavity and subsequent suffocation due to airway obstruction. After immediate cessation of the jack-hammering and relocation of the remaining frogs, no additional morbidities or mortalities occurred. PMID:22776127

  5. A rare adrenal incidentaloma: adrenal schwannoma.

    Science.gov (United States)

    Adas, Mine; Ozulker, Filiz; Adas, Gokhan; Koc, Bora; Ozulker, Tamer; Sahin, Ilknur Mansuroglu

    2013-01-01

    Adrenal schwannoma is an extremely uncommon cause of incidentaloma. It originates from neural sheath Schwann cells of the adrenal gland. We report the case of a left adrenal schwannoma incidentally discovered in a 32-year-old woman during examination of bloated feeling and stomach ache. The patient was incidentally found to have a left adrenal mass of 9 cm on abdominal ultrasonography. Computed tomography (CT) of the abdomen and [(18)F] fluorodeoxyglucose positron emission tomography (PET) were also performed. Metabolic evaluation was unremarkable. Due to the large size of the tumor, left adrenalectomy was performed. The postoperative course was uneventful. Histological examination established the diagnosis of schwannoma. This diagnosis was supported by immunohistochemistry of S-100 and vimentin positivity. In conclusion, adrenal schwannoma is an extremely rare entity and can grow considerably in size. The present case report emphasizes that clinicians should be aware of the possibility of retroperitoneal schwannoma. Total excision of benign schwannoma is associated with a favorable outcome. To our knowledge, there are case reports of schwannoma with CT and magnetic resonance imaging findings in the literature, although this is the first schwannoma case with PET-CT imaging. PMID:24403879

  6. 金海生治疗慢性胃炎的经验%Professor Jin Haisheng experience in the Treatment of Chronic Gastritis

    Institute of Scientific and Technical Information of China (English)

    史瑞锋

    2011-01-01

    慢性胃炎指由外感内伤等诸多不同的原因引起的胃黏膜的慢性炎症或萎缩的病变.中医对本病的认识主要见于“胃脘痛”、“胃胀”、“纳呆”、“呕吐”、“痞满”、“反酸”、“嘈杂”等.金海生老中医对本病的诊治特点是:抓住“四纲”、“一中心”、“两疏通”,通过精细辨证,合理疏方,因此屡获良效.%Chronic gastritis is caused by a variety of causes. It refers to chronic gastric inflammation or atrophy of the lesion. Traditional knowledge of the disease is mainly reflected in the "stomach pain," "bloating," "indigestion," "vomiting" ."full ness" ,"acid regurigitation" ," noisy" and so on. Jin Haisheng,a veteran practioner of TCM,diagnosis and treatment of this dis ease is characterized by; the "four Programme" ,"a center" /'clear the two roads". Because of careful identification and prepara tion of a reasonable prescription, the treatment can get good effect.

  7. 金海生治疗慢性胃炎的经验%Professor Jin Haisheng experience in the Treatment of Chronic Gastritis

    Institute of Scientific and Technical Information of China (English)

    史瑞锋

    2011-01-01

    慢性胃炎指由外感内伤等诸多不同的原因引起的胃黏膜的慢性炎症或萎缩的病变.中医对本病的认识主要见于“胃脘痛”、“胃胀”、“纳呆”、“呕吐”、“痞满”、“反酸”、“嘈杂”等.金海生老中医对本病的诊治特点是:抓住“四纲”、“一中心”、“两疏通”,通过精细辨证,合理疏方,因此屡获良效.%Chronic gastritis is caused by a variety of causes. It refers to chronic gastric inflammation or atrophy of the lesion. Traditional knowledge of the disease is mainly reflected in the " stomach pain," " bloating," " indigestion," " vomiting" ," full ness" ," acid regurigitation" ," noisy" and so on. Jin Haisheng, a veteran practioner of TCM, diagnosis and treatment of this dis ease is characterized by: the "four Programme" ,"a center" /'clear the two roads". Because of careful identification and prepara tion of a reasonable prescription, the treatment can get good effect.

  8. Mitochondrial ATP transporter Ant2 depletion impairs erythropoiesis and B lymphopoiesis.

    Science.gov (United States)

    Cho, J; Seo, J; Lim, C H; Yang, L; Shiratsuchi, T; Lee, M-H; Chowdhury, R R; Kasahara, H; Kim, J-S; Oh, S P; Lee, Y J; Terada, N

    2015-09-01

    Adenine nucleotide translocases (ANTs) transport ADP and ATP through mitochondrial inner membrane, thus playing an essential role for energy metabolism of eukaryotic cells. Mice have three ANT paralogs, Ant1 (Slc25a4), Ant2 (Slc25a5) and Ant4 (Slc25a31), which are expressed in a tissue-dependent manner. While knockout mice have been characterized with Ant1 and Ant4 genes, which resulted in exercise intolerance and male infertility, respectively, the role of the ubiquitously expressed Ant2 gene in animal development has not been fully demonstrated. Here, we generated Ant2 hypomorphic mice by targeted disruption of the gene, in which Ant2 expression is largely depleted. The mice showed apparently normal embryonic development except pale phenotype along with a reduced birth rate. However, postnatal growth was severely retarded with macrocytic anemia, B lymphocytopenia, lactic acidosis and bloated stomach, and died within 4 weeks. Ant2 depletion caused anemia in a cell-autonomous manner by maturation arrest of erythroid precursors with increased reactive oxygen species and premature deaths. B-lymphocyte development was similarly affected by Ant2 depletion, and splenocytes showed a reduction in maximal respiration capacity and cellular ATP levels as well as an increase in cell death accompanying mitochondrial permeability transition pore opening. In contrast, myeloid, megakaryocyte and T-lymphocyte lineages remained apparently intact. Erythroid and B-cell development may be particularly vulnerable to Ant2 depletion-mediated mitochondrial dysfunction and oxidative stress. PMID:25613378

  9. Visceral response to acute retrograde gastric electrical stimulation in healthy human

    Institute of Scientific and Technical Information of China (English)

    Shu-Kun Yao; Mei-Yun Ke; Zhi-Feng Wang; Da-Bo Xu; Yan-Li Zhang

    2005-01-01

    AIM: To investigate the visceral response to acute retrograde gastric electrical stimulation (RGES) in healthy humans and to derive optimal parameters for treatment of patients with obesity.METHODS: RGES with a series of effective parameters were performed via a bipolar mucosal electrode implanted along the great curvature 5 cm above pylorus of stomach in 12 healthy human subjects. Symptoms associated with dyspepsia and other discomfort were observed and graded during RGES at different settings, including long pulse and pulse train. Gastric myoelectrical activity at baseline and during different settings of stimulation was recorded by a multi-channel electrogastrography.RESULTS: The gastric slow wave was entrained in all the subjects at the pacing parameter of 9 cpm in frequency, 500 ms in pulse width, and 5 mA in amplitude.The frequently appeared symptoms during stimulation were satiety, bloating, discomfort, pain, sting, and nausea. The total symptom score for each subject significantly increased as the amplitude or pulse width was adjusted to a higher scale in both long pulse and pulse train. There was a wide diversity of visceral responses to RGES among individuals.CONCLUSION: Acute RGES can result in a series of symptoms associated with dyspepsia, which is beneficial to the treatment of obesity. Optimal parameter should be determined according to the individual sensitivity to electrical stimulation.

  10. Pathological Changes in Internal Organs after Blocking Low Hydraulic Resistance Channels along the Stomach Meridian in Pigs

    Directory of Open Access Journals (Sweden)

    Wen-Ting Zhou

    2013-01-01

    Full Text Available Objective. The correlation between meridians and organs (Zang-fu is an important aspect of meridian theory. The objective of this paper is to investigate the pathological changes in the organs resulting from blocking low hydraulic resistance channel (LHRC along the stomach meridian by injecting gel in pigs so as to offer some insight into the correlation between meridians and internal organs. Methods. Four white piglets and twelve black minipigs were divided into four batches and were observed in different periods. Each batch included two pairs of pigs and each pair matched two pigs with similar conditions among which gel was injected into 6~8 low hydraulic resistance points along the the stomach meridian in the experimental pig and the same amount of saline was injected into the same points in the control pig. The state of stomach and intestine was observed 6~10 weeks after the blocking model was developed. Results. The results showed that there were bloated stomach or/and intestine in all the experimental pigs while there were normal states in seven control pigs except one dead during the experiment. Conclusion. The findings confirmed that the blockage of LHRC along the stomach meridian can influence the state of stomach and intestine, leading to a distension on stomach or/and intestine.

  11. A Rare Adrenal Incidentaloma: Adrenal Schwannoma

    Directory of Open Access Journals (Sweden)

    Mine Adas

    2013-10-01

    Full Text Available Adrenal schwannoma is an extremely uncommon cause of incidentaloma. It originates from neural sheath Schwann cells of the adrenal gland. We report the case of a left adrenal schwannoma incidentally discovered in a 32-year-old woman during examination of bloated feeling and stomach ache. The patient was incidentally found to have a left adrenal mass of 9 cm on abdominal ultrasonography. Computed tomography (CT of the abdomen and [18F] fluorodeoxyglucose positron emission tomography (PET were also performed. Metabolic evaluation was unremarkable. Due to the large size of the tumor, left adrenalectomy was performed. The postoperative course was uneventful. Histological examination established the diagnosis of schwannoma. This diagnosis was supported by immunohistochemistry of S-100 and vimentin positivity. In conclusion, adrenal schwannoma is an extremely rare entity and can grow considerably in size. The present case report emphasizes that clinicians should be aware of the possibility of retroperitoneal schwannoma. Total excision of benign schwannoma is associated with a favorable outcome. To our knowledge, there are case reports of schwannoma with CT and magnetic resonance imaging findings in the literature, although this is the first schwannoma case with PET-CT imaging.

  12. Pathological Changes in Internal Organs after Blocking Low Hydraulic Resistance Channels along the Stomach Meridian in Pigs.

    Science.gov (United States)

    Zhou, Wen-Ting; Jia, Shu-Yong; Zhang, Yu-Qing; Tian, Yu-Ying; Wang, Guang-Jun; Huang, Tao; Pang, Li; Zhou, Yong-Sheng; Sun, Xue-Yan; Zhang, Wei-Bo

    2013-01-01

    Objective. The correlation between meridians and organs (Zang-fu) is an important aspect of meridian theory. The objective of this paper is to investigate the pathological changes in the organs resulting from blocking low hydraulic resistance channel (LHRC) along the stomach meridian by injecting gel in pigs so as to offer some insight into the correlation between meridians and internal organs. Methods. Four white piglets and twelve black minipigs were divided into four batches and were observed in different periods. Each batch included two pairs of pigs and each pair matched two pigs with similar conditions among which gel was injected into 6~8 low hydraulic resistance points along the the stomach meridian in the experimental pig and the same amount of saline was injected into the same points in the control pig. The state of stomach and intestine was observed 6~10 weeks after the blocking model was developed. Results. The results showed that there were bloated stomach or/and intestine in all the experimental pigs while there were normal states in seven control pigs except one dead during the experiment. Conclusion. The findings confirmed that the blockage of LHRC along the stomach meridian can influence the state of stomach and intestine, leading to a distension on stomach or/and intestine. PMID:23935689

  13. A double-blind, placebo-controlled, cross-over study to establish the bifidogenic effect of a very-long-chain inulin extracted from globe artichoke (Cynara scolymus) in healthy human subjects.

    Science.gov (United States)

    Costabile, Adele; Kolida, Sofia; Klinder, Annett; Gietl, Eva; Bäuerlein, Michael; Frohberg, Claus; Landschütze, Volker; Gibson, Glenn R

    2010-10-01

    There is growing interest in the use of inulins as substrates for the selective growth of beneficial gut bacteria such as bifidobacteria and lactobacilli because recent studies have established that their prebiotic effect is linked to several health benefits. In the present study, the impact of a very-long-chain inulin (VLCI), derived from globe artichoke (Cynara scolymus), on the human intestinal microbiota compared with maltodextrin was determined. A double-blind, cross-over study was carried out in thirty-two healthy adults who were randomised into two groups and consumed 10 g/d of either VLCI or maltodextrin, for two 3-week study periods, separated by a 3-week washout period. Numbers of faecal bifidobacteria and lactobacilli were significantly higher upon VLCI ingestion compared with the placebo. Additionally, levels of Atopobium group significantly increased, while Bacteroides-Prevotella numbers were significantly reduced. No significant changes in faecal SCFA concentrations were observed. There were no adverse gastrointestinal symptoms apart from a significant increase in mild and moderate bloating upon VLCI ingestion. These observations were also confirmed by in vitro gas production measurements. In conclusion, daily consumption of VLCI extracted from globe artichoke exerted a pronounced prebiotic effect on the human faecal microbiota composition and was well tolerated by all volunteers.

  14. Gluten sensitivity and neurological manifestations

    Directory of Open Access Journals (Sweden)

    Agostino Berio

    2015-12-01

    Full Text Available The authors report on six cases of gluten-sensitivity, also defined non-celiac gluten sensitivity, characterized by abdominal features (diarrhea, bloating, pain, genetic positivity for predisposition to celiac disease (DQB1* 02 in all cases; DQA1*05 in three; DQA1*02 in two, DQB1*03 in two, negative anti-t-Transglutaminase antibodies, normal mucosa on biopsy in four cases, type 1 of Marsh in one case. The subjects presented frequent central nervous system (CNS symptoms: headache in three patients, somnolence in one, electroencephalogram aspecific alterations in three (in two of them with previous seizures, leptomeningeal cyst in one, intracranial calcification in one, cerebral gliosis in two. After a gluten-free diet, all intestinal and clinical CNS features remitted, but re-appeared after gluten reintroduction. On the basis of the neurological signs, the authors stress the relevance of immune innate system in the pathogenesis of these cases with possible subsequent evolution on immune adaptive system involvement.

  15. New strategies for diagnosis and management of celiac disease.

    Science.gov (United States)

    Westerberg, Dyanne P; Gill, James M; Dave, Bhavin; DiPrinzio, Marie J; Quisel, Anna; Foy, Andrew

    2006-03-01

    Celiac disease is a gastrointestinal disorder characterized by inflammation, leading to injury to the mucosal lining of the small intestine. The inflammation occurs when gliadin, a protein found in such gluten-containing foods as wheat, rye, and barley, is ingested by genetically susceptible individuals. The mucosal damage and subsequent malabsorption of nutrients leads to various complications. Researchers estimate that more than 2 million people in the United States have celiac disease-a prevalence that is greater than was previously believed. Approximately 60,000 Americans are diagnosed annually with celiac disease. Until recently, diagnosis has been complicated by the fact that the indicators of celiac disease are nonspecific. However, because of the development of new, easy-to-administer serology tests, diagnosis has become much less complicated. After conducting a review of the literature, the authors recommend a serologic testing sequence for diagnosis of celiac disease and urge that adults and children with an assortment of symptoms be tested for this disease. Common signs and symptoms of celiac disease include anemia, arthralgia, fatigue, infertility, neuropathy, and weight loss, in addition to such gastrointestinal symptomatology as abdominal pain, anorexia, bloating, constipation, and diarrhea. The only treatment for patients with celiac disease remains a gluten-free diet. PMID:16585382

  16. Barber Pole Sign in CT Angiography, Adult Presentation of Midgut Malrotation: A Case Report

    Directory of Open Access Journals (Sweden)

    Garcelan-Trigo

    2015-07-01

    Full Text Available Adult midgut volvulus is a challenging diagnosis because of its low incidence and nonspecific symptoms. Diagnostic delay and long-term complaints are frequent in this clinical scenario. We reported a patient referred to our diagnostic imaging unit with intermittent abdominal pain, bloating and episodic vomiting for several years. He underwent barium gastrointestinal transit and abdominal ultrasound, which revealed severe gastric dilatation, food retention and slow transit until a depressed duodenojejunal flexure, with malrotation of the midgut and jejunal loops being located in the right upper quadrant. Computed tomography angiography was performed, showing rotation of the small intestine around the mesentery root, suggestive of midgut malrotation. In addition, an abnormal twisted disposition of superior mesenteric artery with corkscrew appearance was seen, shaping the pole-barber sign which was evident in volume rendering three-dimensional reconstructions. The patient underwent scheduled surgical treatment without any complication and had good outcome after hospital discharge and follow-up. Computed tomography plays an important role in evaluation of adult midgut volvulus. In addition, angiographic reconstructions can help us to assess the anatomic disposition of mesenteric vascular supply. Both of these assessments are useful in preoperative management.

  17. [Anti-reflux surgery: indications, principles and contribution of laparoscopy].

    Science.gov (United States)

    Cadière, G B

    1994-01-01

    Surgery is indicated when gastro-oesophageal reflux disease (GORD) is resistant to medical treatment. Manometry, upper GI series, pH-metry, gastric emptying studies and gastric acid sampling are performed in order to demonstrate that GORD is caused by a deficient gastro-oesophageal valve mechanism, and hence that surgical treatment will be beneficial. The surgical principle is restoring an anti-reflux barrier by recreating a sufficient pressure gradient in the distal oesophagus, and by correcting the gastro-oesophageal Hiss. Nissen' fundoplication is probably the most efficient anti-reflux procedure. However, it can cause dysphagia, gas bloating and inability to burp. One hundred and fifty-six laparoscopic Nissen fundoplications have been performed by the author. Operating time average 120 min. No perioperative death was observed. There were 3 conversions to laparotomy and 4 peroperative complications: 1 gastric perforation, 2 lesions of the pleura and 1 liver laceration. Four postoperative complications occurred: 1 pneumonia, 1 necrosis of the wrap, 1 small bowel perforation and 1 obstruction due to migration of the entire stomach into the chest. Hospitalisation time ranged between 2 and 14 days (median 2), with a follow up of a median of 10 months. Long-term postoperative complications were: 1 recurrent heartburn 6 months postoperatively and 2 severe dysphagia. PMID:8191168

  18. Laparoscopic hiatal herniorrhaphy with posterior fundoplication for gastroesophageal reflux.

    Science.gov (United States)

    Barr, L L

    1998-12-01

    Complications and side effects following laparoscopic antireflux procedures are common. This article describes an alternative laparoscopic technique to prevent gastroesophageal reflux. This method consists of posterior approximation of the diaphragmatic crura followed by a posterior fundoplication of approximately 270 degrees wrap. In avoiding the 360 degree wrap and obtaining length from the longitudinal axis of the stomach, it is not necessary to take down the gastrosplenic vessels. The principle of the procedure is to accentuate the cardioesophageal angle of His. No sutures are placed in the esophagus. While this article primarily concerns technique, it also constitutes a brief report on the first 50 patients who have been followed up for 1 year or more. All patients but one are free of reflux symptoms and have discontinued taking all medication. There has been no dysphagia to liquids, and solid food dysphagia has not lasted >1 month. Bloating from gas is minimal, as most patients are able to burp early in their recovery. An outcome paper describing preoperative and postoperative objective testing and evaluation is in process. PMID:9864104

  19. Adverse Food Reaction and Functional Gastrointestinal Disorders: Role of the Dietetic Approach.

    Science.gov (United States)

    Pasqui, Francesca; Poli, Carolina; Colecchia, Antonio; Marasco, Giovanni; Festi, Davide

    2015-09-01

    Bloating, abdominal discomfort or pain, disturbed bowel habits are very common symptoms, frequently reported by the patients soon after food ingestion. These symptoms may occur in different clinical conditions, such as functional bowel disorders, food adverse reactions, gluten-related syndromes, which frequently are interrelated. Consequently, in clinical practice, it is necessary to perform a correct diagnosis in order to identify, for the single patient, the most appropriate therapeutic strategy, which may include not only specific drugs, but also, and mainly, life style changes (healthy nutritional behavior and constant physical activity). The aim of this review is to provide to the general physician, according to the available evidence, the most appropriate diagnostic work-ups for recognizing the different clinical scenarios (i.e. food allergy and intolerance, functional bowel diseases, gluten-related syndromes), to identify their clinical interrelationships and to suggest the most appropriate management. In fact, as far as food intolerances are concerned, it is well known that the number of patients who believe that their symptoms are related to food intolerance is increasing and consequently they restrict their diet, possibly causing nutritional deficiencies. Furthermore, there is an increasing use of unconventional diagnostic tests for food intolerance which lack accurate scientific evidence; the application of their results may induce misdiagnosis and unhealthy therapeutic choices. Consequently the recognition of food intolerance has to be performed on the basis of reliable tests within an agreed diagnostic workup.

  20. A review of the role of the gut microflora in irritable bowel syndrome and the effects of probiotics.

    Science.gov (United States)

    Madden, J A J; Hunter, J O

    2002-09-01

    Irritable bowel syndrome (IBS) is a multi-factorial gastrointestinal condition affecting 8-22 % of the population with a higher prevalence in women and accounting for 20-50 % of referrals to gastroenterology clinics. It is characterised by abdominal pain, excessive flatus, variable bowel habit and abdominal bloating for which there is no evidence of detectable organic disease. Suggested aetiologies include gut motility and psychological disorders, psychophysiological phenomena and colonic malfermentation. The faecal microflora in IBS has been shown to be abnormal with higher numbers of facultative organisms and low numbers of lactobacilli and bifidobacteria. Although there is no evidence of food allergy in IBS, food intolerance has been identified and exclusion diets are beneficial to many IBS patients. Food intolerance may be due to abnormal fermentation of food residues in the colon, as a result of disruption of the normal flora. The role of probiotics in IBS has not been clearly defined. Some studies have shown improvements in pain and flatulence in response to probiotic administration, whilst others have shown no symptomatic improvement. It is possible that the future role of probiotics in IBS will lie in prevention, rather than cure. PMID:12215182

  1. Effectiveness of inulin intake on indicators of chronic constipation; a meta-analysis of controlled randomized clinical trials

    Directory of Open Access Journals (Sweden)

    Luis Collado Yurrita

    2014-08-01

    Full Text Available Background: Constipation is an intestinal dysfunction. Prebiotics, such as inulin, can improve bowel function by positively influencing intestinal biota. Aim: To analyze the scientific evidence for the role of inulin in improving bowel function in patients with chronic constipation. Methods: A meta-analysis of randomized controlled clinical trials was conducted, grounded on a literature search for the period 1995-2013 (descriptors: inulin & constipation on PubMed, ScieLo and Central Trials Register Cochrane databases. A total of 24 articles were found, 5 of them were selected for this meta-analysis, involving 252 subjects (experimental group: n = 144, control group: n = 108. The quality of the studies was assessed using the Jadad scale. Results: We found a significant overall effect of inulin on stool frequency (DEM = 0.69, 95%CI: 0.04, 1.34, stool consistency (Bristol scale (DEM = 1.07, 95% CI: 0.70, 1.45, transit time (DEM = -0.57, 95% CI: -0.99, -0.15 and hardness of stool (RR = 0.42, 95% CI: 0.26, 0.70. Pain and bloating do not improve with inulin intake. Conclusions: inulin intake has a positive effect on bowel function.

  2. Continuous Amenorrhea May Be Insufficient to Stop the Progression of Colorectal Endometriosis.

    Science.gov (United States)

    Millochau, Jenny-Claude; Abo, Carole; Darwish, Basma; Huet, Emmanuel; Dietrich, Gauthier; Roman, Horace

    2016-01-01

    We present the case of a patient in whom consecutive imaging assessment and surgery demonstrated the obvious progression of colorectal endometriosis under continuous medical therapy. A 26-year-old nullipara presented with secondary dysmenorrhea, deep dyspareunia, diarrhea, and constipation during menstruation. Magnetic resonance imaging (MRI) assessment revealed 2 right ovarian endometriomas, but no deep endometriosis lesion. Intraoperatively, we found a 2-cm length of thickened and congestive area of sigmoid colon, along with small superficial lesions arising in the small bowel and appendix. We performed ablation of ovarian endometriomas and appendectomy, and decided to not resect the bowel. Postoperative computed tomography-based virtual colonoscopy (CTC) revealed a slight abnormality of the sigmoid colon. Endorectal ultrasound identified a normal rectum and sigmoid colon. Despite long-term continuous medical treatment, the patient presented 4 years later with impaired digestion consisting in constipation alternating with diarrhea, bloating, dyschesia, and pelvic pain. MRI and CTC revealed an abnormal sigmoid colon from 42 to 50 cm above the anus, with digestive tract diameter reduced from 10 mm down to the virtual lumen, along with an overall rigid appearance. Laparoscopy revealed the extent of endometriosis lesions in the sigmoid colon and multiple implantations in the small bowel. We performed sigmoid and small bowel resection. This case demonstrates the obvious progression of deep rectal endometriosis despite 4 years of continuous hormonal therapy. PMID:27130533

  3. EPIC210957318b and EPIC212110888b: two inflated hot-Jupiters around Solar-type stars

    CERN Document Server

    Lillo-Box, J; Santerne, A; Barros, S C C; Barrado, D; Hébrard, G; Osborn, H P; Armstrong, D J; Almenara, J -M; Boisse, I; Bouchy, F; Brown, D J A; Courcol, B; Deleuil, M; Mena, E Delgado; Díaz, R F; Kirk, J; Lam, K W F; McCormac, J; Pollacco, D; Rajpurohit, A; Rey, J; Santos, N C; Sousa, S G; Tsantaki, M; Wilson, P A

    2016-01-01

    We report the discovery of the two hot-Jupiters EPIC210957318b and EPIC212110888b (hereafter EPIC-318b and EPIC-888b, respectively). The two planets were detected transiting their main-sequence star with periods $\\sim$ 4.099 and $\\sim$ 2.996 days, in campaigns 4 and 5 of the extension of the Kepler mission, K2. Subsequent ground-based radial velocity follow-up with SOPHIE, HARPS-N and CAFE, established the planetary nature of the transiting objects. We analyzed the transit signal, radial velocity and spectral energy distributions of the two systems to characterize their properties. Both planets (EPIC-318b and EPIC-888b) are bloated hot-Jupiters (1.25 $R_{\\rm Jup}$ and 1.33 $R_{\\rm Jup}$) around relatively bright (V =13.5 and V=11.5), slow rotating main-sequence (G8 and F9) stars. Thus, these systems are good candidates for detecting the Rossiter-MacLaughlin effect to measure their obliquity and for atmospheric studies.

  4. A review of the gastroprotective effects of ginger (Zingiber officinale Roscoe).

    Science.gov (United States)

    Haniadka, Raghavendra; Saldanha, Elroy; Sunita, Venkatesh; Palatty, Princy L; Fayad, Raja; Baliga, Manjeshwar Shrinath

    2013-06-01

    The rhizomes of Zingiber officinale Roscoe (Zingiberaceae), commonly known as ginger is an important kitchen spice and also possess a myriad health benefits. The rhizomes have been used since antiquity in the various traditional systems of medicine to treat arthritis, rheumatism, sprains, muscular aches, pains, sore throats, cramps, hypertension, dementia, fever, infectious diseases, catarrh, nervous diseases, gingivitis, toothache, asthma, stroke and diabetes. Ginger is also used as home remedy and is of immense value in treating various gastric ailments like constipation, dyspepsia, belching, bloating, gastritis, epigastric discomfort, gastric ulcerations, indigestion, nausea and vomiting and scientific studies have validated the ethnomedicinal uses. Ginger is also shown to be effective in preventing gastric ulcers induced by nonsteroidal anti-inflammatory drugs [NSAIDs like indomethacin, aspirin], reserpine, ethanol, stress (hypothermic and swimming), acetic acid and Helicobacter pylori-induced gastric ulcerations in laboratory animals. Various preclinical and clinical studies have also shown ginger to possess anti-emetic effects against different emetogenic stimuli. However, conflicting reports especially in the prevention of chemotherapy-induced nausea and vomiting and motion sickness prevent us from drawing any firm conclusion on its effectiveness as a broad spectrum anti-emetic. Ginger has been shown to possess free radical scavenging, antioxidant; inhibition of lipid peroxidation and that these properties might have contributed to the observed gastroprotective effects. This review summarizes the various gastroprotective effects of ginger and also emphasizes on aspects that warranty future research to establish its activity and utility as a gastroprotective agent in humans. PMID:23612703

  5. Densification of boron carbide at relatively low temperatures by hot pressing and hot isostatic pressing

    International Nuclear Information System (INIS)

    The poor sinterability of B4C limits its widespread application because both high temperatures and high pressures are required for a complete densification. Moreover, B4C suffers from a low strength and fracture toughness, possesses, however, a high potential because of its extreme hardness. Reaction hot pressing of B4C-WC-TiC-Si-Co mixtures resulting in B4C-TiB2-W2B5 composites of high density exhibit remarkable mechanical properties. The influence of hot isostatic pressing (HIP) on the microstructure and the mechanical properties is investigated in cooperation with participants of the COST 503 activities and related to the strengthening and toughening mechanisms. Difficulties during densification by HIP arise from the evaporation of adsorbed volatiles as well as from the strong swelling of the powder compact due to the sintering reaction. Several HIP cycle designs were tested in order to prevent the bloating of the capsule and to control internal stresses due to the misfit of the thermal expansion of the entire phases. In comparison to single phase B4C ceramics, bending strength was improved to 1030 MPa, KIc to 5.2 MPa/m, while hardness was comparable with HV1=38 GPa. Wear test were performed and related to the toughening mechanisms. (orig.) With 56 refs., 9 tabs., 64 figs

  6. Prevention and Treatment of Flatulence From a Traditional Persian Medicine Perspective

    Science.gov (United States)

    Larijani, Bagher; Esfahani, Mohammad Medhi; Moghimi, Maryam; Shams Ardakani, Mohammad Reza; Keshavarz, Mansoor; Kordafshari, Gholamreza; Nazem, Esmaiel; Hasani Ranjbar, Shirin; Mohammadi Kenari, Hoorieh; Zargaran, Arman

    2016-01-01

    Context The feeling of abdominal fullness, bloating, and movement of gas in the abdomen is a very uncomfortable sensation termed flatulence. Since flatulence is one of the most common gastrointestinal symptoms that is bothersome to patients, it is important to identify effective methods to resolve this issue. In modern medicine, management of flatulence is often not satisfactory. On the other hand, traditional systems of medicine can be considered good potential sources to find new approaches for preventing and treating flatulence. The aim of this study is to review flatulence treatments from a traditional Persian medicine (TPM) viewpoint. Evidence Acquisition In this study, the reasons for flatulence and methods for its prevention and treatment are reviewed in traditional Persian medicine (TPM) texts and then related with evidence from modern medicine by searching in databases, including PubMed, Scopus, Google Scholar, and IranMedex. Results From a traditional Persian scholar viewpoint, one of the most important causes of flatulence is an incorrect manner of eating; valuable advice to correct bad eating habits will be illustrated. In addition, traditional practitioners describe some herbs and vegetables as well as herbal compounds that are effective food additives to relieve flatulence. The anti-flatulent effect of most of these herbs has been experimentally verified using modern medicine. Conclusions Attention to TPM can lead to the identification of new preventive and curative approaches to avoid and treat flatulence. In addition, Persian viewpoints from the medieval era regarding flatulence are historically important. PMID:27275398

  7. Pharmacology, toxicology, clinical efficacy, and adverse effects of calcium polycarbophil, an enteral hydrosorptive agent.

    Science.gov (United States)

    Danhof, I E

    1982-01-01

    Calcium polycarbophil is the calcium salt of polyacrylic acid crosslinked with divinyl glycol. It is chemically and physiologically inert. In dilute alkali it possesses marked hydrophilic capacity (60 to 100 times its weight), which is the basis for its therapeutic use. In daily dosages of 4 to 5 g in adults, it appears to be quite safe, is non-toxic, does not interfere with digestion or absorption, and does not cause gastrointestinal irritation. It appears to be effective in the treatment of both constipation and diarrhea due to functional or organic causes. Several days of continuous use are necessary before effectiveness becomes apparent. Clinical studies, of which there are relatively few, range from uncontrolled, unblinded evaluations of an almost anecdotal nature to well controlled, double-blind, crossover studies. Additional carefully controlled studies on dietary influences, exercise, and patient compliance would be helpful. Adverse effects, which are minimal, include epigastric fullness or heaviness, abdominal distention and bloating, and flatulence. As with all bulk-forming agents, calcium polycarbophil should not be used by persons who have stenotic lesions of the gastrointestinal tract.

  8. SOPHIE velocimetry of Kepler transit candidates XI. Kepler-412 system: probing the properties of a new inflated hot Jupiter

    CERN Document Server

    Deleuil, M; Santerne, A; Barros, S C C; Havel, M; Hébrard, G; Bonomo, A S; Bouchy, F; Bruno, G; Damiani, C; Díaz, R F; Montagnier, G; Moutou, C

    2014-01-01

    We confirm the planetary nature of Kepler-412b, listed as planet candidate KOI-202 in the Kepler catalog, thanks to our radial velocity follow-up program of Kepler-released planet candidates, which is on going with the SOPHIE spectrograph. We performed a complete analysis of the system by combining the Kepler observations from Q1 to Q15, to ground-based spectroscopic observations that allowed us to derive radial velocity measurements, together with the host star parameters and properties. We also analyzed the light curve to derive the star's rotation period and the phase function of the planet, including the secondary eclipse. We found the planet has a mass of 0.939 $\\pm$ 0.085 M$_{Jup}$ and a radius of 1.325 $\\pm$ 0.043 R$_{Jup}$ which makes it a member of the bloated giant subgroup. It orbits its G3 V host star in 1.72 days. The system has an isochronal age of 5.1 Gyr, consistent with its moderate stellar activity as observed in the Kepler light curve and the rotation of the star of 17.2 $\\pm$ 1.6 days. Fro...

  9. Ethnoveterinary uses of medicinal plants among the Lambani community in Chitradurga district, Karnataka, India

    Institute of Scientific and Technical Information of China (English)

    Ramachandra Naik M; Vaishnavi Venugopalan; Preethi Kumaravelayutham; YL Krishnamurthy

    2012-01-01

    Objective: To explore and document ethnomedicinal knowledge of various plants used by the Lambani ethnic group in Chitradurga District of Karnataka, Southern India for traditional veterinary purposes. The area is rich in plant wealth; therefore this study has been made to prepare an inventory of indigenous medicinal plants and to bring traditional knowledge on record. Methods: In accordance to standardized WHO questionnaires, one hundred fourteen informants - consisting of healers, practitioners, farmers and village headman - were interviewed regarding the medicinal use of the local flora in various tribal villages of Chitradurga District, Karnataka during February 2010 to October 2010. Results: Ethno botanical uses of 39 plants belonging to 24 families have been documented in the present study for their interesting therapeutic properties for various veterinary ailments such as lack of appetites, bloat, fever, ephemeral fever, diarrhea, cough, foot and mouth disease etc. Of the plants studied, most were trees and leaves contributed mainly to the plant part used for medical purpose. Conclusions:Lambani tribe, who are generally poor and live in remote areas, use ethno veterinary medicine (EVM) for the primary healthcare of their animals. The use of plants reveals their interest in ethnomedicine and further research on these species could lead to the discovery of novel bioactive molecules for efficient management of diseases.

  10. A case report of thyroid storm induced by acute sepsis

    Institute of Scientific and Technical Information of China (English)

    Chiu-Yin Yeh; Wen-Liang Yu

    2016-01-01

    Thyroid storm is a rare but life-threatening condition, which can be induced by many critical diseases. We reported a 40-year-old woman with thyroid goiter manifesting with acute sepsis-induced hyperthyroidism. She mainly presented with abdominal bloating, diarrhea, lower limbs edema and exertional dyspnea. The lactate was 9.5 mmol/L and procalcitonin was 3.8 ng/mL, suggesting acute sepsis. The thyroid echo showed bilateral thyroid goiter. Relevant data included a thyroid-stimulating hormone level of 0.03 mIU/mL;free tetraiodothyronine, 5.67 ng/dL;thyroid-stimulating hormone receptor antibody, 76.9%(normal range, < 14%); and antimicrosomal antibody titer, 1:102 400 (normal range,<1:100), suggesting toxic goiter with thyroid storm. Piperacillin/tazobactam, methimazole and Lugol's iodine achieved a good outcome. The symptoms of early sepsis and those of thyroid storm could be similar. Therefore, a careful history taking, a thorough physical examination and a high degree of suspicion could make early diagnosis and appropriate treatment.

  11. Facial purpura in an elderly patient after upper gastrointestinal endoscopy

    Institute of Scientific and Technical Information of China (English)

    Ilhami Yüksel; (O)zlem Ekiz; Fuat Ekiz; (O)mer Basar; Oeman Yüksel

    2012-01-01

    To the editor:Upper gastrointestinal endoscopy (UGE) is a safe procedure and it is widely used without any complication in general.Complications are due to endoscopic procedure,invasive applications,local anesthetic medication or the sedative drugs like midazolam.Complications of the procedure are hemorrhage,peroration of the stomach or gut,respiratory arrest,reaction to the sedative drugs used like midazolam or pethidine,aspiration pneumonia,damaging of crowned teeth or dental bridgework,infection, cardiac arrest and finally under very unusual circmstances death.Mild complications are sore throat,numb throat,bloated feeling and feeling sleepy.1,2 Oral rash was reported to be a very rare complication (0.3%) of UGE in pediatric population.2 Some scholars reported a facial purpura after endoscopic procedure,previously3-5 Cutaneous complications after UGE may occur,however this condition is usually ignored by physicians.Herein,we present a case of facial purpura in an elderly patient as a mild complication of UGE.

  12. Primary duodenal adenocarcinoma: case report of an infrequent tumor

    Directory of Open Access Journals (Sweden)

    Óscar Moreno-Loaíza

    2013-10-01

    Full Text Available Introduction. Primary duodenal adenocarcinoma is an infrequent tumor both in our environment and in the world. There is no conclusive evidence on its epidemiology, diagnostic criteria, treatment or prognosis. Clinical case. We report a 77 year-old female patient, of mixed racial origin, native of Cusco (Peru who consulted for abdominal pain, weight loss, nausea, postprandial vomiting and bloating of three months course. At the time of examination she had second to third degree protein malnutrition with a BMI of 16.88 kg/m2, signs of moderate to severe chronic anemia and an 8 cm abdominal tumor in the epigastrium and right hypochondrium. The multislice spiral abdominal CT and ultrasonography revealed the presence of a solid tumor in the second portion of the duodenum. The patient was submitted to a gastroenterostomy without tumor resection. Biopsy confirmed tubular adenocarcinoma. Furthermore, no other primary tumors were found in the stomach, pancreas, biliary tree and colon. The patient was stabilized and was treated with 5-fluorouracil, irinotecan and leucovorin. Literature review. The article includes a brief review on the diagnosis, treatment and prognosis of this condition. Discussion. Management is not straightforward. There is little literature on the subject leaving decisions up to the attending physician’s criteria. We believe that all cases of rare diseases should be studied in depth, give rise to a thorough review of literature and, above all, be brought to the attention of the medical community.

  13. Age and manifestation related symptoms in familial adenomatous polyposis

    Directory of Open Access Journals (Sweden)

    Hohenberger Werner

    2005-03-01

    Full Text Available Abstract Background To identify early symptoms of familial adenomatous polyposis with a view to improve early diagnosis and treatment. Diagnosis on the basis of genetic testing is usually limited to where there is a known family history, so FAP is more usually diagnosed on clinical grounds. Except for those identified via FAP registers, the majority of patients are symptomatic at the time of diagnosis. Methods We undertook a retrospective study of 143 FAP patients treated at the Department of Surgery, University of Erlangen between 1971 and 2000. We identified patterns of symptoms, endoscopic findings and extracolonic manifestations in three age groups. Results FAP was diagnosed clinically on the basis of symptoms in 84% (120/143 of these patients. Most presented with intestinal symptoms such as colonic bleeding (68% and diarrhea (42%. All but one of the patients between 20 and 40 years old had rectal polyps (98.7%, 75/76, whereas in those over 40 years old the prevalence was 76% (35/46. Non-specific symptoms such as abdominal pain, fatigue and bloating were less frequent and were mainly reported by patients older than 40. Conclusion The commonest presenting features of FAP are alteration of bowel habit and rectal bleeding, but both are found in many other conditions. Patients with these findings need immediate endoscopy to allow prompt diagnosis and prophylactic surgery.

  14. Irritable bowel syndrome: the role of gut neuroendocrine peptides.

    Science.gov (United States)

    El-Salhy, Magdy; Seim, Inge; Chopin, Lisa; Gundersen, Doris; Hatlebakk, Jan Gunnar; Hausken, Trygve

    2012-01-01

    Irritable bowel syndrome (IBS) is a common chronic disorder with a prevalence ranging from 5 to 10 percent of the world's population. This condition is characterised by abdominal discomfort or pain, altered bowel habits, and often bloating and abdominal distension. IBS reduces quality of life in the same degree of impairment as major chronic diseases such as congestive heart failure and diabetes and the economic burden on the health care system and society is high. Abnormalities have been reported in the neuroendocrine peptides/amines of the stomach, small- and large intestine in patients with IBS. These abnormalities would cause disturbances in digestion, gastrointestinal motility and visceral hypersensitivity, which have been reported in patients with IBS. These abnormalities seem to contribute to the symptom development and appear to play a central role in the pathogenesis of IBS. Neuroendocrine peptides/amines are potential tools in the treatment and diagnosis of IBS. In particular, the cell density of duodenal chromogranin A expressing cells appears to be a good histopathological marker for the diagnosis of IBS with high sensitivity and specificity. PMID:22652678

  15. Rifaximin: The Revolutionary Antibiotic Approach for Irritable Bowel Syndrome.

    Science.gov (United States)

    Triantafyllou, Konstantinos; Sioulas, Athanasios D; Giamarellos-Bourboulis, Evangelos J

    2015-01-01

    A large number of clinical studies using breath testing and a smaller number of studies using quantitative cultures of the upper small intestine established a link between irritable bowel syndrome (IBS) and small intestinal bacterial overgrowth (SIBO). A series of 12 studies both prospective and retrospective in design in a population of patients with SIBO without IBS showed that the non-absorbable antibiotic rifaximin can eradicate SIBO as proved through decrease of the exhaled hydrogen and methane in breath tests. The efficacy of rifaximin was superior over the comparator treatment in most of these studies. Based on these findings, short course rifaximin was tested in various concentrations in eight open-label trials in patients with IBS and proven SIBO by breath test. Similar efficacy of rifaximin was shown in SIBO eradication; this was accompanied by improvement of the global score for IBS symptoms. Finally, five double-blind randomized clinical trials were conducted in patients with IBS; four were placebo-controlled. The larger trials were TARGET 1 and TARGET 2 studies testing rifaximin at a regimen of 550 mg tid for 14 days. All trials showed a significant superiority of rifaximin over comparator for the improvement of global symptoms of IBS and bloating. Although the aforementioned results render rifaximin a revolutionary therapeutic approach for IBS, several concerns on induction of antimicrobial resistant flora remain. PMID:26202193

  16. The role of AST-120 and protein-bound uremic toxins in irritable bowel syndrome: a therapeutic perspective.

    Science.gov (United States)

    Mosińska, Paula; Storr, Martin; Fichna, Jakub

    2015-09-01

    AST-120 (kremezin) exhibits its favourable effects in reducing the levels of renal toxins by selective adsorption of low molecular weight substances from the intestinal lumen. So far, a vast majority of studies were focused on the role of AST-120 in the treatment of chronic kidney diseases and cardiovascular disorders, and positive therapeutic effects of the agent have already been confirmed in clinical conditions. Up to the present, there are only a few studies regarding the role of AST-120 in irritable bowel syndrome (IBS). Compelling data suggest the ability of the compound to adsorb protein-bound uremic toxins and mast cell derived mediators and to modulate the farnesoid X receptor, which is a bile acid sensor indispensable for maintaining homeostasis in the intestine. In this review we focus on the actions of AST-120 on intestinal permeability, reduction of visceral sensitivity and alteration of gut motility. We also discuss whether AST-120 can mitigate common IBS symptoms, such as abdominal pain, bloating and malfunction of the colonic transit and thus improve the quality of life of patients with IBS. PMID:26327918

  17. Use of rifaximin in gastrointestinal and liver diseases

    Science.gov (United States)

    Shayto, Rani H; Abou Mrad, Rachel; Sharara, Ala I

    2016-01-01

    Rifaximin is a broad spectrum oral antibiotic with antimicrobial activity against Gram-positive and Gram-negative aerobic and anaerobic bacteria. It is poorly absorbed and thus has a highly favorable safety profile. Rifaximin has been shown to be effective in the treatment of traveler’s diarrhea, functional bloating and irritable bowel syndrome, small bowel bacterial overgrowth and in the prevention of recurrent overt hepatic encephalopathy. In addition, there is emerging evidence for a possible beneficial effect of rifaximin in the treatment of uncomplicated diverticular disease and in the prevention of recurrent diverticulitis. The use of rifaximin is associated with a low incidence of development, or persistence of spontaneous bacterial mutants. Moreover, the development of important drug resistance among extra-intestinal flora during rifaximin therapy is unlikely because of minimal systemic absorption and limited cross-resistance of rifaximin with other antimicrobials. This review addresses the current and emerging role of rifaximin in the treatment of gastrointestinal and liver disorders. PMID:27547007

  18. Heavy ion bombardment of silicates and nitrides

    International Nuclear Information System (INIS)

    Several silicates, including α-quartz, zirconium silicate, thorium silicate, LiAlSiO4, a silicate glass and several nitrides, α and β Si3N4, AlN, ZrN as well as Si2N2O and ThO2, have been irradiated by 1019 to 1021 Krypton (3 MeV) ions/m2. The damaged powders of original particle size less than 5 μm, have been examined by x-ray diffraction and electron microscope methods. The silicates and Si2N2O become non-crystalline by 10 x 1019 ions/m2. The particles change shape, extending and bloating under prolonged irradiations of the order of 100 x 1019 ions/m2. Silicate glass also undergoes this irradiation creep process. The nitrides and ThO2 behave quite differently and even at fluences of 200 x 1019 x ions/m-2 the powders remain crystalline, retaining relatively sharp edges to the particles without exhibiting irradiation creep. This difference in behavior can be related to the nature of the framework crystal structures, flexible for the silicates with variable bond angles, rigid for the nitrides with fixed bond angles. This may explain the behavior of radioactive minerals not found in a metamict condition. (author)

  19. Dietary fat intake and functional dyspepsia.

    Science.gov (United States)

    Khodarahmi, Mahdieh; Azadbakht, Leila

    2016-01-01

    A few studies have assessed the effects of fat intake in the induction of dyspeptic symptoms. So, the aim of this study was to review the articles regarding the dietary fat intake and FD. We used electronic database of PubMed to search. These key words were chosen: FD, dietary fat, dyspeptic symptom, energy intake and nutrients. First, articles that their title and abstract were related to the mentioned subject were gathered. Then, full texts of related articles were selected for reading. Finally, by excluding four articles that was irrelevant to subject, 19 relevant English papers by designing clinical trial, cross-sectional, case-control, prospective cohort, and review that published from 1992 to 2012 were investigated. Anecdotally, specific food items or food groups, particularly fatty foods have been related to dyspepsia. Laboratory studies have shown that the addition of fat to a meal resulted in more symptoms of fullness, bloating, and nausea in dyspeptic patients. Studies have reported that hypersensitivity of the stomach to postprandial distension is an essential factor in the generation of dyspeptic symptoms. Small intestinal infusions of nutrients, particularly fat, exacerbate this hypersensitivity. Moreover, evidence showed that perception of gastric distension increased by lipids but not by glucose. Long chain triglycerides appear to be more potent than medium chain triglycerides in inducing symptoms of fullness, nausea, and suppression of hunger. Thus, Fatty foods may exacerbate dyspeptic symptoms. Therefore, it seems that a reduction in intake of fatty foods may useful, although this requires more evaluations. PMID:27195249

  20. Veal calves’ clinical/health status in large groups fed with automatic feeding devices

    Directory of Open Access Journals (Sweden)

    Giulio Cozzi

    2010-01-01

    Full Text Available Aim of the current study was to evaluate the clinical/health status of veal calves in 3 farms that adopt large group housing and automatic feeding stations in Italy. Visits were scheduled in three phases of the rearing cycle (early, middle, and end. Results showed a high incidence of coughing, skin infection and bloated rumen particularly in the middle phase while cross-sucking signs were present at the early stage when calves’ nibbling proclivity is still high. Throughout the rearing cycle, the frequency of bursitis increased reaching 53% of calves at the end. The percentage of calves with a poorer body condition than the mid-range of the batch raised gradually as well, likely due to the non-proportioned teat/calves ratio that increases competition for feed and reduces milk intake of the low ranking animals. The remarked growth differences among pen-mates and the mortality rate close to 7% showed by the use of automatic feeding devices for milk delivery seem not compensating the lower labour demand, therefore its sustainability at the present status is doubtful both for the veal calves’ welfare and the farm incomes.

  1. Role of cholecystokinin and central serotonergic receptors in functional dyspepsia

    Institute of Scientific and Technical Information of China (English)

    Andrew Seng Boon Chua; PWN Keeling; TG Dinan

    2006-01-01

    Symptoms of functional dyspepsia are characterized by upper abdominal discomfort or pain, early satiety, postprandial fullness, bloating, nausea and vomiting. It is a chronic disorder, with symptoms more than 3 mo per year, and no evidence of organic diseases. Dysfunctional motility, altered visceral sensation, and psychosocial factors have all been identified as major pathophysiological mechanisms. It is believed that these pathophysiological mechanisms interact to produce the observed symptoms.Dyspepsia has been categorized into three subgroups based on dominant symptoms. Dysmotility-like dyspepsia describes a subgroup of patients whose symptom complex is usually related to a gastric sensorimotor dysfunction. The brain-gut peptide cholecystokinin (CCK)and serotonin (5-HT) share certain physiological effects.Both have been shown to decrease gastric emptying and affect satiety. Furthermore the CCK induced anorexia depended on serotonergic functions probably acting via central pathways. We believe that abnormalities of central serotonergic receptors functioning together with a hyper responsiveness to CCK or their interactions may be responsible for the genesis of symptoms in functional dyspepsia (FD).

  2. Addition of senna improves quality of colonoscopy preparation with magnesium citrate

    Institute of Scientific and Technical Information of China (English)

    Stergios Vradelis; Evangelos Kalaitzakis; Yalda Sharifi; Otto Buchel; Satish Keshav; Roger W Chapman; Barbara Braden

    2009-01-01

    AIM: To prospectively investigate the effectiveness and patient's tolerance of two low-cost bowel cleansing preparation protocols based on magnesium citrate only or the combination of magnesium citrate and senna. METHODS: A total of 342 patients who were referred for colonoscopy underwent a colon cleansing protocol with magnesium citrate alone ( n = 160) or magnesium citrate and senna granules ( n = 182). The colonoscopist rated the overall efficacy of colon cleansing using an established score on a 4-point scale. Patients were questioned before undergoing colonoscopy for side effects and symptoms during bowel preparation. RESULTS: The percentage of procedures rescheduled because of insufficient colon cleansing was 7% in the magnesium citrate group and 4% in the magnesium citrate/senna group ( P = 0.44). Adequate visualization of the colonic mucosa was rated superior under the citramag/senna regimen ( P = 0.004). Both regimens were well tolerated, and did not significantly differ in the occurrence of nausea, bloating or headache. However, abdominal cramps were observed more often under the senna protocol (29.2%) compared to the magnesium citrate only protocol (9.9%, P < 0.0003). CONCLUSION: The addition of senna to the bowel preparation protocol with magnesium citrate significantly improves the cleansing outcome.

  3. Object detection via feature synthesis using MDL-based genetic programming.

    Science.gov (United States)

    Lin, Yingqiang; Bhanu, Bir

    2005-06-01

    In this paper, we use genetic programming (GP) to synthesize composite operators and composite features from combinations of primitive operations and primitive features for object detection. The motivation for using GP is to overcome the human experts' limitations of focusing only on conventional combinations of primitive image processing operations in the feature synthesis. GP attempts many unconventional combinations that in some cases yield exceptionally good results. To improve the efficiency of GP and prevent its well-known code bloat problem without imposing severe restriction on the GP search, we design a new fitness function based on minimum description length principle to incorporate both the pixel labeling error and the size of a composite operator into the fitness evaluation process. To further improve the efficiency of GP, smart crossover, smart mutation and a public library ideas are incorporated to identify and keep the effective components of composite operators. Our experiments, which are performed on selected training regions of a training image to reduce the training time, show that compared to normal GP, our GP algorithm finds effective composite operators more quickly and the learned composite operators can be applied to the whole training image and other similar testing images. Also, compared to a traditional region-of-interest extraction algorithm, the composite operators learned by GP are more effective and efficient for object detection. PMID:15971921

  4. Medium-chain Triglyceride Ketogenic Diet, An Effective Treatment for Drug-resistant Epilepsy and A Comparison with Other Ketogenic Diets

    Directory of Open Access Journals (Sweden)

    Yeou-mei Christiana Liu

    2013-02-01

    Full Text Available The ketogenic diet (KD is one of the most effective therapies for drug-resistant epilepsy. The efficacy of the medium-chain triglyceride KD (MCTKD is as excellent as the classic KD (CKD, which has been documented in several subsequent retrospective, prospective, and randomized studies. MCT oil is more ketogenic than long-chain triglycerides. Therefore, the MCTKD allows more carbohydrate and protein food, which makes the diet more palatable than the CKD. The MCTKD is not based on diet ratios as is the CKD, but uses a percentage of calories from MCT oil to create ketones. There has also been literature which documents the associated gastrointestinal side effects from the MCTKD, such as diarrhea, vomiting, bloating, and cramps. Therefore, the MCTKD has been an underutilized diet therapy for intractable epilepsy among children.The author has used up to >70% MCTKD diet to maximize seizure control with gastrointestinal side effects optimally controlled. As long as health care professionals carefully manage MCTKD, many more patients with epilepsy who are not appropriate for CKD or modified Atkins diet or low glycemic index treatment will benefit from this treatment. A comparison between the MCTKD and other KDs is also discussed.

  5. The relationship between intestinal parasites and some immune-mediated intestinal conditions.

    Science.gov (United States)

    Mohammadi, Rasoul; Hosseini-Safa, Ahmad; Ehsani Ardakani, Mohammad Javad; Rostami-Nejad, Mohammad

    2015-01-01

    Over the last decades, the incidence of infestation by minor parasites has decreased in developed countries. Infectious agents can also suppress autoimmune and allergic disorders. Some investigations show that various protozoa and helminthes are connected with the main immune-mediated intestinal conditions including celiac disease (CD), inflammatory bowel diseases (IBD) and irritable bowel syndrome (IBS). Celiac disease is a digestive and autoimmune disorder that can damage the small intestine and characterized by a multitude gastrointestinal (GI) and extra GI symptoms. IBD (including ulcerative colitis and Crohn's disease) is a group of inflammatory conditions of the small intestine and colon. The etiology of IBD is unknown, but it may be related to instability in the intestinal microflora that leading to an immoderate inflammatory response to commensal microbiota. Irritable bowel syndrome (IBS) is a common, long-term condition of the digestive system. Bloating, diarrhoea and/or constipation are nonspecific symptoms of IBS. Various studies have shown that some intestinal parasites can effect on immune system of infected hosts and in some cases, they are able to modify and change the host's immune responses, particularly in autoimmune disorders like celiac disease and IBD. The main objective of this review is to investigate the relationship between intestinal parasites and different inflammatory bowel disorders. PMID:25926937

  6. Dietary requirement for serum-derived bovine immunoglobulins in the clinical management of patients with enteropathy.

    Science.gov (United States)

    Petschow, Bryon W; Burnett, Bruce P; Shaw, Audrey L; Weaver, Eric M; Klein, Gerald L

    2015-01-01

    A variety of human disease conditions are associated with chronic intestinal disorders or enteropathies that are characterized by intestinal inflammation, increased gut permeability, and reduced capacity to absorb nutrients. Such disruptions in the homeostasis of the gastrointestinal (GI) tract can lead to symptoms of abdominal pain and discomfort, bloating, abnormal bowel function, and malabsorption of nutrients. While significant advances have been made in understanding the factors that influence the complex and fragile balance between the gut microbiota, intestinal epithelial cell integrity, and the underlying immune system, effective therapies for restoring intestinal balance during enteropathy are still not available. Numerous studies have demonstrated the ability of oral immunoglobulins to improve weight gain, support gut barrier function, and reduce the severity of enteropathy in animals. More recently, studies in humans provide evidence that serum-derived bovine immunoglobulin/protein isolate is safe and improves nutritional status and GI symptoms in patients with enteropathy associated with irritable bowel syndrome or infection with the human immunodeficiency virus. This review summarizes studies showing the impact of enteropathy on nutritional status and how specially formulated bovine immunoglobulins may help restore intestinal homeostasis and nutritional status in patients with specific enteropathies. Such protein preparations may provide distinct nutritional support required for the dietary management of patients who, because of therapeutic or chronic medical needs, have limited or impaired capacity to digest, absorb, or metabolize ordinary foodstuffs or certain nutrients, or other special medically determined nutrient requirements that cannot be satisfied by changes to the normal diet alone. PMID:25142170

  7. Normal tissue tolerance to external beam radiation therapy: Small bowel; Dose de tolerance a l'irradiation des tissus sains: intestin grele

    Energy Technology Data Exchange (ETDEWEB)

    Martin, E. [Departement de radiotherapie, centre Georges-Francois-Leclerc, 21 - Dijon (France); Pointreau, Y.; Barillot, I. [Service de radiotherapie, centre regional universitaire de cancerologie Henry-S.-Kaplan, hopital Bretonneau, CHRU de Tours, 37 - Tours (France); Roche-Forestier, S. [Centre Jean-Bernard, 72 - Le Mans (France); Barillot, I. [Universite Francois-Rabelais, centre de cancerologie Henry-S.-Kaplan, CHU de Tours, 37 - Tours (France)

    2010-07-15

    The small bowel is a hollow organ involved in the transit and absorption of food. In relation to its anatomical location, a significant amount of this organ is exposed in whole or in part to ionizing radiation in external radiotherapy during abdominal or pelvic irradiation either for primary cancers or metastasis. The acute functional changes during external beam radiation are mainly leading to diarrhea, abdominal pain and bloating. The main late side effects of irradiation of the small intestine are chronic diarrhea, malabsorption with steatorrhoea, abdominal spasms, intestinal obstruction, bleeding and fistulas. The architecture of the small intestine may be considered as parallel with a significant correlation between the irradiated volume of small bowel and the likelihood of acute toxicity, whatever the dose. The literature analysis recommends to consider the volume of small bowel receiving 15 Gy (threshold of 100 to 200 cm{sup 3}) but also 30 and 50 Gy (thresholds of 35 to 300 cm{sup 3}, depending on the level of dose considered). Modern techniques of conformal radiotherapy with modulated intensity will probably have beneficial impact on small bowel toxicity. (authors)

  8. What is the evidence for the use of probiotics in functional disorders?

    LENUS (Irish Health Repository)

    Quigley, Eamonn M M

    2012-02-03

    A rationale for the use of probiotics for a number of functional gastrointestinal symptoms and syndromes can be developed, and an experimental basis for their use continues to emerge, but data from well-conducted clinical trials of probiotics in this area remain scarce. Irritable bowel syndrome (IBS) has attracted the most attention; recent revelations regarding the potential pathogenic roles of the enteric flora and immune activation have led to reawakened interest in bacterio-therapy for this common and challenging disorder. Some recent randomized, controlled studies attest to the efficacy of some probiotics in alleviating individual IBS symptoms, and selected strains have a more global impact. Evidence for long-term efficacy is also beginning to emerge, though more studies are needed in this regard. In other functional syndromes, data are far from adequate to make recommendations, but there is evidence for efficacy of probiotics in treating individual symptoms such as diarrhea, constipation, and bloating. The interpretation of much of the literature in this area is complicated by lack of quality control, use of many different species and strains, and, above all, significant deficiencies in trial methodology.

  9. Irritable bowel syndrome.

    Science.gov (United States)

    Enck, Paul; Aziz, Qasim; Barbara, Giovanni; Farmer, Adam D; Fukudo, Shin; Mayer, Emeran A; Niesler, Beate; Quigley, Eamonn M M; Rajilić-Stojanović, Mirjana; Schemann, Michael; Schwille-Kiuntke, Juliane; Simren, Magnus; Zipfel, Stephan; Spiller, Robin C

    2016-01-01

    Irritable bowel syndrome (IBS) is a functional gastrointestinal disease with a high population prevalence. The disorder can be debilitating in some patients, whereas others may have mild or moderate symptoms. The most important single risk factors are female sex, younger age and preceding gastrointestinal infections. Clinical symptoms of IBS include abdominal pain or discomfort, stool irregularities and bloating, as well as other somatic, visceral and psychiatric comorbidities. Currently, the diagnosis of IBS is based on symptoms and the exclusion of other organic diseases, and therapy includes drug treatment of the predominant symptoms, nutrition and psychotherapy. Although the underlying pathogenesis is far from understood, aetiological factors include increased epithelial hyperpermeability, dysbiosis, inflammation, visceral hypersensitivity, epigenetics and genetics, and altered brain-gut interactions. IBS considerably affects quality of life and imposes a profound burden on patients, physicians and the health-care system. The past decade has seen remarkable progress in our understanding of functional bowel disorders such as IBS that will be summarized in this Primer. PMID:27159638

  10. Degenerated huge retroperitoneal leiomyoma presenting with sonographic features mimicking a large uterine leiomyoma in an infertile woman with a history of myomectomy: a case report

    Directory of Open Access Journals (Sweden)

    Soliman Amr A

    2011-12-01

    Full Text Available Abstract Introduction Retroperitoneal leiomyomata are rare. They are either mistaken preoperatively for malignant retroperitoneal tumors or dealt with as cases of subserous leiomyomata that turn out intraoperatively to be huge retroperitoneal masses of unknown nature. Case presentation We report the case of a 46-year-old nulligravid female patient of Middle Eastern ethnicity who presented to our university hospital with lower abdominal as well as pelvic pain along with a bloated sensation. She also reported noticing an unusual increase in her abdominal girth. These symptoms developed over the previous two months. Preoperative investigation by means of an ultrasound suggested a degenerated subserous huge uterine leiomyoma. An abdominal hysterectomy was planned. Intraoperatively, a normal sized uterus was found, the surface of which was studded with multiple variable sized pedunculated subserous leiomyomata. Another huge retroperitoneal soft to firm mass was found extending from her left pelvic wall to the level of her spleen, with no connections to her uterus. The mass was excised and a histopathological examination revealed a degenerated leiomyoma. Conclusion Some unusually located extra-uterine leiomyomata have been reported; retroperitoneal leiomyoma being among them. The origin of such tumors is still obscure; a parasitic origin as well as Müllerian cell rests or smooth muscle cells in the retroperitoneal vessels wall have been suggested. An 'iatrogenic' origin for such growths is also a possible theory. The origin of uncommonly located leiomyomata is an unexplored issue that merits more investigation.

  11. The effect of psychotherapy in improving physical and psychiatric symptoms in patients with functional dyspepsia.

    Directory of Open Access Journals (Sweden)

    Mahbobeh Faramarzi

    2015-03-01

    Full Text Available Functional Dyspepsia (FD is a common symptom of upper gastrointestinal discomfort. Few data are available on the role of psychotherapy in the treatment of dyspeptic syndromes. This study assesses whether brief core conflictual relationship theme (CCRT psychoanalytic psychotherapy improves gastrointestinal and psychiatric symptoms in patients with functional dyspepsia.A randomized, controlled trial was planned in two educational hospitals in city of Babol. Forty-nine patients with FD were randomly assigned to receive standard medication treatment with CCRT psychotherapy (24 participants or standard medication treatment alone (25 participants. The participants completed the Patient Assessment of Upper Gastrointestinal Symptom Severity Index (PAGI-SYM and Symptom Checklist-90-Revised (SCL-90-R questionnaires before the trial, after the treatment and at 1 and 12-month follow-ups. The mixed-effects (regression model was used to analyze the data.The results showed that CCRT psychotherapy improved all of the FD symptoms (heartburn/regurgitation, nausea/vomiting, fullness, bloating, upper abdominal pain, and lower abdominal pain and many of the psychiatric symptoms (depression, anxiety, somatization, interpersonal sensitivity and paranoid ideation after the treatment and at 1-month and 12-month follow-ups.Brief CCRT psychoanalytic psychotherapy can serve as an effective intervention for promoting gastrointestinal and psychiatric symptoms in patients with functional dyspepsia.

  12. Curcumin ameliorates gastrointestinal dysfunction and oxidative damage in diabetic rats

    Directory of Open Access Journals (Sweden)

    Nitin Indarchandji Kochar

    2014-05-01

    Full Text Available Diabetes is known to be associated with gastrointestinal complications characterized by nausea, vomiting, early satiety, bloating, and abdominal discomfort or pain commonly occurring in the advanced stages of the disease. Curcumin is the lipid-soluble antioxidant obtained from the rhizomes of Curcuma longa Linn, also known as turmeric. Curcumin targets multiple chemotherapeutic and oxidative stress pathways and has demonstrated safety and tolerability in humans, supporting its potential as a therapeutic agent; however, literature lacks conclusive evidence supporting its use as a therapeutic agent for the treatment of diabetes induced gastrointestinal complications. Hence, Curcumin was given in different doses to SD rats after 4 weeks of diabetic GI complication induction. At the end of 4 weeks, significant GI dysfunction characterized by weight loss, delayed gastric emptying and intestinal transit associated with reduction in antioxidant enzyme levels and increased lipid peroxidation was observed.  Upon treatment with Curcumin for further 4 weeks, reversal of GI dysfunction evidenced by restoration of body weight, GI emptying, intestinal transit, and restoration of antioxidant enzyme level and lipid peroxidation proves the beneficial role of Curcumin in diabetes induced GI complications due to its antioxidant potential.     

  13. An ileal endometrioma: of carcinoids and cadherin.

    Science.gov (United States)

    Pannala, Rahul; Gafni-Kane, Adam; Kidd, Mark; Modlin, Irvin M

    2007-02-01

    A 38-year-old woman with history of prior adrenalectomy for Cushing's syndrome presented with intermittent right lower quadrant (RLQ) abdominal pain, nausea, bloating, and non-bloody diarrhea for 2 months. Symptoms were not related to her menstrual periods. Examination revealed only an ill-defined mass in the RLQ. Investigations for infectious causes, inflammatory bowel disease, and carcinoid tumor were negative. Computed tomography (CT) demonstrated a terminal ileal mass with mesenteric stranding and dilatation of the proximal bowel. At laparotomy, a fibrotic, terminal ileal mass with matted adhesions involving the mesentery and retroperitoneum was resected. Histopathological examination identified multiple foci of endometriosis extending from the serosal surface into the mucosa of the terminal ileum. Immunostaining revealed E- and P-cadherin, but not N-cadherin immuno-positivity. Mucosal involvement without cyclical menstrual symptoms and intestinal obstruction is an unusual presentation of intestinal endometriosis. Although the mechanism of endometriosis is not clear, the role of cell adhesion molecules such as cadherins has received attention. Increased expression of E- and P-cadherin and decreased N-cadherin expression in our patient demonstrates differential expression of these cadherins in endometriotic tissue. Future studies may investigate patterns of differential expression of these cadherins in a series of cases to elucidate the mechanisms of migration of endometriotic tissue. PMID:17390177

  14. Barber Pole Sign in CT Angiography, Adult Presentation of Midgut Malrotation: A Case Report.

    Science.gov (United States)

    Garcelan-Trigo, Juan Arsenio; Tello-Moreno, Manuel; Rabaza-Espigares, Manuel Jesus; Talavera-Martinez, Ildefonso

    2015-07-01

    Adult midgut volvulus is a challenging diagnosis because of its low incidence and nonspecific symptoms. Diagnostic delay and long-term complaints are frequent in this clinical scenario. We reported a patient referred to our diagnostic imaging unit with intermittent abdominal pain, bloating and episodic vomiting for several years. He underwent barium gastrointestinal transit and abdominal ultrasound, which revealed severe gastric dilatation, food retention and slow transit until a depressed duodenojejunal flexure, with malrotation of the midgut and jejunal loops being located in the right upper quadrant. Computed tomography angiography was performed, showing rotation of the small intestine around the mesentery root, suggestive of midgut malrotation. In addition, an abnormal twisted disposition of superior mesenteric artery with corkscrew appearance was seen, shaping the pole-barber sign which was evident in volume rendering three-dimensional reconstructions. The patient underwent scheduled surgical treatment without any complication and had good outcome after hospital discharge and follow-up. Computed tomography plays an important role in evaluation of adult midgut volvulus. In addition, angiographic reconstructions can help us to assess the anatomic disposition of mesenteric vascular supply. Both of these assessments are useful in preoperative management. PMID:26557278

  15. Mineralogy and microstructure of sintered lignite coal fly ash

    Energy Technology Data Exchange (ETDEWEB)

    Marina Ilic; Christopher Cheeseman; Christopher Sollars; Jonathan Knight [Faculty of Technology and Metallurgy, Belgrade (Yugoslavia)

    2003-02-01

    Lignite coal fly ash from the 'Nikola Tesla' power plant in Yugoslavia has been characterised, milled, compacted and sintered to form monolithic ceramic materials. The effect of firing at temperatures between 1130 and 1190{sup o}C on the density, water accessible porosity, mineralogy and microstructure of sintered samples is reported. This class C fly ash has an initial average particle size of 82 {mu}m and contains siliceous glass together with the crystalline phases quartz, anorthite, gehlenite, hematite and mullite. Milling the ash to an average particle size of 5.6 m, compacting and firing at 1170{sup o}C for 1 h produces materials with densities similar to clay-based ceramics that exhibit low water absorption. Sintering reduces the amount of glass, quartz, gehlenite and anhydrite, but increases formation of anorthite, mullite, hematite and cristobalite. SEM confirms the formation of a dense ceramic at 1170{sup o}C and indicates that pyroplastic effects cause pore formation and bloating at 1190{sup o}C. 23 refs., 6 figs., 2 tabs.

  16. Small Intestinal Bacterial Overgrowth: A Case-Based Review

    Directory of Open Access Journals (Sweden)

    Kristen H. Reynolds

    2015-11-01

    Full Text Available Small intestinal bacterial overgrowth (SIBO is a condition of increased microbial load in the small intestine. The microbes feed on dietary carbohydrates and starches via fermentation, leading to gas production, inflammation and damage to the lining of the small intestine. Clinical presentation is varied, including abdominal pain, bloating, malabsorption and systemic symptoms. SIBO is associated with many challenging and chronic conditions such as fibromyalgia, chronic fatigue and chronic pain syndromes, and has been shown to be a causative factor in two out of three cases of irritable bowel syndrome. Symptoms improve with antimicrobial treatment, but recurrence is common. Many providers may not be aware of SIBO. This narrative review highlights a clinical case and the most recent literature regarding SIBO, including history, clinical presentation, prevalence, pathophysiology, diagnostic workup, treatment and prevention. Integrative medicine approaches, including diet, supplements and manual therapies, are also reviewed. SIBO can be a challenging condition and requires an integrative, patient-centered approach. Further studies are needed to guide clinicians in the workup and treatment of SIBO.

  17. Physical properties, transmission and emission spectra of the WASP-19 planetary system from multi-colour photometry

    CERN Document Server

    Mancini, L; Chen, G; Tregloan-Reed, J; Fortney, J J; Southworth, J; Tan, T G; Burgdorf, M; Novati, S Calchi; Dominik, M; Fang, X -S; Finet, F; Gerner, T; Hardis, S; Hinse, T C; Jorgensen, U G; Liebig, C; Nikolov, N; Ricci, D; Schaefer, S; Schoenebeck, F; Skottfelt, J; Wertz, O; Alsubai, K A; Bozza, V; Browne, P; Dodds, P; Gu, S -H; Harpsoe, K; Henning, Th; Hundertmark, M; Jessen-Hansen, J; Kains, N; Kerins, E; Kjeldsen, H; Lund, M N; Lundkvist, M; Madhusudhan, N; Mathiasen, M; Penny, M T; Proft, S; Rahvar, S; Sahu, K; Scarpetta, G; Snodgrass, C; Surdej, J

    2013-01-01

    We present new ground-based, multi-colour, broad-band photometric measurements of the physical parameters, transmission and emission spectra of the transiting extrasolar planet WASP-19b. The measurements are based on observations of 8 transits and four occultations using the 1.5m Danish Telescope, 14 transits at the PEST observatory, and 1 transit observed simultaneously through four optical and three near-infrared filters, using the GROND instrument on the ESO 2.2m telescope. We use these new data to measure refined physical parameters for the system. We find the planet to be more bloated and the system to be twice as old as initially thought. We also used published and archived datasets to study the transit timings, which do not depart from a linear ephemeris. We detected an anomaly in the GROND transit light curve which is compatible with a spot on the photosphere of the parent star. The starspot position, size, spot contrast and temperature were established. Using our new and published measurements, we as...

  18. Formation of Primordial Supermassive Stars by Rapid Mass Accretion

    CERN Document Server

    Hosokawa, Takashi; Inayoshi, Kohei; Omukai, Kazuyuki; Yoshida, Naoki

    2013-01-01

    Supermassive stars (SMSs) forming via very rapid mass accretion (Mdot >~ 0.1 Msun/yr) could be precursors of supermassive black holes observed beyond redshift of about 6. Extending our previous work, we here study the evolution of primordial stars growing under such rapid mass accretion until the stellar mass reaches 10^{4 - 5} Msun. Our stellar evolution calculations show that a star becomes supermassive while passing through the "supergiant protostar'' stage, whereby the star has a very bloated envelope and a contracting inner core. The stellar radius increases monotonically with the stellar mass, until =~ 100 AU for M_* >~ 10^4 Msun, after which the star begins to slowly contract. Because of the large radius the effective temperature is always less than 10^4 K during rapid accretion. The accreting material is thus almost completely transparent to the stellar radiation. Only for M_* >~ 10^5 Msun can stellar UV feedback operate and disturb the mass accretion flow. We also examine the pulsation stability of a...

  19. A new acupuncture method for management of irritable bowel syndrome: A randomized double blind clinical trial

    Directory of Open Access Journals (Sweden)

    Rahmatollah Rafiei

    2014-01-01

    Full Text Available Background: Irritable bowel syndrome (IBS is gastrointestinal functional disorder which is multifactorial with unknown etiology. There are several modalities for treatment of it. Acupuncture is increasingly used in numerous diseases, also in gastrointestinal disorders like IBS. The purpose of the study was to assess the effects of catgut embedding acupuncture in improving of IBS. Materials and Methods: A randomized double blind sham control clinical trial was designed. A total of 60 IBS patients assigned to three separated groups. The first group received clofac as drug only group (DO. The second one received catgut embedding acupuncture in special point (AP and the last group received sham acupuncture (SA. Symptoms, pain, depression and anxiety assessed before and after two weeks at the end of study. Results: There was statistically significant difference between AP and SA and DO in constipation and bloating. Differences that were statistically significant favored acupuncture on pain (F = 6.409, P = 0.003, and depression (F = 6.735, P = 0.002 as the other outcomes. The average (standard deviation (SD of weight loss was 2 kg (0.88 in acupuncture group. Conclusion: Our finding showed a significant positive associated between acupuncture and IBS. Catgut embedding acupuncture is a new method which can eliminated IBS symptoms and can use as alternative therapeutic method for improvement of IBS.

  20. Transoral incisionless fundoplication: current status

    Science.gov (United States)

    Sami Trad, Karim

    2016-01-01

    Purpose of review Transoral incisionless fundoplication (TIF) performed with the EsophyX device (Redmond, Washington, USA) is a totally endoscopic procedure with the objectives to mechanically repair a defective gastroesophageal valve and to reduce small hiatal hernias. The recent publication of randomized controlled trials and long-term follow-up data offers the opportunity to reevaluate this treatment modality and its role in the management of patients with chronic gastroesophageal reflux disease (GERD). Recent findings Randomized controlled trials have confirmed the ability of TIF to eliminate troublesome GERD symptoms, heal esophagitis, and improve distal esophageal acid exposure in appropriately selected patient populations. These studies establish TIF's superiority to conventional medical therapy, especially in clinical scenarios where proton-pump inhibitors fail to provide complete symptom relief across the spectrum of classic and atypical GERD manifestations, including regurgitation and laryngopharyngeal reflux. Long-term data indicate sustained positive outcomes and durability up to 6 years after procedure. These results were achieved with a low rate of serious adverse events and usually without introducing troublesome dysphagia, gas bloat, or flatulence. Summary Based on the most recent data, TIF appears to be a valuable treatment alternative for the management of appropriately selected patients with moderate to severe chronic GERD symptoms. PMID:27023164

  1. A Study on the Dietary Intake and the Nutritional Status among the Pancreatic Cancer Surgical Patients

    Science.gov (United States)

    Park, Joon Seong; Yoon, Dong Sup; Kim, Woo Jeong; Chung, Hae-yun

    2016-01-01

    The adequate dietary intake is important to maintain the nutritional status of the patients after pancreatic cancer surgery. This prospective study was designed to investigate the dietary intake and the nutritional status of the patients who had pancreatic cancer surgery. Thirty-one patients (15 men, 16 women) were enrolled and measured body weight, body mass index (BMI), nutritional risk index (NRI), and Malnutrition Universal Screening Tool (MUST). Actual oral intake with nutritional impact symptoms recorded on the clinical research foam at every meal and medical information were collected from electronic medical charts. The rates of malnutrition at admission were 45.1% (14/31) and 28.9% (9/31) by NRI and MUST method, respectively, but those were increased to 87% (27/31) and 86.6% (26/31) after operation on discharge. The median values of daily intake of energy, carbohydrates, fat, and protein were 588.1 kcal, 96.0 g, 11.8 g, and 27.0 g, respectively. Most patients (n = 20, 64.5%) experienced two or more symptoms such as anorexia, abdominal bloating and early satiety. There were negative correlations between C-reactive protein (CRP) levels and the intake of total energy, protein, fat, and zinc. The rates of malnutrition were increased sharply after surgery and the dietary intake also influenced the inflammatory indicators. The results suggested that need of considering special therapeutic diets for the patients who received pancreatic surgery. PMID:27812517

  2. WASP-42 b and WASP-49 b: two new transiting Saturns

    CERN Document Server

    Lendl, M; Collier-Cameron, A; Doyle, A P; Gillon, M; Hellier, C; Jehin, E; Lister, T A; Maxted, P F L; Pepe, F; Pollacco, D; Queloz, D; Smalley, B; Segransan, D; Smith, A M S; Triaud, A H M J; Udry, S; West, R G; Wheatley, P J

    2012-01-01

    We report the discovery of two new transiting planets from the WASP survey. WASP-42 b is a 0.500 +- 0.035 M_J planet orbiting a K1 star at a separation of 0.0548 +- 0.0017 AU with a period of 4.9816872 +- 0.0000073 days. The radius of WASP-42 is 1.080 +- 0.057 R_J while its equilibrium temperature is T_eq = 995 +- 34 K. We detect some evidence of a small but non-zero eccentricity of e = 0.060 +- 0.013. WASP-49 b is a 0.378 +- 0.027 M_J planet around an old G6 star. It has a period of 2.7817387 +- 5.6 x 10-6 days and a separation of 0.0379 +- 0.0011 AU. This planet is slightly bloated, having a radius of 1.115 +- 0.056 R_J and an equilibrium temperature of T_eq = 1369 +- 42 K. Both planets have been followed up intensively in photometry, in total we have obtained 5 full and one partial transit light curves of WASP-42 and 4 full and one partial light curves of WASP-49 using the Euler-Swiss, TRAPPIST and Faulkes South telescopes.

  3. Three WASP-South transiting exoplanets: WASP-74b, WASP-83b & WASP-89b

    CERN Document Server

    Hellier, Coel; Cameron, A Collier; Delrez, L; Gillon, M; Jehin, E; Lendl, M; Maxted, P F L; Pepe, F; Pollacco, D; Queloz, D; Segransan, D; Smalley, B; Smith, A M S; Southworth, J; Triaud, A H M J; Turner, O D; Udry, S; West, R G

    2014-01-01

    We report the discovery of three new transiting hot Jupiters by WASP-South together with the TRAPPIST photometer and the Euler/CORALIE spectrograph. WASP-74b orbits a star of V = 9.7, making it one of the brighter systems accessible to Southern telescopes. It is a 0.95 M_Jup planet with a moderately bloated radius of 1.5 R_Jup in a 2-d orbit around a slightly evolved F9 star. WASP-83b is a Saturn-mass planet at 0.3 M_Jup with a radius of 1.0 R_Jup. It is in a 5-d orbit around a fainter (V = 12.9) G8 star. WASP-89b is a 6 M_Jup planet in a 3-d orbit with an eccentricity of e = 0.2. It is thus similar to massive, eccentric planets such as XO-3b and HAT-P-2b, except that those planets orbit F stars whereas WASP-89 is a K star. The V = 13.1 host star is magnetically active, showing a rotation period of 20.2 d, while star spots are visible in the transits. There are indications that the planet's orbit is aligned with the stellar spin. WASP-89 is a good target for an extensive study of transits of star spots.

  4. In Vitro Evaluation of Tc-99m Radiopharmaceuticals for Gastric Emptying Studies

    Directory of Open Access Journals (Sweden)

    Türkan Ertay

    2014-02-01

    Full Text Available Objective: Gastrointestinal motility and functional motility disorders causing either delayed or accelerated gastric emptying (GE may result in similar symptoms including nausea, vomiting, early satiety, fullness, bloating, and abdominal discomfort or pain. Hence, it is important to evaluate patients for both rapid and delayed GE in the same test. The gold standard technique to measure GE is scintigraphy by radiolabeled test meals. The aim of this study was to test alternative Tc-99m agents to label eggs as the solid meal and compare to Tc-99m sulfur colloid (SC for gastric emptying studies. Methods: In search of alternative agents for gastric emptying studies, we mixed and fried eggs with four different particulate compounds (Tc-99m labeled SC, tin colloid, nanocolloid and MAA, as well as with free pertechnetate and Tc-99m DTPA. We then measured the stability of these compounds in simulated gastric juice. Results: Our experiments demonstrated that in addition to Tc-99m sulfur colloid;Tc-99m MAA, Tc-99m nanocolloid and Tc-99m tin colloid also appear to make stable complexes with eggs in acidic environment. Conclusion: Therefore, these agents may be used for gastric emptying studies which could be more practical in routine conditions.

  5. Intestinal Obstruction in a 3-Year-Old Girl by Ascaris lumbricoides Infestation: Case Report and Review of the Literature.

    Science.gov (United States)

    Andrade, Angel Medina; Perez, Yeudiel; Lopez, Cecilia; Collazos, Stephanie Serrano; Andrade, Alejandro Medina; Ramirez, Grecia Ortiz; Andrade, Laura Medina

    2015-04-01

    Ascaris lumbricoides infection affects approximately 1.5 billion people globally. Children with environmental and socio-economic risk factors are more susceptible to infestation, with serious complications such as intestinal obstruction (IO), volvulus, intussusception, and intestinal necrosis.We present the case of a 3-year-old girl who arrived at emergency department with abdominal pain and diarrhea for the last 3 days. The previous day she took an unspecified anthelmintic. Symptoms worsened with vomiting and diarrhea, with expulsion of roundworms through mouth and anus. Physical examination revealed bloating, absence of bowel sounds, abdominal tenderness, and a palpable mass in right hemi-abdomen. Abdominal radiographs showed air-fluid levels with mild bowel distention and shadows of roundworms. The diagnosis of IO by A lumbricoides. infestation was established and surgical approach scheduled. During exploratory laparotomy an intraluminal bolus of roundworms from jejunum to ascendant colon was evident. An ileum enterotomy was performed and worms were removed. Fluid therapy and antibiotics for 72  hours were administered, with posterior albendazol treatment for 3 days. Patient was uneventfully discharged on the tenth day.Reduction in parasitic load by means of improvements in sanitation, health education, and anthelmintic treatment must be implemented in endemic zones to prevent serious life-threatening complications by A lumbricoides. infestation, because some of them require urgent surgical treatment.

  6. Chili Peppers, Curcumins, and Prebiotics in Gastrointestinal Health and Disease.

    Science.gov (United States)

    Patcharatrakul, Tanisa; Gonlachanvit, Sutep

    2016-04-01

    There is growing evidence for the role of several natural products as either useful agents or adjuncts in the management of functional GI disorders (FGIDs). In this review, we examine the medical evidence for three such compounds: chili, a culinary spice; curcumin, another spice and active derivative of a root bark; and prebiotics, which are nondigestible food products. Chili may affect the pathogenesis of abdominal pain especially in functional dyspepsia and cause other symptoms. It may have a therapeutic role in FGIDs through desensitization of transient receptor potential vanilloid-1 receptor. Curcumin, the active ingredient of turmeric rhizome, has been shown in several preclinical studies and uncontrolled clinical trials as having effects on gut inflammation, gut permeability and the brain-gut axis, especially in FGIDs. Prebiotics, the non-digestible food ingredients in dietary fiber, may serve as nutrients and selectively stimulate the growth and/or activity of certain colonic bacteria. The net effect of this change on colonic microbiota may lead to the production of acidic metabolites and other compounds that help to reduce the production of toxins and suppress the growth of harmful or disease-causing enteric pathogens. Although some clinical benefit in IBS has been shown, high dose intake of prebiotics may cause more bloating from bacterial fermentation. PMID:26973345

  7. Intestinal obstruction due to Vasconcellea seeds: Report of three cases and literature review

    Directory of Open Access Journals (Sweden)

    Montoya-González, Juliana

    2015-07-01

    Full Text Available Vasconcellea spp., is a species of Andean papaya commonly cultivated in rural communities close to Medellín, Colombia. Due to the pleasant and sweet flavor of its fruits, children frequently ingest its seeds accidentally. After ingestion, the seeds are engaged in the colonic lumen and block the exit of stools, causing pain and bloating, and promoting bacterial translocation. Diagnosis is based on clinical history and rectal examination. Treatment depends on the degree of local and systemic involvement and includes disimpaction of rectal contents under general anesthesia and colonic washes with 0.9% saline solution. In severe cases derivative colostomy has been required. In the literature there are no reports of intestinal obstruction due to Vasconcellea seeds, possibly because it has been mistaken for seeds of the genus Carica. In this article, three cases treated at pediatric services in Medellín, Colombia, in 2012 and 2013 are described. We note that this is a rarely suspected disease, leading to late diagnosis and potential catastrophic consequences. It is important to educate people to prevent the ingestion of the seeds.

  8. Dietary Carbohydrates and Childhood Functional Abdominal Pain.

    Science.gov (United States)

    Chumpitazi, Bruno P; Shulman, Robert J

    2016-01-01

    Childhood functional gastrointestinal disorders (FGIDs) affect a large number of children throughout the world. Carbohydrates (which provide the majority of calories consumed in the Western diet) have been implicated both as culprits for the etiology of symptoms and as potential therapeutic agents (e.g., fiber) in childhood FGIDs. In this review, we detail how carbohydrate malabsorption may cause gastrointestinal symptoms (e.g., bloating) via the physiologic effects of both increased osmotic activity and increased gas production from bacterial fermentation. Several factors may play a role, including: (1) the amount of carbohydrate ingested; (2) whether ingestion is accompanied by a meal or other food; (3) the rate of gastric emptying (how quickly the meal enters the small intestine); (4) small intestinal transit time (the time it takes for a meal to enter the large intestine after first entering the small intestine); (5) whether the meal contains bacteria with enzymes capable of breaking down the carbohydrate; (6) colonic bacterial adaptation to one's diet, and (7) host factors such as the presence or absence of visceral hypersensitivity. By detailing controlled and uncontrolled trials, we describe how there is a general lack of strong evidence supporting restriction of individual carbohydrates (e.g., lactose, fructose) for childhood FGIDs. We review emerging evidence suggesting that a more comprehensive restriction of fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) may be effective. Finally, we review how soluble fiber (a complex carbohydrate) supplementation via randomized controlled intervention trials in childhood functional gastrointestinal disorders has demonstrated efficacy. PMID:27355647

  9. Allergic Mastocytic Gastroenteritis and Colitis: An Unexplained Etiology in Chronic Abdominal Pain and Gastrointestinal Dysmotility

    Directory of Open Access Journals (Sweden)

    A. Akhavein M

    2012-01-01

    Full Text Available Abdominal pain, bloating, early satiety, and changes in bowel habits are common presenting symptoms in individuals with functional GI disorders. Emerging data suggests that these symptoms may be associated with mast cell excess and/or mast cell instability in the GI tract. The aim of this retrospective study was to evaluate the contribution of mast cells to the aforementioned symptoms in individuals with a history of atopic disease. A retrospective chart review of individuals seen in a university GI practice was conducted and twenty-four subjects were identified. The majority had abdominal pain, early satiety, and nocturnal awakening. 66.7% and 37.5% had a history of environmental and/or food allergy. Solid gastric emptying was increased as were the mean number of mast cells reported on biopsies from the stomach, small bowel, and colon (>37/hpf by CD117 staining. Mean whole blood histamine levels were uniformly elevated. This study suggests that in individuals with these characteristics, consideration should be given to staining their gastrointestinal biopsies for mast cells as this may provide them with relatively non-toxic but highly targeted treatment options. Allergic gastroenteritis and colitis may represent a third type of GI mast cell disorder along with mast cell activation syndrome and mastocytic enterocolitis.

  10. Diabetes and the enteric nervous system.

    Science.gov (United States)

    Chandrasekharan, B; Srinivasan, S

    2007-12-01

    Diabetes is associated with several changes in gastrointestinal (GI) motility and associated symptoms such as nausea, bloating, abdominal pain, diarrhoea and constipation. The pathogenesis of altered GI functions in diabetes is multifactorial and the role of the enteric nervous system (ENS) in this respect has gained significant importance. In this review, we summarize the research carried out on diabetes-related changes in the ENS. Changes in the inhibitory and excitatory enteric neurons are described highlighting the role of loss of inhibitory neurons in early diabetic enteric neuropathy. The functional consequences of these neuronal changes result in altered gastric emptying, diarrhoea or constipation. Diabetes can also affect GI motility through changes in intestinal smooth muscle or alterations in extrinsic neuronal control. Hyperglycaemia and oxidative stress play an important role in the pathophysiology of these ENS changes. Antioxidants to prevent or treat diabetic GI motility problems have therapeutic potential. Recent research on the nerve-immune interactions demonstrates inflammation-associated neurodegeneration which can lead to motility related problems in diabetes. PMID:17971027

  11. May 2016 critical care case of the month

    Directory of Open Access Journals (Sweden)

    Al-Jashaami L

    2016-05-01

    Full Text Available No abstract available. Article truncated after first 150 words. History of Present Illness: A 50-year-old African American woman presented with weakness, altered mental status and constipation of 12 days duration. She was complaining of abdominal distension with diffuse pain and bloating. She denied melena, hematochezia or hematemesis. She had a history weight loss, anorexia and fatigue which had evolved over the past few months leading to recent severe weakness and inability to get out of bed. Past Medical History, Social History and Family History: Her past medical history included HIV infection with AIDS and noncompliance with her antiretroviral medications. Her most recent CD4 count was <20 cells/uL and viral load of 554,483 copies/mL. Physical Examination: Vital signs: Blood pressure, 120/80 mmHg, heart rate, 105/min, temperature, 98.6° and respiratory rate, 20/min. General: Physical examination showed a lethargic female who was poorly responsive to questioning. Abdomen: Distended, tympanic abdomen with hypoactive bowel sounds and diffuse tenderness. Radiography: Plain x-ray examination of ...

  12. Medical image of the week: splenic infarction

    Directory of Open Access Journals (Sweden)

    Casey DJ

    2016-08-01

    Full Text Available No abstract available. Article truncated after 150 words. A 52-year-old Hispanic woman with a past medical history significant for Type 1 Diabetes Mellitus, hypertension, and rheumatoid arthritis presented with left upper quadrant pain for one day. Her review of systems was positive for bloating, severe epigastric and left upper quadrant tenderness that radiated to the back and left shoulder, nausea with non-bilious emesis, and diarrhea for one day prior to admission. Physical exam only revealed epigastric and left upper quadrant tenderness to light palpation without rebound or guarding. Abdominal computed tomography of the abdomen demonstrated a new acute or subacute splenic infarct with no clear evidence of an embolic source in the abdomen or pelvis (Figure 1. Echocardiogram with bubble study and contrast did not demonstrate valve abnormalities, cardiac mass, vegetation, valve or wall motion abnormalities and no evidence of patent foramen ovale. Splenic infarction should be suspected when patients present with sharp, acute left upper quadrant pain ...

  13. K2-30 b and K2-34 b: Two inflated hot Jupiters around solar-type stars

    Science.gov (United States)

    Lillo-Box, J.; Demangeon, O.; Santerne, A.; Barros, S. C. C.; Barrado, D.; Hébrard, G.; Osborn, H. P.; Armstrong, D. J.; Almenara, J.-M.; Boisse, I.; Bouchy, F.; Brown, D. J. A.; Courcol, B.; Deleuil, M.; Delgado Mena, E.; Díaz, R. F.; Kirk, J.; Lam, K. W. F.; McCormac, J.; Pollacco, D.; Rajpurohit, A.; Rey, J.; Santos, N. C.; Sousa, S. G.; Tsantaki, M.; Wilson, P. A.

    2016-10-01

    We report the discovery of the two hot Jupiters K2-30 b and K2-34 b. The two planets were detected during campaigns 4 and 5 of the extension of the Kepler mission, K2; they transit their main-sequence stars with periods of ~4.099 and ~2.996 days. Subsequent ground-based radial velocity follow-up with SOPHIE, HARPS-N, and CAFE established the planetary nature of the transiting objects. We analyzed the transit signal, radial velocity, and spectral energy distributions of the two systems to characterize their properties. Both planets (K2-30 b and K2-34 b) are bloated hot Jupiters (1.20 RJup and 1.22 RJup) around relatively bright (V = 13.5 and V = 11.5) slow rotating main-sequence (G8 and F9) stars. Thus, these systems are good candidates for detecting the Rossiter-MacLaughlin effect in order to measure their obliquity and for atmospheric studies. Full Tables 1 and 2 are only available at the CDS via anonymous ftp to http://cdsarc.u-strasbg.fr (http://130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/594/A50

  14. Formation of Massive Primordial Stars: Intermittent UV Feedback with Episodic Mass Accretion

    CERN Document Server

    Hosokawa, Takashi; Kuiper, Rolf; Yorke, Harold W; Omukai, Kazuyuki; Yoshida, Naoki

    2015-01-01

    We present coupled stellar evolution (SE) and 3D radiation-hydrodynamic (RHD) simulations of the evolution of primordial protostars, their immediate environment, and the dynamic accretion history under the influence of stellar ionizing and dissociating UV feedback. Our coupled SE-RHD calculations result in a wide diversity of final stellar masses covering $10~M_\\odot \\lesssim M_* \\lesssim 10^3~M_\\odot$. The formation of very massive ($\\gtrsim 250~M_\\odot$) stars is possible under weak UV feedback, whereas ordinary massive (a few $\\times 10~M_\\odot$) stars form when UV feedback can efficiently halt the accretion. Weak UV feedback occurs in cases of variable accretion, in particular when repeated short accretion bursts temporarily exceed $0.01~M_\\odot~{\\rm yr}^{-1}$, causing the protostar to inflate. In the bloated state, the protostar has low surface temperature and UV feedback is suppressed until the star eventually contracts, on a thermal adjustment timescale, to create an HII region. If the delay time betwe...

  15. Practical toxicologic diagnosis.

    Science.gov (United States)

    Mount, M E; Feldman, B F

    1984-08-01

    Strychnine toxicosis is characterized by inducible tetanic seizures and metaldehyde poisoning by fine fasciculations progressing to generalized tremors and seizures. Intoxication with 1080 causes seizures, random running movements, vomiting, defecation, urination, acidosis and hyperglycemia. Intoxication with rodenticides causing coagulopathy is characterized by hemorrhage into body cavities but not necessarily external hemorrhage. Anticholinesterase insecticides cause salivation, urination and defecation, while chlorinated hydrocarbon insecticides cause CNS disturbances. Ethylene glycol intoxication results in ataxia, depression, coma, vomiting and tachypnea, followed by acute renal failure. Urea poisoning causes bloat and CNS signs in cattle. Monensin intoxication in horses lasts several days and causes stiffness, colic, uneasiness and recumbency. Salt poisoning results in depression, seizures and hypernatremia. Lead poisoning is associated with central and peripheral nervous system signs, as well as increased numbers of nucleated RBC and basophilic stippling of RBC. Arsenic poisoning results in GI pain, diarrhea, weakness and death. Copper toxicosis in sheep is manifested by hemolytic anemia, hemoglobinemia and hemoglobinuria. Plants that may intoxicate domestic animals include sorghum, greasewood, halogeton, water hemlock, Japanese yew, larkspur, lupine, milk-weed, philodendron, oleander, castor bean and precatory bean.

  16. Celiac disease

    Directory of Open Access Journals (Sweden)

    Holtmeier Wolfgang

    2006-03-01

    Full Text Available Abstract Celiac disease is a chronic intestinal disease caused by intolerance to gluten. It is characterized by immune-mediated enteropathy, associated with maldigestion and malabsorption of most nutrients and vitamins. In predisposed individuals, the ingestion of gluten-containing food such as wheat and rye induces a flat jejunal mucosa with infiltration of lymphocytes. The main symptoms are: stomach pain, gas, and bloating, diarrhea, weight loss, anemia, edema, bone or joint pain. Prevalence for clinically overt celiac disease varies from 1:270 in Finland to 1:5000 in North America. Since celiac disease can be asymptomatic, most subjects are not diagnosed or they can present with atypical symptoms. Furthermore, severe inflammation of the small bowel can be present without any gastrointestinal symptoms. The diagnosis should be made early since celiac disease causes growth retardation in untreated children and atypical symptoms like infertility or neurological symptoms. Diagnosis requires endoscopy with jejunal biopsy. In addition, tissue-transglutaminase antibodies are important to confirm the diagnosis since there are other diseases which can mimic celiac disease. The exact cause of celiac disease is unknown but is thought to be primarily immune mediated (tissue-transglutaminase autoantigen; often the disease is inherited. Management consists in life long withdrawal of dietary gluten, which leads to significant clinical and histological improvement. However, complete normalization of histology can take years.

  17. Scientific Opinion on the substantiation of a health claim related to Bimuno® GOS and reducing gastro-intestinal discomfort pursuant to Article 13(5 of Regulation (EC No 1924/2006

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2013-06-01

    Full Text Available Following an application from Clasado Limited, submitted for authorisation of a health claim pursuant to Article 13(5 of Regulation (EC No 1924/2006 via the Competent Authority of Malta, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA was asked to deliver an opinion on the scientific substantiation of a health claim related to Bimuno® GOS and reducing gastro-intestinal discomfort. The food constituent, Bimuno® GOS, a mixture of β-galacto-oligosaccharides, which is the subject of the health claim, is sufficiently characterised. The claimed effect proposed by the applicant is “reduce bloating, flatulence and abdominal pain. These effects can be described collectively as abdominal discomfort” and the target population proposed by the applicant is the general adult population. Reducing gastro-intestinal discomfort is a beneficial physiological effect. A health claim on Bimuno® GOS and reducing gastro-intestinal discomfort has already been assessed by the Panel with an unfavourable outcome. The supplementary information submitted by the applicant in this application did not provide evidence that could be used for the scientific substantiation of this claim.

  18. Possibilities for using plant extracts added to ruminant feed aimed at improving production results

    Directory of Open Access Journals (Sweden)

    Grdović Svetlana

    2010-01-01

    Full Text Available The use of plant extracts with the objective of improving production results and the quality of food articles of animal origin is an area which is acquiring increasing scientific importance. Numerous investigations carried out so far on ruminants and other species of domestic animals have been aimed at examining specific bioactive matter of plants. The results of these investigations have demonstrated a positive influence on the production results. A large number of data indicate that plant extracts added to animal feed contribute to increasing overall productivity. Furthermore, plant extracts as additives in animal feed have a positive effect also on the health condition of the animals. A large number of plants have characteristics which potentially improve consumption, digestibility and conversion of food, and also growth. Examinations have been performed of the effects of different plant extracts on food consumption, wool growth, growth and composition of the trunk, milk production, reproductive parameters, agents for wool shearing, preventing bloat, methane production, as well as the influence of plants on curbing nematode infestations of ruminants. This work presents a review of scientific investigations of different plant species and their effects on the production characteristics of ruminants. .

  19. Urban poor program launched.

    Science.gov (United States)

    1991-01-01

    The government of the Philippines has launched a program to deal with the rapidly growing urban poor population. 60 cities (including Metro Manila) are expected to increase their bloated population by 3.8% over 1990 which would be 27.7 million for 1991. Currently there is an exodus of people from the rural areas and by 2000 half the urban population will be squatters and slum dwellers. Basic services like health and nutrition are not expected to be able to handle this type of volume without a loss in the quality of service. The basic strategy of the new program is to recruit private medical practitioners to fortify the health care delivery and nutrition services. Currently the doctor/urban dweller ration is 1:9000. The program will develop a system to pool the efforts of government and private physicians in servicing the target population. Barangay Escopa has been chosen as the pilot city because it typifies the conditions of a highly populated urban area. The projects has 2 objectives: 1) demonstrate the systematic delivery of health and nutrition services by the private sector through the coordination of the government, 2) reduce mortality and morbidity in the community, especially in the 0-6 age group as well as pregnant women and lactating mothers.

  20. Gastrointestinal health in Ramadan with special reference to diabetes.

    Science.gov (United States)

    Abbas, Zaigham

    2015-05-01

    Fasting in the month of Ramadan can improve a person's health, but if the correct diet is not followed, one is prone to acquire some ailments related to the digestive health. Dyspeptic symptoms are frequently encountered during Ramadan, with indigestion, bloating and heartburns being more common, particularly after eating too much at lftar or Suhur meals. Eating in moderation and elimination of foods that can trigger gastroesophageal reflux are helpful. Empiric therapy with a proton pump inhibitor (PPI) is recommended in this setting. Duodenal ulcers and duodenitis are more common during Ramadan and the frequency of complications of peptic ulcer is higher. Patients with duodenal ulcer treated with PPI may fast without any symptoms. Ramadan fasting does not impose serious risks on patients with inflammatory bowel disease. Chronic hepatitis patients show non-significant changes in the liver function tests. However, patients with advanced liver disease may decompensate. As gastrointestinal and liver ailments tend to be more common and severe in diabetics compared with the normal individuals, extra vigilance is needed for the people with diabetes who are allowed to fast by their physicians. PMID:26013794

  1. A case report: intestinal T-Cell lymphomaT

    Directory of Open Access Journals (Sweden)

    S.F. Emadi

    2008-01-01

    Full Text Available AbstractIn this study a 31 y/o woman who was housewife, came from Mazandaran and lived in Behshahr is presented. Patient's complaints were diarrhea, bloating, abdominal pain and weight loss. Abdominal radiography showed loop dilatation. In primary Para clinic assessments she had Alb: 2.8, Ca: 6.4, P: 2.3 and PTH: 201. Considering malabsorption in early evaluation, upper endoscopy was done. Intestinal folds were disappeared in second and third part of duodenum in endoscopic view and duodenal biopsy was done. Then pathological assessment revealed a large accumulation of intraepithelial lymphocytes and obvious villus atrophy that was accordant to celiac sprue. She was advised to be on gluten free diet. After about 1 month, She was referred because of sever lower extremities edema. Serum albumin was checked that was 2. Enlarged mesenteric lymph nodes were detected in sonography. Considering non- responding treatment, IHC staining of intestinal biopsy was performed with celiac sprue complication suspicion. Therefore the patient was referred to chemotherapy center with the diagnosis of T-cell lymphoma following celiac sprue. She was spent 6 course chemotherapy with CHOP regimen and radiotherapy.Key words: T-Cell Lymphoma, Celiac, MalabsorptionJ Mazand Univ Med Sci 2008; 18(63: 100-104 (Persian

  2. Chili Peppers, Curcumins, and Prebiotics in Gastrointestinal Health and Disease.

    Science.gov (United States)

    Patcharatrakul, Tanisa; Gonlachanvit, Sutep

    2016-04-01

    There is growing evidence for the role of several natural products as either useful agents or adjuncts in the management of functional GI disorders (FGIDs). In this review, we examine the medical evidence for three such compounds: chili, a culinary spice; curcumin, another spice and active derivative of a root bark; and prebiotics, which are nondigestible food products. Chili may affect the pathogenesis of abdominal pain especially in functional dyspepsia and cause other symptoms. It may have a therapeutic role in FGIDs through desensitization of transient receptor potential vanilloid-1 receptor. Curcumin, the active ingredient of turmeric rhizome, has been shown in several preclinical studies and uncontrolled clinical trials as having effects on gut inflammation, gut permeability and the brain-gut axis, especially in FGIDs. Prebiotics, the non-digestible food ingredients in dietary fiber, may serve as nutrients and selectively stimulate the growth and/or activity of certain colonic bacteria. The net effect of this change on colonic microbiota may lead to the production of acidic metabolites and other compounds that help to reduce the production of toxins and suppress the growth of harmful or disease-causing enteric pathogens. Although some clinical benefit in IBS has been shown, high dose intake of prebiotics may cause more bloating from bacterial fermentation.

  3. Premenstrual Symptoms in Dysmenorrheic College Students: Prevalence and Relation to Vitamin D and Parathyroid Hormone Levels

    Directory of Open Access Journals (Sweden)

    Bayan A. Obeidat

    2012-11-01

    Full Text Available Objectives: To determine the prevalence of premenstrual symptoms (PMS due to primary dysmenorrhea among a sample of university female students, and to explore possible association with vitamin D and parathyroid (PTH levels, as well as frequency of consumption of dairy products. Design: A cross-sectional study. Setting: One Jordanian university. Subjects: A total of 177 female students aged between 18 and 24 years who experienced primary dysmenorrhea participated in the study and completed a self administered questionnaire to collect information concerning demographics, menstruation- related information, associated specified premenstrual symptoms, and consumption of dairy products. Plasma 25-hydroxyvitamin vitamin D level and intact parathyroid hormone level were measured. Results: Of the 177 participants 91.5% had two or more symptoms among which fatigue, mood swings, anxiety, abdominal bloating, and depression were the most prevalent symptoms. There was no evident association between presence of symptoms and vitamin D status, PTH level or dairy products consumption. Headaches and social withdrawal were significantly lower in those women who consumed high amounts of dairy products. Conclusion: Premenstrual symptoms are very common in young women with primary dysmenorrhea. PMS has no relation to levels of vitamin D, parathyroid hormone or dairy products consumption. Headache and social withdrawal may be affected by dairy product consumption.

  4. Small Intestinal Bacterial Overgrowth in Patients with Refractory Functional Gastrointestinal Disorders

    Science.gov (United States)

    Shimura, Shino; Ishimura, Norihisa; Mikami, Hironobu; Okimoto, Eiko; Uno, Goichi; Tamagawa, Yuji; Aimi, Masahito; Oshima, Naoki; Sato, Shuichi; Ishihara, Shunji; Kinoshita, Yoshikazu

    2016-01-01

    Background/Aims Small intestinal bacterial overgrowth (SIBO) is considered to be involved in the pathogenesis of functional gastrointestinal disorders (FGID). However, the prevalence and clinical conditions of SIBO in patients with FGID remain to be fully elucidated. Here, we examined the frequency of SIBO in patients with refractory FGID. Methods We prospectively enrolled patients with refractory FGID based on Rome III criteria. A glucose hydrogen breath test (GHBT) was performed using a gas analyzer after an overnight fast, with breath hydrogen concentration measured at baseline and every 15 minutes after administration of glucose for a total of 3 hours. A peak hydrogen value ≥ 10 ppm above the basal value between 60 and 120 minutes after administration of glucose was diagnosed as SIBO. Results A total of 38 FGID patients, including 11 with functional dyspepsia (FD), 10 with irritable bowel syndrome (IBS), and 17 with overlapping with FD and IBS, were enrolled. Of those, 2 (5.3%) were diagnosed with SIBO (one patient diagnosed with FD; the other with overlapping FD and IBS). Their symptoms were clearly improved and breath hydrogen levels decreased to normal following levofloxacin administration for 7 days. Conclusions Two patients initially diagnosed with FD and IBS were also diagnosed with SIBO as assessed by GHBT. Although the frequency of SIBO is low among patients with FGID, it may be important to be aware of SIBO as differential diagnosis when examining patients with refractory gastrointestinal symptoms, especially bloating, as a part of routine clinical care. PMID:26554916

  5. Central serotonergic and noradrenergic receptors in functional dyspepsia

    Institute of Scientific and Technical Information of China (English)

    S O'Mahony; TG Dinan; PW Keeling; ASB Chua

    2006-01-01

    Functional dyspepsia is a symptom complex characterised by upper abdominal discomfort or pain, early satiety,motor abnormalities, abdominal bloating and nausea in the absence of organic disease. The central nervous system plays an important role in the conducting and processing of visceral signals. Alterations in brain processing of pain, perception and affective responses may be key factors in the pathogenesis of functional dyspepsia. Central serotonergic and noradrenergic receptor systems are involved in the processing of motor,sensory and secretory activities of the gastrointestinal tract. Visceral hypersensitivity is currently regarded as the mechanism responsible for both motor alterations and abdominal pain in functional dyspepsia. Some studies suggest that there are alterations in central serotonergic and noradrenergic systems which may partially explain some of the symptoms of functional dyspepsia. Alterations in the autonomic nervous system may be implicated in the motor abnormalities and increases in visceral sensitivity in these patients.Noradrenaline is the main neurotransmitter in the sympathetic nervous system and again alterations in the functioning of this system may lead to changes in motor function. Functional dyspepsia causes considerable burden on the patient and society. The pathophysiology of functional dyspepsia is not fully understood but alterations in central processing by the serotonergic and noradrenergic systems may provide plausible explanations for at least some of the symptoms and offer possible treatment targets for the future.

  6. Anti-Inflammatory Cytokines: Important Immunoregulatory Factors Contributing to Chemotherapy-Induced Gastrointestinal Mucositis

    Directory of Open Access Journals (Sweden)

    Masooma Sultani

    2012-01-01

    Full Text Available “Mucositis” is the clinical term used to describe ulceration and damage of the mucous membranes of the entire gastrointestinal tract (GIT following cytotoxic cancer chemotherapy and radiation therapy common symptoms include abdominal pain, bloating, diarrhoea, vomiting, and constipation resulting in both a significant clinical and financial burden. Chemotherapeutic drugs cause upregulation of stress response genes including NFκB, that in turn upregulate the production of proinflammatory cytokines such as interleukin-1β (IL-1β, Interleukin-6 (IL-6, and tumour necrosis factor-α (TNF-α. These proinflammatory cytokines are responsible for initiating inflammation in response to tissue injury. Anti-inflammatory cytokines and specific cytokine inhibitors are also released to limit the sustained or excessive inflammatory reactions. In the past decade, intensive research has determined the role of proinflammatory cytokines in development of mucositis. However, a large gap remains in the knowledge of the role of anti-inflammatory cytokines in the setting of chemotherapy-induced mucositis. This critical paper will highlight current literature available relating to what is known regarding the development of mucositis, including the molecular mechanisms involved in inducing inflammation particularly with respect to the role of proinflammatory cytokines, as well as provide a detailed discussion of why it is essential to consider extensive research in the role of anti-inflammatory cytokines in chemotherapy-induced mucositis so that effective targeted treatment strategies can be developed.

  7. IDENTIFICATION OF ASPECTS USING COLOURED PETRINETS AND ASPECT REALIZATION

    Directory of Open Access Journals (Sweden)

    S.SOWMYADEVI

    2013-04-01

    Full Text Available a major impediment to program comprehension, maintenance and resolvability is the existence of crosscutting concerns scattered across different modules tangled with implementations of other concerns. Presence of crosscutting concerns in software systems can lead to bloated and inefficient software systems that are difficult to evolve, hard to analyse, difficult to reuse and costly to maintain. Aspect-oriented programming is a complementary programming technique to the object-oriented programming. It provides tools for managing so called cross-cutting concerns. The concept of aspect orientation with presentation of a method could modulate crosscutting concerns into the single manageable unit called, aspect. This method will solve many problems such as tangling and scattering of code. But the identification and specification of crosscutting concerns and considering it as aspects is not an easy job. The proposed method defines requirements and concerns in the formal form by Petri Nets and named them as requirement nets and concern nets. Concern nets with dependencies which there are between requirement nets, model the final system. The execution of final modelled software system based on Petri Nets and monitoring its transitions, shows crosscutting concerns which are candidate aspects. In this paper, we propose a formal method based on Petri Nets, for the identification of aspect and finding out the most dominant aspect. Then the aspect realization is done by using programming language with some case study.

  8. THE ENVIRONMENT OF THE STRONGEST GALACTIC METHANOL MASER

    Energy Technology Data Exchange (ETDEWEB)

    Sanna, A.; Menten, K. M.; Carrasco-González, C.; Brunthaler, A. [Max-Planck-Institut für Radioastronomie, Auf dem Hügel 69, D-53121 Bonn (Germany); Reid, M. J. [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, MA 02138 (United States); Ellingsen, S. P.; Krishnan, V. [School of Mathematics and Physics, University of Tasmania, Private Bag 37, Hobart, Tasmania 7001 (Australia); Moscadelli, L.; Cesaroni, R., E-mail: asanna@mpifr-bonn.mpg.de [INAF, Osservatorio Astrofisico di Arcetri, Largo E. Fermi 5, I-50125 Firenze (Italy)

    2015-05-01

    The high-mass star-forming site G009.62+00.20 E hosts the 6.7 GHz methanol maser source with the greatest flux density in the Galaxy which has been flaring periodically over the last 10 yr. We performed high-resolution astrometric measurements of the CH{sub 3}OH, H{sub 2}O, and OH maser emission and 7 mm continuum in the region. The radio continuum emission was resolved in two sources separated by 1300 AU. The CH{sub 3}OH maser cloudlets are distributed along two north–south ridges of emission to the east and west of the strongest radio continuum component. This component likely pinpoints a massive young stellar object which heats up its dusty envelope, providing a constant IR pumping for the Class II CH{sub 3}OH maser transitions. We suggest that the periodic maser activity may be accounted for by an independent, pulsating, IR radiation field provided by a bloated protostar in the vicinity of the brightest masers. We also report the discovery of an elliptical distribution of CH{sub 3}OH maser emission in the region of periodic variability.

  9. Intestinal pseudo-obstruction in inactive systemic lupus erythematosus: An unusual finding

    Institute of Scientific and Technical Information of China (English)

    Giulia; Leonardi; Nicola; de; Bortoli; Massimo; Bellini; Maria; Gloria; Mumolo; Francesco; Costa; Angelo; Ricchiuti; Stefano; Bombardieri; Santino; Marchi

    2010-01-01

    Chronic intestinal pseudo-obstruction (CIP) is an infre-quent complication of an active systemic lupus erythema-tosus (SLE). We illustrate a case of SLE inactive-related CIP. A 51-year old female with inactive SLE (ECLAM score 2) was hospitalized with postprandial fullness, vomiting, abdominal bloating and abdominal pain. She had had no bowel movements for five days. Plain abdominal X-ray revealed multiple fluid levels and dilated small and large bowel loops with air-fluid levels. Intestinal contrast radiology detected dilated loops. CIP was diagnosed. The patient was treated with prokinetics, octreotide, claritromycin, rifaximin, azathioprine and tegaserod without any clinical improvement. Then methylprednisolone (500 mg iv daily) was started. After the first administration, the patient showed peristaltic movements. A bowel movement was reported after the second administration. A plain abdominal X-ray revealed no air-fluid levels. Steroid therapy was slowly reduced with complete resolution of the symptoms. The patient is still in a good clinical condition. SLE-related CIP is generally reported as a complication of an active disease. In our case, CIP was the only clinical demonstration of the SLE.

  10. 胃肠道间质瘤的临床病理特征及预后相关因素分析%The Analysis of the Clinicopathological Features and Prognostic Factors of Gastrointestinal Stromal Tumors

    Institute of Scientific and Technical Information of China (English)

    买尔旦·赛力木; 金钟; 阿里旦·艾尔肯; 何铁汉

    2014-01-01

    目的:探讨分析胃肠道间质瘤的临床病理特征及预后相关因素。方法2010年10月~2013年10月在本院手术切除并病理证实的148例胃肠道间质瘤患者作为研究对象,收集患者血便率,腹痛率,腹胀率,结节数,瘤体直径,CD34、CD117、SMA、S-100阳性率,以及性别、年龄、肿瘤性质等资料并做统计分析。结果148例GIST患者中血便72例(48.65%),腹痛65例(43.92%),腹胀62例(41.89%)。单发肿瘤者占69.59%(103/148),多发者30.41%(45/148),CD117、CD34、SMA、S-100阳性率分别为91.22%(135/148),52.70%(78/148),36.49%(54/148),25.68%(38/148)。性别、肿瘤直径、临床症状以及免疫组化染色结果均对胃肠道间质瘤预后无影响(P>0.05),年龄和肿瘤性质是影响胃肠道间质瘤预后的因素,年龄越大,肿瘤恶性程度越高,预后越差(P0.05), age and nature of the tumor was gastrointestinal stromal tumor prognostic factors, the greater the age, The higher the degree of malignancy, the worse the prognosis (P<0.05). Conclusion Patients with gastrointestinal stromal tumors often have abdominal pain, bloody diarrhea, bloating and other symptoms, tumors were solitary nodule, CD117 and CD34 positive diffuse, SMA and S-100 was main focal distribution, older and a high degree of malignancy in patients with a poor prognosis, and gender, tumor size, clinical symptoms, staining does not affect the prognosis of GISTs. Therefore, patients experiencing abdominal pain, bloody diarrhea, bloating and other symptoms and treatment should cause enough clinical attention, and early detection and early treatment..

  11. Analysis on the Lower Lumbar Fracture Postoperative Abdominal Distention Causes and Preventive Measures%下腰椎骨折术后腹胀原因分析及治疗探讨

    Institute of Scientific and Technical Information of China (English)

    唐永刚; 夏根; 贾瑞; 乔永东

    2012-01-01

      目的:对下腰椎骨折患者术后腹胀的临床原因进行分析,探讨预防及治疗腹胀的临床措施。方法:回顾笔者所在医院脊柱骨科546例下腰椎骨折患者的临床资料,并对脊髓损伤类型进行分类,分析脊髓损伤程度与腹胀的关系及不同下腰椎椎体节段与腹胀的关系,并对腹胀的原因及防治措施进行分析。结果:术前Frankel分级B级腹胀患者33例、C级63例、D级94例、E级197例,L3腹胀患者为190例、L4为125例、L5为72例,术后随访总患者Frankel分级,B级患者38例、C级78例、D级144例、E级286例,L3腹胀患者为245例、L4为176例、L5为125例。结论:对下腰椎骨折术后腹胀的原因及防治措施加以分析研究,有利于防止下腰椎骨折术后腹胀的发生,也利于提高腹胀发生后的处理水平,更利于患者的早日康复。%  Objective:The lower lumbar spine fractures in patients with postoperative abdominal distention clinical analysis,to investigate the clinical measures of prevention and treatment of abdominal distension.Method:Review 546 cases of hospital Spinal Orthopedic vertebral fracture patients,387 patients with a history of abdominal distension,and type of spinal cord injury classification,analysis of spinal cord injury and bloating, and the lower lumbar vertebral segments and the belly the expansion of relations,and abdominal distension.Result:Preoperative Frankel grade B bloating in patients with 33 cases,63 cases of class C,D in 94 cases,the E-Class 197 cases,L3 abdominal distension in patients with 190 cases,L4 125 cases,L5 72 patients were followed up patients with total Frankelgrade B patients and 38 cases,78 cases of class C,D in 144 cases,286 cases of E-Class, L3 abdominal distension in patients with 245 cases,L4 176 cases,and L5 125.Conclusion:Relationship between the degree of spinal cord loss and abdominal distension,and pedicle fixation,to prevent urinary retention and infection

  12. Arthropod succession on pig carcasses in southeastern Nigeria

    Directory of Open Access Journals (Sweden)

    M.S. Ekanem

    2010-01-01

    Full Text Available The domestic pig (Sus scrofa was used as a model to study arthropod succession on carcasses under tree shade and out of shade in southern Nigeria. Carcass decomposition took longer periods under tree shade than in exposed sites, at 24.5 and 16.5 days, respectively. Four decomposition stages - fresh, bloated, decay, and dry - were observed. No significant variabilities were recorded in the types and patterns of infestation of the carcasses by arthropods in both locations. Four classes of arthropods - Insecta, Arachnida, Diplopoda and Crustacea - were recorded. The class Insecta dominated the total arthropods collected with 24 families, and formed 94% of the catches. The other three classes each had one family represented, and contributed only 2% of the total catches. The calliphorids, a phorid, and sarcophagids arrived and bred on the carcasses only a few hours after death of the pigs. Families of coleopterans came during the bloated stage, and fed on the immature dipterous maggots and carrion materials. The ants (Hymenoptera came in large numbers to eat the carcasses, and also preyed on all other fauna of the food resource. A muscid and a stratiomyiid, bred on the carcass as to the decay stage. Other insects and arthropods arrived mostly during the decay stage to feed on the carcasses. Species richness on the carcasses peaked during the decay stage.O porco branco (Sus scrofa foi usado como modelo para o estudo da sucessão de Artrópodes em cadáveres em zonas sombreadas e não sombreadas por árvores no sul da Nigéria. Nos cadáveres em decomposição em zonas sombreadas observou-se um processo de decomposição mais lento que nos expostos ao sol; 24,5 e 16,5 dias, respectivamente. Foram observadas quatro etapas de decomposição; fresco (autólise, intumescido (putrefação, deteriorado e seco (diagênese. Não foram observadas diferenças significativas de tipo e padrão nas infestações dos cadáveres por Artrópodes em ambas as condi

  13. 老年功能性便秘中医病机规律临床流行病学调查%Clinical Epidemiological Investigation on Characteristics of TCM Pathogenesis Regularity of ElderFunctional Constipation

    Institute of Scientific and Technical Information of China (English)

    汪红兵; 陈剑明; 张声生

    2011-01-01

    目的 通过对老年功能性便秘群体进行流行病学调查,探讨本病的中医病机.方法 根据临床流行病学调查获得的老年功能性便秘病例四诊资料,建立Epidata2.0资料数据库,运用SPSS17.0软件对本病症状及其证候出现的频次、频率进行统计分析,阐述本病的中医病机特点.结果 症状以干硬便、排使间隔时间延长、排便困难为主.另外,在38种全身症状中,出现频率≥50%的症状有:腹胀、口干、神疲、乏力、少气懒言、纳呆、畏寒.其他症状如腹痛、嗳气、气短、胃脘胀满、面色(挄)白、四肢不温、小便清长、胸胁胀满、口臭、腰膝酸软、心烦易怒、口苦、太息、两颧潮红、心悸、小便短黄、眩晕的出现频率> 10%.出现频率≥30%的证候为肠道气滞、脾气虚弱和脾肾阳虚证,其中肠道气滞41.32%、脾气虚弱40.30%.结论老年功能性便秘的临床表现多样、病机复杂,与心、肺、脾、胃、肝、肾等脏腑功能失衡有关,症状及证候分布特点符合中医学理论对本病的认识.%Objective To sum up the characteristics of TCM pathogenesis regularity of elder functional constipation by a clinical investigation. Methods By investigating the elder functional constipation patients, and a literature database was established. TCM symptoms and syndromes were analyzed by SPSS17.0 software, and the characteristics of TCM pathogenesis regularity was described. Results The main symptoms of cacation were dry bowels, defecate time interval extension, difficult defecate. Among 38 kinds of general symptoms, the symptoms whose occurrence frequency more than or equal to 50% were abdominal distension, thirst, fatigue, lassitude, chills, disinclination to talk, inappetence, intolerance of cold. Occurrence frequency of symptoms such as abdominal pain, belching, short of breath, stomach bloating, face pale, cold limbs, clear and abundant urine, chest bloating, bad

  14. The clinical effect of comprehensive nursing intervention on clinical significance and quality of life of patients with acute pancreatitis%综合护理干预对急性胰腺炎患者临床效果分析及对患者生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    邱珠桂; 梁小琼; 陈秋妹

    2015-01-01

    目的 探讨综合护理干预对急性胰腺炎患者临床效果分析及对患者生活质量的影响.方法 74例急性胰腺炎患者随机分为观察组(n=37)和对照组(n=37).观察组采用综合护理干预,对照组采用常规护理干预.对比分析两组腹胀恢复时间、胃痛恢复时间、住院时间、护理满意率、并发症发生情况及生活质量评分.结果 观察组腹胀恢复时间与胃痛恢复时间明显快于对照组,住院时间明显短于对照组,且均有显著性意义(P0.05);观察组情感职能、精神健康、生理功能、生理职能、躯体疼痛、社会功能、生命活力、总体健康评分干预后明显高于对照组,且具有显著性意义(P<0.05).结论 综合护理干预对急性胰腺炎患者临床效果明显,可明显提高患者生活质量.%Objective To investigate the clinical effect of comprehensive nursing intervention on clinical efficacy and quality of life of patients with acute pancreatitis.Methods 74 cases of acute pancreatitis were randomly divided into observation groups (n =37) and control group (n =37).Comprehensive nursing intervention was given in the observationgroup,patients in the control group received routine nursing intervention.Comparison of recovery time of bloating,stomach pain,recovery time,hospital stay,nursing satisfaction rate,incidence of complications and quality of life scores of the two groups.Results The bloating and stomach pain recovery time was significantly faster than the control group,the hospital stay was significantly shorter than the control group,the differences were statistically significant (P<0.05).Care satisfaction rate of observation group was precede the control group,and there was a statisticalsignificant (P<0.05),whereas there was no statistical significant on complication rates between the two groups (P<0.05).After the intervention,role emotional,mental health,physiologic function,physical role,bodily pain,social functioning

  15. 中西医结合治疗非恶性肠梗阻60例临床疗效观察%CLINICAL EFFICACY OBSERVATION IN THE TREATMENT OF 60 CASES OF MALIGNANT OBSTRUCTION BY COMBINING TRADITIONAL CHINESE AND WESTERN MEDICINE

    Institute of Scientific and Technical Information of China (English)

    马悦茗; 尚龙华

    2016-01-01

    目的:通过观察中医经典方剂结合西医常规保守治疗非恶性肠梗阻的效果,从而对中西医结合治疗非恶性肠梗阻临床疗效进行分析与评价。方法将60例确诊为非恶性肠梗阻的患者随机分为对照组和治疗组,每组各30例,其中对照组给予西医常规保守治疗,治疗组在西医常规保守治疗的基础上配合中药复方大承气汤胃管注入加灌肠治疗,分别记录两组患者腹胀腹痛缓解时间、肠通气和排便的时间以及住院时间,并进行统计分析。结果治疗组在腹胀腹痛缓解时间、肠通气和排便时间、住院时间上明显优于对照组,差异具有统计学意义(P<0.05)。结论运用中药复方大承气汤加减胃管注入加灌肠结合西医常规保守治疗肠梗阻可以实现优势互补,扬长避短,提高药物吸收、利用率,显著提高患者治愈率,缩短治疗时间,且安全性较高,值得临床推广应用。%Objective: By observing the efficacy in the conservative treatment of non-malignant intestinal obstruction by combining TCM with western medicine, to analyze and evaluate the clinical efficacy of the combined method. Methods:60 patients diagnosed with intestinal obstruction were randomly divided into control group and observation group, 30 cases in each group. In which the control group received western medicine, treatment group received with traditional Chinese medicine complex Dachengqitang stomach into the enema treatment based on western medicine conservative treatment. The abdominal bloating relief time, intestines and bowel ventilation time and hospital stay of the patients were recorded, and the statistical analysis was done. Results:The bloating abdominal pain time, intestinal and bowel ventilation time, the length of hospital stay of the patients in the treatment group were significantly better than those in the control group(P<0.05). Conclusion:In the treatment of intestinal

  16. Characterization and control of Mucor circinelloides spoilage in yogurt.

    Science.gov (United States)

    Snyder, Abigail B; Churey, John J; Worobo, Randy W

    2016-07-01

    Consumer confidence in the food industry is severely affected by large-scale spoilage incidents. However, relatively little research exists on spoilage potential of members of the fungal subphylum Mucormycotina (e.g. Mucor), which includes dimorphic spoilage organisms that can switch between a yeast-like and hyphal phase depending on environmental conditions. The presence of Mucor circinelloides in yogurt may not cause spoilage, but growth and subsequent changes in quality (e.g. container bloating) can cause spoilage if not controlled. The purpose of this study was to evaluate the effects on M. circinelloides of pasteurization regimen, natamycin concentrations, and storage temperature in yogurt production, as measured by fungal proliferation and carbon dioxide production. A strain of M. circinelloides isolated from commercially spoiled yogurt showed greater yogurt-spoilage potential than clinical isolates and other industrial strains. D-values and z-values were determined for the spoilage isolate in milk as an evaluation of the fungus' ability to survive pasteurization. Natamycin was added to yogurt at 0, 5, 10, 15, and 20ppm (μg/ml) to determine its ability to inhibit M. circinelloides over the course of month-long challenge studies at 4°C, 15°C, and 25°C. Survivors were recovered on acidified PDA and carbon dioxide levels were recorded. The D-values at 54°C, 56°C, and 58°C for hyphae/sporangiospores were (in min) 38.31±0.02, 10.17±0.28, and 1.94±0.53, respectively, which yielded a z-value of 3.09°C. The D-values at 51°C, 53°C, and 55°C for yeast-like cells were (in min) 14.25±0.12, 6.87±1.19, and 2.44±0.35, respectively, which yielded a z-value of 0.34°C. These results indicated that M. circinelloides would not survive fluid milk pasteurization if contamination occurred prior to thermal treatment. CO2 production was only observed when M. circinelloides was incubated under low-oxygen conditions, and occurred only at temperatures above 4

  17. Characterization and control of Mucor circinelloides spoilage in yogurt.

    Science.gov (United States)

    Snyder, Abigail B; Churey, John J; Worobo, Randy W

    2016-07-01

    Consumer confidence in the food industry is severely affected by large-scale spoilage incidents. However, relatively little research exists on spoilage potential of members of the fungal subphylum Mucormycotina (e.g. Mucor), which includes dimorphic spoilage organisms that can switch between a yeast-like and hyphal phase depending on environmental conditions. The presence of Mucor circinelloides in yogurt may not cause spoilage, but growth and subsequent changes in quality (e.g. container bloating) can cause spoilage if not controlled. The purpose of this study was to evaluate the effects on M. circinelloides of pasteurization regimen, natamycin concentrations, and storage temperature in yogurt production, as measured by fungal proliferation and carbon dioxide production. A strain of M. circinelloides isolated from commercially spoiled yogurt showed greater yogurt-spoilage potential than clinical isolates and other industrial strains. D-values and z-values were determined for the spoilage isolate in milk as an evaluation of the fungus' ability to survive pasteurization. Natamycin was added to yogurt at 0, 5, 10, 15, and 20ppm (μg/ml) to determine its ability to inhibit M. circinelloides over the course of month-long challenge studies at 4°C, 15°C, and 25°C. Survivors were recovered on acidified PDA and carbon dioxide levels were recorded. The D-values at 54°C, 56°C, and 58°C for hyphae/sporangiospores were (in min) 38.31±0.02, 10.17±0.28, and 1.94±0.53, respectively, which yielded a z-value of 3.09°C. The D-values at 51°C, 53°C, and 55°C for yeast-like cells were (in min) 14.25±0.12, 6.87±1.19, and 2.44±0.35, respectively, which yielded a z-value of 0.34°C. These results indicated that M. circinelloides would not survive fluid milk pasteurization if contamination occurred prior to thermal treatment. CO2 production was only observed when M. circinelloides was incubated under low-oxygen conditions, and occurred only at temperatures above 4

  18. Perbedaan Tolerabilitas Meloxicam dengan Natrium Diklofenak terhadap Saluran Cerna pada Pasien Rawat Jalan di PoliklinikPenyakit Saraf Rumah Sakit Angkatan Laut Dr. Mintohardjo Jakarta 2011

    Directory of Open Access Journals (Sweden)

    Lailan Azizah

    2013-06-01

    gastrointestinal side-effects. Inhibition of the cyclooxygenase (COX enzyme is the basis for both the efficacy and toxicity of NSAIDs. The aim of thisstudy was to avaluate the non-steroidal anti-inflammatory drugs were used in neuro polyclinic hospital of Dr. Mintohardjo Jakarta, and to evaluate gastrointestinal tolerability of meloxicam 15 mg compared with diclofenac sodium 100 mg. The methode of this study was cross-sectional observation and cohort prospective on December 2010-March 2011. The data of dyspepsia associated were used non-steroidal anti-inflammatory drugs consist of pain in upper abdomen, nausea, vomiting, upper abdominal bloating and early satiety collected with the porto alegre dyspeptic symptoms questionnaire (PADYQ were assessed at baseline and after 2 and 4weeks of treatment. The non-steroidal anti-inflammatory drugs used in neuro polyclinic hospital of Dr. Mintohardjo Jakarta were meloxicam (48.21%, diclofenac sodium (31.07%, mefenamic acid (15.36%, piroxicam (3.93% dan acetaminophen (1.43%. Insiden of adverse event after 2 weeks treatment was significantly lower in the meloxicam group compared with diclofenac sodium group in pain in upper abdomen and upper abdominal bloating (p = 0.020 and p = 0.037. These result suggest that meloxicam was much better tolerated than diclofenac sodium after 2 weeks treatment.

  19. The wisdom of the deep south of Thailand: Case study on utilization of herbal medicine to treat domestic animal diseases by traditional doctors in Pattani, Yala and Narathiwat

    Directory of Open Access Journals (Sweden)

    Poh-etae A.

    2007-03-01

    used; to treat conjunctivitis, chilli (2.3% was used; and to treat broken bones, Alocasia macrorrhizos (2.3% was used.The pharmacopeia herbal medicine used to treat domestic animal diseases by traditional doctors were reported as follows: Blumea balasamifera leaves mixed with bullet wood flower (1.5% was used to treat bloat; mangosteen skin mixed with calcium hydroxide - Ca(OH2 (2.5% was used to treat deep wounds from foot and mouth disease.The most popular herbal medicine used by most traditional doctors in the pharmacopeia to treat diarrhea Tinospora crispa (50.0% was the most popular, followed by curcuma rhizomes (30.0% and Andrographis paniculata (20.0%; to treat bloat, Blumea balasamifera leaves or salt or cattle bone (22.2% was used; to treat worms in intestines, salt (25.0% was used; as an expectorant, Tinospora crispa or curcuma rhizomes (66.7% was used; to treat abscess, lime (100.0% was used to treat deep wounds from foot and mouth disease, curcuma rhizomes (66.7% came first, followed by Zingiber cassumunar or salt (33.3% and to chase away insects, curcuma rhizomes (50.0% came first, followed by vegetable oils or betel nuts or tobacco (33.3%.

  20. Effects of different ratios of white clover to lotus pedunculatus on rumen foam and gas production of Yanbian cattle%白三叶与长柄百脉根不同混合比例对延边黄牛瘤胃泡沫及产气的影响

    Institute of Scientific and Technical Information of China (English)

    张帆; 李成云; 吕忠蕾

    2013-01-01

    This experiment was designed to prevent rumen bloat, easily caused by feeding ruminants with high protein feed, from occurring effectively. Adding different ratio of the white clover to lotus pedunculatus (2:1, 2:2, 2:3 and 2:4) to rumen liquid, and then measured the weight of dry matter, soluble protein, foam production (cc), gas production and the changes of condensed tannins after cultured for 24 h. The results indicated that soluble condensed tannin and fiber bound condensed tannin decreased in different treatments, in addition, soluble condensed tannin reduced while protein bound condensed tannin increased reversely. When the ratio was 2:3, foam production (cc) decreased significantly compared with treatment with white clover alone, along with the increasement of lotus pedunculatus, the production of CO2 was decreased. In conclusion, the soluble condensed tannin in lotus pedunculatus was able to bind soluble protein and then converted into protein bound condensed tannin. This course can prevent the produce of foam and occurrence of rumen bloat as well as protect the undegradation protein. In order to get the significant effect, the lowest ratio of tannin containing forages in high protein forages was 2:2.%蛋白含量高的豆科牧草及高蛋白饲料饲喂反刍动物时易发生臌胀病,为有效防止臌胀病的发生,试验用4种不同比例的白三叶和长柄百脉根(分别为2∶1、2∶2、2∶3、2∶4)添加延边黄牛瘤胃液培养24h后测量干物质重、可溶性蛋白质、泡沫生成量(cc)、气体生成量及缩合单宁变化来比较差异.培养24h后,各处理中水溶性缩合单宁和纤维结合单宁减少,而蛋白结合单宁增加.白三叶与长柄百脉根比例为2∶3时比单独的白三叶处理时泡沫产生量显著减少;随着长柄百脉根的添加,CO2产量显著减少.这些结果表明,长柄百脉根内水溶性缩合单宁与可溶性蛋白结合转变为蛋白结合单宁,从而减少瘤胃内泡沫

  1. A randomised controlled trial on hypnotherapy for irritable bowel syndrome: design and methodological challenges (the IMAGINE study

    Directory of Open Access Journals (Sweden)

    Flik Carla E

    2011-12-01

    Full Text Available Abstract Background Irritable Bowel Syndrome (IBS is a common gastro-intestinal disorder in primary and secondary care, characterised by abdominal pain, discomfort, altered bowel habits and/or symptoms of bloating and distension. In general the efficacy of drug therapies is poor. Hypnotherapy as well as Cognitive Behaviour Therapy and short Psychodynamic Therapy appear to be useful options for patients with refractory IBS in secondary care and are cost-effective, but the evidence is still limited. The IMAGINE-study is therefore designed to assess the overall benefit of hypnotherapy in IBS as well as comparing the efficacy of individual versus group hypnotherapy in treating this condition. Methods/Design The design is a randomised placebo-controlled trial. The study group consists of 354 primary care and secondary care patients (aged 18-65 with IBS (Rome-III criteria. Patients will be randomly allocated to either 6 sessions of individual hypnotherapy, 6 sessions of group hypnotherapy or 6 sessions of educational supportive therapy in a group (placebo, with a follow up of 9 months post treatment for all patients. Ten hospitals and four primary care psychological practices in different parts of The Netherlands will collaborate in this study. The primary efficacy parameter is the responder rate for adequate relief of IBS symptoms. Secondary efficacy parameters are changes in the IBS symptom severity, quality of life, cognitions, psychological complaints, self-efficacy as well as direct and indirect costs of the condition. Hypnotherapy is expected to be more effective than the control therapy, and group hypnotherapy is expected not to be inferior to individual hypnotherapy. Discussion If hypnotherapy is effective and if there is no difference in efficacy between individual and group hypnotherapy, this group form of treatment could be offered to more IBS patients, at lower costs. Trial registration number ISRCTN: ISRCTN22888906

  2. PREMENSTRUAL SYNDROME IN YOUNG GIRLS - ACADEMIC LOSS/WORK PRODUCTIVITY

    Directory of Open Access Journals (Sweden)

    Vijayalakshmi

    2015-10-01

    Full Text Available INTRODUCTION: Premenstrual syndrome is a common problem in young girls which adversely affects their educational performance and emotional well - being. PMS is associated with reductions in health - related quality of life and work productivity impairment regardless of the criteria used. We evaluated the loss the work productivity and functional impairment adolescent girls associated with premenstrual symptoms and dysphoric disorder (PMDD. METHODS: A total of 100 unmarried girls who had regular cycles for last 6 months, between the age group of 13 - 19 years, having dysmenorrhic symptoms and having a menstrual cycle length 0f 21 - 35 days were enrolled. Data was collected on Socio economic profile menstrual profile, PMS symptoms ACOG, DSM - IV (PMDD & Work productivity loss & Impairment. Symptoms were recorded. RESULTS: Physical symptoms, the highest % of symptoms are with Abdominal Bloating (95.81%; Breast Discomfort (94.72%; Acne (93.44%; Body ache (90.71%; Increased appetite (87.43%. Psychological symptoms - Angry (94.35% >Anxiety (92.71% >Irritability (91.44% >Feeling depressed (90.35% >Feeling Stress (85.97%. Behavioral S ymptoms: - Personality Change (85.6% >Abstinence from Work (80.5% >Violent Outburst (77.9% Work Productivity Loss and Functional I mpairment: - 27.1% have reported to have a loss of more than 2 days; 12% have reported to have loss of more than 5 days; 2% have reported to have a loss of more than 14 days. CONCLUSION: In the present study, 41% had academic/ work loss. 24% of PMS patients who missed more than 5 days per month with 50% reduction in work productivity and 2% missed more than 14 days per month with impairment in work/social activities/relationships.

  3. Self-Reported Prevalence of Symptomatic Adverse Reactions to Gluten and Adherence to Gluten-Free Diet in an Adult Mexican Population

    Directory of Open Access Journals (Sweden)

    Noe Ontiveros

    2015-07-01

    Full Text Available The prevalence of symptomatic adverse reactions to gluten and adherence to gluten-free diet in Latin American countries is unknown. These measurements are strongly linked to gluten-related disorders. This work aimed to estimate the prevalence of adverse reactions to oral gluten and the adherence to gluten-free diet in the adult Mexican population. To reach this aim, a self-administered questionnaire was designed and tested for clarity/comprehension and reproducibility. Then, a self-administered questionnaire-based cross-sectional study was conducted in the Mexican population. The estimated prevalence rates were (95% CI: 11.9% (9.9–13.5 and 7.8 (6.4–9.4 for adverse and recurrent adverse reactions to gluten respectively; adherence to gluten-free diet 3.7% (2.7–4.8, wheat allergy 0.72% (0.38–1.37; celiac disease 0.08% (0.01–0.45, and NCGS 0.97% (0.55–1.68. Estimated pooled prevalence of self-reported physician-diagnosis of gluten-related disorders was 0.88% (0.49–1.5, and 93.3% respondents reported adherence to gluten-free diet without a physician-diagnosis of gluten-related disorders. Symptom comparisons between those who reported recurrent adverse reactions to gluten and other foods showed statistically significant differences for bloating, constipation, and tiredness (p < 0.05. Gluten-related disorders may be underdiagnosed in the Mexican population and most people adhering to a gluten-free diet are doing it without proper diagnostic work-up of these disorders, and probably without medical/dietician advice.

  4. Prospective study of biofeedback retraining in patients with chronic idiopathic functional constipation

    Institute of Scientific and Technical Information of China (English)

    Jun Wang; Mao-Hong Luo; Qing-Hui Qi; Zuo-Liang Dong

    2003-01-01

    AIM: To determine the efficacy and long-term outcome of biofeedback treatment for chronic idiopathic constipation and to compare the efficacy of two modes of biofeedback (EMG-based and manometry-based biofeedback).METHODS: Fifty consecutive contactable patients included 8 cases of slow transit constipation, 36 cases of anorectic outlet obstruction and 6 cases of mixed constipation. Two modes of biofeedback were used for these 50 patients, 30 of whom had EMG-based biofeedback, and 20 had manometrybased biofeedback. Before treatment, a consultation and physical examination were done for all the patients, related information such as bowel function and gut transit time was documented, psychological test (symptom checkJist 90, SCL90)and anorectic physiological test and defecography were applied. After biofeedback management, all the patients were followed up. The Student′s t-test, chi-squared test and Logistic regression were used for statistical analysis.RESULTS: The period of following up ranged from 12 to 24months (Median 18 months). 70% of patients felt that biofeedback was helpful, and 62.5% of patients with constipation were improved. Clinical manifestations including straining, abdominal pain, bloating, were relieved, and less oral laxative was used. Spontaneous bowel frequency and psychological state were improved significantly after treatment. Patients with slow and normal transit, and those with and without paradoxical contraction of the anal sphincter on straining, benefited equally from the treatment. The psychological status rather than anorectal test could predict outcome. The efficacy of the two modes of biofeedback was similar without side effects.CONCLUSION: This study suggests that biofeedback has a long-term effect with no side effects, for the majority of patients with chronic idiopathic constipation unresponsive to traditional treatment. Pelvic floor abnormalities and transit time should not be the selection criteria for treatment.

  5. Effect of titania on fired characteristics of triaxial porcelain

    Indian Academy of Sciences (India)

    Sunipa Bhattacharyya; Swapan Kumar Das; Nirendra Krishna Mitra

    2005-08-01

    Titania was progressively added in the range 3–9 wt% into a triaxial porcelain body consisting of clay, quartz and feldspar. The composed bodies were heated at five different temperatures in the range 1200–1400°C and their fired properties as well as phases evolved were studied. The results revealed that beyond 1300°C, formation of more liquid phases caused bloating in samples which led to generation of pores. This effect is more pronounced in TiO2 containing samples. In the present system, 1300°C appeared to be the optimum temperature at which porosity was almost negligible and strength was maximum (45 MPa), particularly in presence of TiO2. From the results of XRD studies, it was revealed that quartz content primarily decreased with increase in TiO2 content due to excess glass formation and its subsequent dissolution. Mullite content increased with increase in TiO2 content. No significant effect was observed beyond 6 wt% addition. Microstructure primarily showed the presence of quartz grain and cluster of smaller sized primary mullite crystals in both the samples without and with TiO2. Very few secondary mullite crystals were also observed. SEM picture of sample containing 9 wt% TiO2 showed some grain boundary crack due to cooling stress generated in the glassy phase. The drastic reduction of residual strength after 8 cycles of heating at 800°C and cooling particularly in TiO2 containing samples suggests controlled heat treatment of the vitrified samples necessary to promote secondary crystallization process for the enhancement of strength. Attempts have also been made to correlate the constitutional parameters with the properties.

  6. The premenstrual syndrome.

    Science.gov (United States)

    Lurie, S; Borenstein, R

    1990-04-01

    PMS is probably a group of entities which include various symptoms that occur during the 7 to 10 days before menstruation and disappear a few hours after the onset of menstruation. The definition of PMS lacks objective criteria. The most common symptoms are irritability, bloating, aggressiveness, mastodynia, and headaches. The prevalence of PMS is estimated at 30 to 40 per cent. PMS is more prevalent among women working outside the home, alcoholics, women of high parity, and women with toxemic tendency; it probably runs in families. The etiology of PMS is no less obscure to us than when it was first described by Frank in 1931. No single theory has been established to explain the entire diversity of PMS symptomatology. The multitude of possible etiologic factors includes psychosocial bases, progesterone deficiency, prolactin excess, thyroid hypofunction, renin angiotensin alternations, antidiuretic hormone excess, decreased colloidosmotic pressure, endorphin activity alternations, serotonin metabolism alternations, prostaglandin action, vitamin deficiency, and such unconventional theories as the ovarian infection or the "yeast overgrowth" theory. A partial resolution of this divergence of hypotheses comes from the biopsychosocial model developed by Keye and Trunnel. According to this model, a biologic, perhaps genetically determined, predisposition to PMS is realized when past and present life experiences, attitudes, beliefs, coping styles, and social forces interact to stress a woman. The diagnosis of PMS is based on establishing a relationship between the luteal phase of the cycle and the symptoms. The evaluation of PMS patients includes the use of a monthly diary to scale the symptoms, a physical examination, and biochemical studies to rule out other disorders. Management includes education, reassurance, and drug therapy.(ABSTRACT TRUNCATED AT 250 WORDS)

  7. Neighbourhood fluorosis in people residing in the vicinity of superphosphate fertilizer plants near Udaipur city of Rajasthan (India).

    Science.gov (United States)

    Choubisa, Shanti Lal; Choubisa, Darshana

    2015-08-01

    Chronic industrial fluoride toxicosis in the forms of dental, skeletal and non-skeletal fluorosis was investigated in 162 villagers (94 males and 78 females) above 15 years of age living in the vicinity of superphosphate fertilizer plants located approximately 12 km south of Udaipur city of Rajasthan, India. Out of these villagers, 90 (55.5%) and 29 (18.0%) were found to be afflicted with mild to severe dental and skeletal fluorosis, respectively. Dental fluorosis characterized with light to deep-brownish bilaterally striated horizontal lines, pits or patches and fine dots or granules was noted on incisor teeth of villagers. Irregular wearing, excessive corrosions (abrasions), dark-brownish pigmentation of exposed cementum and dentine material, diastem as between teeth, pronounced loss of tooth supporting bone with recession and bulging of gingiva (gum) were also present in subjects of older age group (>55 years). Among 29 (18.0%) individuals, mild to moderate manifestations of skeletal fluorosis such as crippling, kyphosis, invalidism and genu-varum syndrome were found. In these fluorotic subjects pain/rigidity in major joints viz. neck, back, hip, knee and shoulder was also found. None of the fluorotic subjects showed evidence of genu-valgum syndrome. Other signs of chronic industrial fluoride intoxication in soft tissues (non-skeletal fluorosis) included colic, intermittent diarrhoea or constipation, bloating, polyuria and polydipsia. These findings indicate that surrounding environment of superphosphate fertilizer plants is contaminated with fluoride emission, which in turn is causing diverse ill health effects in humans which are discussed. PMID:26160742

  8. Nutritional Education Needs in Relation to Ramadan Fasting and Its Complications in Tehran, Iran

    Science.gov (United States)

    Shadman, Zhaleh; Akhoundan, Mahdieh; Poorsoltan, Nooshin; Khoshniat Nikoo, Mohsen; Larijani, Bagher; Akhgar Zhand, Camelia; Soleymanzadeh, Mozhdeh; Alsadat Seyed Rohani, Zahra; Jamshidi, Zahra

    2016-01-01

    Background Ramadan fasting is associated with some lifestyle changes. A lack of nutritional needs knowledge or the improper performance of fasting, particularly in relation to time, type and amount of food intake, can cause disorders such as indigestion, bloating, constipation, headaches and other clinical problems. Objectives To investigate the general knowledge regarding dietary factors associated with Ramadan fasting and its related complications. Patients and Methods This prospective, non-interventional, observational study was conducted from April to July, 2012 to coincide with the month before and the month of Ramadan. The initial participants were 600 fasting and 588 non-fasting people (aged 18 - 65 years, BMI 18.5 - 40 kg/m2) chosen by random cluster sampling in Tehran, Iran. A questionnaire of Ramadan fasting nutritional knowledge was developed and validated in a pilot study. The Likert scale was used two weeks before Ramadan and during the third and fourth weeks of Ramadan to estimate Ramadan-related complications. Seven-day, 24 - hour food recalls were used to assess food intakes. Results The lowest level of general knowledge was identified in the context of foods associated with hunger (22.1%) and hypoglycemia (24.8%) and the highest level of general knowledge was identified in reference to unsuitable foods for Sahar (91.4%). During Ramadan, all attributed complications increased in fasting subjects (P diet were associated with some gastrointestinal and sleep complications (P diet to prevent Ramadan-related complications, practical training in regard to the amounts of nutrients associated with Ramadan-related complications is both necessary and recommended.

  9. Drospirenone/ethinyl estradiol.

    Science.gov (United States)

    Rapkin, Andrea J; Sorger, Shelley N; Winer, Sharon A

    2008-02-01

    Drospirenone 3 mg/ethinyl estradiol 20 microg (24/4) is a new unique oral contraceptive formulation that combines in a novel dosing regimen the lowest dosage of ethinyl estradiol commonly used today with drospirenone, an innovative progestin. Drospirenone is a compound closely resembling progesterone, but with the antimineralocorticoid and antiandrogenic properties of a related therapeutic agent, the diuretic, antihypertensive and androgen receptor antagonist, 17alpha-spironolactone. The prolongation of hormonally active pills in the monthly drospirenone/ethinyl estradiol cycle from 21 days to 24 days, followed by 4 days of inactive pills, is an interesting variant of the recently developed extended pill regimens (1). Recent contraceptive research has focused on improving side effect profiles and providing noncontraceptive health and lifestyle advantages. Many of these benefits are now supported with evidence-based medicine (2). Most available oral contraceptives improve cycle regularity, menstrual pain, excessive menstrual flow and acne. However, weight gain, bloating, food cravings, breast tenderness and mood alterations (especially irritability and depression and the complex of affective, behavioral and somatic symptoms of premenstrual syndrome [PMS] and the severe form of PMS, premenstrual dysphoric disorder [PMDD]) are not generally improved with the traditional oral contraceptive formulations (3). Drospirenone/ethinyl estradiol 24/4 is currently the only hormonally based contraceptive regimen with large, randomized, controlled trials demonstrating efficacy for PMDD. It has received U.S. Food and Drug Administration (FDA) indications not only for the prevention of pregnancy but also for PMDD and for moderate acne vulgaris in women who choose oral contraception for birth control (4, 5). PMID:18389090

  10. 吴茱萸结合酚妥拉明治疗婴幼儿肺炎合并腹胀的疗效观察%The Evodia combined phentolamine treatment of infantile pneumonia complicated by abdominal distension Efficacy

    Institute of Scientific and Technical Information of China (English)

    李世巧

    2013-01-01

    Objective Research Evodia combined with phentolamine treatment of infantile pneumonia complicated by abdominal distension therapeutic effect, and to develop the best treatment plan. Methods 90 cases of pneumonia complicated by abdominal distension were randomly divided into two groups, the experimental group, 45 cases of abdominal topical the Evodia combination of phentolamine intravenous drug treatment and control group 45 cases using only intravenous phentolamine treatment. Results The two sets of cure time difference was statistically significant (P <0.05). Conclusion Evodia combination of phentolamine treatment than simple intravenous phentolamine can be reached much more quickly to reduce bloating symptoms, found no adverse reactions.%目的研究吴茱萸结合酚妥拉明治疗婴幼儿肺炎合并腹胀的治疗效果,制定最佳治疗方案。方法将90例肺炎合并腹胀患儿随机分为2组,实验组45例采用腹部外敷吴茱萸结合酚妥拉明静脉用药治疗,对照组45例只采用静脉使用酚妥拉明治疗。结果两组治愈时间差异有统计学意义(P<0.05)。结论吴茱萸结合酚妥拉明治疗比单纯静脉使用酚妥拉明能更快达到减轻腹胀症状,未发现不良反应。

  11. The Role of Visceral Hypersensitivity in Irritable Bowel Syndrome: Pharmacological Targets and Novel Treatments

    Science.gov (United States)

    Farzaei, Mohammad H; Bahramsoltani, Roodabeh; Abdollahi, Mohammad; Rahimi, Roja

    2016-01-01

    Irritable bowel syndrome (IBS) is the most common disorder referred to gastroenterologists and is characterized by altered bowel habits, abdominal pain, and bloating. Visceral hypersensitivity (VH) is a multifactorial process that may occur within the peripheral or central nervous systems and plays a principal role in the etiology of IBS symptoms. The pharmacological studies on selective drugs based on targeting specific ligands can provide novel therapies for modulation of persistent visceral hyperalgesia. The current paper reviews the cellular and molecular mechanisms underlying therapeutic targeting for providing future drugs to protect or treat visceroperception and pain sensitization in IBS patients. There are a wide range of mediators and receptors participating in visceral pain perception amongst which substances targeting afferent receptors are attractive sources of novel drugs. Novel therapeutic targets for the management of VH include compounds which alter gut-brain pathways and local neuroimmune pathways. Molecular mediators and receptors participating in pain perception and visceroperception include histamine-1 receptors, serotonin (5-hydrodytryptamine) receptors, transient receptor potential vanilloid type I, tachykinins ligands, opioid receptors, voltage-gated channels, tyrosine receptor kinase receptors, protease-activated receptors, adrenergic system ligands, cannabinoid receptors, sex hormones, and glutamate receptors which are discussed in the current review. Moreover, several plant-derived natural compounds with potential to alleviate VH in IBS have been highlighted. VH has an important role in the pathology and severity of complications in IBS. Therefore, managing VH can remarkably modulate the symptoms of IBS. More preclinical and clinical investigations are needed to provide efficacious and targeted medicines for the management of VH. PMID:27431236

  12. Adrenal incidentalomas: A collection of six interesting cases and brief review of literature

    Directory of Open Access Journals (Sweden)

    Roopal Panchani

    2012-01-01

    Full Text Available Introduction: Adrenal incidentalomas (AI are detected in approximately 4-7% of patients in imaging studies. Majority are benign, but careful evaluation is warranted to rule out carcinoma and functional adenomas. Aim: The purpose of presenting these cases is to highlight the approach to management of AI in terms of diagnosis, follow-up, and treatment. Materials and Methods: Seven patients presenting in the endocrine clinic with AI were evaluated for their presenting clinical features and investigated. Results: Case 1 was a 49-year-old female, with adrenal androgen secreting adrenocortical carcinoma with amenorrhoea which was mistaken as menopause. She had minimal hirsutism, which was mistaken as postmenopausal hirsutism. Case 2 was a 39-year-old male, presenting with hyperglycemia found to have Conns′ syndrome with aldosterone producing adenoma on routine ultrasound. Case 3 was a 32-year-old male, presenting with gastritis and bloating, where ultrasound showed bilateral large adrenal masses revealed as diffuse large B cell lymphoma on biopsy. Case 4 was a 21-year-old boy, who had pheochromocytoma misdiagnosed as benign intracranial hypertension (HTN. Case 5 was a 59-year-old hypertensive male, presenting with fever had pheochromocytoma with catecholamine excess, producing fever. Case 6 was isolated adrenal tuberculosis who presented with chronic diarrhea. Conclusion: AI are common, though prevalence varies depending on the reason for scanning, the characteristics of the population studied, and the radiological techniques used. Most are non-secreting cortical adenomas. AI should be evaluated both biochemically and radiologically. When a hormonal disorder is suspected clinically, targeted, diagnostic testing for autonomous cortisol secretion, pheochromocytoma, and hyperaldosteronism is indicated.

  13. Contributions of upper gut hormones and motility to the energy intake-suppressant effects of intraduodenal nutrients in healthy, lean men - a pooled-data analysis.

    Science.gov (United States)

    Schober, Gudrun; Lange, Kylie; Steinert, Robert E; Hutchison, Amy T; Luscombe-Marsh, Natalie D; Landrock, Maria F; Horowitz, Michael; Seimon, Radhika V; Feinle-Bisset, Christine

    2016-09-01

    We have previously identified pyloric pressures and plasma cholecystokinin (CCK) concentrations as independent determinants of energy intake following administration of intraduodenal lipid and intravenous CCK. We evaluated in healthy men whether these parameters also determine energy intake in response to intraduodenal protein, and whether, across the nutrients, any predominant gastrointestinal (GI) factors exist, or many factors make small contributions. Data from nine published studies, in which antropyloroduodenal pressures, GI hormones, and GI /appetite perceptions were measured during intraduodenal lipid or protein infusions, were pooled. In all studies energy intake was quantified immediately after the infusions. Specific variables for inclusion in a mixed-effects multivariable model for determination of independent predictors of energy intake were chosen following assessment for collinearity, and within-subject correlations between energy intake and these variables were determined using bivariate analyses adjusted for repeated measures. In models based on all studies, or lipid studies, there were significant effects for amplitude of antral pressure waves, premeal glucagon-like peptide-1 (GLP-1) and time-to-peak GLP-1 concentrations, GLP-1 AUC and bloating scores (P < 0.05), and trends for basal pyloric pressure (BPP), amplitude of duodenal pressure waves, peak CCK concentrations, and hunger and nausea scores (0.05 < P ≤ 0.094), to be independent determinants of subsequent energy intake. In the model including the protein studies, only BPP was identified as an independent determinant of energy intake (P < 0.05). No single parameter was identified across all models, and effects of the variables identified were relatively small. Taken together, while GI mechanisms contribute to the regulation of acute energy intake by lipid and protein, their contribution to the latter is much less. Moreover, the effects are likely to reflect small, cumulative

  14. Upper gastrointestinal sensitivity to meal-related signals in adult humans - relevance to appetite regulation and gut symptoms in health, obesity and functional dyspepsia.

    Science.gov (United States)

    Feinle-Bisset, Christine

    2016-08-01

    Both the stomach and small intestine play important roles in sensing the arrival of a meal, and its physico-chemical characteristics, in the gastrointestinal lumen. The presence of a meal in the stomach provides a distension stimulus, and, as the meal empties into the small intestine, nutrients interact with small intestinal receptors, initiating the release of gut hormones, associated with feedback regulation of gastrointestinal functions, including gut motility, and signaling to the central nervous system, modulating eating behaviours, including energy intake. Lipid appears to have particularly potent effects, also in close interaction with, and modulating the effects of, gastric distension, and involving the action of gut hormones, particularly cholecystokinin (CCK). These findings have not only provided important, and novel, insights into how gastrointestinal signals interact to modulate subjective appetite perceptions, including fullness, but also laid the foundation for an increasing appreciation of the role of altered gastrointestinal sensitivities, e.g. as a consequence of excess dietary intake in obesity, or underlying the induction of gastrointestinal symptoms in functional dyspepsia (a condition characterized by symptoms, including bloating, nausea and early fullness, amongst others, after meals, particularly those high in fat, in the absence of any structural or functional abnormalities in the gastrointestinal tract). This paper will review the effects of dietary nutrients, particularly lipid, on gastrointestinal function, and associated effects on appetite perceptions and energy intake, effects of interactions of gastrointestinal stimuli, as well as the role of altered gastrointestinal sensitivities (exaggerated, or reduced) in eating-related disorders, particularly obesity and functional dyspepsia. PMID:27013098

  15. Maximum tolerated volume in drinking tests with water and a nutritional beverage for the diagnosis of functional dyspepsia

    Institute of Scientific and Technical Information of China (English)

    Aldo Monta(n)o-Loza; Max Schmulson; Sergio Zepeda-Gómez; Jose Maria Remes-Troche; Miguel Angel Valdovinos-Diaz

    2005-01-01

    AIM: Recently, drinking load tests with water or nutritional beverages have been proposed as diagnostic tools for functional dyspepsia (FD), therefore we sought to reproduce if these tests can discriminate between FD patients and controls in a Mexican population. METHODS: Twenty FD-Rome Ⅱ patients were matched by age and gender with 20 healthy controls. All underwent both drinking tests at a 15 mL/min rate, randomly, 7 d apart. Every 5 min within each test, four symptoms were evaluated (satiety, bloating, nausea and pain) by Likert scales. Maximum tolerated volume (MTV) was defined as the ingested volume when a score of 5 was reached for any symptom or when the test had to be stopped because the patients could not tolerate more volume. Sensitivity and specificity were analyzed. RESULTS: FD patients had higher symptom scores for both tests compared to controls (water: t= 4.1, P= 0.001 <0.01; Nutren(R): t= 5.2, P= 0.001<0.01). The MTV forwater and Nutren(R) were significantly lower in FD (water: 1014±288 vs 1749±275 mL; t = 7.9, P = 0.001<0.01;Nutren(R): 652±168 vs 1278±286 mL; t= 6.7, P = 0.001<0.01). With the volume tolerated by the controls, the percentile 10 was determined as the lower limit fortolerance. Sensitivity and specificity were 0.90, 0.95 for water and 0.95, 0.95 for Nutren(R) tests.CONCLUSION: A drinking test with water or a nutritional beverage can discriminate between FD patients and healthy subjects in Mexico, with high sensitivity and specificity. These tests could be used as objective, noninvasive, and safe diagnostic approaches for FD patients.

  16. Small intestinal bacterial overgrowth and lactose intolerance contribute to irritable bowel syndrome symptomatology in Pakistan

    Directory of Open Access Journals (Sweden)

    Javed Yakoob

    2011-01-01

    Full Text Available Background /Aim: The symptoms of irritable bowel syndrome resemble those of small intestinal bacterial overgrowth (SIBO. The aim of this study was to determine the frequency of SIBO and lactose intolerance (LI occurrence in patients with diarrhea-predominant irritable bowel syndrome (IBS-D according to Rome III criteria. Patients and Methods: In this retrospective case-control study, patients over 18 years of age with altered bowel habit, bloating, and patients who had lactose Hydrogen breath test (H 2 BT done were included. The "cases" were defined as patients who fulfill Rome III criteria for IBS-D, while "controls" were those having chronic nonspecific diarrhea (CNSD who did not fulfill Rome III criteria for IBS-D. Demographic data, predominant bowel habit pattern, concurrent use of medications, etc., were noted. Results: Patients with IBS-D were 119 (51% with a mean age of 35 ± 13 years, while those with CNSD were 115 (49% with mean age 36 ± 15 years. Patients in both IBS-D and CNSD were comparable in gender, with male 87 (74% and female 77 (64%. SIBO was documented by lactose H 2 BT in 32/234 (14% cases. It was positive in 22/119 (19% cases with IBS-D, while 10/115 (9% cases had CNSD (P = 0.03. LI was positive in 43/234 (18% cases. Of these, 25/119 (21% cases had IBS-D and 18/115 (16% cases had CNSD (P = 0.29. Conclusion: SIBO was seen in a significant number of our patients with IBS-D. There was no significant age or gender difference in patients with or without SIBO.

  17. Subjective lactose intolerance in apparently healthy adults in southern Iran: Is it related to irritable bowel syndrome?

    Directory of Open Access Journals (Sweden)

    Saberi-Firoozi M

    2007-11-01

    Full Text Available Background : The main symptoms of lactose intolerance are bloating, abdominal cramps, increased flatus and loose watery stools. These symptoms are similar to those of irritable bowel syndrome (IBS, which is a prevalent entity in the community. Objective : As there was no data available on the prevalence of LI and the correlated factors, this study aimed to determine these correlations and their relation to IBS symptoms in an apparently healthy population in Shiraz, southern Iran. Materials and Methods : A survey among 1,978 individuals older than 35 years was conducted in Shiraz, southern Iran, using a questionnaire that consisted of items regarding demographic data, life style, subjective gastrointestinal symptoms of LI and IBS symptoms according to ROME II criteria. Results : A total of 562 subjects reported LI (28.41%. The prevalence was significantly higher in females, in subjects taking NSAIDs or acetaminophen and in cases reporting IBS symptoms. Subjects with LI avoided certain foods and drinks; and in order to relieve their symptoms, they used OTC drugs, herbal medicine or visited a physician. On the other hand, no relation was found between LI and age, smoking or the number of meals per day. Conclusions : Although we found that individuals with IBS had significantly more subjective LI than those without IBS, in the absence of documented lactose malabsorption, it is hard to tell whether the reported symptoms indeed are those of LI or simply those of IBS. So, a period of dairy product avoidance and/ or requesting a test for lactose malabsorption may be beneficial in this area.

  18. Lactose intolerance – current state of knowledge

    Directory of Open Access Journals (Sweden)

    Edyta Mądry

    2010-09-01

    Full Text Available Lactase-phlorizin hydrolase (LCT, more commonly known as lactase, is an enzyme responsible for cleaving lactose into absorbable monosaccharides, glucose and galactose. LCT deficiency (hypolactasia – HL is caused by a decreased activity of LCT in the small intestinal villi and potentially results in lactose malabsorption what may lead to the development of clinical symptoms (diarrhea, bloating, flatulence and cramps andavoiding milk products in the diet. HL is the world’s most common enzyme deficiency in humans. HL exists in three distinct forms – congenital, primary and secondary. Adult type hypolactasia (ATH is the most common phenotype found in human. It is a genetically predetermined physiological condition inherited through an autosomal recessive mode which results in a decline of lactase activity after weaning. ATH is associated with the LCT -13910 C>T polymorphism worldwide, except in Africa. Lactase non-persistence has been observed in individuals with the C/C-13910 genotype, whereas lactase persistence in subjects with remaining allelic variants. Small intestine biopsy is the only diagnostic procedure allowing for the direct measurement of LCT activity, however due to its invasive nature it is hardly accepted by patients. Therefore, LCT status is often inferred simply by assessing the patient’s lactose digestion. A lactose tolerance test can be performed after lactose load and then measuring blood glucose concentration or breath hydrogen (preferably hydrogen and methane expiration. A genetic test of the C/T-13910 polymorphism is also available at present. It is a reliable method in excluding/confirming ATH predisposition. However, it definitely does not assess lactose tolerance or malabsorption.

  19. Fructose and/or Sorbitol Intolerance in a Subgroup of Lactose Intolerant Patients

    Directory of Open Access Journals (Sweden)

    SR Mishkin

    1994-01-01

    Full Text Available The diagnosis and treatment of lactose intolerance often does not resolve all the symptoms of postcibal bloating and flatulence. Included in this study were 104 lactose intolerant patients (71 female, 33 male who complained of residual postcibal discomfort in spite of adherence to and benefit from appropriate measures for their documented lactose intolerance (at least 20 ppm H2 after 25 g lactose as well as appropriate symptomatic discomfort. Clinical characteristics common to this group included: symptomatic diarrhea (12.5%, history of foreign travel (5.8%, endoscopic and pathological evidence of gastritis and helicobacter infection (19.2 and 8.7%, respectively, nonspecific abnormalities of small bowel follow-through (15.4%, Crohn’s disease (8.7% and colonic cliverticulosis (14.4%. Intolerance co fructose (at least 10 ppm H2 after 25 g fructose plus appropriate symptoms or sorbitol (at least 10 ppm H2 after 5 g sorbitol plus appropriate symptoms was documented in 17.3 and 18.3%, respectively. Intolerance to both fructose and sorbicol (administered as separate challenges, more than twice as common as intolerance to either one alone, occurred in 41.4% and was independent of sex. In conclusion, additional carbohydrate intolerances contribute to postcibal discomfort in more than 75% of lactose intolerant patients who remain symptomatic in spite of adherence to appropriate measures for this condition. While 62% of all patients had benefited significantly (greater than 50% from appropriate dietary measures and enzyme replacement for lactose intolerance, only 40% of those who were also fructose intolerant and 47% who were sorbitol intolerant benefited (greater than 50% from appropriate dietary measures (no enzyme replacement yet available for intolerance to these sugars.

  20. Irritable bowel syndrome subtypes: clinical and psychological features, body mass index and comorbidities

    Directory of Open Access Journals (Sweden)

    Cristiane Kibune-Nagasako

    2016-02-01

    Full Text Available Background: Irritable bowel syndrome (IBS is classified into subtypes according to bowel habit. Objective: To investigate whether there are differences in clinical features, comorbidities, anxiety, depression and body mass index (BMI among IBS subtypes. Methods: The study group included 113 consecutive patients (mean age: 48 ± 11 years; females: 94 with the diagnosis of IBS. All of them answered a structured questionnaire for demographic and clinical data and underwent upper endoscopy. Anxiety and depression were assessed by the Hospital Anxiety and Depression scale (HAD. Results: The distribution of subtypes was: IBS-diarrhea (IBS-D, 46%; IBS-constipation (IBS-C, 32%, and mixed IBS (IBS-M, 22%. IBS overlap with gastroesophageal reflux disease (GERD, functional dyspepsia, chronic headache and fibromyalgia occurred in 65.5%, 48.7%, 40.7% and 22.1% of patients, respectively. Anxiety and/or depression were found in 81.5%. Comparisons among subgroups showed that bloating was significantly associated with IBS-M compared to IBS-D (odds ratio-OR-5.6. Straining was more likely to be reported by IBS-M (OR 15.3 and IBS-C (OR 12.0 compared to IBS-D patients, while urgency was associated with both IBS-M (OR 19.7 and IBS-D (OR 14.2 compared to IBS-C. In addition, IBS-M patients were more likely to present GERD than IBS-D (OR 6.7 and higher scores for anxiety than IBS-C patients (OR 1.2. BMI values did not differ between IBS-D and IBS-C. Conclusion: IBS-M is characterized by symptoms frequently reported by both IBS-C (straining and IBS-D (urgency, higher levels of anxiety, and high prevalence of comorbidities. These features should be considered in the clinical management of this subgroup.

  1. Application of Cotton Masks in the Use of Bipap%棉口罩在无创呼吸机使用过程中的应用

    Institute of Scientific and Technical Information of China (English)

    仲洁明

    2014-01-01

    [ABSTRACT]Objective:Explord the thin cotton masks to increase patients’ comfort in the process of using Bipap. Methods:Analyzed and compared patients’ between 2012 December to 2013 December, 258 cases with the addition of a thin cotton mask method and 2011 December~2012 December, 252 cases used routine methods in our department. Results:There are signiifcant differences between the two methods of discomfort in facial pressure ulcer, ocular discomfort and abdominal distension etc. Conclusion:By wearing the medical thin cotton mask can effectively reduce the face pressure ulcer,pneumatic,ophthalmia and bloating etc.Improved the patients’ comfort.%目的:探索佩戴薄棉口罩在使用无创呼吸机过程中增加患者舒适度的作用。方法:对我科2012年12月~2013年12月258例加用薄棉口罩法与2011年12月~2012年12月,252例使用常规佩戴法两种方法进行分析比较。结果:两种方法在发生面部压疮、眼部不适以及腹胀等不适方面存在显著差异。结论:通过佩戴医用薄棉口罩可以有效降低由于佩戴无创呼吸机面罩引起的面部压疮、刺激性结膜炎及腹胀等不适,提高患者的舒适度。

  2. Modification of abomasum contractility by flavonoids present in ruminants diet: in vitro study.

    Science.gov (United States)

    Mendel, M; Chłopecka, M; Dziekan, N; Karlik, W

    2016-09-01

    Flavonoid supplementation is likely to be beneficial in improving rumen fermentation and in reducing the incidence of rumen acidosis and bloat. Flavonoids are also said to increase the metabolic performance during the peripartum period. Ruminants are constantly exposed to flavonoids present in feed. However, it is not clear if these phytochemicals can affect the activity of the gut smooth muscle. Therefore, the aim of the study was to verify the effect of three flavonoids on bovine isolated abomasum smooth muscle. The study was carried out on bovine isolated circular and longitudinal abomasal smooth muscle specimens. All experiments were conducted under isometric conditions. The effect of apigenin, luteolin and quercetin (0.001 to 100 µM) was evaluated on acetylcholine-precontracted preparations. The effect of multiple, but not cumulative, treatment and single treatment with each flavonoid on abomasum strips was compared. Apigenin (0.1 to 100 µM) dose-dependently showed myorelaxation effects. Luteolin and quercetin applied in low doses increased the force of the ACh-evoked reaction. However, if used in high doses in experiments testing a wide range of concentrations, their contractile effect either declined (luteolin) or was replaced by an antispasmodic effect (quercetin). Surprisingly, the reaction induced by flavonoids after repeated exposure to the same phytochemical was not reproducible in experiments testing only single exposure of abomasum strips to the same flavonoid used in a high concentration. Taking into account the physicochemical properties of flavonoids, this data suggests the ability of flavonoids to interfere with cell membranes and, subsequently, to modify their responsiveness. Assuming ruminant supplementation with luteolin or quercetin or their presence in daily pasture, a reduction of the likelihood of abomasum dysmotility should be expected. PMID:27534882

  3. Irradiated Human Dermal Fibroblasts Are as Efficient as Mouse Fibroblasts as a Feeder Layer to Improve Human Epidermal Cell Culture Lifespan

    Directory of Open Access Journals (Sweden)

    Lucie Germain

    2013-02-01

    Full Text Available A fibroblast feeder layer is currently the best option for large scale expansion of autologous skin keratinocytes that are to be used for the treatment of severely burned patients. In a clinical context, using a human rather than a mouse feeder layer is desirable to reduce the risk of introducing animal antigens and unknown viruses. This study was designed to evaluate if irradiated human fibroblasts can be used in keratinocyte cultures without affecting their morphological and physiological properties. Keratinocytes were grown either with or without a feeder layer in serum-containing medium. Our results showed that keratinocytes grown either on an irradiated human feeder layer or irradiated 3T3 cells (i3T3 can be cultured for a comparable number of passages. The average epithelial cell size and morphology were also similar. On the other hand, keratinocytes grown without a feeder layer showed heavily bloated cells at early passages and stop proliferating after only a few passages. On the molecular aspect, the expression level of the transcription factor Sp1, a useful marker of keratinocytes lifespan, was maintained and stabilized for a high number of passages in keratinocytes grown with feeder layers whereas Sp1 expression dropped quickly without a feeder layer. Furthermore, gene profiling on microarrays identified potential target genes whose expression is differentially regulated in the absence or presence of an i3T3 feeder layer and which may contribute at preserving the growth characteristics of these cells. Irradiated human dermal fibroblasts therefore provide a good human feeder layer for an effective expansion of keratinocytes in vitro that are to be used for clinical purposes.

  4. Benign Hydronephrosis and Elevated of Serum Levels of Carbohydrate Antigen CA 19-9: A Case Report

    Science.gov (United States)

    Filipovic, Branka; Milinić, Nikola; Gacic, Jasna; Markovic, Olivera; Djokovic, Aleksandra; Filipovic, Branislav

    2016-01-01

    Patient: Male, 58 Final Diagnosis: Hydronephrosis Symptoms: Blunt abdominal pain • constipation • constipation Medication: — Clinical Procedure: Extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy Specialty: Gastroenterology and Hepatology Objective: Rare co-existance of disease or pathology Background: Carbohydrate tumor-associated antigen (CA 19-9) has been shown to be upregulated in other malignant tumors including gastric, ovarian, hepatocellular, and colorectal carcinoma as well as benign diseases of the biliary track such as pancreatitis, cholangitis, and choledocholithiasis. According to the available literature, in several cases of benign hydronephrosis and in a few cases of benign renal diseases, elevated CA 19-9 has been noted. Case Report: A 58-year-old Caucasian male patient was admitted in our clinic with complaints about blunt abdominal pain in the past two-month period localized in the right lumbar region and irradiating into the right inguinal area, constipation, abdominal bloating, and intermittent hematuria. The concentration of serum CA 19-9 was 3500 U/mL. Urine cytology provided no signs of abnormality. Intravenous urography visualized right-sided pyelon and ureter duplex with the defect in contrast shade of the pyelon, caused by a stag horn calculus. Contrast added computerized axial tomography of the abdomen and pelvis visualized the pyelon casted concretion spreading throughout the right pyelon, with ureterohydronephrosis with the distal block for passage of the contrast to the distal part of the ureter. Conclusions: There is no doubt that CA 19-9 level is occasionally elevated in patients with obstructive urolithiasis as it was in our case. In the routine medical praxis, urolithiasis should not be neglected in the differential diagnosis of elevated concentrations of CA 19-9 marker. PMID:27287959

  5. Symptoms of gallstone disease.

    Science.gov (United States)

    Diehl, A K

    1992-11-01

    The most certain symptomatic manifestation of gallstones is episodic upper abdominal pain. Characteristically, this pain is severe and located in the epigastrium and/or the right upper quadrant. The onset is relatively abrupt and often awakens the patient from sleep. The pain is steady in intensity, may radiate to the upper back, be associated with nausea and lasts for hours to up to a day. Dyspeptic symptoms of indigestion, belching, bloating, abdominal discomfort, heartburn and specific food intolerance are common in persons with gallstones, but are probably unrelated to the stones themselves and frequently persist after surgery. Many, if not most, persons with gallstones have no history of pain attacks. Persons discovered to have gallstones in the absence of typical symptoms appear to have an annual incidence of biliary pain of 2-5% during the initial years of follow-up, with perhaps a declining rate thereafter. Gallstone-related complications occur at a rate of less than 1% annually. Those whose stones are symptomatic at discovery have a more severe course, with approximately 6-10% suffering recurrent symptoms each year and 2% biliary complications. The far higher rates of symptom development reported in a few studies raise the possibility that these incidence estimates may be too low. The best predictors of future biliary pain are a history of pain at the time of diagnosis, female gender and possibly obesity. The risk of acute cholecystitis appears to be greater in those with large solitary stones, that of biliary pancreatitis in those with multiple small stones, and that of gallbladder cancer in those with large stones of any number. Drugs that inhibit the synthesis of prostaglandins may now be the treatment of choice in patients with gallstones who are suffering acute pain attacks. Persistent dyspeptic symptoms occur frequently following cholecystectomy. A prolonged history of such symptoms prior to surgery and evidence of significant psychological distress

  6. An Investigation of Symptom Clusters of Gastrointestinal Cancer Patients Within One Week After Operation%胃肠道肿瘤患者术后一周内症状群的调查研究

    Institute of Scientific and Technical Information of China (English)

    朱宇; 王维利; 周利华; 王婷; 栾贝贝

    2015-01-01

    operation.Methods From January to December 2012, 84 gastrointestinal cancer patients underwenting treatment at the first seven days postoperative period were recruited in General Surgery of the Sixth People′s Hospital of Shanghai.The general information questionnaire and the Memorial Symptom Assessment Scale ( MSAS ) were used in cross -sectional study.Results A total of 84 questionnaires were handed out, 79 of them were eligible, the recovery ratio was 94.0%. The study showed that the top ten symptoms were weight loss ( 97.5%, 77/79 ) , dry mouth ( 96.2%, 76/79 ) , pain (91.1%, 72/79), sweating (84.8%, 67/79), bradypsychia (78.5%, 62/79), cough (69.6%, 55/79), difficulty sleeping ( 67.1%, 53/79 ) , feeling drowsy ( 51.9%, 41/79 ) , feeling bloated ( 48.1%, 38/79 ) , feeling nervous (40.5%, 32/79) .The Spearman correlation analysis showed that bradypsychia was positively correlated with weight loss, dry mouth, pain, sweating, cough, difficulty sleeping, feeling drowsy and feeling nervous; sweating was positively correlated with dry mouth, pain, difficulty sleeping, feeling drowsy and feeling bloated; pain was positively correlated with difficulty sleeping, feeling drowsy and feeling nervous; feeling nervous was positively correlated with cough, difficulty sleeping, feeling bloated;dry mouth was positively correlated with weight loss and difficulty sleeping; cough was positively correlated with feeling bloated, respectively (P<0.05) .The exploratory factor analysis of symptoms revealed six major symptom clusters, which were sickness-behavior symptom cluster, confusion symptom cluster, gastrointestinal symptom cluster, surgery -related symptom cluster, pain-related symptom cluster and other symptom cluster.The cumulative variance contribution rate was 56.54%, while the variance contribution of each symptom cluster was 26.65%, 8.02%, 6.81%, 5.78%, 4.78% and 4.50%, respectively.The Cronbach′s αcoefficient of each symptom cluster was 0.83, 0.72, 0.82, 0.57, 0.61 and 0

  7. Intestinal microbiota in healthy adults: temporal analysis reveals individual and common core and relation to intestinal symptoms.

    Directory of Open Access Journals (Sweden)

    Jonna Jalanka-Tuovinen

    Full Text Available BACKGROUND: While our knowledge of the intestinal microbiota during disease is accumulating, basic information of the microbiota in healthy subjects is still scarce. The aim of this study was to characterize the intestinal microbiota of healthy adults and specifically address its temporal stability, core microbiota and relation with intestinal symptoms. We carried out a longitudinal study by following a set of 15 healthy Finnish subjects for seven weeks and regularly assessed their intestinal bacteria and archaea with the Human Intestinal Tract (HIT Chip, a phylogenetic microarray, in conjunction with qPCR analyses. The health perception and occurrence of intestinal symptoms was recorded by questionnaire at each sampling point. PRINCIPAL FINDINGS: A high overall temporal stability of the microbiota was observed. Five subjects showed transient microbiota destabilization, which correlated not only with the intake of antibiotics but also with overseas travelling and temporary illness, expanding the hitherto known factors affecting the intestinal microbiota. We identified significant correlations between the microbiota and common intestinal symptoms, including abdominal pain and bloating. The most striking finding was the inverse correlation between Bifidobacteria and abdominal pain: subjects who experienced pain had over five-fold less Bifidobacteria compared to those without pain. Finally, a novel computational approach was used to define the common core microbiota, highlighting the role of the analysis depth in finding the phylogenetic core and estimating its size. The in-depth analysis suggested that we share a substantial number of our intestinal phylotypes but as they represent highly variable proportions of the total community, many of them often remain undetected. CONCLUSIONS/SIGNIFICANCE: A global and high-resolution microbiota analysis was carried out to determine the temporal stability, the associations with intestinal symptoms, and the

  8. The Effect of Ginger (Zingiber officinalis and Artichoke (Cynara cardunculus Extract Supplementation on Functional Dyspepsia: A Randomised, Double-Blind, and Placebo-Controlled Clinical Trial

    Directory of Open Access Journals (Sweden)

    Attilio Giacosa

    2015-01-01

    Full Text Available Objective. Functional dyspepsia (FD is a frequent clinical finding in western world. The aim of this study is to compare the efficacy of a ginger and artichoke supplementation versus placebo in the treatment of FD. Methods. A prospective multicentre, double blind, randomized, placebo controlled, parallel-group comparison of the supplement and placebo over a period of 4 weeks was performed. Two capsules/day were supplied (before lunch and dinner to 126 FD patients (supplementation/placebo: 65/61. Results. After 14 days of treatment, only supplementation group (SG showed a significant amelioration (SG: αS=+1.195 MCA score units (u, P=0.017; placebo: αP=+0.347 u, P=0.513. The intercept (α resulted to be significantly higher in SG than in placebo (αS-αP=+0.848 u, P<0.001. At the end of the study, the advantage of SG versus placebo persists without variation (βS-βP=+0.077 u, P=0.542. In SG, a significant advantage is observed for nausea (βS-βP=-0.398 u, P<0.001, epigastric fullness (βS-βP=-0.241, P<0.001, epigastric pain (βS-βP=-0.173 u, P=0.002, and bloating (βS-βP=-0.167 u, P=0.017. Conclusions. The association between ginger and artichoke leaf extracts appears safe and efficacious in the treatment of FD and could represent a promising treatment for this disease.

  9. Symptoms of depression and quality of life in functional dyspepsia patients

    Directory of Open Access Journals (Sweden)

    Muhammad Eko Cahyanto Neneng Ratnasari Agus Siswanto

    2014-08-01

    Full Text Available Dyspepsia is a common disorder characterized by heartburn, nausea, vomiting, bloating, feelingof fullness or early satiety, and belching. Functional dyspepsia (FD or non-ulcer dyspepsia is asyndrome without any physical or endoscopic abnormalities underlying these symptoms. Theimpacts of FD on psychological disturbances and quality of life in patients have been postulated.However, it has not much been a concern. This study was conducted to evaluate the relationshipbetween symptoms of depression and quality of life in patients with FD. This was an observationalstudy with cross-sectional design involving 30 patients. The symptoms of depression weremeasured by beck depression inventory (BDI and the quality of life of patients were measuredby SF-36. The results showed that FD were more suffered consecutively by female patients(66.7%, age over 45 years (53.4%, housewives (56.6%, educated graduates (56.6% andmarried (90.0%. Moreover, patients who experienced symptoms of clinical depression withlow, moderate and severe levels were 16.3%, 33.3% dan 10.0%, respectively. A significantcorrelation between depressive symptoms and the overall of patients quality of life was observed(r = 0.481; p<0.05. Furthermore analysis showed that among eight domains of health in SF-36analyzed, a negative significant correlation was observed between the depressive symptoms andthe three domains of health i.e. general physical function, limitation of motion caused byphysical problems, and vitality. In conclusion, there is a negative correlation between depressivesymptoms and quality of life in patients with FD.

  10. Clinical Practice Guideline: Irritable bowel syndrome with constipation and functional constipation in the adult.

    Science.gov (United States)

    Mearin, Fermín; Ciriza, Constanza; Mínguez, Miguel; Rey, Enrique; Mascort, Juan José; Peña, Enrique; Cañones, Pedro; Júdez, Javier

    2016-06-01

    In this Clinical Practice Guideline we discuss the diagnostic and therapeutic approach of adult patients with constipation and abdominal complaints at the confluence of the irritable bowel syndrome spectrum and functional constipation. Both conditions are included among the functional bowel disorders, and have a significant personal, healthcare, and social impact, affecting the quality of life of the patients who suffer from them. The first one is the irritable bowel syndrome subtype, where constipation represents the predominant complaint, in association with recurrent abdominal pain, bloating, and abdominal distension. Constipation is characterized by difficulties with or low frequency of bowel movements, often accompanied by straining during defecation or a feeling of incomplete evacuation. Most cases have no underlying medical cause, and are therefore considered as a functional bowel disorder. There are many clinical and pathophysiological similarities between both disorders, and both respond similarly to commonly used drugs, their primary difference being the presence or absence of pain, albeit not in an "all or nothing" manner. Severity depends not only upon bowel symptom intensity but also upon other biopsychosocial factors (association of gastrointestinal and extraintestinal symptoms, grade of involvement, and perception and behavior variants). Functional bowel disorders are diagnosed using the Rome criteria. This Clinical Practice Guideline has been made consistent with the Rome IV criteria, which were published late in May 2016, and discuss alarm criteria, diagnostic tests, and referral criteria between Primary Care and gastroenterology settings. Furthermore, all the available treatment options (exercise, fluid ingestion, diet with soluble fiber-rich foods, fiber supplementation, other dietary components, osmotic or stimulating laxatives, probiotics, antibiotics, spasmolytics, peppermint essence, prucalopride, linaclotide, lubiprostone, biofeedback

  11. Fecal microbiota transplantation for recurrent Clostridium difficile infection in hematopoietic stem cell transplant recipients.

    Science.gov (United States)

    Webb, B J; Brunner, A; Ford, C D; Gazdik, M A; Petersen, F B; Hoda, D

    2016-08-01

    Recurrent Clostridium difficile infection (CDI) is a consequence of intestinal dysbiosis and is particularly common following hematopoietic stem cell transplantation (HSCT). Fecal microbiota transplantation (FMT) is an effective method of treating CDI by correcting intestinal dysbiosis by passive transfer of healthy donor microflora. FMT has not been widely used in immunocompromised patients, including HSCT recipients, owing to concern for donor-derived infection. Here, we describe initial results of an FMT program for CDI at a US HSCT center. Seven HSCT recipients underwent FMT between February 2015 and February 2016. Mean time post HSCT was 635 days (25-75 interquartile range [IQR] 38-791). Five of the patients (71.4%) were on immunosuppressive therapy at FMT; 4 had required long-term suppressive oral vancomycin therapy because of immediate recurrence after antibiotic cessation. Stool donors underwent comprehensive health and behavioral screening and laboratory testing of serum and stool for 32 potential pathogens. FMT was administered via the naso-jejunal route in 6 of the 7 patients. Mean follow-up was 265 days (IQR 51-288). Minor post-FMT adverse effects included self-limited bloating and urgency. One patient was suspected of having post-FMT small intestinal bacterial overgrowth. No serious adverse events were noted and all-cause mortality was 0%. Six of 7 (85.7%) patients had no recurrence; 1 patient recurred at day 156 post FMT after taking an oral antibiotic and required repeat FMT, after which no recurrence has occurred. Diarrhea was improved in all patients and 1 patient with gastrointestinal graft-versus-host disease was able to taper off systemic immunosuppression after FMT. With careful donor selection and laboratory screening, FMT appears to be a safe and effective therapy for CDI in HSCT patients and may confer additional benefits. Larger studies are necessary to confirm safety and efficacy and explore other possible effects. PMID:27214585

  12. Establishment of risk model for pancreatic cancer in Chinese Han population

    Institute of Scientific and Technical Information of China (English)

    Xing-Hua Lu; Li Wang; Hui Li; Jia-Ming Qian; Rui-Xue Deng; Lu Zhou

    2006-01-01

    AIM: To investigate risk factors for pancreatic cancer and establish a risk model for Han population.METHODS: This population-based case-control study was carried out from January 2002 to April 2004. One hundred and nineteen pancreatic cancer patients and 238 healthy people completed the questionnaire which was used for risk factor analysis. Logistic regression analysis was used to calculate odds ratio (ORs), 95%confidence intervals (Cis) and β value, which were further used to establish the risk model.RESULTS: According to the study, people who have smoked more than 17 pack-years had a higher risk to develop pancreatic cancer compared to non-smokers or light smokers (not more than 17 pack-years) (OR 1.98;95% CI 1.11-3.49, P=0.017). More importantly, heavy smokers in men had increased risk for developing pancreatic cancer (OR 2.11; 95%CI 1.18-3.78, P=0.012)than women. Heavy alcohol drinkers (>20 cup-years)had increased risk for pancreatic cancer (OR 3.68;95%CI 1.60-8.44). Daily diet with high meat intak was also linked to pancreatic cancer. Moreover, 18.5% of the pancreatic cancer patients had diabetes mellitus compared to the control group of 5.8% (P= 0.0003). Typical symptoms of pancreatic cancer were anorexia, upper abdominal pain, bloating, jaundice and weight loss. Each risk factor was assigned a value to represent its impor tance associated with pancreatic cancer. Subsequently by adding all the points together, a risk scoring model was established with a value higher than 45 as being at risk to develop pancreatic cancer.CONCLUSION: Smoking, drinking, high meat diet and diabetes are major risk factors for pancreatic cancer. A risk model for pancreatic cancer in Chinese Hah population has been established with an 88.9% sensitivity and a 97.6% specificity.

  13. 35例胃肠间质瘤的临床诊治%Clinical Diagnosis and Treatment of 35 Cases of Gastrointestinal Stromal Tumors

    Institute of Scientific and Technical Information of China (English)

    阎智勇; 赵连和

    2016-01-01

    目的:探讨胃肠间质瘤的发病年龄、部位、临床表现、诊断及治疗。方法回顾性分析我院35例胃肠间质瘤的临床资料。结果胃肠间质瘤主要起源于胃(占60%)和小肠(28.6%)。35例中腹痛、腹胀26例,消化道出血8例,不完全性肠梗阻5例,均行手术治疗,无死亡病例。术后随访1~5年,复发行二次手术2例。结论胃肠间质瘤临床表现缺乏特异性,确诊主要依靠病理或免疫组化,目前手术是最主要的治疗手段。%Objective To study the age, location, clinical feature, diagnosis and treatment of gastrointestinal stromal tumors. Methods The clinical data of 35 patients with gastrointestinal stromal tumors were retrospectively analyzed in our hospital. Results Gastrointestinal stromal tumors mainly originated in stomach(60%) or small intestinal(28.6%), 26 cases had abdominal pain and bloating, 8 cases had gastrointestinal bleeding and 5cases had incomplete intestinal obstruction. All patients underwent surgery;there was no death case of operation. All patients were followed up for 1 to 5 years;two cases recurred and underwent a second surgery. Conclusions Gastrointestinal stromal tumors lacked of speciifc clinical manifestations.

  14. 益脾止泻饮加中药敷脐用于肠易激综合征患者的临床研究%Spleen the antidiarrheal drink and traditional Chinese medicine Umbilicus used for intestinal bowel syndrome patients with clinical research

    Institute of Scientific and Technical Information of China (English)

    靳士英; 刘瑞霞

    2012-01-01

    目的探讨益脾止泻饮加中药敷脐治疗肠易激综合征(脾胃虚弱型)的疗效.方法将100例脾胃虚弱型肠易激综合征患者随机分为两组,对照组给予常规治疗,观察组在常规治疗基础上给予益脾止泻饮加中药敷脐.结果两组患者腹泻、腹痛、腹胀症状积分差值和治疗总有效率比较差异有统计学意义(P<0.05).结论益脾止泻饮加中药敷脐可明显改善肠易激综合征(脾胃虚弱型)的临床症状,其疗效优于常规治疗.%Objective To investigate the spleen to stop diarrhea drink plus traditional Chinese medicine the Umbilicus treatment of intestinal bowel syndrome (weak stomach) and efficacy. Methods100 cases of the spleen and stomach type of irritable bowel syndrome were randomly divided into two groups, control group received conventional treatment and observation group in the conventional therapy given to the spleen to stop diarrhea to drink and traditional Chinese medicine Umbilicus. Results The two groups of patients with diarrhea, abdominal pain, bloating symptom score difference, and treatment of the total effective rate difference was statistically significant (P <0.05).Conclusion The spleen the antidiarrheal drink and traditional Chinese medicine Umbilicus can significantly improve the clinical symptoms of irritable bowel syndrome (weak stomach), its efficacy is superior to conventional therapy.

  15. [Chemotherapy of severe bacterial infections in pediatrics].

    Science.gov (United States)

    Guggenbichler, J P

    1983-01-01

    Bacterial infections are frequent events in premature and newborn infants. The reason is a defective specific and nonspecific defence of bacterial organisms. Some immunoglobulins like IgM and IgA including secretory IgA are absent. Premature infants also show a decreased level of IgG. Cellular immunity is anatomically intact but functionally defective. A number of complement factors are lacking, the activation of the alternative pathway is impaired. Newborn infants with perinatal problems like asphyxia or difficult delivery, show defects of leucocyte function like decreased deformability, defective chemotaxis and defective killing of ingested bacteria. Certain diseases, like hypoxia and malformations of immature organ functions in this age group (decreased acid production in the stomach), facilitate bacterial colonization of surface epithelia and the invasion of tissues. Consequences of these pathogenetic mechanisms are an unimpaired propagation of bacterial organisms into the blood and meninges without localization of the infecting organisms at the entry site. Bacterial meningitis is not considered a separate disease entity but a complication of bacteremia and sepsis. Clinical symptoms are nonspecific at the onset of the infection. Fever is frequently absent; decreased appetite, vomiting, a bloated abdomen, diarrhea, tachycardia, tachypnea are early signs of a bacterial infection, a grey mottled appearance, cyanosis, jaundice, petechiae, apneic spells, seizure activity and a metabolic acidosis are symptoms of advanced infection. Successful treatment at this stage is often not possible. Every sign of a decreased well being of a newborn of premature infant warrants laboratory and bacteriologic work up for septicemia.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:6316669

  16. 早产儿早期微量喂养胃肠道不耐受情况分析%Preterm children early minimal feeding gastrointestinal intolerance Analysis

    Institute of Scientific and Technical Information of China (English)

    管惠彬

    2012-01-01

    Objective:To evaluate early minimal feeding in improving preterm children,vomiting,bloating,stoma ch bleeding and other gastrointestinal intolerance situation.Methods:112 preterm children were randomly divided into two groups,early minimal feeding and traditional feeding group (control group),compared two methods after feeding in preterm children,vomiting,abdominal distention,the incidence of stomach bleeding.Results: The early minimal feeding group,vomiting,abdominal distension,stomach bleeding and other aspects of disease was significantly lower than the control group (P<0.05),the difference was significant.Conclusion: Early minimal feeding of premature children can promote mature gastric Road, improve feeding intolerance, reduce feeding complications.%目的探讨早期微量喂养在改善早产儿呕吐,腹胀,胃出血等胃肠道不耐受情况.方法112例早产儿随机平均分成2组,早期微量喂养及传统喂养组(对照组),比较2种方法喂养后早产儿在呕吐,腹胀,胃出血的发病率.结果早期微量喂养组在呕吐,腹胀,胃出血等方面发病率明显低于对照组(P<0.05),差异具有显著性.结论早产儿早期微量喂养可以促进胃道成熟,改善喂养不耐受,减少喂养并发症.

  17. Inappropriate mediastinal baroreceptor reflex as a possible cause of sudden infant death syndrome - Is thorough burping before sleep protective?

    Science.gov (United States)

    Flaig, Christian

    2007-01-01

    Despite extensive research, a link between the assumed mechanisms of death and known risk factors for sudden infant death syndrome (SIDS) has not yet been established. Modifiable risk factors such as prone sleeping position, nicotine exposure and thermal stress and non-avoidable risk factors like male gender and some risky socio-economic conditions could be detected, but the etiology of SIDS remains unknown. In many SIDS cases histopathological findings suggest an involvement of vital autonomic control functions and unidentified trigger factors seem to play a role. From a hypothetical point of view, a developmental sympatheticovagal imbalance of the cardiovascular reflex control could cause a predisposition for SIDS. An assumed gastroesophageal trigger impulse is possibly developed during the first weeks of life and could lead to the infant's vagal reflex death. Air swallowed during feeding escapes through the esophagus while the infant is sleeping. The temporarily bloated esophagus exerts pressure on neighboring mediastinal baroreceptors, which is potentially misinterpreted as a rise in arterial pressure. The following cardiodepressoric baroreceptor reflex could lead to arterial hypotension, bradycardia and cardiac arrest. Sleeping in prone position may create an increased thoracic pressure on mediastinal baroreceptors, causing a more pronounced vagal reflex and an increased likelihood of SIDS. Prone position in connection with soft objects in the infant's sleeping environment potentially generates an increased oculobulbar pressure, resulting in an additional cardiodepressoric condition (Aschner-Dagnini phenomenon). From the sixth month of life onwards the sympatheticovagal balance seems to have matured sufficiently to compensate the life-threatening challenges in most infants. Insufficient postprandial burping could either create another independent modifiable risk factor or present the missing link to a common trigger mechanism for SIDS. Further investigations

  18. Effects of Rebamipide on Gastrointestinal Symptoms in Patients with Type 2 Diabetes Mellitus

    Science.gov (United States)

    Park, Sejeong; Park, So Young; Kim, Yu Jin; Hong, Soo Min; Chon, Suk; Oh, Seungjoon; Woo, Jeong-taek; Kim, Sung-Woon; Kim, Young Seol

    2016-01-01

    Background Gastrointestinal (GI) symptoms are common in patients with type 2 diabetes mellitus (T2DM). Rebamipide is an effective gastric cytoprotective agent, but there are few data on its usefulness in T2DM. The aim of this study is to evaluate the improvement of GI symptoms after rebamipide treatment in patients with T2DM. Methods Patients with T2DM and atypical GI symptoms were enrolled. They took rebamipide (100 mg thrice daily) for 12 weeks and filled out the diabetes bowel symptom questionnaire (DBSQ) before and after rebamipide treatment. The DBSQ consisted of 10 questions assessing the severity of GI symptoms by a 1 to 6 scoring system. Changes in the DBSQ scores before and after rebamipide treatment were analyzed to evaluate any improvements of GI symptoms. Results A total of 107 patients were enrolled, and 84 patients completed the study. The mean age was 65.0±7.8, 26 patients were male (24.8%), the mean duration of T2DM was 14.71±9.12 years, and the mean glycosylated hemoglobin level was 6.97%±0.82%. The total DBSQ score was reduced significantly from 24.9±8.0 to 20.4±7.3 before and after rebamipide treatment (P<0.001). The DBSQ scores associated with reflux symptoms, indigestion, nausea or vomiting, abdominal bloating or distension, peptic ulcer, abdominal pain, and constipation were improved after rebamipide treatment (P<0.05). However, there were no significant changes in symptoms associated with irritable bowel syndrome, diarrhea, and anal incontinence. No severe adverse events were reported throughout the study. Conclusion Rebamipide treatment for 12 weeks improved atypical GI symptoms in patients with T2DM. PMID:27098506

  19. Comparative outcome of stapled trans-anal rectal resection and macrogol in the treatment of defecation disorders

    Institute of Scientific and Technical Information of China (English)

    Ivano Biviano; Danilo Badiali; Laura Candeloro; Fortunee Irene Habib; Massimo Mongardini; Angelo Caviglia; Fiorella Anzini; Enrico S Corazziari

    2011-01-01

    AIM: To prospectively assess the efficacy and safety of stapled trans-anal rectal resection (STARR) compared to standard conservative treatment, and whether preoperative symptoms and findings at defecography and anorectal manometry can predict the outcome of STARR. METHODS: Thirty patients (Female, 28; age: 51 ± 9 years) with rectocele or rectal intussusception, a defecation disorder, and functional constipation were submitted for STARR. Thirty comparable patients (Female, 30; age 53 ± 13 years), who presented with symptoms of rectocele or rectal intussusception and were treated with macrogol, were assessed. Patients were interviewed with a standardized questionnaire at study enrollment and 38 ± 18 mo after the STARR procedure or during macrogol treatment. A responder was defined as an absence of the Rome El diagnostic criteria for functional constipation. Defecography and recto-anal manometry were performed before and after the STARR procedure in 16 and 12 patients, respectively. RESULTS: After STARR, 53% of patients were re-sponders; during conservative treatment, 75% were responders. After STARR, 30% of the patients reported the use of laxatives, 17% had intermittent anal pain, 13% had anal leakage, 13% required digital facilitation, 6% experienced defecatory urgency, 6% experienced fecal incontinence, and 6% required re-intervention. During macrogol therapy, 23% of the patients complained of abdominal bloating and 13% of borborygmi, and 3% required digital facilitation.No preoperative symptom, defecographic, or manometric finding predicted the outcome of STARR. Post-operative defecography showed a statistically significant reduction (P < 0.05) of the rectal diameter and rectocele. The postoperative anorectal manometry showed that anal pressure and rectal sensitivity were not significantly modified, and that rectal compliance was reduced (P = 0.01). CONCLUSION: STARR is not better and is less safe than macrogol in the treatment of defecation disorders. It

  20. 糖尿病胃轻瘫针灸治疗方案的优化研究%Research for Optimizing the Acupuncture-moxibustion Treatment Protocol for Diabetic Gastroparesis

    Institute of Scientific and Technical Information of China (English)

    胡智海; 王毅; 黄佳颖; 许靖华; 姜再峰; 王硕硕

    2014-01-01

    ObjectiveTo explore the optimal acupuncture-moxibustion treatment protocol in treating diabetic gastroparesis. MethodA hundred patients were randomized into a body-acupuncture group, an electroacupuncture group, a hydroacupuncture group, and an acupuncture-moxibustion group, allto receive 3 treatment courses. The clinical symptoms and sign scores were observed before and after the intervention in the four groups.ResultThe markedly-effective rate of the acupuncture-moxibustion group was significantly higher than that of the other three groups (P<0.05). Regarding the symptom score for bloating, poor appetite, belching, upper abdominal pain, and nausea, the improvements in the acupuncture-moxibustion group were more significant than that in the other three groups (P<0.05,P<0.01).ConclusionCombination of acupuncture and moxibustion is the optimal treatment protocol for diabetic gastroparesis.%目的:探讨糖尿病胃轻瘫的最优化针灸治疗方案。方法将100例患者随机分为针刺组、电针组、水针组和针灸组,均治疗3个疗程。观察4组患者治疗前后临床症状体征评分。结果针灸组显效率优于其他3组,差异有统计学意义(P<0.05)。4组饱胀、食欲不振、嗳气、上腹痛、恶心症状评分中,针灸组改善优于其他3组,差异有统计学意义(P<0.05,P<0.01)。结论针刺艾灸组合是治疗糖尿病胃轻瘫疗效最佳方案。

  1. No evidence of harms of probiotic Lactobacillus rhamnosus GG ATCC 53103 in healthy elderly-a phase I open label study to assess safety, tolerability and cytokine responses.

    Directory of Open Access Journals (Sweden)

    Patricia L Hibberd

    Full Text Available BACKGROUND: Although Lactobacillus rhamnosus GG ATCC 53103 (LGG has been consumed by 2 to 5 million people daily since the mid 1990s, there are few clinical trials describing potential harms of LGG, particularly in the elderly. OBJECTIVES: The primary objective of this open label clinical trial is to assess the safety and tolerability of 1×1010 colony forming units (CFU of LGG administered orally twice daily to elderly volunteers for 28 days. The secondary objectives were to evaluate the effects of LGG on the gastrointestinal microbiome, host immune response and plasma cytokines. METHODS: Fifteen elderly volunteers, aged 66-80 years received LGG capsules containing 1×1010 CFU, twice daily for 28 days and were followed through day 56. Volunteers completed a daily diary, a telephone call on study days 3, 7 and 14 and study visits in the Clinical Research Center at baseline, day 28 and day 56 to determine whether adverse events had occurred. Assessments included prompted and open-ended questions. RESULTS: There were no serious adverse events. The 15 volunteers had a total of 47 events (range 1-7 per volunteer, 39 (83% of which were rated as mild and 40% of which were considered related to consuming LGG. Thirty-one (70% of the events were expected, prompted symptoms while 16 were unexpected events. The most common adverse events were gastrointestinal (bloating, gas, and nausea, 27 rated as mild and 3 rated as moderate. In the exploratory analysis, the pro-inflammatory cytokine interleukin 8 decreased during LGG consumption, returning towards baseline one month after discontinuing LGG (p = 0.038 while there was no difference in other pro- or anti-inflammatory plasma cytokines. CONCLUSIONS: Lactobacillus rhamnosus GG ATCC 53103 is safe and well tolerated in healthy adults aged 65 years and older. TRIAL REGISTRATION: ClinicalTrials.gov NCT 01274598.

  2. A randomised trial of ondansetron for the treatment of irritable bowel syndrome with diarrhoea

    Science.gov (United States)

    Garsed, Klara; Chernova, Julia; Hastings, Margaret; Lam, Ching; Marciani, Luca; Singh, Gulzar; Henry, Amanda; Hall, Ian; Whorwell, Peter; Spiller, Robin

    2014-01-01

    Background Irritable bowel syndrome with diarrhoea (IBS-D) is particularly debilitating due to urgency and episodic incontinence. Some 5-hydroxytryptamine 3 (5-HT3) receptor antagonists (5-HT3RAs) have proven effective but have serious side effects. Ondansetron, also a 5-HT3RA, has been widely used as an antiemetic with an excellent safety record for over two decades. Our aim was to assess its effectiveness in IBS-D. Methods 120 patients meeting Rome III criteria for IBS-D entered a randomised, double-blind, placebo-controlled crossover study of 5 weeks of ondansetron 4 mg versus placebo with dose titration allowed, up to two tablets three times daily in the first 3 weeks. Patients completed daily diaries documenting stool consistency using the Bristol Stool Form score. Gut transit was measured in the last week of each treatment. The primary endpoint was average stool consistency in the last 2 weeks of treatment. Results Ondansetron significantly improved stool consistency (mean difference in stool form between ondansetron and placebo −0.9, 95% CI −1.1 to −0.6, p<0.001). Compared with placebo, patients on ondansetron experienced fewer days with urgency (p<0.001), lower urgency scores (p<0.001), reduced frequency of defaecation (p=0.002) and less bloating (p=0.002), although pain scores did not change significantly. IBS symptom severity score fell more with ondansetron than placebo (83±9.8 vs 37±9.7, p=0.001). 65% reported adequate relief with ondansetron but not placebo compared with 14% reporting relief with placebo but not ondansetron, relative risk 4.7, 95% CI 2.6 to 8.5, p<0.001. Conclusions Ondansetron relieves some of the most intrusive symptoms of IBS-D, namely loose stools, frequency and urgency. PMID:24334242

  3. Bovine immunoglobulin protein isolates for the nutritional management of enteropathy.

    Science.gov (United States)

    Petschow, Bryon W; Blikslager, Anthony T; Weaver, Eric M; Campbell, Joy M; Polo, Javier; Shaw, Audrey L; Burnett, Bruce P; Klein, Gerald L; Rhoads, J Marc

    2014-09-01

    The gastrointestinal tract is responsible for a multitude of digestive and immune functions which depend upon the balanced interaction of the intestinal microbiota, diet, gut barrier function, and mucosal immune response. Disruptions in one or more of these factors can lead to intestinal disorders or enteropathies which are characterized by intestinal inflammation, increased gut permeability, and reduced capacity to absorb nutrients. Enteropathy is frequently associated with human immunodeficiency virus (HIV) infection, inflammatory bowel disease, autoimmune enteropathy, radiation enteritis, and irritable bowel syndrome (IBS), where pathologic changes in the intestinal tract lead to abdominal discomfort, bloating, abnormal bowel function (e.g., diarrhea, urgency, constipation and malabsorption). Unfortunately, effective therapies for the management of enteropathy and restoring intestinal health are still not available. An accumulating body of preclinical studies has demonstrated that oral administration of plasma- or serum-derived protein concentrates containing high levels of immunoglobulins can improve weight, normalize gut barrier function, and reduce the severity of enteropathy in animal models. Recent studies in humans, using serum-derived bovine immunoglobulin/protein isolate, demonstrate that such protein preparations are safe and improve symptoms, nutritional status, and various biomarkers associated with enteropathy. Benefits have been shown in patients with HIV infection or diarrhea-predominant IBS. This review summarizes preclinical and clinical studies with plasma/serum protein concentrates and describes the effects on host nutrition, intestinal function, and markers of intestinal inflammation. It supports the concept that immunoglobulin-containing protein preparations may offer a new strategy for restoring functional homeostasis in the intestinal tract of patients with enteropathy. PMID:25206275

  4. THE PREVALENCE OF CELIAC DISEASE AMONG PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER

    Directory of Open Access Journals (Sweden)

    Sedat IŞIKAY

    2015-03-01

    Full Text Available Background Familial Mediterranean Fever and celiac disease are both related to auto-inflammation and/or auto-immunity and they share some common clinical features such as abdominal pain, diarrhea, bloating and flatulence. Objectives We aimed to determine the association of these two diseases, if present. Methods Totally 112 patients diagnosed with Familial Mediterranean Fever and 32 cases as healthy control were included in the study. All participants were examined for the evidence of celiac disease, with serum tissue transglutaminase IgA levels (tTG IgA. Results Totally 144 cases, 112 with Familial Mediterranean Fever and 32 healthy control cases were included in the study. tTG IgA positivity was determined in three cases with Familial Mediterranean Fever and in one case in control group. In that aspect there was no significant difference regarding the tTG IgA positivity between groups (P=0.81. Duodenum biopsy was performed to the tTG IgA positive cases and revealed Marsh Type 3b in two Familial Mediterranean Fever cases and Marsh Type 3c in the other one while the biopsy results were of the only tTG IgA positive case in control group was Marsh Type 3b. In HLA evaluation of the celiac cases; HLA DQ2 was present in two celiac cases of the Familial Mediterranean Fever group and in the only celiac case of the control group while HLA DQ8 was present in one celiac case of the Familial Mediterranean Fever group. Conclusions We did not determine an association of Familial Mediterranean Fever with celiac disease. Larger studies with subgroup analysis are warranted to determine the relationship of these two diseases.

  5. Eosinophilia in a patient with cyclical vomiting: a case report

    Directory of Open Access Journals (Sweden)

    Fitzgerald S Matthew

    2004-05-01

    Full Text Available Abstract Background Eosinophilic gastritis is related to eosinophilic gastroenteritis, varying only in regards to the extent of disease and small bowel involvement. Common symptoms reported are similar to our patient's including: abdominal pain, epigastric pain, anorexia, bloating, weight loss, diarrhea, ankle edema, dysphagia, melaena and postprandial nausea and vomiting. Microscopic features of eosinophilic infiltration usually occur in the lamina propria or submucosa with perivascular aggregates. The disease is likely mediated by eosinophils activated by various cytokines and chemokines. Therapy centers around the use of immunosuppressive agents and dietary therapy if food allergy is a factor. Case presentation The patient is a 31 year old Caucasian female with a past medical history significant for ulcerative colitis. She presented with recurrent bouts of vomiting, abdominal pain and chest discomfort of 11 months duration. The bouts of vomiting had been reoccurring every 7–10 days, with each episode lasting for 1–3 days. This was associated with extreme weakness and cachexia. Gastric biopsies revealed intense eosinophilic infiltration. The patient responded to glucocorticoids and azathioprine. The differential diagnosis and molecular pathogenesis of eosinophilic gastritis as well as the molecular effects of glucocorticoids in eosinophilic disorders are discussed. Conclusions The patient responded to a combination of glucocorticosteroids and azathioprine with decreased eosinophilia and symptoms. It is likely that eosinophil-active cytokines such as interleukin-3 (IL-3, granulocyte macrophage colony stimulating factor (GM-CSF and IL-5 play pivotal roles in this disease. Chemokines such as eotaxin may be involved in eosinophil recruitment. These mediators are downregulated or inhibited by the use of immunosuppressive medications.

  6. Lactobacillus probiotics for treating functional dyspepsia in children

    Directory of Open Access Journals (Sweden)

    Tuty Ahyani

    2016-05-01

    Full Text Available Background Functional dyspepsia is a common gastrointestinal disorder in school-aged children, though, there is no reliable treatment. Probiotics are live microorganisms administered in adequate amounts to confer beneficial health effects on the host. Although definitive evidence is lacking, several studies have found probiotics to be effective for relieving symptoms of dyspepsia, particularly abdominal pain and bloating.Objective To determine the efficacy of lactobacillus probiotics for treating functional dyspepsia in children.Method A double-blind, randomized controlled trial was done from April to June 2012 in five schools in the Pakpak Bharat Regency, North Sumatera. A total of 116 children who fulfilled the Rome III criteria for functional dyspepsia were randomized into 2 groups to receive either lactobacillus probiotics or placebo for 2 weeks. All patients received a diary to record symptoms and frequency of pain daily. The primary outcome for treatment was defined to be no pain at the end of the intervention.Results The probiotics and placebo groups were not significantly different in recovery from functional dyspepsia (29.3% vs. 13.8%, respectively; P=0.432. However, compared to the placebo group, the probiotics group had significantly reduced frequency of pain (P=0.0001, but no significant differences in pain severity (P=0.08 or pain duration (P 0.091.Conclusion There are no significant differences in recovery from functional dyspepsia, pain severity, or pain duration between the probiotics and placebo groups. However, the probiotics group has significantly reduced frequency of pain compared to that of the placebo group.

  7. Diet in irritable bowel syndrome.

    Science.gov (United States)

    El-Salhy, Magdy; Gundersen, Doris

    2015-01-01

    Irritable bowel syndrome (IBS) is a common chronic gastrointestinal disorder that is characterized by intermittent abdominal pain/discomfort, altered bowel habits and abdominal bloating/distension. This review aimed at presenting the recent developments concerning the role of diet in the pathophysiology and management of IBS. There is no convincing evidence that IBS patients suffer from food allergy/intolerance, and there is no evidence that gluten causes the debated new diagnosis of non-coeliac gluten sensitivity (NCGS). The component in wheat that triggers symptoms in NCGS appears to be the carbohydrates. Patients with NCGS appear to be IBS patients who are self-diagnosed and self-treated with a gluten-free diet. IBS symptoms are triggered by the consumption of the poorly absorbed fermentable oligo-, di-, monosaccharides and polyols (FODMAPs) and insoluble fibre. On reaching the distal small intestine and colon, FODMAPS and insoluble fibre increase the osmotic pressure in the large-intestine lumen and provide a substrate for bacterial fermentation, with consequent gas production, abdominal distension and abdominal pain or discomfort. Poor FODMAPS and insoluble fibres diet reduces the symptom and improve the quality of life in IBS patients. Moreover, it changes favourably the intestinal microbiota and restores the abnormalities in the gastrointestinal endocrine cells. Five gastrointestinal endocrine cell types that produce hormones regulating appetite and food intake are abnormal in IBS patients. Based on these hormonal abnormalities, one would expect that IBS patients to have increased food intake and body weight gain. However, the link between obesity and IBS is not fully studied. Individual dietary guidance for intake of poor FODMAPs and insoluble fibres diet in combination with probiotics intake and regular exercise is to be recommended for IBS patients. PMID:25880820

  8. Post epidemic giardiasis and gastrointestinal symptoms among preschool children in Bergen, Norway. A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Eide Geir E

    2010-03-01

    Full Text Available Abstract Background A surprisingly low number of children became ill with giardiasis during the large waterborne outbreak of Giardia lamblia in Bergen, Norway during autumn 2004. The aim of the present study was to evaluate the prevalence of giardiasis among exposed children one year after an outbreak and compare faecal carriage of Giardia and abdominal symptoms among exposed versus unexposed children one year after the epidemic. Methods Children between 1 and 6 years old were recruited from the local health care centres in Bergen municipality in the period between June 2005 and January 2006. One faecal sample per child was collected and examined for presence of Giardia with a rapid immunoassay antigen test, and parents were asked to answer a questionnaire. A total of 513 children participated, 378 in the group exposed to contaminated water, and 135 in the in the group not exposed. Results In the exposed group eleven children had been treated for giardiasis during the epidemic and none in the unexposed group. Giardia positive faecal tests were found in six children, all in the exposed group, but the difference between the groups did not reach statistical significance. All six Giardia positive children were asymptomatic. No differences were found between the groups regarding demographic data, nausea, vomiting, different odour from stools and eructation. However, the reported scores of abdominal symptoms (diarrhoea, bloating and stomach ache during the last year were higher in the exposed group than in the unexposed group. Conclusions A low prevalence of asymptomatic Giardia infection (1.7% was found among exposed children around one year after the epidemic (1.2% overall prevalence in the study. In the present setting, pre-school children were therefore unlikely to be an important reservoir for continued transmission in the general population.

  9. Severity of Giardia infection associated with post-infectious fatigue and abdominal symptoms two years after

    Directory of Open Access Journals (Sweden)

    Rortveit Guri

    2009-12-01

    Full Text Available Abstract Background A high rate of post-infectious fatigue and abdominal symptoms two years after a waterborne outbreak of giardiasis in Bergen, Norway in 2004 has previously been reported. The aim of this report was to identify risk factors associated with such manifestations. Methods All laboratory confirmed cases of giardiasis (n = 1262 during the outbreak in Bergen in 2004 received a postal questionnaire two years after. Degree of post-infectious abdominal symptoms and fatigue, as well as previous abdominal problems, was recorded. In the statistical analyses number of treatment courses, treatment refractory infection, delayed education and sick leave were used as indices of protracted and severe Giardia infection. Age, gender, previous abdominal problems and symptoms during infection were also analysed as possible risk factors. Simple and multiple ordinal logistic regression models were used for the analyses. Results The response rate was 81% (1017/1262, 64% were women and median age was 31 years (range 3-93, compared to 61% women and 30 years (range 2-93 among all 1262 cases. Factors in multiple regression analysis significantly associated with abdominal symptoms two years after infection were: More than one treatment course, treatment refractory infection, delayed education, bloating and female gender. Abdominal problems prior to Giardia infection were not associated with post-infectious abdominal symptoms. More than one treatment course, delayed education, sick leave more than 2 weeks, and malaise at the time of infection, were significantly associated with fatigue in the multiple regression analysis, as were increasing age and previous abdominal problems. Conclusion Protracted and severe giardiasis seemed to be a risk factor for post-infectious fatigue and abdominal symptoms two years after clearing the Giardia infection.

  10. Effects of a dietary intervention on acute gastrointestinal side effects and other aspects of health-related quality of life: A randomized controlled trial in prostate cancer patients undergoing radiotherapy

    International Nuclear Information System (INIS)

    Purpose: To study the effect of a dietary intervention on acute gastrointestinal side effects and other aspects of health-related quality of life (HRQOL) in prostate cancer patients referred to radiotherapy. Materials and methods: A total of 130 patients were randomly assigned to one of two groups: an intervention group (IG, n = 64), instructed to reduce their intake of insoluble dietary fibres and lactose, a standard care group (SC, n = 66), instructed to continue their normal diet. Gastrointestinal side effects and other aspects of HRQOL were evaluated from baseline up to 2 months after completed radiotherapy, using the EORTC QLQ-C30 and QLQ-PR25 and the study-specific Gastrointestinal Side Effects Questionnaire (GISEQ). A scale indicating adherence to dietary instructions was developed from a Food Frequency Questionnaire (FFQ), with lower scores representing better compliance. Descriptive and inferential statistical analyses were conducted. Results: There was an interaction effect between randomization and time in the FFQ Scores (p < 0.001), indicating that both groups followed their assigned dietary instructions. The dietary intervention had no effect on gastrointestinal side effects or other aspects of HRQOL. During radiotherapy, the percentage of patients with bowel symptoms and bloated abdomen was lower in IG compared to SC, but the between-group differences were not statistically significant. During radiotherapy, the percentage of patients with bowel symptoms, urinary symptoms, pain, fatigue and diminished physical and role functioning increased in both groups. Conclusions: The dietary intervention had no effect on gastrointestinal side effects or other aspects of HRQOL. The tendency towards lower prevalence of bowel symptoms in IG may indicate some positive effect of the dietary intervention, but methodological refinements, clearer results and longer follow-up are needed before the value of diet change can be established with certainty.

  11. Characterization of the optical properties of normal and defective pickling cucumbers and whole pickles

    Science.gov (United States)

    Lu, Renfu; Ariana, Diwan P.; Cen, Haiyan

    2010-04-01

    Internal defect in pickling cucumbers can cause bloater damage during brining, which lowers the quality of final pickled products and results in economic loss for the pickle industry. Hence it is important to have an effective optical inspection system for detection and segregation of defective pickling cucumbers. This research was intended to measure the spectral absorption and scattering properties of normal and internally defective pickling cucumbers and whole pickles, using hyperspectral imaging-based spatially-resolved technique. Spatially-resolved hyperspectral scattering images were acquired from 50 freshly harvested 'Journey' pickling cucumbers in the summer of 2008. The cucumbers were then subjected to rolling under mechanical load to induce internal damage. The damaged cucumbers were imaged again one hour and one day after the mechanical stress treatment. In addition, 20 whole pickles each of normal and defective (bloated) class were also measured by following the same procedure as that for pickling cucumbers. Spectra of the absorption and reduced scattering coefficients for pickling cucumbers and whole pickles were extracted from the spatially-resolved scattering profiles, using an inverse algorithm for a diffusion theory model, for the spectral range of 700-1,000 nm. It was found that within one hour after mechanical damage, changes in the absorption and reduced scattering coefficients for the cucumbers were minimal. One day after mechanical damage, the absorption coefficient for the cucumbers increased noticeably for the wavelengths of 700-920 nm, whereas the reduced scattering coefficient decreased more significantly for the wavelengths of 700-1,000 nm. Overall mechanical damage had greater impact on the scattering properties than on the absorption properties. After brining, pickles became translucent and scattering was greatly diminished. Thus the diffusion theory model was no longer valid for determining the optical properties of whole pickles. This

  12. Efficacy and complications of polyethylene glycols for treatment of constipation in children: a meta-analysis.

    Science.gov (United States)

    Chen, Si-Le; Cai, Shi-Rong; Deng, Liang; Zhang, Xin-Hua; Luo, Te-Dong; Peng, Jian-Jun; Xu, Jian-Bo; Li, Wen-Feng; Chen, Chuang-Qi; Ma, Jin-Ping; He, Yu-Long

    2014-10-01

    Constipation is a common childhood complaint. In 90% to 95% of children, constipation is functional, which means that there is no objective evidence of an underlying pathological condition. Polyethylene glycol (PEG or macrogol) solution is an osmotic laxative agent that is absorbed in only trace amounts from the gastrointestinal tract and routinely used to treat chronic constipation in adults. Here, we report the results of a meta-analysis of PEG-based laxatives compared with lactulose, milk of magnesia (magnesium hydroxide), oral liquid paraffin (mineral oil), or acacia fiber, psyllium fiber, and fructose in children. This meta-analysis was conducted in accordance with PRISMA guidelines and involved searches of MEDLINE, Cochrane, EMBASE, and Google Scholar databases up to February 10, 2014, using the keywords (Constipation OR Functional Constipation OR Fecal Impaction) AND (Children) AND (Polyethylene Glycol OR Laxative). Primary efficacy outcomes included a number of stool passages/wk and percentage of patients who reported satisfactory stool consistency. Secondary safety outcomes included diarrhea, abdominal pain, nausea or vomiting, pain or straining at defecation, bloating or flatulence, hard stool consistency, poor palatability, and rectal bleeding. We identified 231 articles, 27 of which were suitable for full-text review and 10 of which were used in the meta-analysis. Patients who were treated with PEG experienced more successful disimpaction compared with those treated with non-PEG laxatives. Treatment-related adverse events were acceptable and generally well tolerated. PEG-based laxatives are effective and safe for chronic constipation and for resolving fecal impaction in children. Children's acceptance of PEG-based laxatives appears to be better than non-PEG laxatives. Optimal dosages, routes of administration, and PEG regimens should be determined in future randomized controlled studies and meta-analyses. PMID:25310742

  13. Intraerioneal Catheter Paracentesis with Fresh Plasma Treament Refractory Cirrhosis Ascites%腹腔置管放腹水加输血浆治疗顽固性肝硬化腹水

    Institute of Scientific and Technical Information of China (English)

    李广平; 张瑞椿

    2013-01-01

      目的观察腹腔置管放腹水联合新鲜血浆治疗顽固性肝硬化腹水疗效。方法53例顽固性肝硬化腹水患者,行腹腔置管放腹水,每次1000mL,隔日1次,同时输注新鲜血浆200mL,每日1次。结果患者精神食欲均明显好转,表现为尿量增加,腹围缩小明显,腹胀症状减轻或消失,肝肾功能各项检查指标较前好转,复查腹部B超提示腹水减少或消失。结论该方法具有较好的应用价值。%Objective Observe the effects of intraperitoneal catheter paracentesis with fresh plasma treatment refractory Cirrhosis Ascites;Methods 53 cases of patients with refractory Cirrhosis Ascites, carry out intraperitoneal catheter paracentesis, Each 1000mL, Every other day, While infusion of fresh plasma 200mL, Once a day. Result The Patients vitality and appetite Significantly improved, Performance increase for the amount of urine, the abdominal circumference narrow significantly, the bloating symptom relief or disappearance, examinations of liver and kidney function indicators better than before, Review abdomen B-type ultrasonic inspection point ascites reduce or disappear. Conclusion The method has a good application value.

  14. Clinical management of constipation.

    Science.gov (United States)

    Lennard-Jones, J E

    1993-10-01

    First, it is important to find out whether the patient is complaining of infrequent defaecation, excessive straining at defaecation, abdominal pain or bloating, a general sense of malaise attributed to constipation, soiling, or a combination of more than one symptom. Second, one must decide if there is a definable abnormality as a cause of the symptom(s). Is the colon apparently normal or is its lumen widened (megacolon)? Is the upper gut normal or is there evidence of neuropathy or myopathy? Is the ano-rectum normal or is there evidence of a weak pelvic floor, mucosal prolapse, major rectocele, an internal intussusception or solitary rectal ulcer? Is there any systemic component such as hypothyroidism, hypercalcaemia, neurological or psychiatric disorder or relevant drug therapy? Choice of treatment will depend on this clinical evaluation. The range of treatments available is: Reassurance and stop current treatment: Patients with a bowel obsession may take laxatives or rectal preparations regularly without need. Increase dietary fibre: Most cases of 'simple' constipation respond to increased dietary fibre, possibly with an added supplement of natural bran. Toilet training and altered routine of life: Young people particularly may need to recognise the call to stool and alter their daily routine to permit and encourage regular defaecation. Medicinal bulking agent: Ispaghula, methyl cellulose, concentrated wheat germ or bran, and similar preparations are useful when patients with a normal colon find it difficult to take adequate dietary fibre. These preparations increase the bulk of stool and soften its consistency. They may be useful for those patients with the constipated form of irritable bowel syndrome.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:8234432

  15. Nicotinamide mononucleotide adenylyltransferase 2 (Nmnat2 regulates axon integrity in the mouse embryo.

    Directory of Open Access Journals (Sweden)

    Amy N Hicks

    Full Text Available Using transposon-mediated gene-trap mutagenesis, we have generated a novel mouse mutant termed Blad (Bloated Bladder. Homozygous mutant mice die perinatally showing a greatly distended bladder, underdeveloped diaphragm and a reduction in total skeletal muscle mass. Wild type and heterozygote mice appear normal. Using PCR, we identified a transposon insertion site in the first intron of Nmnat2 (Nicotinamide mononucleotide adenyltransferase 2. Nmnat2 is expressed predominantly in the brain and nervous system and has been linked to the survival of axons. Expression of this gene is undetectable in Nmnat2(blad/blad mutants. Examination of the brains of E18.5 Nmnat2(blad/blad mutant embryos did not reveal any obvious morphological changes. In contrast, E18.5 Nmnat2(blad/blad homozygotes showed an approximate 60% reduction of spinal motoneurons in the lumbar region and a more than 80% reduction in the sensory neurons of the dorsal root ganglion (DRG. In addition, facial motoneuron numbers were severely reduced, and there was virtually a complete absence of axons in the hind limb. Our observations suggest that during embryogenesis, Nmnat2 plays an important role in axonal growth or maintenance. It appears that in the absence of Nmnat2, major target organs and tissues (e.g., muscle are not functionally innervated resulting in perinatal lethality. In addition, neither Nmnat1 nor 3 can compensate for the loss of Nmnat2. Whilst there have been recent suggestions that Nmnat2 may be an endogenous modulator of axon integrity, this work represents the first in vivo study demonstrating that Nmnat2 is involved in axon development or survival in a mammal.

  16. Studies on Foreign Body Ingestion and their Related Complications in Ruminants Associated with Inappropriate Solid Waste Disposal in Gondar Town, North West Ethiopia

    Directory of Open Access Journals (Sweden)

    Sileshi Nugusu

    2013-04-01

    Full Text Available A cross-sectional study was carried out in Veterinary Clinics, Gondar town, Ethiopia from November 2011 to April 2012. Totally 416 ruminants were recorded in the clinics in which 36 clinical cases (34 bovine and 2 sheep were operated for rumen problem. The overall prevalence of foreign bodies’ was 8.6%. The non-penetrating foreign bodies have higher prevalence than penetrating foreign bodies. The commonly recovered non-penetrating foreign bodies were plastics (36.6%, followed by sack thread (26.8%, rope (16.9%, leather (15.5% and hair (4.2%. The penetrating foreign bodies were wires (51.9% commonly occurred, followed by nail (37.0% and needles (11.1%. The common clinical symptoms observed were recurrent bloat (34.8%, suspended rumination (17.4%, scanty feces (10.9%, anorexia (8.7%, rough hair coat (6.5% and distended abdomen (21.7%. Outcome of this rumenotomy studies were significantly associated with relation to the quantities of foreign bodies recovered. Out of 36 animals operated 24 were well recovered, 4 faced postoperative complication and 8 died. Adult female animals were more affected than younger and male. The present study revealed that inappropriate solid wastes disposed in the study area not only pollute the environment but also have adverse effects on healthy ruminants. In conclusion, detection of the foreign bodies in fore stomach suggested as health risk to ruminants. Therefore, appropriate solid waste disposal system need to implement in the study area to prevent health risk of ruminants and also to protect the environment.

  17. Levonorgestrel-releasing intrauterine system (Mirena in compare to medroxyprogesterone acetate as a therapy for endometrial hyperplasia

    Directory of Open Access Journals (Sweden)

    Fariba Behnamfar

    2014-01-01

    Full Text Available Background: This study was designed to evaluate the comparison of insertion of levonorgestrel (LNG-releasing intrauterine system versus oral medroxyprogesterone acetate on endometrial hyperplasia in a randomized controlled trial. Materials and Methods: A total of 60 women with the initial histopathological diagnosis of endometrial hyperplasia in two groups received LNG or medroxyprogesterone (10 mg/d orally for 12 days a month for 3 months. Endometrial biopsy was obtained for all patients after 3 months of treatment. Response to treatment was defined based on the histopathology of the post treatment pipelle endometrial specimens in three categories of resolution, persistence and progression. Results: Treatment response rate in patients in the LNG group was 89.3% (25 of 28 patients, versus 70.4% (19 of 27 patients in patients in the medroxyprogesterone group. The rate of persistence was 10.7% (3 of 28 patients and 22.2% (6 of 27 patients in LNG and medroxyprogesterone groups respectively. No progression of endometrial hyperplasia observed in any of the patients in LNG group, but progression of endometrial hyperplasia was observed in 7.4% (2 of 27 patients in the medroxyprogesterone group. There was no statistically significant difference between groups regarding the response to treatment (P = 0.15. Side effects such as bloating, weight gain, fatigue and hair loss were comparable between the groups (P > 0.05. Hirsutism was significantly more in the medroxyprogesterone group than LNG group (P = 0.013. Conclusion: Results showed that the use of LNG for treating endometrial hyperplasia for 3 months was associated with high-treatment response rate and the low proportion of patients with progression compared to the use of medroxyprogesterone.

  18. Gastrointestinal manifestations in myotonic muscular dystrophy

    Institute of Scientific and Technical Information of China (English)

    Massimo Bellini; Sonia Biagi; Cristina Stasi; Francesco Costa; Maria Gloria Mumolo; Angelo Ricchiuti; Santino Marchi

    2006-01-01

    Myotonic dystrophy (MD) is characterized by myotonic phenomena and progressive muscular weakness.Involvement of the gastrointestinal tract is frequent and may occur at any level. The clinical manifestations have previously been attributed to motility disorders caused by smooth muscle damage, but histologic evidence of alterations has been scarce and conflicting.A neural factor has also been hypothesized. In the upper digestive tract, dysphagia, heartburn, regurgitation and dyspepsia are the most common complaints, while in the lower tract, abdominal pain, bloating and changes in bowel habits are often reported. Digestive symptoms may be the first sign of dystrophic disease and may precede the musculo-skeletal features. The impairment of gastrointestinal function may be sometimes so gradual that the patients adapt to it with little awareness of symptoms. In such cases routine endoscopic and ultrasonographic evaluations are not sufficient and targeted techniques (electrogastrography, manometry,electromyography, functional ultrasonography,scintigraphy, etc.) are needed. There is a low correlation between the degree of skeletal muscle involvement and the presence and severity of gastrointestinal disturbances whereas a positive correlation with the duration of the skeletal muscle disease has been reported.The drugs recommended for treating the gastrointestinal complaints such as prokinetic, antidyspeptic drugs and laxatives, are mainly aimed at correcting the motility disorders.Gastrointestinal involvement in MD remains a complex and intriguing condition since many important problems are still unsolved. Further studies concentrating on genetic aspects, early diagnostic techniques and the development of new therapeutic strategies are needed to improve our management of the gastrointestinal manifestations of MD.

  19. Hormonal treatment for endometriosis associated pelvic pain

    Directory of Open Access Journals (Sweden)

    Wu Shun Felix Wong

    2011-01-01

    Full Text Available AbstractBackground: Endometriosis is a common gynecological problem associated with chronic pelvic pain. Objective: To evaluate the effectiveness of current hormonal treatments of endometriosis associated pain.Materials and Methods: Randomized Controlled studies identified from databases of Medline and Cochrane Systemic Review groups were pooled. 7 RCTs were recruited for evaluation in this review. Data from these studies were pooled and meta-analysis was performed in three comparison groups: 1 Progestogen versus GnRHa; 2 Implanon versus Progestogen (injection; 3 Combined oral contraceptive pills versus placebo and progestogen. Response to treatment was measured as a reduction in pain score. Pain improvement was defined as improvement ≥1 at the end of treatment. Results: There was no significant difference between treatment groups of progestogen and GnRHa (RR: 0.036; CI:-0.030-0.102 for relieving endometriosis associated pelvic pain. Long acting progestogen (Implanon and Mirena are not inferior to GnRHa and depot medroxy progesterone acetate (DMPA (RR: 0.006; CI:-0.142-0.162. Combined oral contraceptive pills demonstrated effective treatment of relieving endometriosis associated pelvic pain when compared with placebo groups (RR:0.321CI-0.066-0.707. Progestogen was more effective than combined oral contraceptive pills in controlling dysmenorrhea (RR:-0.160; CI:-0.386-0.066, however, progestogen is associated with more side effects like spotting and bloating than the combined contraceptive pills. Conclusion: Combined oral contraceptive pills (COCP, GnRHa and progestogens are equally effective in relieving endometriosis associated pelvic pain. COCP and progestogens are relatively cheap and more suitable for long-term use as compared to GnRHa. Long-term RCT of medicated contraceptive devices like Mirena and Implanon are required to evaluate their long-term effects on relieving the endometriosis associated pelvic pain

  20. The impact of microbial immune enteral nutrition on the patients with acute radiation enteritis in bowel function and immune status.

    Science.gov (United States)

    Shao, Feng; Xin, Fu-Ze; Yang, Cheng-Gang; Yang, Dao-Gui; Mi, Yue-Tang; Yu, Jun-Xiu; Li, Guo-Yong

    2014-06-01

    The aim of the study was to investigate the effect of microbial immune enteral nutrition by microecopharmaceutics and deep sea fish oil and glutamine and Peptisorb on the patients with acute radiation enteritis in bowel function and immune status. From June 2010 to January 2013, 46 acute radiation enteritis patients in Liaocheng People's Hospital were randomized into the microbial immune enteral nutrition group and the control group: 24 patients in treatment group and 22 patients in control group. The immune microbial nutrition was given to the study group, but not to the control group. The concentration of serum albumin and prealbumin and the number of CD3 (+) T cell, CD4 (+) T cell, CD8 (+) T cell, CD4 (+)/CD8 (+) and natural killer cell of the two groups were detected on the 1, 7 and 14 days after treatment. The arm muscle circumference and triceps skinfold thickness (TSF) were recorded, and the tolerance of the two groups for enteral nutrition and intestinal symptoms was collected and then comparing the two indicators and get results. The tolerance of microbial immune enteral nutrition group about abdominal pain, bloating and diarrhea was better than the control group (P values were 0.018, 0.04 and 0.008 after 7 days; P values were 0.018, 0.015 and 0.002 after 14 days); and the cellular immune parameters were better than the control group((△) P = 0.008,([Symbol: see text]) P = 0.039, (☆) P = 0.032); No difference was found in nutrition indicators. To the patients with acute radiation enteritis, microbial immune enteral nutrition could improve the patient's immune status, and the tolerance of enteral nutrition could be better for the bowel function and the patients' rehabilitation.

  1. Viewing ageing eyes: diverse sites of amyloid Beta accumulation in the ageing mouse retina and the up-regulation of macrophages.

    Directory of Open Access Journals (Sweden)

    Jaimie Hoh Kam

    Full Text Available BACKGROUND: Amyloid beta (Aβ accumulates in the ageing central nervous system and is associated with a number of age-related diseases, including age-related macular degeneration (AMD in the eye. AMD is characterised by accumulation of extracellular deposits called drusen in which Aβ is a key constituent. Aβ activates the complement cascade and its deposition is associated with activated macrophages. So far, little is known about the quantitative measurements of Aβ accumulation and definitions of its relative sites of ocular deposition in the normal ageing mouse. METHODOLOGY/PRINCIPAL FINDINGS: We have traced Aβ accumulation quantitatively in the ageing mouse retina using immunohistochemistry and Western blot analysis. We reveal that it is not only deposited at Bruch's membrane and along blood vessels, but unexpectedly, it also coats photoreceptor outer segments. While Aβ is present at all sites of deposition from 3 months of age, it increases markedly from 6 months onward. Progressive accumulation of deposits on outer segments was confirmed with scanning electron microscopy, revealing age-related changes in their morphology. Such progress of accumulation of Aβ on photoreceptor outer segments with age was also confirmed in human retinae using immunohistochemistry. We also chart the macrophage response to increases in Aβ showing up-regulation in their numbers using both confocal laser imaging of the eye in vivo followed by in vitro immunostaining. With age macrophages become bloated with cellular debris including Aβ, however, their increasing numbers fail to stop Aβ accumulation. CONCLUSIONS: Increasing Aβ deposition in blood vessels and Bruch's membrane will impact upon retinal perfusion and clearance of cellular waste products from the outer retina, a region of very high metabolic activity. This accumulation of Aβ may contribute to the 30% reduction of photoreceptors found throughout life and the shortening of those that remain. The

  2. Pathophysiology and Therapeutic Strategies for Symptomatic Uncomplicated Diverticular Disease of the Colon.

    Science.gov (United States)

    Scaioli, Eleonora; Colecchia, Antonio; Marasco, Giovanni; Schiumerini, Ramona; Festi, Davide

    2016-03-01

    Colonic diverticulosis imposes a significant burden on industrialized societies. The current accepted causes of diverticula formation include low fiber content in the western diet with decreased intestinal content and size of the lumen, leading to the transmission of muscular contraction pressure to the wall of the colon, inducing the formation of diverticula usually at the weakest point of the wall where penetration of the blood vessels occurs. Approximately 20 % of the patients with colonic diverticulosis develop abdominal symptoms (i.e., abdominal pain and discomfort, bloating, constipation, and diarrhea), a condition which is defined as symptomatic uncomplicated diverticular disease (SUDD). The pathogenesis of SUDD symptoms remains uncertain and even less is known about how to adequately manage bowel symptoms. Recently, low-grade inflammation, altered intestinal microbiota, visceral hypersensitivity, and abnormal colonic motility have been identified as factors leading to symptom development, thus changing and improving the therapeutic approach. In this review, a comprehensive search of the literature regarding on SUDD pathogenetic hypotheses and pharmacological strategies was carried out. The pathogenesis of SUDD, although not completely clarified, seems to be related to an interaction between colonic microbiota alterations, and immune, enteric nerve, and muscular system dysfunction (Cuomo et al. in United Eur Gastroenterol J 2:413-442, 2014). Greater understanding of the inflammatory pathways and gut microbiota composition in subjects affected by SUDD has increased therapeutic options, including the use of gut-directed antibiotics, mesalazine, and probiotics (Bianchi et al. in Aliment Pharmacol Ther 33:902-910, 2011; Comparato et al. in Dig Dis Sci 52:2934-2941, 2007; Tursi et al. in Aliment Pharmacol Ther 38:741-751, 2013); however, more research is necessary to validate the safety, effectiveness, and cost-effectiveness of these interventions.

  3. An 8-year review of barium studies in the diagnosis of gastroparesis

    Energy Technology Data Exchange (ETDEWEB)

    Levin, A.A. [Department of Radiology, Hospital of University of Pennsylvania, Philadelphia, PA (United States); Levine, M.S. [Department of Radiology, Hospital of University of Pennsylvania, Philadelphia, PA (United States)], E-mail: marc.levine@uphs.upenn.edu; Rubesin, S.E.; Laufer, I. [Department of Radiology, Hospital of University of Pennsylvania, Philadelphia, PA (United States)

    2008-04-15

    Aim: To determine the utility of barium studies for diagnosing gastroparesis in patients with nausea, vomiting, or other related symptoms. Materials and methods: Radiology files revealed gastroparesis without gastric outlet obstruction on upper gastrointestinal tract barium studies in 50 patients with nausea, vomiting, and other related symptoms. Original reports and images were reviewed to determine whether gastric peristalsis was decreased/absent and to investigate gastric dilatation, fluid or debris, and delayed emptying of barium. Twenty patients (40%) had nuclear gastric emptying studies. Medical records were reviewed to determine the presentation, treatment, and course. The diagnosis of gastroparesis was considered accurate if patients with gastroparesis on barium studies responded to treatment. Results: Forty-six patients (92%) had predisposing factors for gastroparesis, including narcotics and diabetes. Forty-five patients (90%) presented with nausea or vomiting, and 40 patients (80%) had one or more other symptoms, including bloating, early satiety, postprandial fullness, and abdominal pain. Barium studies revealed decreased gastric peristalsis in 46 (92%) of the 50 patients and absent peristalsis in four (8%); 46 patients (92%) had additional findings, including gastric dilatation in 30 (60%), delayed emptying of barium in 27 (54%), debris in 28 (56%; bezoars in three), and retained fluid in 13 (26%). Thirteen (65%) of 20 patients with nuclear gastric emptying studies had delayed emptying of solids and seven (35%) had normal emptying. Thirty-five (83%) of 42 patients treated for gastroparesis had symptomatic improvement versus two (25%) of eight patients not treated. Conclusion: Patients with nausea, vomiting, or other related symptoms who have gastroparesis without gastric outlet obstruction on barium studies can be treated for this condition on the basis of the clinical and radiographic findings.

  4. Motility alterations in celiac disease and non-celiac gluten sensitivity.

    Science.gov (United States)

    Pinto-Sanchez, Maria Ines; Bercik, Premysl; Verdu, Elena F

    2015-01-01

    Regulation of gut motility is complex and involves neuromuscular, immune and environmental mechanisms. It is well established that patients with celiac disease (CD) often display gut dysmotility. Studies have shown the presence of disturbed esophageal motility, altered gastric emptying, and dysmotility of the small intestine, gallbladder and colon in untreated CD. Most of these motor abnormalities resolve after a strict gluten-free diet, suggesting that mechanisms related to the inflammatory condition and disease process are responsible for the motor dysfunction. Motility abnormalities are also a hallmark of functional bowel disorders such as irritable bowel syndrome (IBS), where it has been proposed as underlying mechanism for symptom generation (diarrhea, constipation, bloating). Non-celiac gluten sensitivity (NCGS) is a poorly defined entity, mostly self-diagnosed, that presents clinically with IBS symptoms in the absence of specific celiac markers. Patients with NCGS are believed to react symptomatically to wheat components, and some studies have proposed the presence of low-grade inflammation in these patients. There is little information regarding the functional characterization of these patients before and after a gluten-free diet. A study suggested the presence of altered gastrointestinal transit in NCGS patients who also have a high prevalence of nonspecific anti-gliadin antibodies. Results of an ongoing clinical study in NCGS patients with positive anti-gliadin antibodies before and after a gluten-free diet will be discussed. Elucidating the mechanisms for symptom generation in NCGS patients is important to find new therapeutic alternatives to the burden of imposing a strict gluten-free diet in patients who do not have CD. PMID:25925923

  5. Rumination syndrome in children and adolescents: a school survey assessing prevalence and symptomatology

    Directory of Open Access Journals (Sweden)

    Rajindrajith Shaman

    2012-11-01

    Full Text Available Abstract Background Rumination syndrome (RS is a functional gastrointestinal disorder (FGD increasingly recognized in children and adolescents. The epidemiology of this condition in school aged children is poorly understood. The main objective of this study was to assess the prevalence of rumination and other related associations in a cohort of Sri Lankan children. Methods Children aged 10-16 years were randomly selected from 8 schools in 4 provinces in Sri Lanka. RS was diagnosed using Rome III criteria. Data was collected using a self administered questionnaire distributed in an examination setting. It was translated into Sinhala, the native language and pretested before distribution. Results A total of 2163 children were included in the study (55% boys, mean age 13.4 years, SD 1.8 years. Prevalence of RS was 5.1% (n = 110; boys 5.1% and girls 5.0%. When symptoms were analyzed, 73.6% reported re-swallowing of regurgitated food, while the rest spat it out. In 94.5% regurgitation occurred during the first hour after the meal. Only 8.2% had daily symptoms while 62.7% had symptoms weekly. Abdominal pain, bloating and weight loss were the commonest symptoms associated with RS (19.1%, 17.3% and 11.8% respectively. No significant association was observed between exposure to stressful events and rumination (p > 0.05. Twenty (18.2% with RS fulfilled Rome III criteria for at least one other FGD. School absenteeism was seen in 11.8% of affected children. Conclusion RS was reasonably common in this cohort of school-aged children and adolescents in Sri Lanka. However, symptoms were severe enough to affect schooling only in 12% of affected children. Around one fifth with RS had at least one other overlapping FGD.

  6. Celecoxib-related gastroduodenal ulcer and cardiovascular events in a randomized trial for gastric cancer prevention

    Institute of Scientific and Technical Information of China (English)

    Guo-Shuang Feng; Harry HX Xia; Ji-You Li; Shiu Kum Lam; Wei-Cheng You; Jun-Ling Ma; Benjamin CY Wong; Lian Zhang; Wei-Dong Liu; Kai-Feng Pan; Lin Shen; Xiao-Dong Zhang; Jie Li

    2008-01-01

    AIM: To evaluate the long-term risk of gastroduodenal ulcer and cardiovascular events induced by celecoxib in a population-based, randomized, double-blind,placebo-controlled study.METHODS: From 2004 to 2006, a total of 1024 Chinese patients (aged 35 to 64 years) with severe chronic atrophic gastritis, intestinal metaplasia or dysplasia were randomly assigned to receive 200 mg of celecoxib twice daily or placebo in Linqu County (Shandong Province, China), a high-risk area of gastric cancer. All gastroduodenal ulcer and cardiovascular events occurred were recorded and the patients were followed up for 1.5 years after treatment. At the end of the trial, a systematic interview survey about other adverse events was conducted.RESULTS: Gastroduodenal ulcer was detected in 19 of 463 (3.72%) patients who Received: celecoxib and 17 of 473 (3.31%) patients who Received placebo,respectively (odds ratio = 1.13, 95% CI = 0.58-2.19).Cardiovascular (CV) events occurred in 4 patients who received celecoxib and in 5 patients who received placebo,respectively.Compared with those who received placebo,patients who received celecoxib had no significant increase in occurrence of Cvevents (hazard ratio = 0.84,95% CI =0.23-3.15).Among the adverse events acquired by interview survey,only the frequency of bloating was significantly higher in patients treated with celecoxib than in those treated with placebo.CONCLUSION:Treatment of gastric cancer with celecoxib is not associated with increased risk of gastroduodenal ulcer and cardiovascular events.

  7. Hubble's View of a Dying Star

    Science.gov (United States)

    2003-01-01

    A recent image of a dying star containing strange, complex structures may help explain the death throes of stars and defy our current understanding of physics. The image of protoplanetary nebula IRAS22036+5306 (in the Infrared Astronomical Satellite Point Source Catalog) was taken on Dec. 15, 2001, by the Wide Field and Planetary Camera 2, designed and built by NASA's Jet Propulsion Laboratory, onboard NASA's Hubble Space Telescope. It is one of the best images yet to capture a fleeting period at the end of a Sun-like star's life, called the protoplanetary nebula phase. This phase, which looks like a beautiful cloud of glowing gas lit up by ultraviolet light from the star's core, results when a star evolves into a bloated red giant and sheds its outer layers. 'Protoplanetary nebulas are rare objects with short lifetimes,' said JPL astrophysicist Dr. Raghvendra Sahai. 'It has generally been very difficult to obtain images of such objects in which their structure can be resolved in detail.' This image is particularly important because it contains a series of what Sahai and his colleagues call 'knotty jets,' blob-like objects emerging along roughly straight lines from the center of the cigar-shaped, bipolar nebula (See insets). There are various theories about what may produce such jets, though it is hard to prove their existence due to their short-lived, episodic nature. Detailed multi-wavelength studies of these nebulas with NASA's Great Observatories are being carried out to understand the nature and origin of these enigmatic jets, and how they may be sculpting shrouds of dying stars into exotic shapes. The Hubble Space Telescope is one of NASA's Great Observatories.

  8. Clinical Practice Guideline: Irritable bowel syndrome with constipation and functional constipation in the adult.

    Science.gov (United States)

    Mearin, Fermín; Ciriza, Constanza; Mínguez, Miguel; Rey, Enrique; Mascort, Juan José; Peña, Enrique; Cañones, Pedro; Júdez, Javier

    2016-06-01

    In this Clinical Practice Guideline we discuss the diagnostic and therapeutic approach of adult patients with constipation and abdominal complaints at the confluence of the irritable bowel syndrome spectrum and functional constipation. Both conditions are included among the functional bowel disorders, and have a significant personal, healthcare, and social impact, affecting the quality of life of the patients who suffer from them. The first one is the irritable bowel syndrome subtype, where constipation represents the predominant complaint, in association with recurrent abdominal pain, bloating, and abdominal distension. Constipation is characterized by difficulties with or low frequency of bowel movements, often accompanied by straining during defecation or a feeling of incomplete evacuation. Most cases have no underlying medical cause, and are therefore considered as a functional bowel disorder. There are many clinical and pathophysiological similarities between both disorders, and both respond similarly to commonly used drugs, their primary difference being the presence or absence of pain, albeit not in an "all or nothing" manner. Severity depends not only upon bowel symptom intensity but also upon other biopsychosocial factors (association of gastrointestinal and extraintestinal symptoms, grade of involvement, and perception and behavior variants). Functional bowel disorders are diagnosed using the Rome criteria. This Clinical Practice Guideline has been made consistent with the Rome IV criteria, which were published late in May 2016, and discuss alarm criteria, diagnostic tests, and referral criteria between Primary Care and gastroenterology settings. Furthermore, all the available treatment options (exercise, fluid ingestion, diet with soluble fiber-rich foods, fiber supplementation, other dietary components, osmotic or stimulating laxatives, probiotics, antibiotics, spasmolytics, peppermint essence, prucalopride, linaclotide, lubiprostone, biofeedback

  9. 饲草中缩合单宁的研究进展%Progress in Condensed Tannins of Forage

    Institute of Scientific and Technical Information of China (English)

    朱琳; 陈鑫珠; 张建国

    2012-01-01

    Feeding a high concentration of condensed tannins will reduce protein degradation and voluntary feed intake, damage abomasum or intestine. However, appropriate concentration of condensed tannins have beneficial effects on prevention of bloat and pulmonary edema, reducing parasitic disease and pastoral flavour in meat products, improving animal performance. Condensed tannins are clearly a "double edged sword" for feeding value. Successful management of condensed tannins depends on a combination of chemical analysis and animal experimentation. This paper is a review on nutrition and anti-nutrition of condensed tannins for ruminants, the factors affecting content of condensed tannins in forage, and the methods of controling concentration of condensed tannins. Research on successful management of condensed tannins will offer a real benefit for farmers.%饲料中高浓度的缩合单宁会降低动物对营养物质的消化利用率,影响自愿采食量,甚至损伤肠胃.适宜含量的缩合单宁,又能阻止臌胀病、肺水肿的发生,降低寄生虫病害的影响,改善肉质品味,提高动物的生产性能.论文概述了缩合单宁的营养作用、抗营养作用,影响饲草缩合单宁含量的因素,以及控制缩合单宁含量的方法,以便在实践中合理应用缩合单宁.

  10. The effect of Lactobacillus casei and Bifidobacterium breve on antibiotic-associated diarrhea treatment: randomized double-blind clinical trial

    Directory of Open Access Journals (Sweden)

    Daniela Nogueira Prado de Souza

    2012-02-01

    Full Text Available INTRODUCTION: Antibiotic-associated diarrhea (AAD is an important side effect of this specific class of drugs. The objective of this study was to investigate the effect of the use of probiotics in the treatment of AAD. METHODS: A group of hospitalized patients, who contracted diarrhea during or after 7 days of suspension of antimicrobial medication, was blindly randomized to receive a standardized diet associated with the use of the probiotics (Lactobacillus casei and Bifidobacterium breve or its corresponding placebo, three times a day. RESULTS: Seventy patients were studied. For the experimental (n=35 and control (n=35 groups, respectively, the average time of treatment was 5.06±2.18 and 5.49±3.17 days (p=0.95, and the average duration of diarrhea, among those who were healed, was 4.87±2.13 and 4.52±2.55 days (p=0.36. Four (11.4% patients who received probiotics and ten (28.6% who received the placebo were not cured (p=0.13, and relapse rates were similar between both groups. Seven patients from each group, in addition to diarrhea, presented cases of bloating and/or abdominal cramps and/or vomiting (p=1.00. CONCLUSIONS: In this light, it is concluded that L. casei associated with B. breve, in the administered dosage and frequency, has no effect on the antibiotic-associated diarrhea. Similar studies need to be conducted with higher doses of these or other probiotics.

  11. Clinical research of the dermal pedicle nasolabial flap%真皮蒂鼻唇沟皮瓣的临床应用研究

    Institute of Scientific and Technical Information of China (English)

    陈誉华

    2011-01-01

    Objective To improve the traditional nasolabial flap, and to explore the value of clinical application of the dermal pedicle nasolabial flap. Methods Dermal pedicle nasolabial flap was designed to repair the small area defects of skin and soft tissues in nose and lips (43 cases). Results All the flaps survived completely with slight scar and satisfactory results, 6 to 12 months follow up reviewed that the color and elastic and texture of the flaps were similar to the skin around defects. Conclusion Because of the advantages of dermal pedicle nasolabial flap such as small damage to donor areas, quick recovery.flexible for transferring,low incidence of subcutaneous tunnel bloated, slight scar,it had wide application prospects in the repair of small area defects.%改良传统鼻唇沟皮瓣,探讨真皮蒂鼻唇沟皮瓣的临床应用价值.方法:设计以真皮组织作为蒂部的真皮蒂鼻唇沟皮瓣43例,用于修复鼻唇部皮肤软组织小面积缺损.结果:皮瓣全部成活,切口Ⅰ期愈合,随访6~12个月,术后皮瓣色泽、弹性、质地与周围组织接近,瘢痕不明显,修复效果满意.结论:真皮蒂鼻唇沟皮瓣修复鼻唇部缺损具有供区损伤小、恢复快,转移灵活,术后皮下隧道臃肿发生率低,瘢痕不明显等优点,在对鼻唇周围小面积缺损修复中具有广阔的应用前景.

  12. Progressive retinal degeneration and glial activation in the CLN6 (nclf mouse model of neuronal ceroid lipofuscinosis: a beneficial effect of DHA and curcumin supplementation.

    Directory of Open Access Journals (Sweden)

    Myriam Mirza

    Full Text Available Neuronal ceroid lipofuscinosis (NCL is a group of neurodegenerative lysosomal storage disorders characterized by vision loss, mental and motor deficits, and spontaneous seizures. Neuropathological analyses of autopsy material from NCL patients and animal models revealed brain atrophy closely associated with glial activity. Earlier reports also noticed loss of retinal cells and reactive gliosis in some forms of NCL. To study this phenomenon in detail, we analyzed the ocular phenotype of CLN6 (nclf mice, an established mouse model for variant-late infantile NCL. Retinal morphometry, immunohistochemistry, optokinetic tracking, electroretinography, and mRNA expression were used to characterize retinal morphology and function as well as the responses of Müller cells and microglia. Our histological data showed a severe and progressive degeneration in the CLN6 (nclf retina co-inciding with reactive Müller glia. Furthermore, a prominent phenotypic transformation of ramified microglia to phagocytic, bloated, and mislocalized microglial cells was identified in CLN6 (nclf retinas. These events overlapped with a rapid loss of visual perception and retinal function. Based on the strong microglia reactivity we hypothesized that dietary supplementation with immuno-regulatory compounds, curcumin and docosahexaenoic acid (DHA, could ameliorate microgliosis and reduce retinal degeneration. Our analyses showed that treatment of three-week-old CLN6 (nclf mice with either 5% DHA or 0.6% curcumin for 30 weeks resulted in a reduced number of amoeboid reactive microglia and partially improved retinal function. DHA-treatment also improved the morphology of CLN6 (nclf retinas with a preserved thickness of the photoreceptor layer in most regions of the retina. Our results suggest that microglial reactivity closely accompanies disease progression in the CLN6 (nclf retina and both processes can be attenuated with dietary supplemented immuno-modulating compounds.

  13. Gastrointestinal symptoms are still prevalent and negatively impact health-related quality of life: a large cross-sectional population based study in The Netherlands.

    Directory of Open Access Journals (Sweden)

    Merel M Tielemans

    Full Text Available BACKGROUND: Over the last decades important risk factors for gastrointestinal symptoms have shifted, which may have changed its population prevalence. The aim of this study was to assess the current prevalence of gastrointestinal symptoms, appraise associated factors and assess health-related quality of life in the general population. METHODS: A total of 51,869 questionnaires were sent to a representative sample of the Dutch adult general population in December 2008. Demographic characteristics, gastrointestinal symptoms, health-related quality of life, medication use and co-morbidity were reported. We used multivariable logistic regression analysis to determine factors associated with gastrointestinal symptoms. RESULTS: A total of 18,317 questionnaires were returned, and 16,758 were eligible for analysis. Prevalence of gastrointestinal symptoms was 26%. Most frequent symptoms were bloating (63%, borborygmi (60% and flatulence (71%. Female gender (adjusted OR (aOR 1.59, 95% CI 1.43-1.77, asthma/COPD (aOR 1.47, 95% CI 1.21-1.79, use of paracetamol (aOR 1.33, 95% CI 1.20-1.47, antidepressants (aOR 1.56, 95% CI 1.22-2.00 and acid-suppressive medication were independently associated with presence of gastrointestinal symptoms. Age over 65 years (aOR 0.75, 95% CI 0.65-0.87, and use of statins (aOR 0.75, 95% CI 0.61-0.93 were associated with a lower prevalence of gastrointestinal symptoms. Respondents with gastrointestinal symptoms had a lower mean health-related quality of life of 0.81 (SD = 0.21 compared to 0.92 (SD = 0.14 for persons without gastrointestinal symptoms (P<0.01. CONCLUSIONS: Prevalence of gastrointestinal symptoms in the Dutch community is high and associated with decreased health-related quality of life.

  14. Ccl2, Cx3cr1 and Ccl2/Cx3cr1 chemokine deficiencies are not sufficient to cause age-related retinal degeneration.

    Science.gov (United States)

    Luhmann, Ulrich F O; Carvalho, Livia S; Robbie, Scott J; Cowing, Jill A; Duran, Yanai; Munro, Peter M G; Bainbridge, James W B; Ali, Robin R

    2013-02-01

    Monocytes, macrophages, dendritic cells and microglia play critical roles in the local immune response to acute and chronic tissue injury and have been implicated in the pathogenesis of age-related macular degeneration. Defects in Ccl2-Ccr2 and Cx3cl1-Cx3cr1 chemokine signalling cause enhanced accumulation of bloated subretinal microglia/macrophages in senescent mice and this phenomenon is reported to result in the acceleration of age-related retinal degeneration. The purpose of this study was to determine whether defects in CCL2-CCR2 and CX3CL1-CX3CR1 signalling pathways, alone or in combination, cause age-dependent retinal degeneration. We tested whether three chemokine knockout mouse lines, Ccl2(-/-), Cx3cr1(-/-) and Ccl2(-/-)/Cx3cr1(-/-), in comparison to age-matched C57Bl/6 control mice show differences in subretinal macrophage accumulation and loss of adjacent photoreceptor cells at 12-14 months of age. All mouse lines are derived from common parental strains and do not carry the homozygous rd8 mutation in the Crb1 gene that has been a major confounding factor in previous reports. We quantified subretinal macrophages by counting autofluorescent lesions in fundus images obtained by scanning laser ophthalmoscopy (AF-SLO) and by immunohistochemistry for Iba1 positive cells. The accumulation of subretinal macrophages was enhanced in Ccl2(-/-), but not in Cx3cr1(-/-) or Ccl2(-/-)/Cx3cr1(-/-) mice. We identified no evidence of retinal degeneration in any of these mouse lines by TUNEL staining or semithin histology. In conclusion, CCL2-CCR2 and/or CX3CL1-CX3CR1 signalling defects may differentially affect the trafficking of microglia and macrophages in the retina during ageing, but do not appear to cause age-related retinal degeneration in mice.

  15. Use of Complementary and Alternative Medicine: A survey in Turkish Gastroenterology Patients

    Directory of Open Access Journals (Sweden)

    Kav Taylan

    2009-10-01

    Full Text Available Abstract Background The study examined complementary and alternative medicine (CAM usage by patients attending a Turkish gastroenterology outpatient clinic. Methods The survey was conducted on 216 patients presenting with gastrointestinal problems during their first visit to the clinic using a 31 item, self-report questionnaire between May and October 2005. Data included information on patient demographics and their gastrointestinal symptoms, as well as items to identify CAM use and patient satisfaction with these therapies. Results Seventy-nine patients (36.6% reported using one or more forms of CAM. The most commonly used therapy was herbal therapy, usually taken as a tea or infusion. These were used by 27 people (29% in this subgroup. Common indicators for their use were epigastric pain, constipation, bloating and dyspepsia or indigestion. CAM use among upper GI patients was marginally higher than lower GI patients (41.8% versus 41.2%, but the highest usage was amongst patients with liver disease where 53.8% reported using one or more CAM therapy. About half of the patients learned about CAM from their relatives or friends, with more women than men using the therapies (p Conclusion CAM usage in our sample of gastrointestinal patients was lower than that described in other countries and other chronic disease groups. This could be due to their low perceived efficacy, or the relatively transient duration of symptoms experienced by the sample. Healthcare professionals need however, to be aware of CAM usage in order to educate patients appropriately about possible adverse effects or drug-interactions.

  16. Comparative study of intestinal flora in students from air force school before and after flight training%航校空军学员飞行训练前后肠道菌群的对比研究

    Institute of Scientific and Technical Information of China (English)

    李仕英; 张海谱; 王缚鲲; 季雯; 朱庆尧

    2012-01-01

    significantly decreased as compared with that in the ground staff (P< 0. 05) , Enterococci and Bacteroides increased significantly (Enterococci P<0. 01; Bact eroide P<0. 05); there were no statistical significance among other bacteria; as compared with the students with mental stress and the students with relaxation, the difference in the number of Bifidobacterium, Enterococci, Peptococcus and Bacteroide was statistically significant (P < 0. 05) ; as compared with the students with significant abdominal bloating and the student without abdominal bloating, the difference in the number of Bifidobacterium, Enterococci and Peptococcus was statistically significant (P<0. 05). CONCLUSION Diet as well as the mental status and abdominal bloating is one of the causes of the imbalance of intestinal flora in air force school pilots.

  17. 匹维溴铵联合黛立新治疗肠易激综合征疗效观察%Pinaverium bromide Joint Dai Lixin treatment of irritable bowel syndrome

    Institute of Scientific and Technical Information of China (English)

    闫新

    2010-01-01

    Objective To investigate pinaverium bromide Joint Dai Lixin treatment of irritable bowel syndrome therapy. Methods From January 2006 to October 2009 met the inclusion criteria out-patient treatment of irritable bowel syndrome in 368 cases, 188 cases were randomly divided into treatment group and control group of 180 cases, were two of abdominal pain, bloating, constipation, bowel movement > 3 times/d, or loose stools, defecation endless, effortless defecation symptoms and the total efficiency of statistical comparison. Results The total effective rate of clinical symptoms compared P < 0. 05 significant difference. Conclusion Pinaverium bromide joint Dai Lixin treatment of irritable bowel syndrome is effective, and convenient, safe and reliable, able to control intestinal symptoms, reduce patient discomfort;have to control insomnia, depression and other psychiatric symptoms to comprehensive treatment objective of improving the quality of life of patients and promote recovery from disease.%目的 探讨匹维溴铵联合黛立新治疗肠易激综合征临床疗效.方法 我院2006年1月至2009年10月门诊治疗的符合入选标准肠易激综合征368例,随机分为治疗组188例,对照组180例,进行两组腹痛、腹胀、便秘、排便>3次/d或稀便、排便不尽、排便费力临床症状总有效率进行统计并比较.结果 两组临床症状总有效率进行比较,P<0.05为有统计学意义.结论 匹维溴铵联合黛立新治疗肠易激综合征临床疗效确切,应用方便,安全可靠,可以达到控制肠道临床症状,减轻患者不适;有能够控制失眠、抑郁等精神症状达到综合治疗的目的 ,改善患者的生活质量,促进疾病康复.

  18. Phenomena during thermal removal of binders

    Science.gov (United States)

    Hrdina, Kenneth Edward

    The research presented herein has focused on debinding of an ethylene copolymer from a SiC based molded ceramic green body. Examination of the binder burnout process was carried out by breaking down the process into two distinct regions: those events which occur before any weight loss begins, and those events occurring during binder removal. Below the temperature of observed binder loss (175sp°C), both reversible and irreversible displacement was observed to occur. The displacement was accounted for by relaxation of molding stresses, thermal expansion of the system, and melting of the semicrystalline copolymer occurring during heating. Upon further heating the binder undergoes a two stage thermal degradation process. In the first stage, acetic acid is the only degradation product formed, as determined by GC/MS analysis. In this stage, component shrinkage persisted and it was found that one unit volume of shrinkage corresponded with one unit volume of binder removed, indicating that no porosity developed. The escaping acetic acid effluents must diffuse through liquid polymer filled porous regions to escape. The gas pressure of the acetic acid species produced in the first stage of the thermal degradation may exceed the ambient pressure promoting bubble formation. Controlling the heating rate of the specimen maintains the gas pressure below the bubbling threshold and minimizes the degradation time. Experiments have determined the kinetics of the reaction in the presence of the high surface area (10-15msp2/g) ceramic powder and then verified that acetic acid was diffusing through the polymer phase to the specimen surface where evaporation is taking place. The sorption method measured the diffusivity and activity of acetic acid within the filled ceramic system within a TGA. These data were incorporated into a Fickian type model which included the rate of generation of the diffusing species. The modeling process involved prediction of the bloating temperature as a

  19. Hydride Ions, HCO+ and Ionizing Irradiation in Star Forming Region

    Science.gov (United States)

    Benz, Arnold O.; Bruderer, Simon; van Dishoeck, Ewine

    2016-06-01

    Hydrides are fundamental precursor molecules in cosmic chemistry and many hydride ions have become observable in high quality for the first time thanks to the Herschel Space Observatory. Ionized hydrides, such as CH+ and OH+ and also HCO+ affect the chemistry of molecules such as water. They also provide complementary information on irradiation by far UV (FUV) or X-rays and gas temperature.We explore hydrides of the most abundant heavier elements in an observational survey covering star forming regions with different mass and evolutionary state. Twelve YSOs were observed with HIFI on Herschel in 6 spectral settings providing fully velocity-resolved line profiles. The YSOs include objects of low (Class 0 and I), intermediate, and high mass, with luminosities ranging from 4 Ls to 2 105 Ls.The targeted lines of CH+, OH+, H2O+, and C+ are detected mostly in blue-shifted absorption. H3O+ and SH+ are detected in emission and only toward some high-mass objects. For the low-mass YSOs the column density ratios of CH+/OH+ can be reproduced by simple chemical models implying an FUV flux of 2 – 400 times the ISRF at the location of the molecules. In two high-mass objects, the UV flux is 20 – 200 times the ISRF derived from absorption lines, and 300 – 600 ISRF using emission lines. Upper limits for the X-ray luminosity can be derived from H3O+ observations for some low-mass objects.If the FUV flux required for low-mass objects originates at the central protostar, a substantial FUV luminosity, up to 1.5 Ls, is required. For high-mass regions, the FUV flux required to produce the observed molecular ratios is smaller than the unattenuated flux expected from the central object(s) at the Herschel beam radius. This is consistent with an FUV flux reduced by circumstellar extinction or by bloating of the protostar.The ion molecules are proposed to form in FUV irradiated cavity walls that are shocked by the disk wind. The shock region is turbulent, broadening the lines to some 1

  20. A systematic review of anti-obesity medicinal plants - an update.

    Science.gov (United States)

    Hasani-Ranjbar, Shirin; Jouyandeh, Zahra; Abdollahi, Mohammad

    2013-01-01

    Obesity is the most prevalent health problem affecting all age groups, and leads to many complications in the form of chronic heart disease, diabetes mellitus Type 2 and stroke. A systematic review about safety and efficacy of herbal medicines in the management of obesity in human was carried out by searching bibliographic data bases such as, PubMed, Scopus, Google Scholar, Web of Science, and IranMedex, for studies reported between 30th December 2008 to 23rd April 2012 on human or animals, investigating the beneficial and harmful effects of herbal medicine to treat obesity. Actually we limited our search to such a narrow window of time in order to update our article published before December of 2008. In this update, the search terms were "obesity" and ("herbal medicine" or "plant", "plant medicinal" or "medicine traditional") without narrowing or limiting search items. Publications with available abstracts were reviewed only. Total publications found in the initial search were 651. Total number of publications for review study was 33 by excluding publications related to animals study.Studies with Nigella Sativa, Camellia Sinensis, Crocus Sativus L, Seaweed laminaria Digitata, Xantigen, virgin olive oil, Catechin enriched green tea, Monoselect Camellia, Oolong tea, Yacon syrup, Irvingia Gabonensi, Weighlevel, RCM-104 compound of Camellia Sinensis, Pistachio, Psyllium fibre, black Chinese tea, sea buckthorn and bilberries show significant decreases in body weight. Only, alginate-based brown seaweed and Laminaria Digitata caused an abdominal bloating and upper respiratory tract infection as the side effect in the trial group. No other significant adverse effects were reported in all 33 trials included in this article.In conclusion, Nigella Sativa, Camellia Synensis, Green Tea, and Black Chinese Tea seem to have satisfactory anti-obesity effects. The effect size of these medicinal plants is a critical point that should be considered for interpretation. Although there

  1. Review of Dercum’s disease and proposal of diagnostic criteria, diagnostic methods, classification and management

    Directory of Open Access Journals (Sweden)

    Hansson Emma

    2012-04-01

    Full Text Available Abstract Definition and clinical picture We propose the minimal definition of Dercum’s disease to be generalised overweight or obesity in combination with painful adipose tissue. The associated symptoms in Dercum’s disease include fatty deposits, easy bruisability, sleep disturbances, impaired memory, depression, difficulty concentrating, anxiety, rapid heartbeat, shortness of breath, diabetes, bloating, constipation, fatigue, weakness and joint aches. Classification We suggest that Dercum’s disease is classified into: I. Generalised diffuse form A form with diffusely widespread painful adipose tissue without clear lipomas, II. Generalised nodular form - a form with general pain in adipose tissue and intense pain in and around multiple lipomas, and III. Localised nodular form - a form with pain in and around multiple lipomas IV. Juxtaarticular form - a form with solitary deposits of excess fat for example at the medial aspect of the knee. Epidemiology Dercum’s disease most commonly appears between the ages of 35 and 50 years and is five to thirty times more common in women than in men. The prevalence of Dercum’s disease has not yet been exactly established. Aetiology Proposed, but unconfirmed aetiologies include: nervous system dysfunction, mechanical pressure on nerves, adipose tissue dysfunction and trauma. Diagnosis and diagnostic methods Diagnosis is based on clinical criteria and should be made by systematic physical examination and thorough exclusion of differential diagnoses. Advisably, the diagnosis should be made by a physician with a broad experience of patients with painful conditions and knowledge of family medicine, internal medicine or pain management. The diagnosis should only be made when the differential diagnoses have been excluded. Differential diagnosis Differential diagnoses include: fibromyalgia, lipoedema, panniculitis, endocrine disorders, primary psychiatric disorders, multiple symmetric lipomatosis, familial

  2. Inclusion of sainfoin (Onobrychis viciifolia) silage in dairy cow rations affects nutrient digestibility, nitrogen utilization, energy balance, and methane emissions.

    Science.gov (United States)

    Huyen, N T; Desrues, O; Alferink, S J J; Zandstra, T; Verstegen, M W A; Hendriks, W H; Pellikaan, W F

    2016-05-01

    Sainfoin (Onobrychis viciifolia) is a tanniniferous legume forage that has potential nutritional and health benefits preventing bloating, reducing nematode larval establishment, improving N utilization, and reducing greenhouse gas emissions. However, the use of sainfoin as a fodder crop in dairy cow rations in northwestern Europe is still relatively unknown. The objective of this study was to evaluate the effect of sainfoin silage on nutrient digestibility, animal performance, energy and N utilization, and CH4 production. Six rumen-cannulated, lactating dairy cows with a metabolic body weight (BW(0.75)) of 132.5±3.6kg were randomly assigned to either a control (CON) or a sainfoin (SAIN)-based diet over 2 experimental periods of 25 d each in a crossover design. The CON diet was a mixture of grass silage, corn silage, concentrate, and linseed. In the SAIN diet, 50% of grass silage dry matter (DM) of the CON diet was exchanged for sainfoin silage. The cows were adapted to 95% of ad libitum feed intake for a 21-d period before being housed in climate-controlled respiration chambers for 4 d, during which time feed intake, apparent total-tract digestibility, N and energy balance, and CH4 production was determined. Data were analyzed using a mixed model procedure. Total daily DM, organic matter, and neutral detergent fiber intake did not differ between the 2 diets. The apparent digestibility of DM, organic matter, neutral detergent fiber, and acid detergent fiber were, respectively, 5.7, 4.0, 15.7, and 14.8% lower for the SAIN diet. Methane production per kilogram of DM intake was lowest for the SAIN diet, CH4 production as a percentage of gross energy intake tended to be lower, and milk yield was greater for the SAIN diet. Nitrogen intake, N retention, and energy retained in body protein were greater for the SAIN than for the CON diet. Nitrogen retention as a percentage of N intake tended to be greater for the SAIN diet. These results suggest that inclusion of sainfoin

  3. Clinical potential of naloxegol in the management of opioid-induced bowel dysfunction

    Directory of Open Access Journals (Sweden)

    Poulsen JL

    2014-09-01

    Full Text Available Jakob Lykke Poulsen,1 Christina Brock,1,2 Anne Estrup Olesen,1,2 Matias Nilsson,1 Asbjørn Mohr Drewes1,3 1Mech-Sense, Department of Gastroenterology and Hepatology, Aalborg University Hospital, Aalborg, Denmark; 2Department of Drug Design and Pharmacology, University of Copenhagen, Copenhagen, Denmark; 3Department of Clinical Medicine, Aalborg University, Aalborg, DenmarkAbstract: Opioid-induced bowel dysfunction (OIBD is a burdensome condition which limits the therapeutic benefit of analgesia. It affects the entire gastrointestinal tract, predominantly by activating opioid receptors in the enteric nervous system, resulting in a wide range of symptoms, such as reflux, bloating, abdominal cramping, hard, dry stools, and incomplete evacuation. The majority of studies evaluating OIBD focus on constipation experienced in approximately 60% of patients. Nevertheless, other presentations of OIBD seem to be equally frequent. Furthermore, laxative treatment is often insufficient, which in many patients results in decreased quality of life and discontinuation of opioid treatment. Novel mechanism-based pharmacological approaches targeting the gastrointestinal opioid receptors have been marketed recently and even more are in the pipeline. One strategy is prolonged release formulation of the opioid antagonist naloxone (which has limited systemic absorption and oxycodone in a combined tablet. Another approach is peripherally acting, µ-opioid receptor antagonists (PAMORAs that selectively target µ-opioid receptors in the gastrointestinal tract. However, in Europe the only PAMORA approved for OIBD is the subcutaneously administered methylnaltrexone. Alvimopan is an oral PAMORA, but only approved in the US for postoperative ileus in hospitalized patients. Finally, naloxegol is a novel, oral PAMORA expected to be approved soon. In this review, the prevalence and pathophysiology of OIBD is presented. As PAMORAs seem to be a promising approach, their potential

  4. Lead telluride with increased mechanical stability for cylindrical thermoelectric generators

    International Nuclear Information System (INIS)

    The aim of this work is to improve the mechanical stability of lead telluride (PbTe), trying to vary its mechanical properties independently from its thermoelectric properties. Thus the influence of material preparation as well as different dopants on the mechanical and thermoelectric properties of lead telluride is being analysed. When using appropriately set process parameters, milling and sintering of lead telluride increases the material's hardness. With sintering temperatures exceeding 300 C stable material of high relative density can be achieved. Milling lead telluride generates lattice defects leading to a reduction of the material's charge carrier density. These defects can be reduced by increased sintering temperatures. Contamination of the powder due to the milling process leads to bloating during thermal cycling and thus reduced density of the sintered material. In addition to that, evaporation of tellurium at elevated temperatures causes instability of the material's thermoelectric properties. Based on the experimental results obtained in this work, the best thermoelectric and mechanical properties can be obtained by sintering coarse powders at around 400 C. Within this work a concept was developed to vary the mechanical properties of lead telluride via synthesis of PbTe with electrically nondoping elements, which thus may keep the thermoelectric properties unchanged. Therefore, the mechanical and thermoelectric properties of Pb1-xCaxTe were investigated. Doping pure PbTe with calcium causes a significant increase of the material's hardness while only slightly decreasing the charge carrier density and thus keeping the thermoelectric properties apart from a slight reduction of the electrical conductivity nearly unchanged. The abovementioned concept is proven using sodium doped lead telluride, as it is used for thermoelectric generators: The additional doping with calcium again increases the material's hardness while its thermoelectric properties remain

  5. Psychometric validation of patient-reported outcome measures assessing chronic constipation

    Directory of Open Access Journals (Sweden)

    Nelson LM

    2014-09-01

    Full Text Available Lauren M Nelson,1 Valerie SL Williams,1 Sheri E Fehnel,1 Robyn T Carson,2 James MacDougall,3 Mollie J Baird,3 Stavros Tourkodimitris,2 Caroline B Kurtz,3 Jeffrey M Johnston31RTI Health Solutions, Durham, NC, USA; 2Forest Research Institute, Jersey City, NJ, USA; 3Ironwood Pharmaceuticals, Cambridge, MA, USABackground: Measures assessing treatment outcomes in previous CC clinical trials have not met the requirements described in the US Food and Drug Administration's guidance on patient-reported outcomes.Aim: Psychometric analyses using data from one Phase IIb study and two Phase III trials of linaclotide for the treatment of chronic constipation (CC were conducted to document the measurement properties of patient-reported CC Symptom Severity Measures.Study methods: Each study had a multicenter, randomized, double-blind, placebo-controlled, parallel-group design, comparing placebo to four doses of oral linaclotide taken once daily for 4 weeks in the Phase IIb dose-ranging study (n=307 and to two doses of linaclotide taken once daily for 12 weeks in the Phase III trials (n=1,272. The CC Symptom Severity Measures addressing bowel function (Bowel Movement Frequency, Stool Consistency, Straining and abdominal symptoms (Bloating, Abdominal Discomfort, Abdominal Pain were administered daily using interactive voice-response system technology. Intraclass correlations, Pearson correlations, factor analyses, F-tests, and effect sizes were computed.Results: The CC Symptom Severity Measures demonstrated satisfactory test–retest reliability and construct validity. Factor analyses indicated one factor for abdominal symptoms and another for bowel symptoms. Known-groups F-tests substantiated the discriminating ability of the CC Symptom Severity Measures. Responsiveness statistics were moderate to strong, indicating that these measures are capable of detecting change.Conclusion: In large studies of CC patients, linaclotide significantly improved abdominal and

  6. 食管贲门癌术后胃瘫32例临床诊治体会%Thoughts on diagnosis and treatment of 32 cases of post-surgery subtotal gastroparesis on gastrectomy and esophagectomy can-cer patients

    Institute of Scientific and Technical Information of China (English)

    陶一勤; 李道航; 沙纪名; 胡海峰

    2009-01-01

    Objective To review the diagnosis and treatment of gastroparesis after esophagectomy. Methods Retrospectively ana-lyzed 32 cases of clinical data between 1991 and 2007 with post-surgery subtotal Gastroparesis on gastrectomy & esophagectomy patients. Re-sults Gastroparesis in these patients caused the undesirable symptoms of nausea, vomiting, abdominal pain, bloating and early satiety and there is lcase of death due to Pseudomonas aeruginosa pneumonia. The upper gastrointestinal radiography showed a decrease in gastric motility, and no stomach obstruction. The rest of the cases had curative effects through the reduction of gastric pressure, maintenance of hydro electrolytic bal-ance and nutritional supplement, and application of prokinetic drugs. Conclusion The diagnosis of gastroparesis mainly depends on the clini-cal appearances, chest CT Scan and GI. When the gastroparesis is confirmed, the patient should be treated with conservative methods, such as the application of internal nutrition, prokinetic agents.%目的 总结食管、贲门癌术后胃瘫临床诊治经验.方法 对1991年至2007年食管癌、贲门癌术后发生胃瘫的32例患者的治疗过程和效果进行回顾性分析.结果 所有患者主要表现为胃潴留,无明显腹痛,肛门排气大多正常.消化道造影可见胃蠕动差,吻合口通畅.CT显示胸腔胃明显增大以及大量胃液潴留.本组病例中1例患者死于绿脓杆菌性肺炎.其余所有病例经胃肠减压,肠内营养支持,维持水电解质平衡,以及用促进胃肠动力药物的应用等措施使病情均得以缓解出院.结论 食管癌、贲门癌术后胃瘫的诊断主要依据临床表现、消化道造影及胸CT等检查.排除机械性梗阻的存在后应积极采取肠内营养及胃肠动力促进剂等综合治疗,可以治愈.

  7. Effect of Hemorheology of Acupuncture in Patients with Simple Obesity%针刺单纯性肥胖患者血液流变学指标的效应

    Institute of Scientific and Technical Information of China (English)

    张周良; 李斌; 张雷; 赵宁侠; 郭瑞林

    2011-01-01

    目的 观察针刺对单纯性肥胖患者观察血液流变学指标变化,探讨针刺减肥治疗机理.方法 门诊单纯性肥胖患者32例,采用针刺腹部相关穴位,每日1次,10次为1疗程,3个疗程后自身对照,比较针刺前后体重、腰围、体质指数、血液流变学指标变化.结果 经针刺3个疗程,单纯性肥胖患者体重减轻,腰围缩小,不同切变率下全血黏度、血浆黏度及红细胞聚集指数明显降低,红细胞变形能力增强 (P<0.01);便秘、腹胀、月经不调、痤疮等症状均有明显改善.结论 针刺人体脾胃经相关穴位可以改善胃肠动力学,降低血液黏稠度,加快血流速度,改善血液流变性,减肥塑形.%Objective Observation of acupuncture on hemorheological indexes in patients with obesity,and to explore the mechanism of acupuncture weight loss treatment. Methods 32 patients with simple obesity in outpatient,acupuncture points related to the abdomen, 1 day, 10 times as a course of treatment,after 3 courses of self-control to compare indicators change with weight before and after acupuncture,waist circumference,body mass index,hemorheological indexes. Results After 3 courses of treatment with acupuncture on obese patients,we observed weight loss,waist circumference reduced,whole blood viscosity,plasma viscosity in different shear rate and erythrocyte aggregation were declined obviously,erythrocyte deformability indices were significant increased(P<0.01);constipation,bloating,irregular menstruation,acne and other symptoms showed significant improvement.Conclusion To acupuncture spleen-stomach-related acupoints can improve gastrointestinal dynamics,speed up blood flow and reduce blood viscosity,improve hemorheological indexes to weight loss shaping.

  8. Qualitative Development of a Patient-Reported Outcome Symptom Measure in Diarrhea-Predominant Irritable Bowel Syndrome

    Science.gov (United States)

    Marquis, P; Lasch, K E; Delgado-Herrera, L; Kothari, S; Lembo, A; Lademacher, C; Spears, G; Nishida, A; Tesler, Waldman L; Piault, E; Rosa, K; Zeiher, B

    2014-01-01

    OBJECTIVES: Despite a documented clinical need, no patient reported outcome (PRO) symptom measure meeting current regulatory requirements for clinically relevant end points is available for the evaluation of treatment benefit in diarrhea-predominant IBS (IBS-D). METHODS: Patients (N=113) with IBS-D participated in five study phases: (1) eight concept elicitation focus groups (N=34), from which a 17-item IBS-D Daily Symptom Diary and four-item IBS-D Symptom Event Log (Diary and Event Log) were developed; (2) one-on-one cognitive interviews (N=11) to assess the instrument's comprehensiveness, understandability, appropriateness, and readability; (3) four data triangulation focus groups (N=32) to confirm the concepts elicited; (4) two hybrid (concept elicitation and cognitive interview) focus groups (N=16); and (5) two iterative sets of one-on-one cognitive interviews (N=20) to further clarify the symptoms of IBS-D and debrief a revised seven-item Diary and four-item Event Log. RESULTS: Of thirty-six concepts initially identified, 22 were excluded because they were not saturated, not clinically relevant, not critical symptoms of IBS-D, considered upper GI symptoms, or too broad or vaguely defined. The remaining concepts were diarrhea, immediate need (urgency), bloating/pressure, frequency of bowel movements, cramps, abdominal/stomach pain, gas, completely emptied bowels/incomplete evacuation, accidents, bubbling in intestines (bowel sounds), rectal burning, stool consistency, rectal spasm, and pain while wiping. The final instrument included a daily diary with separate items for abdominal and stomach pain and an event log with four items completed after each bowel movement as follows: (1) a record of the bowel movement/event and an assessment of (2) severity of immediacy of need/bowel urgency, (3) incomplete evacuation, and (4) stool consistency (evaluated using the newly developed Astellas Stool Form Scale). Based on rounds of interviews and clinical input, items

  9. Oral mannitiol solution for bowel preparation before gynecologic surgery Clinical Observation and nursing care%口服甘露醇溶液用于妇科术前肠道准备临床疗效观察及护理

    Institute of Scientific and Technical Information of China (English)

    李恩芝; 石祥奎

    2012-01-01

    Objective To compared with clinical effects of oral mannitol solution and magnesium sulfate solution for bowel preparation before gynecologic surgery, so as to clinical selection. Methods Solution by observing the use of oral mannitol group and the control efficacy of oral administration of magnesium sulfate group and adverse reactions. Results Two groups of intestinal cleanliness, frequency of defecation was not statistically significant ( P>0. 05); two nausea, vomiting, stomach pain, bloating, abdominal pain, anal stimulation no significant side effects; Time after discharge, dizziness, headache, no significant adverse effects (P>0. 05); mannitol taste, easy to use. Magnesium sulfate bitter, easy to grow bacteria. Conclusion The therapeutic effect with no significant adverse reactions difference, can be used as bowel preparation before gynecologic surgery using drugs, but mannitol and easy to use, easy to save, taste, and can be used in place of magnesium sulfate bowel preparation before gynecologic surgery.%目的 比较口服甘露醇溶液与硫酸镁溶液用于妇科术前肠道准备临床疗效,以便临床选择使用.方法 通过观察使用口服甘露醇溶液组与口服硫酸镁组进行对照疗效与不良反应.结果 两组肠道清洁度、排便次数无统计学意义(P>0.05);两组恶心、呕吐、胃痛、腹胀、腹痛、肛门刺激不良反应无统计学意义:术后排气时间、头晕、头痛不良反应无统计学意义(P>0.05);甘露醇口感好,使用方便.硫酸镁味苦,易长菌.结论 两组疗效与不良反应无显著性差异,均可作为妇科术前肠道准备使用药物,但甘露醇使用方便,易保存,口感好,可代替硫酸镁广泛用于妇科手术前肠道准备.

  10. CLINIC EFFECT OF MEMBRANE ELEMENTS IN TREATMENT OF COMPOUND STOMACH ULCER%消化性溃疡的复方胃膜素治疗效果分析

    Institute of Scientific and Technical Information of China (English)

    李建

    2011-01-01

    [目的]研究复方胃膜素治疗消化性溃疡的效果.[方法]将我院2010年住院的64例HP阴性消化性溃疡患者随机分为两组,分别采用复方胃膜素和胃膜素治疗,比较两组治疗6周后的主观感受症状、治疗效果及不良反应有无差异.[结果]复方胃膜素组患者喛气、腹胀、上腹痛和有症状的发生率均低于胃膜素组,P<0.05;溃疡的总有效率显著商于胃膜素组,X2=4.27,P=0.039;不良反应显著低于胃膜素组X2=4.95,P=0.026.[结论]复方胃膜素在胃膜素基础上添加了碳酸钙、碳酸镁、次碳酸铋和维生素U,与胃膜素相比,对消化性溃疡的治疗效果更好,不良反应发生率更低,值得临床推广应用.%[Objective] To study the treatment effect of compound gastric mucin on peptic ulcer. [Methods] 64 patients who hospitalized in 2010 were randomly divided into two groups, and respectively got compound gastric mucin and gastric mucin. We compared the subjective feelings, treatment effects and side effects of two groups after treating six weeks. [Results] The incidence rate of belching, bloating, upper abdominal pain and persons with symptoms in compound gastric mucin group were significantly lower than gastric mucin group (P< 0.05) ; The effective rate was significantly higher than that of the gastric mucin group, x2 = 4.27, P= 0.039; The side effects were significantly lower than gastric mucin group, x2 = 4.95, P= 0.026. [Conclusion] Based on the gastric mucin, the compound gastric mucin was added with calcium carbonate, magnesium carbonate, bismuth sub-carbonate and vitamin U. Compared to gastric mucin, compound gastric mucin is better to cure peptic ulcer, with lower side effect, and is worth for clinical use.

  11. Clinical characteristics of elderly patients with proton pump inhibitor-refractory non-erosive reflux disease from the G-PRIDE study who responded to rikkunshito

    Science.gov (United States)

    2014-01-01

    Background The incidence and severity of gastroesophageal reflux disease (GERD) in Japan tends to increase in elderly women. Rikkunshito (RKT), a traditional Japanese medicine, acts as a prokinetic agent and improves gastric emptying and gastric accommodation. Our previous prospective randomized placebo-controlled study showed that RKT combined with a standard-dose of rabeprazole (RPZ) significantly improved the acid-related dysmotility symptoms (ARD) in elderly patients with proton pump inhibitor (PPI)-refractory non-erosive reflux disease (NERD). This study aimed to evaluate clinical characteristics of elderly PPI-refractory NERD patients with ARD symptoms who responded to RKT. Methods Two hundred forty-two patients with PPI-refractory NERD were randomly assigned to 8 weeks of either RPZ (10 mg/q.d.) + RKT (7.5 g/t.i.d.) (RKT group) or RPZ + placebo (PL group). Among them, 95 were elderly (≥65 years) with ARD (RKT group: n = 52; PL group: n = 43). We analyzed the changes using the 12 subscale score of frequency scale for the symptoms of GERD (FSSG) and 15 items of the Gastrointestinal Symptom Rating Scale at 4 and 8 weeks and compared the therapeutic efficacy between the 2 groups. Results There were no marked differences in baseline demographic or clinical characteristics in the 2 groups except for rate of current smoking. The FSSG score (mean ± SD at 0, 4, and 8 weeks) in both the RKT (16.0 ± 7.0; 9.9 ± 8.4; 7.0 ± 6.4) and PL (15.1 ± 6.4; 10.9 ± 6.7, 11.1 ± 8.5) groups significantly decreased after treatment. However, the degree of improvement of total and ARD scores of FSSG after the 8-week treatment was significantly greater in the RKT group than in the PL group. Combination therapy with RKT for 8 weeks showed significant improvement in 3 subscale scores (abdominal bloating, heavy feeling in stomach and sick feeling after meals) of the ARD domain and 1 subscale score (heartburn after meals) of the reflux symptom domain

  12. The study of Weisu particles to treat the PCI patients with gastric mucosal injury%PCI术后患者应用胃苏颗粒治疗胃粘膜损伤的临床研究

    Institute of Scientific and Technical Information of China (English)

    李淑珍; 刘宇; 孙桂锋; 汪鲁华; 何伟波

    2016-01-01

    [ABSTRACT]ObsjectiveTo observe the clinical effect for gastric mucosal injury after the treatment of Weisu particals and the influence of Weisu particles on clopidogrel platelet inbibition..METHOD The control group received clopidogrel 75mg / d + aspirin 0.1 / d + Ai Suola yl 10mg / d, the test group received clopidogrel 75mg / d +aspirin 0.1 / d + Ai Suola yl 10mg / d + Su particles stomach 5g / times 3 times / d. 4 weeks.RESULTS After four weeks between the intervention group, the experimental group, bloating, belching, abdominal pain compared with the control group improved significantly.CONCLUSION The treatment of Weisu particles combined with omeprazole can better relieve the clinical symptoms, repair gastric mucosa, and don’t affect the antiplatelet effect of clopidogrel.%目的:观察胃苏颗粒对PCI术后患者胃粘膜损伤的作用及对氯吡格雷抗血小板的影响。方法对照组服用氯吡格雷75mg/d+阿斯匹林0.1/d+埃索拉唑10mg/d,试验组给予氯吡格雷75mg/d+阿斯匹林0.1/d+埃索拉唑10mg/d+胃苏颗粒5g/次,3次/d。观察4周。结果干预4周后与干预前比较,试验组各临床症状较前显著好转(P<0.05)。对照组腹痛、烧心、反酸明显改变,腹胀和嗳气无明显改变。干预4周后组间比较,试验组腹胀、嗳气、腹痛较前对照组明显改善。结论针对PCI术后抗血小板治疗导致的胃粘膜损伤患者,胃苏颗粒联合埃索拉唑不仅能更好的缓解症状、修复胃粘膜,且不影响氯吡格雷的抗血小板效应。

  13. Study on the relationship between the color of the lip-around skin and facial edge skin with the spleen-stomach symptoms%唇周及面部边缘皮肤色泽与脾胃症状关系的研究

    Institute of Scientific and Technical Information of China (English)

    陈松鹤; 耿丽梅

    2012-01-01

    目的 探讨唇周及面部边缘皮肤晦暗程度与脾胃症状的关系.方法 使用国际颜色校正卡,采集体检人群160例面部数码图像,进行上下唇周及面部边缘晦暗度的判断,同时收集脾胃症状的调查问卷,探讨上下唇周及面部边缘的晦暗度与脾胃症状的关系.结果 经统计,影响上唇周晦暗的相关因素为口干、胃脘隐痛;影响下唇周晦暗的相关因素为呃逆等;影响面部边缘晦暗的相关因素为午后腹胀、口臭、呕吐、胃凉、苔白厚等.结论 唇周、面部边缘部位皮肤晦暗程度均与脾胃功能不良有关,可作为评价脾胃功能的望诊指标.%Objective To study the diagnostic significance of the gray degree of lip-around and facial edge skin on the spleen-stomach symptoms.Methods With the International ColorCheck,160 cases of facial digital images were got from physical examination groups.The gray degree of the upper and lower lip-around and facial edge skin were judged.Questionnaires of spleen-stomach symptoms were also collected from the people.Results Logistic results showed that the dark upper lip-around skin were closely related with dry mouth,stomach pain,etc; the dark lower lip-around skin were closely related with hiccups,etc; the dark facial edge skin were closely related with bloating- afternoon,bad-breath,vomiting,cool-stomach,the thick white fur and so on.Conclusion The gray degree of lip-around and facial edge skin implied the status of the spleen and stomach function,which could be used as diagnostic indicators for spleen and stomach symptoms.

  14. Milk protein IgG and IgA: The association with milk-induced gastrointestinal symptoms in adults

    Institute of Scientific and Technical Information of China (English)

    Sari Anthoni; Erkki Savilahti; Hilpi Rautelin; Kaija-Leena Kolho

    2009-01-01

    AIM: To study the association between serum levels of milk protein IgG and IgA antibodies and milk-related gastrointestinal symptoms in adults.METHODS: Milk protein IgG and IgA antibodies were determined in serum samples of 400 subjects from five outpatient clinics in Southern Finland. Subjects were randomly selected from a total of 1900 adultsundergoing laboratory investigations in primary care. All 400 participants had completed a questionnaire onabdominal symptoms and dairy consumption while waiting for the laboratory visit. The questionnairecovered the nature and frequency of gastrointestinal problems, the provoking food items, family history and allergies. Twelve serum samples were disqualified due to insufficient amount of sera. The levels of specific milkprotein IgG and IgA were measured by using the ELISA technique. The association of the milk protein-specific antibody level was studied in relation to the milk-related gastrointestinal symptoms and dairy consumption.RESULTS: Subjects drinking milk ( n = 265) had higher levels of milk protein IgG in their sera than non-milk drinkers ( n = 123, P < 0.001). Subjects with gastrointestinal problems related to milk drinking ( n = 119) consumed less milk but had higher milk protein IgG levels than those with no milk-related gastrointestinal symptoms ( n = 198, P = 0.02). Among the symptomatic subjects, those reporting dyspeptic symptoms had lower milk protein IgG levels than non-dyspeptics ( P < 0.05). However, dyspepsia was not associated with milk drinking ( P = 0.5). The association of high milk protein IgG levels with constipation was close to the level of statistical significance. Diarrhea had no association with milk protein IgG level ( P = 0.5). With regard to minor symptoms, flatulence and bloating ( P = 0.8), were not associated with milk protein IgG level. Milk protein IgA levels did not show any association with milk drinking or abdominal symptoms. The levels of milk protein IgA and IgG declined as the

  15. Efficacy and mode of action of mesalazine in the treatment of diarrhoea-predominant irritable bowel syndrome (IBS-D: study protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Leighton Matthew P

    2013-01-01

    Full Text Available Abstract Background Irritable bowel syndrome (IBS is reported by one in ten of the population accounting for up to 40% of new referrals to gastroenterology outpatients. Patients characteristically have abdominal discomfort and disturbed bowel habit. Diarrhoea-predominant IBS is characterised by frequent loose stools with associated urgency and abdominal cramps. Current symptomatic treatments can reduce bowel frequency but often fail to reduce discomfort. Mesalazine is an anti-inflammatory drug used to treat patients with inflammatory bowel disease. There is one pilot study suggesting it may be beneficial to patients who have diarrhoea-predominant IBS but these findings need to be confirmed in a larger trial. The current study aims to test the effectiveness of mesalazine to reduce symptoms in diarrhoea-predominant IBS patients. The study will also investigate the mode of action of the drug, especially its impact on mast cell activation. Methods/design This is a multicentre randomised, double-blind, placebo-controlled trial using a parallel group design. At least 108 participants with diarrhoea-predominant IBS will be recruited through at least six hospitals. The intervention is a 12-week course of 2g mesalazine granules taken up to twice a day. The comparator is a blinded placebo granule formulation. Outcome measures include stool diaries, symptom questionnaires, stool and blood samples together with rectal mucosal biopsies. The daily stool diary will record stool frequency and form, urgency, bloating, abdominal pain and a global satisfaction with control of IBS scored each week. The questionnaires will assess bowel symptoms, while the samples and biopsies will be used to analyse underlying mechanisms of any response. Primary outcome will be the average stool frequency during weeks 11 and 12 of the treatment period and will be compared between treatment arms using an analysis of covariance in the form of a general linear model incorporating

  16. Effects of first-dose volume and exercise on the efficacy and tolerability of bowel preparations for colonoscopy in Chinese people

    Directory of Open Access Journals (Sweden)

    Qin Y

    2016-04-01

    Full Text Available Ying Qin, Wei Liu, Songbai Lin, Xiangfeng Li International Medical Services, Peking Union Medical College Hospital, Beijing, People’s Republic of China Aim: This study was designed to compare the efficacy and tolerability of bowel preparations with and without the higher first-dose volume of polyethylene glycol (PEG solution or exercise after drinking PEG solution in Chinese people. Methods: A total of 330 participants who had a colonoscopy done in Peking Union Medical College Hospital were randomly and evenly assigned to three groups. Participants in Group A ingested 1 L PEG solution and then ingested 2 L PEG solution at a rate of 250 mL every 15 minutes. Participants in Group B ingested 3 L PEG solution at a rate of 250 mL every 15 minutes and then exercised more than 10 minutes after ingesting each liter of PEG solution. Participants in Group C ingested 3 L PEG solution at a rate of 250 mL every 15 minutes. Experienced gastrointestinal endoscopists rated the efficacy of bowel preparations based on the Boston Bowel Preparation Scale score. A questionnaire regarding participants’ symptoms associated with bowel preparations was administered to evaluate participants’ tolerability. Results: The three groups had insignificant difference in the percentages of participants’ symptoms including dizziness, nausea, stomach ache, bloating, and asthenia. However, the percentages of participants having hunger sensation, sleep disturbance, and anal discomfort were significantly higher in groups with the higher first-dose volume of PEG solution or exercise after drinking PEG solution than without them. The three groups had insignificant difference in the Boston Bowel Preparation Scale score. Conclusion: Whether to add the higher first-dose volume of PEG solution and exercise after drinking PEG solution or not, all participants achieved a similar quality of bowel preparations. Bowel preparations without the additional first-dose volume of PEG

  17. Spatial distribution of charged particles along the ion-optical axis in electron cyclotron resonance ion sources. Experimental results

    International Nuclear Information System (INIS)

    The experimental determination of the spatial distribution of charged particles along the ion-optical axis in electron cyclotron resonance ion sources (ECRIS) defines the focus of this thesis. The spatial distributions of different ion species were obtained in the object plane of the bending magnet (∼45 cm downstream from the plasma electrode) and in the plane of the plasma electrode itself, both in high spatial resolution. The results show that each of the different ion species forms a bloated, triangular structure in the aperture of the plasma electrode. The geometry and the orientation of these structures are defined by the superposition of the radial and axial magnetic fields. The radial extent of each structure is defined by the charge of the ion. Higher charge states occupy smaller, more concentrated structures. The total current density increases towards the center of the plasma electrode. The circular and star-like structures that can be observed in the beam profiles of strongly focused, extracted ion beams are each dominated by ions of a single charge state. In addition, the spatially resolved current density distribution of charged particles in the plasma chamber that impinge on the plasma electrode was determined, differentiating between ions and electrons. The experimental results of this work show that the electrons of the plasma are strongly connected to the magnetic field lines in the source and thus spatially well confined in a triangular-like structure. The intensity of the electrons increases towards the center of the plasma electrode and the plasma chamber, as well. These electrons are surrounded by a spatially far less confined and less intense ion population. All the findings mentioned above were already predicted in parts by simulations of different groups. However, the results presented within this thesis represent the first (and by now only) direct experimental verification of those predictions and are qualitatively transferable to other

  18. Comparing the rehydration potential of different milk-based drinks to a carbohydrate-electrolyte beverage.

    Science.gov (United States)

    Desbrow, Ben; Jansen, Sarah; Barrett, Abby; Leveritt, Michael D; Irwin, Christopher

    2014-12-01

    The aim of this study was to compare the rehydration potential of a carbohydrate-electrolyte beverage with several varieties of milk following exercise-induced fluid losses. Fifteen male participants (age 24.9 ± 5.5 years, height 179.3 ± 4.9 cm, body mass 75.8 ± 6.6 kg (mean ± SD)) lost 2.0% ± 0.2% body mass through intermittent cycling before consuming a different beverage on 4 separate occasions. Drinks included cow's milk (286 kJ·100 mL(-1)), soy milk (273 kJ·100 mL(-1)), a milk-based liquid meal supplement (Sustagen Sport (Nestle); 417 kJ·100 mL(-1)), and a sports drink (Powerade (Coca Cola Ltd); 129 kJ·100 mL(-1)). Beverages were consumed over 1 h in volumes equivalent to 150% of body mass loss. Body mass, blood and urine samples, and measures of gastrointestinal tolerance were obtained before and hourly for 4 h after beverage consumption. Net body mass at the conclusion of each trial was significantly less with Powerade (-1.37 ± 0.3 kg) than with cow's milk (-0.92 ± 0.48 kg), soy milk (-0.78 ± 0.37 kg), and Sustagen Sport (-0.48 ± 0.39 kg). Net body mass was also significantly greater for Sustagen Sport compared with cow's milk trials, but not soy milk. Upon completion of trials, the percentage of beverage retained was Sustagen Sport 65.1% ± 14.7%, soy milk 46.9% ± 19.9%, cow's milk 40.0% ± 24.9%, and Powerade 16.6% ± 16.5%. Changes in plasma volume and electrolytes were unaffected by drink treatment. Subjective ratings of bloating and fullness were higher during all milk trials compared with Powerade whereas ratings of overall thirst were not different between beverages. Milk-based drinks are more effective rehydration options compared with traditional sports drinks. The additional energy, protein, and sodium in a milk-based liquid meal supplement facilitate superior fluid recovery following exercise.

  19. The effect of environment on development and survival of pupae of the necrophagous fly Ophyra albuquerquei Lopes (Diptera, Muscidae

    Directory of Open Access Journals (Sweden)

    Rodrigo Ferreira Krüger

    2011-09-01

    Full Text Available The effect of environment on development and survival of pupae of the necrophagous fly Ophyra albuquerquei Lopes (Diptera, Muscidae. Species of Ophyra Robineau-Desvoidy, 1830 are found in decomposing bodies, usually in fresh, bloated and decay stages. Ophyra albuquerquei Lopes, for example, can be found in animal carcasses. The influence of environmental factors has not been evaluated in puparia of O. albuquerquei. Thus, the focus of this work was motivated by the need for models to predict the development of a necrophagous insect as a function of abiotic factors. Colonies of O. albuquerquei were maintained in the laboratory to obtain pupae. On the tenth day of each month 200 pupae, divided equally into 10 glass jars, were exposed to the environment and checked daily for adult emergence of each sample. We concluded that the high survival rate observed suggested that the diets used for rearing the larvae and maintaining the adults were appropriate. Also, the data adjusted to robust generalized linear models and there were no interruptions of O. albuquerquei pupae development within the limits of temperatures studied in southern Rio Grande do Sul, given the high survival presented.Efeito de fatores ambientais sobre o desenvolvimento e sobrevivência de pupas de Ophyra albuquerquei Lopes (Diptera, Muscidae. Espécies de Ophyra Robineau-Desvoidy, 1830 são encontradas em corpos em decomposição, usualmente nas fases fresca, inchamento e murcha. Entre estas espécies, Ophyra albuquerquei Lopes, 1985 pode ser encontrada em carcaças de ratos e coelhos. A influência de fatores ambientais sobre pupas de O. albuquerquei não tinha sido avaliada até o momento. Desta maneira, o foco deste trabalho foi motivado pela necessidade por modelos de previsão do desenvolvimento de insetos necrófagos em função de fatores abióticos. Colônias de O. albuquerquei foram mantidas em laboratório para a obtenção de pupas. Até o décimo dia de cada mês, 200

  20. The unexpected truth about dates and hypoglycemia

    Directory of Open Access Journals (Sweden)

    Mohammed I Yasawy

    2016-01-01

    Full Text Available Background: Dates are a concentrated source of essential nutrients, vitamins, minerals, and carbohydrates (CHOs, which are necessary for the maintenance of optimum health. Most of the CHOs in dates come from sugars including glucose and fructose. Dates are commonly consumed in Saudi Arabia, particularly at the time of breaking the fast to provide instant energy and maintain blood sugar level. However, dates may cause hypoglycemia in a rare condition named as heredity fructose intolerance (HFI, and a few families have been to see us with a history of that nature. This is to report the preliminary results of an on-going study of a group of patients who get symptoms of hypoglycemia following the ingestion of dates and have suffered for years without an accurate diagnosis. Methodology: This report is based on three patients, from the same family, living in a date growing region of the Kingdom of Saudi Arabia (KSA. The patients had been to several medical centers without getting any definite answers or diagnosis until they were referred to the Gastroenterology Clinic of King Fahd Hospital of the University, Al-Khobar, KSA. The data were obtained by careful history and laboratory investigations, and a final diagnosis of HFI made on fructose intolerance test (FIT. Results: The patients reported that they had avoided eating dates because of various symptoms, such as bloating, nausea, and even hypoglycemia when larger amounts were consumed. Their other symptoms included sleepiness, sweating, and shivering. After full examinations and necessary laboratory tests based on the above symptoms, FIT was performed and the patients were diagnosed with HFI. They were referred to a dietitian who advised a fructose-free diet. They felt well and were free of symptoms. Conclusion: HFI may remain undiagnosed until adulthood and may lead to disastrous complications and even death. The diagnosis can only be suspected after a careful dietary history is taken supported by

  1. Management of irritable bowel syndrome in primary care: feasibility randomised controlled trial of mebeverine, methylcellulose, placebo and a patient self-management cognitive behavioural therapy website. (MIBS trial

    Directory of Open Access Journals (Sweden)

    Yardley Lucy

    2010-11-01

    Full Text Available Abstract Background IBS affects 10-22% of the UK population. Abdominal pain, bloating and altered bowel habit affect quality of life, social functioning and time off work. Current GP treatment relies on a positive diagnosis, reassurance, lifestyle advice and drug therapies, but many suffer ongoing symptoms. A recent Cochrane review highlighted the lack of research evidence for IBS drugs. Neither GPs, nor patients have good evidence to inform prescribing decisions. However, IBS drugs are widely used: In 2005 the NHS costs were nearly £10 million for mebeverine and over £8 million for fibre-based bulking agents. CBT and self-management can be helpful, but poor availability in the NHS restricts their use. We have developed a web-based CBT self-management programme, Regul8, based on an existing evidence based self-management manual and in partnership with patients. This could increase access with minimal increased costs. Methods/Design The aim is to undertake a feasibility factorial RCT to assess the effectiveness of the commonly prescribed medications in UK general practice for IBS: mebeverine (anti-spasmodic and methylcellulose (bulking-agent and Regul8, the CBT based self-management website. 135 patients aged 16 to 60 years with IBS symptoms fulfilling Rome III criteria, recruited via GP practices, will be randomised to 1 of 3 levels of the drug condition: mebeverine, methylcellulose or placebo for 6 weeks and to 1 of 3 levels of the website condition, Regul8 with a nurse telephone session and email support, Regul8 with minimal email support, or no website, thus creating 9 groups. Outcomes: Irritable bowel symptom severity scale and IBS-QOL will be measured at baseline, 6 and 12 weeks as the primary outcomes. An intention to treat analysis will be undertaken by ANCOVA for a factorial trial. Discussion This pilot will provide valuable information for a larger trial. Determining the effectiveness of commonly used drug treatments will help

  2. Semi-obstrução intestinal por esclerodermia: relato de caso

    Directory of Open Access Journals (Sweden)

    Juliana Mendes Cardoso

    2006-06-01

    Full Text Available A esclerodermia ou esclerose sistêmica progressiva é uma doença auto-imune de causa desconhecida que se caracteriza por fibrose da pele, vasos sanguíneos e de alguns outros órgãos, como os pulmões, coração, rins e trato gastrintestinal. Sintomas atribuíveis ao comprometimento gastrintestinal podem estar presentes em até 50% dos pacientes, sendo os mais freqüentes, relacionados às manifestações esofagianas e anorretais. Anormalidades na motilidade intestinal com freqüência levam a desnutrição, supercrescimento bacteriano e quadro de pseudo-obstrução ou mesmo semi-obstrução intestinal. É apresentado um caso de paciente com esclerodermia há 43 anos, evoluindo com quadro de semi-obstrução, apresentando distensão abdominal, cólicas recorrentes e desnutrição grave. Sem resposta ao tratamento clínico foi submetida à cirurgia que evidenciou quadro obstrutivo por comprometimento ileal, o qual foi tratado por bypass íleo-cólico. Lesão intestinal por esclerodermia levando a quadro de obstrução é raramente descrita na literatura médica e, portanto, o tratamento de escolha ainda não foi definido.Scleroderma or progressive systemic sclerosis (PSS is a self-immune illness of unknown cause that is characterized by fibrosis of the skin, blood vessels and some other tissues like the lungs, heart, kidneys and gastrointestinal system. Attributable symptoms to the gastrointestinal involvement can be present in up to 50% of the patients, esophageal and anorectal manifestations being more frequent. Abnormalities in the intestinal motility frequently lead to malnutrition, bacterial over-growth and intestinal pseudo-obstruction. We report a case of scleroderma with intestinal pseudo-obstruction presenting chronic abdominal cramps, bloating and malnutrition with no response to clinical approach. Patient underwent surgery with diagnosis of intestinal obstruction by annular ileal fibrosis treated by ileocolic bypass. Intestinal

  3. Mesenteric fibromatosis, apropos of a case

    International Nuclear Information System (INIS)

    Introduction: Mesenteric fibromatosis is a rare type of tumour,histological benign appearance but local aggressive behavior, prone to residivar, but lacks the ability to metastasize. The called desmoid tumour is a type of aggressive fibromatosis, a rare presentation representing less than 0.03% of all tumours with an annual incidence of 2-4 cases / 100,000. Mesenteric fibromatosis can be divided into two broad categories: one superficial and deep. The processes are superficially localized, located on the palms, soles, penis and knuckles. The deep shape is more aggressive, turns easily and can cause death by local invasion. It is subdivided in abdominal, extra abdominal and intraabdominal in which we find the pelvic fibromatosis, and mesenteric associated with inherited familial polyposis. Clinically, these tumours usually appear as a mass whose symptoms depend on the location; in the abdominal region, it will normally cause intestinal obstruction and hydronephrosis, bleeding or perforation of hollow viscera, or remain asymptomatic for a long time performing diagnosis belatedly when its size is large as in our case. Objectives: To report a case of mesenteric fibromatosis low frequency with a good clinical outcome after a treatment based on a comprehensive literature review. Methodology A case history of a female patient 57 years, no history is taken. Presented with an poor performance status, overall impact, weight loss of 10kg in 6 months. Right upper quadrant pain and bloating prandrial post. He studied with computed tomography, which describes the presence of a large tumour retroperitoneal in intimate contact with the intestinal loops. No lymphadenopathy. A laparotomy was performed explorer in which the presence of the tumour conforms to level stony member mesenteric planes later. Being an unresectable tumour. Pathology describes: fibro myxoid lesion without elements malignancy, compatible with mesenteric fibromatosis. Hormone receptor positive. Currently there

  4. Characteristics and risk factors for symptomatic Giardia lamblia infections in Germany

    Directory of Open Access Journals (Sweden)

    Stark Klaus

    2010-01-01

    Full Text Available Abstract Background In developed countries, giardiasis is considered a travel related disease. However, routine surveillance data from Germany indicate that >50% of infections were acquired indigenously. We studied the epidemiological characteristics of symptomatic Giardia infections acquired in Germany and abroad, and verified the proportion of cases acquired in Germany in order to investigate risk factors for sporadic autochthonous Giardia infections. Methods We identified Giardia cases notified by 41 local health authorities between February 2007 and January 2008 and interviewed them on their clinical symptoms, underlying morbidities, travel abroad and potential risk factors for the disease. We conducted a case-control-study including laboratory-confirmed (microscopy or antigen-test autochthonous Giardia cases with clinical manifestations (diarrhoea, cramps, bloating and randomly selected controls from the local population registry matched by county of residence and age-group (0-5, 6-19, ≥20 years. Secondary cases, controls with diarrhoea and persons who had travelled outside Germany in the three weeks prior to disease onset (exposure period were excluded. We calculated adjusted odds ratios (aOR with 95% confidence intervals (CI using conditional logistic regression. Results Of 273 interviewed cases, 131 (48% had not travelled abroad during the defined exposure period. Of these 131, 85 (65% were male, 68 (54% were living in communities with >100,000 inhabitants and 107 (83% were aged 20 years or older. We included 120 cases and 240 controls in the case-control study. Cases were more likely to be male (aOR 2.5 CI 1.4-4.4, immunocompromised (aOR 15.3 CI 1.8-127 and daily consumers of green salad (aOR 2.9 CI 1.2-7.2. Contact with animals (pets/farm animals and exposure to surface water (swimming/water sports were not associated with symptomatic disease. Conclusions A substantial proportion of Giardia lamblia cases in Germany are indigenously

  5. Intoxicação por antibióticos ionóforos em animais Ionophore poisoning in animals

    Directory of Open Access Journals (Sweden)

    Vivian Assunção Nogueira

    2009-03-01

    Full Text Available O uso terapêutico de antibióticos ionóforos em medicina veterinária difundiu-se muito nos últimos anos, com conseqüente aumento no risco de intoxicação em animais. Antibióticos ionóforos são usados como coccidiostáticos e como aditivo em alimentos para animais, com o propósito de estimular o desenvolvimento e o ganho de peso. Os ionóforos mais utilizados na alimentação de animais são a monensina, lasalocida, nasarina e salinomicina. Há uma grande variação na susceptibilidade dos efeitos tóxicos dos ionóforos de acordo com a espécie animal. A intoxicação pode ocorrer quando dosagens elevadas de ionóforos são adicionadas aos alimentos, ou quando ionóforos são incluídos inadvertidamente ou acidentalmente em dosagens não corretas para determinada espécie animal. Casos de intoxicação têm sido descritos em bovinos, ovinos, suínos, eqüinos, cães e aves. Para os eqüinos os ionóforos são extremamente tóxicos. São considerados seguros quando usados nas espécies-alvo, dentro das dosagens recomendadas pelo fabricante.The therapeutic use of ionophores in veterinary medicine has grown in the last years, with resultant increase in the risk of poisoning in animals. Ionophores are used as food additives as coccidiostacts in several animal species and growth promoter and bloat prevention in ruminants. The most often used ionophores are monensin, lasalocid, narasin and salinomycin. There is a great variation in the susceptibility to the toxic effect of ionophores in different animal species. Poisoning can occur when the dosage is too high or when not correct doses for a certain animal species are given. Cases of poisoning have been described in sheep, swine, horses, dogs and poultry. For horses ionophores are extremely toxic. The use of ionophores is only safe when used accordingly to the instructions of the manufacturer and especially for each animal species. In this paper the most important data regarding clinical

  6. Comparison of coconut water and a carbohydrate-electrolyte sport drink on measures of hydration and physical performance in exercise-trained men

    Directory of Open Access Journals (Sweden)

    Kalman Douglas S

    2012-01-01

    Full Text Available Abstract Background Sport drinks are ubiquitous within the recreational and competitive fitness and sporting world. Most are manufactured and artificially flavored carbohydrate-electrolyte beverages. Recently, attention has been given to coconut water, a natural alternative to manufactured sport drinks, with initial evidence indicating efficacy with regard to maintaining hydration. We compared coconut water and a carbohydrate-electrolyte sport drink on measures of hydration and physical performance in exercise-trained men. Methods Following a 60-minute bout of dehydrating treadmill exercise, 12 exercise-trained men (26.6 ± 5.7 yrs received bottled water (BW, pure coconut water (VitaCoco®: CW, coconut water from concentrate (CWC, or a carbohydrate-electrolyte sport drink (SD [a fluid amount based on body mass loss during the dehydrating exercise] on four occasions (separated by at least 5 days in a random order, single blind (subject and not investigators, cross-over design. Hydration status (body mass, fluid retention, plasma osmolality, urine specific gravity and performance (treadmill time to exhaustion; assessed after rehydration were determined during the recovery period. Subjective measures of thirst, bloatedness, refreshed, stomach upset, and tiredness were also determined using a 5-point visual analog scale. Results Subjects lost approximately 1.7 kg (~2% of body mass during the dehydrating exercise and regained this amount in a relatively similar manner following consumption of all conditions. No differences were noted between coconut water (CW or CWC and SD for any measures of fluid retention (p > 0.05. Regarding exercise performance, no significant difference (p > 0.05 was noted between BW (11.9 ± 5.9 min, CW (12.3 ± 5.8 min, CWC (11.9 ± 6.0 min, and SD (12.8 ± 4.9 min. In general, subjects reported feeling more bloated and experienced greater stomach upset with the CW and CWC conditions. Conclusion All tested beverages are

  7. Nutritional support research progress? of COPD patients with mechanical ventilation%COPD机械通气患者营养支持研究进展

    Institute of Scientific and Technical Information of China (English)

    孙丽娟; 信丽艳; 薛森海; 赵长海

    2012-01-01

    慢性阻塞性肺疾病(COPD)的患者由于疾病本身的影响造成营养素的摄入不足、吸收不良及消耗量增加等,易导致机体的营养不良.良好的营养状态对COPD患者的预后有着积极的作用,而合理的营养支持有助于改善患者的营养不良状态.在营养支持过程中,营养支持方式及时机的选择、营养配方的选择以及一些特殊营养物质的添加都会直接影响营养治疗的效果.同时,在进行营养治疗过程中,易出现腹胀、腹泻、胃潴留、返流、吸入性肺炎等常见并发症,这些并发症如何处理也会影响患者的预后.营养支持的监测可以为营养治疗方案的调整提供依据,因此应该如何通过相关生化指标的监测来评估营养支持的效果也是一个重要的问题.作者对这些相关问题作一讨论.%Due to inadequate nutrient intake , malabsorption and increased consumption caused by Chronic obstructive pulmonary disease (COPD) , the COPD patients are easy to be malnutrition. Good nutritional status plays positive role in prognosis of COPD patients, and reasonable nutritional support also helps to improve the state of the patient s malnutrition. In the nutrition support process, the choice of nutritional support mode and opportunity, the choice of the nutritional formula, as well as some special nutrients added will directly affect the nutritional treatment effect. Meanwhile, during the nutrition therapy process, bloating , diarrhea , gastric retention , regurgitation , aspiration pneumonia and other common complications are prone to appear and the following treatments will affect the patients prognosis. Monitoring of nutritional support can provide the basis for the adjustment of the nutritional treatment program. Therefore, how to evaluate the effect of nutritional support via monitoring of biochemical markers is an important issue. This article discusses the above issues.

  8. Advances in clinical research of celiac disease%乳糜泻临床研究进展

    Institute of Scientific and Technical Information of China (English)

    李慕然; 刘艳迫; 李文

    2011-01-01

    Celiac disease (CD) is a type of primary malab-sorption syndrome characterized by gluten intolerance and intestinal mucosal lesions. When genetically susceptible persons eat food containing gluten, their immune system responds by damaging or destroying intestinal villi to result in intestinal malnutrition. Depending on the degree of malabsorption, the symptoms of CD vary among individuals, ranging from no symptoms, few or mild symptoms, to many or severe symptoms. Some common symptoms of CD are diarrhea, abdominal pain and bloating. People with the disease may have other symptoms outside the digestive tract. Blood marker tests and small intestinal biopsy can help make a clear diagnosis. The disease is common in North Europe, North America and Australia, but is rarely reported in China. In this article, we will review the prevalence, pathogenesis, clinical manifestations, diagnosis and treatment of CD.%乳糜泻(celiac disease,CD)是患者对麸质不耐受引起小肠黏膜病变为特征的一种原发性吸收不良综合征.当遗传易感者食用含有麸质的食物后,引起机体的免疫应答,破坏小肠绒毛,引起小肠吸收不良.依据吸收不良的程度,CD的症状有个体差异,有的无症状或症状轻微,有的症状较重.典型表现为腹泻、腹痛、腹胀等消化系症状,也有的患者出现消化系外症状.血清标志物检测和小肠活检组织病理可明确诊断.此病在北美、北欧、澳大利亚发病率较高,在我国报道少见.本文就CD的流行病学、发病机制、临床表现以及诊断和治疗作一综述.

  9. Effective treatment of common variable immunodeficiency associated diarrhea Diarrea asociada a inmunodeficiencia común variable tratada con budesonida

    Directory of Open Access Journals (Sweden)

    H. Córdova Guevara

    2009-03-01

    Full Text Available Common variable immunodeficiency disorder (CVID, the commonest symptomatic primary antibody deficiency syndrome, is characterised by recurrent bacterial infections, particularly of the upper and lower airways; it is also associated with an increased incidence of autoimmune and neoplastic disorders. CVID has a high prevalence of infectious, inflammatory and neoplastic gastrointestinal diseases. Up to 60% of the patients with non-treated CVID develop diarrhea and 10% associated idiopathic malabsorption with weight loss. The case of a 50-year-old woman with CVID-associated diarrhea, abdominal pain and bloating of one year's duration is reported. An exhaustive evaluation made for secondary causes of her symptoms was unrevealing; she was treated with loperamide and diet, without improvement. She later followed a course of oral budesonide for 3 months; her clinical symptoms disappeared and her quality of life improved. In conclusion, we report the case of a patient with CVID-related chronic diarrhea who responded well to oral budesonide treatment. This outcome provides the gastroenterologist with a new therapeutic option in this difficult group of patients.La inmunodeficiencia común variable (IDCV es la deficiencia primaria de anticuerpos sintomática más frecuente y está caracterizada por infecciones bacterianas recurrentes, especialmente de las vías aéreas superiores e inferiores, y también asociada a incremento de enfermedades autoinmunes y neoplasias. Presenta alta prevalencia de enfermedades gastrointestinales infecciosas, inflamatorias y neoplásicas. Hasta el 60% de los pacientes con IDCV no tratados desarrollan diarrea y el 10% desarrollan malabsorción idiopática asociado a pérdida de peso. Presentamos el caso de una mujer de 50 años con IDCV que presenta diarrea crónica, con dolor y distensión abdominal desde hace 1 año. Realizándose múltiples exploraciones y descartando causas secundarias de diarrea crónica, se inicia

  10. Emerging therapies for patients with symptoms of opioid-induced bowel dysfunction

    Directory of Open Access Journals (Sweden)

    Leppert W

    2015-04-01

    Full Text Available Wojciech Leppert Chair and Department of Palliative Medicine, Poznan University of Medical Sciences, Poznan, Poland Abstract: Opioid-induced bowel dysfunction (OIBD comprises gastrointestinal (GI symptoms, including dry mouth, nausea, vomiting, gastric stasis, bloating, abdominal pain, and opioid-induced constipation, which significantly impair patients’ quality of life and may lead to undertreatment of pain. Traditional laxatives are often prescribed for OIBD symptoms, although they display limited efficacy and exert adverse effects. Other strategies include prokinetics and change of opioids or their administration route. However, these approaches do not address underlying causes of OIBD associated with opioid effects on mostly peripheral opioid receptors located in the GI tract. Targeted management of OIBD comprises purely peripherally acting opioid receptor antagonists and a combination of opioid receptor agonist and antagonist. Methylnaltrexone induces laxation in 50%–60% of patients with advanced diseases and OIBD who do not respond to traditional oral laxatives without inducing opioid withdrawal symptoms with similar response (45%–50% after an oral administration of naloxegol. A combination of prolonged-release oxycodone with prolonged-release naloxone (OXN in one tablet (a ratio of 2:1 provides analgesia with limited negative effect on the bowel function, as oxycodone displays high oral bioavailability and naloxone demonstrates local antagonist effect on opioid receptors in the GI tract and is totally inactivated in the liver. OXN in daily doses of up to 80 mg/40 mg provides equally effective analgesia with improved bowel function compared to oxycodone administered alone in patients with chronic non-malignant and cancer-related pain. OIBD is a common complication of long-term opioid therapy and may lead to quality of life deterioration and undertreatment of pain. Thus, a complex assessment and management that addresses underlying

  11. Hepatic Angiosarcoma: a Review of Twelve Cases

    Institute of Scientific and Technical Information of China (English)

    Qiang Li; Xishan Hao

    2005-01-01

    OBJECTIVE Hepatic angiosarcoma (HAS), a lethal disease, is the most common sarcoma arising in the liver. Little information about the epidemiology, etiology, diagnosis and management of HAS has been reported. Increased familiarity with this disease will facilitate correct diagnosis and help to improve management of this condition in the future.The objective of this study was to describe cases of hepatic angiosarcoma and to discuss the etiologic, diagnostic, therapeutic features and prognosis of this tumor. This report not only serves to give more evidence of the relationship between hepatic angiosarcoma and carcinogenic exposure, but also demonstrates the key points in different methods of diagnosis and the optimal treatment of hepatic angiosarcoma.METHODS Twelve cases of hepatic angiosareoma were analyzed retrospectively, representing the different character in clinical presentations and laboratory computed tomographical scans; pathological data and treatment are described. Clinical and biologic follow-up was carried out for two years after surgical treatment.RESULTS There were nine men and three women varying in ages from 57 to 71 years with an average of 64.3 years. Ten patientshad a history of exposure to vinyl chloride or thorotrast. Mild or moderate abdominal pain and bloating, abdominal mass and fever were the common clinical presentations. Tumors were visualized by ultrasonography and CT scans in all patients. Biochemical profiles yielded variable results and proved to be of little value in detection or diagnosis. Surgical resection was feasible for each patient who was treated as follows: two wedge resections, six segementectomies and four bisegmentectomies. Five patients received Neoadjuvant chemotherapy postoperatively. The survival rate of those cases was poor. The maximum survival time was fourteen months. The mean survival time for this chemotherapeutic group was 11 months. The difference between the survival time of those treated with an operation

  12. Gastroesophageal junction adenocarcinoma. A case report Adenocarcinoma de la unión gastroesofágica. Presentación de un caso

    Directory of Open Access Journals (Sweden)

    Nelia Maria Quintana Garcia

    2010-12-01

    Full Text Available The case of a 68 years old patient, smoking since adolescence, with urban origins, obesity history and gastroesophageal reflux symptoms is presented. The patient was diagnosed with gastroesophageal junction adenocarcinoma type III in the Gastroenterology Department of the Provincial University Hospital of Cienfuegos where he arrived with weight loss of about 20 pounds in four months along with dyspeptic manifestations such as stomach acidity, slow digestion, bloating and epigastric pain unrelated to food consumption. No dysphagia was observed as presentation form of the disease. The patient underwent surgery and chemotherapy and has had a favourable outcome up until today. It was decided to publish this article because of the few cases of gastroesophageal junction adenocarcinoma and especially type III that are commonly presented and also because the diagnosis is, unlike this case, usually made at an advanced stage of the diseaseSe presenta el caso de un paciente de 68 años, fumador desde la adolescencia, de procedencia urbana, con antecedentes personales de obesidad y síntomas de reflujo gastroesofágico, al que se le diagnosticó adenocarcinoma de la unión esofagogástrica tipo III, en el Servicio de Gastroenterología del Hospital Provincial Universitario de Cienfuegos, al cual acudió por presentar pérdida de peso de aproximadamente 20 libras en cuatro meses, acompañado de manifestaciones dispépticas: acidez, digestiones lentas, distensión abdominal y epigastralgia no relacionada con la ingestión de alimentos. No manifestó disfagia como forma de presentación de la enfermedad. Fue sometido a tratamiento quirúrgico y quimioterapia y ha tenido una evolución favorable hasta la fecha. Se decidió publicar este artículo debido a la baja frecuencia de presentación del adenocarcinoma de la unión esofagogástrica y en especial el tipo III, así como porque su diagnóstico generalmente se realiza en una etapa avanzada, a diferencia de

  13. Pancrelipase: an evidence-based review of its use for treating pancreatic exocrine insufficiency

    Directory of Open Access Journals (Sweden)

    Nakajima K

    2012-07-01

    Full Text Available Kei Nakajima,1 Haruki Oshida,1 Toshitaka Muneyuki,2 Masafumi Kakei21Division of Clinical Nutrition, Department of Medical Dietetics, Faculty of Pharmaceutical Sciences, Josai University, Keyakidai, Sakado, 2First Department of Comprehensive Medicine, Saitama Medical Center, Jichi Medical University School of Medicine, Amanuma, Omiya, Saitama, JapanAbstract: Pancreatic exocrine insufficiency (PEI is often observed in patients with pancreatic diseases, including chronic pancreatitis, cystic fibrosis, and tumors, or after surgical resection. PEI often results in malnutrition, weight loss and steatorrhea, which together increase the risk of morbidity and mortality. Therefore, nutritional interventions, such as low-fat diets and pancreatic enzyme replacement therapy (PERT, are needed to improve the clinical symptoms, and to address the pathophysiology of pancreatic exocrine insufficiency. PERT with delayed-release pancrelipase is now becoming a standard therapy for pancreatic exocrine insufficiency because it significantly improves the coefficients of fat and nitrogen absorption as well as clinical symptoms, without serious treatment-emergent adverse events. The major adverse events were tolerable gastrointestinal tract symptoms, such as stomach pain, nausea, and bloating. Fibrosing colonopathy, a serious complication, is associated with high doses of enzymes. Several pancrelipase products have been approved by the US Food and Drug Administration in recent years. Although many double-blind, placebo-controlled trials of pancrelipase products have been conducted in recent years, these studies have enrolled relatively few patients and have often been less than a few weeks in duration. Moreover, few studies have addressed the issue of pancreatic diabetes, a type of diabetes that is characterized by frequent hypoglycemia, which is difficult to manage. In addition, it is unclear whether PERT improves morbidity and mortality in such settings. Therefore

  14. Maastricht Ⅱ treatment scheme and efficacy of different proton pump inhibitors in eradicating Helicobacter pylori

    Institute of Scientific and Technical Information of China (English)

    Engin Altintas; Orhan Sezgin; Oguz Ulu; Ozlem Aydin; Handan Camdeviren

    2004-01-01

    AIM: The Maastricht Ⅱ criteria suggest the use of amoxicillin and clarithromycin in addition to a proton pump inhibitor over 7-10 d as a first line therapy in the eradication of Helicobacter pylori(H pylori). For each proton pump inhibitor, various rates of eradication have been reported. The present study was to compare the efficacy of different proton pump inhibitors like omeprazole, lansoprazole and pantoprazole in combination with amoxicillin and clarithromycin in the first line eradication of H pylori and to investigate the success of H pylori eradication in our district.METHODS: A total of 139 patients were included having a Helicobacter pylori(+) gastroduodenal disorders diagnosed by means of histology and urease test. Besides amoxicillin (1 000 mg twice a day) and clarithromycin (500 mg twice a day), they were randomized to take omeprazole (20 mg twice a day), or lansoprazole (30 mg twice a day), or pantoprozole (40 mg twice a day) for 14 d. Four weeks after the therapy, the eradication was assessed by means of histology and urease test. It was evaluated as eradicated if the H pylori was found negative in both. The complaints (pain in epigastrium, nocturnal pain, pyrosis and bloating)were graded in accordance with the Licert scale. The compliance of the patients was recorded.RESULTS: The eradication was found to be 40.8% in the omeprazole group, 43.5% in the lansoprazole group and 47.4% in the pantoprazole group. Sixty-three out of 139patients (45%) had eradication. No statistically significant difference was observed between the groups. Significant improvements were seen in terms of the impact on the symptom scores in each group.CONCLUSION: There was no difference between omeprazole, lansoprazole and pantoprazole in H pylori eradication, and the rate of eradication was as low as 45%.Symptoms were improved independent of the eradication in each treatment group. The iow eradication rates suggest that the antibiotic resistance or the genetic differences of

  15. Spatial distribution of charged particles along the ion-optical axis in electron cyclotron resonance ion sources. Experimental results

    Energy Technology Data Exchange (ETDEWEB)

    Panitzsch, Lauri

    2013-02-08

    The experimental determination of the spatial distribution of charged particles along the ion-optical axis in electron cyclotron resonance ion sources (ECRIS) defines the focus of this thesis. The spatial distributions of different ion species were obtained in the object plane of the bending magnet ({approx}45 cm downstream from the plasma electrode) and in the plane of the plasma electrode itself, both in high spatial resolution. The results show that each of the different ion species forms a bloated, triangular structure in the aperture of the plasma electrode. The geometry and the orientation of these structures are defined by the superposition of the radial and axial magnetic fields. The radial extent of each structure is defined by the charge of the ion. Higher charge states occupy smaller, more concentrated structures. The total current density increases towards the center of the plasma electrode. The circular and star-like structures that can be observed in the beam profiles of strongly focused, extracted ion beams are each dominated by ions of a single charge state. In addition, the spatially resolved current density distribution of charged particles in the plasma chamber that impinge on the plasma electrode was determined, differentiating between ions and electrons. The experimental results of this work show that the electrons of the plasma are strongly connected to the magnetic field lines in the source and thus spatially well confined in a triangular-like structure. The intensity of the electrons increases towards the center of the plasma electrode and the plasma chamber, as well. These electrons are surrounded by a spatially far less confined and less intense ion population. All the findings mentioned above were already predicted in parts by simulations of different groups. However, the results presented within this thesis represent the first (and by now only) direct experimental verification of those predictions and are qualitatively transferable to

  16. Gastric Emptying in Patients with Diabetes: Gastric Emptying Time, Retention Rate and Effect of Cisapride

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Byung Chun; Choi, Chung Il; Gwak, Dong Suck; Lee, Jae Tae; Lee, Kyu Bo; Kim, Bo Wan; Chung, Jun Mo [Kyungpook National University School of Medicine, Daegu (Korea, Republic of)

    1992-07-15

    Gastic emptying scan in diabetic patients is widely used to assess the degree of motility disturbance and the symptoms such as nausea, vomiting, bloating, abdominal pain and early gastric fullness which we can't find anatomic lesion by fiberoscopic or barium study. In order to determine the relationship among diabetic gastropathy, neropathy, retinopathy and disease duration, gastric emptying scan using {sup 99m}Tc-tin colloid labeled scramble egg in hamburger was performed in 10 healthy male controls and 50 diabetic patients which were subdivided to no neuropathy, peripheral neuropathy and autonomic neuropathy groups according to the degree of diabetic neuropathy and no retinopathy, background retinopathy and proliferative retinopathy groups according to the degree of diabetic retinopathy. After medication of cisapride for 2 weeks, we observed the presence of improvement of gastric motility in diabetics. The results were as following: 1) In controls, gastric emptying time (GET1/2) was 75 +- 13.6 min and 2 hour gastric retension rate(GRR2) was 32 +- 11.1%. 2) In diabetics, GET/2 was prolonged more than 2 hours and GRR2 was 58 +- 23.1%. According to degree of neuropathy, GET1/2 was prolonged more than 2 hours in all three groups and GRR2 was 54+- 24.1% in no neuropathy group, 57 +- 24.3% in peripheral neuropathy group and 69 +- 24.6% in autonomic neuropathy group. According to degree of retinopathy, GET1/2 was 110 +- 23.4 min in no retinopathy group and prolonged more than 2 hours in other two groups and GRR2 was 45 +- 21.6% in no retinopathy group, 71 +- 19.7% in background retinopathy group and 73 +- 21.5% in proliferative retinopathy group. 3) After cisapride for 2 weeks, GET1/2 and GRR2 were improved as 90 +- 14.6 min and 40 +- 13.8% (initial GET1/2 and GRR2 were above 2 hours and 61 +- 15.4%). We can conclude from above findings that gastropathy in diabetic neuropathy suggesting main underlying factor in motility disorder. The degree of retinopathy and

  17. Scintigraphic evaluation of gastric emptying and motility; Nuklearmedizinische Diagnostik der Magenmotilitaet

    Energy Technology Data Exchange (ETDEWEB)

    Linke, R. [Klinik und Poliklinik fuer Nuklearmedizin, Ludwig-Maximilians-Univ. Muenchen (Germany)

    2003-06-01

    The stomach consists of two functionally distinct parts. The fundus and upper corpus mainly serve as a reservoir and exert primarily a tonic activity, which presses ingesta towards the antrum and duodenum. The phasic contractility of the lower corpus and antrum cause mechanical breakdown and mixing of the food particels. A complex regulation of these mechanisms provides a regular gastric emptying. Various disorders such as diabetes mellitus, mixed connective tissue diseases, gastritis, tumors, dyspeptic disorders but also drugs and gastric surgery may influence or impair gastric function and may cause typical symptoms such as upper abdominal discomfort, bloating, nausea and vomiting. However, the interpretation of gastrointestinal symptoms often is difficult. Radionuclide studies of gastric emptying and motility are the most physiologic tools available for studying gastric motor function. Gastric scintigraphy is non-invasive, uses physiologic meal and is quantitative. Emptying curves generated from the gastric ROI offer information whether a disorder is accompanied by a regular, fast or slow gastric emptying. Data on gastric contractions (amplitude and frequency) provide additional information to results obtained by conventional emptying studies. Depending on the underlying disorder, gastric emptying and peristalsis showed both corresponding and discrepant findings. Therefore, both parameters should be routinely assessed to further improve characterisation of gastric dysfunction by scintigraphy. (orig.) [German] Proximaler und distaler Magen haben funktionell unterschiedliche Aufgaben. Waehrend der proximale Magen die Nahrung voruebergehend speichert und ueber die Generierung eines gastroduodenalen Druckgefaelles eine fraktionierte Entleerung in den Duenndarm bewirkt, dient die Peristaltik des distalen Magens der Durchmischung und Zerkleinerung des Speisebreis. Eine komplexe hormonelle, humorale und nervale Regulation dieser ineinandergreifenden Funktionen

  18. Effect observation of evidence-based nursing in the prevention of gastrointestinal complications of total laryngectomy%循证护理在预防全喉切除术后消化道并发症中的效果观察

    Institute of Scientific and Technical Information of China (English)

    叶伟丽; 李秋芬; 裘运桃

    2012-01-01

    目的 探讨循证护理在全喉切除术后消化道并发症中的干预效果.方法 80例研究对象随机分为循证护理组、常规护理组(对照组),循证护理组接受循证护理干预,常规护理组接受常规护理干预,对照分析两组干预效果.结果 循证护理干预全喉切除术后消化道并发症取得了较常护理组更佳的效果,返流、腹胀、腹泻、便秘等并发症发生率均较常规护理组少,其差异有统计学意义(P < 0.05);循证护理组与常规护理组相比较,患者依从性差异有统计学意义(P﹤0.05);循证护理组与常规护理组相比较,平均住院时间差异有统计学意义(P﹤0.05).结论 循证护理干预能有效地预防和解决全喉切除术后消化道并发症的护理问题.%Objective To study the effect of evidence-based nursing intervention in the gastrointestinal complications of total laryngectomy. Methods A total of 80 cases were randomly divided into evidence-based nursing group and conventional nursing group (control group), evidence-based nursing group received evidence-based nursing internvention and conventional nursing group received routine nursing intervention, comparative analysis of intervention of two group was done. Results Evidence-based nursing intervention total laryngectomy postoperative gastrointestinal complications and achieved better results compared with regular care group, reflux, bloating, diarrhea, constipation and other complication rates compared with conventional nursing group was less, the difference was statistically significant (P < 0.05); there was significant difference of the compliance of patients between evidence-based nursing group and conventional nursing group (P < 0.05); there was significant difference of the average length of stay between evidence-based nursing group and conventional nursing group (P < 0.05). Conclusion Evidence-based nursing interventions can effectively prevent and resolve care problems after total

  19. Effectofendogenoushypergastrinemiaon gallbladdervolumeandejectionfractionin patientswithautoimmunegastritis

    Institute of Scientific and Technical Information of China (English)

    Mustafa Yakut; Onur Keskin; Irfan Soykan

    2012-01-01

    BACKGROUND: Gastrin has a cholecystokinetic action on gallbladder motility, and cholecystokinin and gastrin act directly on the smooth muscle of the gallbladder. The aim of this study was to investigate the effect of endogenous hypergastrinemia on gallbladder motility in patients with autoimmune gastritis. METHODS: Forty-one patients (29 females, 12 males;mean age, 46 years) with autoimmune gastritis and 29 healthy subjects (17 females, 12 males;mean age, 44.8 years) were enrolled in the study. Fasting and postprandial gallbladder volumes were measured ultrasonographically with the ellipsoid technique and the ejection fraction of the gallbladder was calculated from fasting and postprandial volumes. All subjects were investigated after 12 hours of fasting and 30 minutes after a standard test meal. RESULTS: The gallbladder ejection fraction (%) of the patients with autoimmune gastritis was lower than that of the control group (46.06±18.28%vs 55.03±14.67%, P=0.032). There was no difference between patients with autoimmune gastritis and the control group in terms of the mean fasting gallbladder volume (30.38±12.85 vs 29.27±9.91 cm3, P=0.189) and the mean postprandial gallbladder volume (15.67±8.32 vs 13.44±7.69 cm3, P=0.258). Logistic regression analysis of baseline parameters revealed that"abdominal bloating"was a risk factor for the low gallbladder ejection fraction in autoimmune gastritis patients (P=0.045, F=4.40). In addition, logistic regression analysis of baseline parameters revealed that smoking (n=5, P=0.025, F=5.44) is a predictor of low gallbladder ejection fraction in patients with autoimmune gastritis. CONCLUSIONS: Patients with endogenous hypergastrinemia have a low gallbladder ejection fraction compared with healthy controls. This study shows that at least part of upper gastrointestinal symptoms observed in this patient population may be due to altered gallbladder motility.

  20. Diagnostic and Therapeutic Strategies of Gastric Motility Disorder in Different Stages of Diabetes%不同阶段糖尿病胃运动障碍诊治对策

    Institute of Scientific and Technical Information of China (English)

    蓝宇; 路国涛

    2012-01-01

    Gastric motility disorder is common in patients with diabetes. The cardinal symptoms include bloating, early satiety, epigastric discomfort, nausea, vomiting and delayed gastric emptying. Delayed gastric emptying affects pharmacokinetics of hypoglycemic agents, causes mismatch of peak postprandial blood glucose level and peak concentration of insulin and oral hypoglycemic agents, thereby affects glycemic control. There are different patterns of gastric motility disorder in different stages of diabetes. The most commonly used diagnostic method for gastric emptying is scintigraphic measurement. Treatment of gastric motility disorder in diabetes includes dietary modifications and prokinetic agents to ameliorate symptoms and improve glycemic control. Therapeutic approaches of gastroparesis include gastric electrical stimulation, endoscopic pyloric injection of botulinum toxin A, endoscopic placement of nasal-jejunum nutrient feeding tube and percutaneous endoscopic gastrostomy/jejunostomy and surgical therapy.%糖尿病患者常见胃运动障碍,表现为上腹胀、早饱、上腹不适、恶心、呕吐等症状以及胃排空延迟,胃排空延迟影响降血糖药的药代动力学,造成餐后血糖升高与降血糖药或胰岛素的血浓度高峰不匹配,进而影响血糖的控制与稳定.糖尿病不同阶段胃运动障碍表现形式不同.核素法是最常用的胃排空诊断方法.糖尿病胃运动障碍的处理包括饮食调节、促动力药以减轻症状、控制血糖,针对胃轻瘫的治疗包括胃电刺激、内镜下幽门注射肉毒杆菌毒素A、内镜下放置鼻胃空肠营养管或经皮内镜下胃(空肠)造瘘、外科手术等.

  1. Clinical effect of Pigtail catheter closed thoracic drainage therapyin the treatment of pneumothorax%猪尾导管行胸腔闭式引流治疗气胸的临床效果

    Institute of Scientific and Technical Information of China (English)

    于子翔

    2016-01-01

    Objective: To analyze the effect of the pigtail catheter closed thoracic drainagein the treatment of pneumothorax. Methods: 80 cases with pneumothorax admitted in our hospital from May 2014 to May 2015 were divided into a control group and observation group, 40 cases in each group.The control group received silicone drainage tubes treatment using thoracic drainage and the observation group received pigtail catheter using thoracic drainage. After the drainage treatment, the results between two groups of patients were analyzed. Result: In the long hospital stay, chest rate, subcutaneous emphysema, pleural reaction and bloating pulmonary edema, the observation group was better than the control group,P<0.05. Conclusion: The pigtail catheter pneumothorax thoracic drainage therapy can alleviate the patient's condition very quickly and effectively, reducing the adverse effects and enhancing the quality of treatment.%目的:分析猪尾导管行胸腔闭式引流治疗气胸的效果。方法:研究我院2014年5月—2015年5月接诊的80例气胸患者,分为对照组和观察组各40例,其中对照组采用硅胶引流管做胸腔闭式引流,观察组运用猪尾导管胸腔闭式引流,而后分析两组患者的引流治疗效果。方法:在住院时长、胸痛率、皮下气肿、堵管、胸膜反应和腹胀性肺水肿情况上,观察组均优于对照组,P<0.05。结论:猪尾导管行胸腔闭式引流治疗气胸可以尽快缓解患者病情,同时减少不良反应,提升治疗质量。

  2. Lead telluride with increased mechanical stability for cylindrical thermoelectric generators; Bleitellurid mit erhoehter mechanischer Stabilitaet fuer zylindrische thermoelektrische Generatoren

    Energy Technology Data Exchange (ETDEWEB)

    Schmitz, Andreas

    2013-04-30

    The aim of this work is to improve the mechanical stability of lead telluride (PbTe), trying to vary its mechanical properties independently from its thermoelectric properties. Thus the influence of material preparation as well as different dopants on the mechanical and thermoelectric properties of lead telluride is being analysed. When using appropriately set process parameters, milling and sintering of lead telluride increases the material's hardness. With sintering temperatures exceeding 300 C stable material of high relative density can be achieved. Milling lead telluride generates lattice defects leading to a reduction of the material's charge carrier density. These defects can be reduced by increased sintering temperatures. Contamination of the powder due to the milling process leads to bloating during thermal cycling and thus reduced density of the sintered material. In addition to that, evaporation of tellurium at elevated temperatures causes instability of the material's thermoelectric properties. Based on the experimental results obtained in this work, the best thermoelectric and mechanical properties can be obtained by sintering coarse powders at around 400 C. Within this work a concept was developed to vary the mechanical properties of lead telluride via synthesis of PbTe with electrically nondoping elements, which thus may keep the thermoelectric properties unchanged. Therefore, the mechanical and thermoelectric properties of Pb{sub 1-x}Ca{sub x}Te were investigated. Doping pure PbTe with calcium causes a significant increase of the material's hardness while only slightly decreasing the charge carrier density and thus keeping the thermoelectric properties apart from a slight reduction of the electrical conductivity nearly unchanged. The abovementioned concept is proven using sodium doped lead telluride, as it is used for thermoelectric generators: The additional doping with calcium again increases the material's hardness while

  3. Research progress on vegetable tannins and its effect on animals%植物单宁及其对动物的作用研究进展

    Institute of Scientific and Technical Information of China (English)

    王妍君; 谢开云; 赵祥; 董宽虎

    2011-01-01

    This article summarized the content of vegetable tannins,the impact of tannins on plants and ani reals, and the approaches to reduce the content of tannins. Vegetable tannins are common polyphenolic in plants and it is self-protective substances derived from the carbohydrate metabolism in plant evolution. There are two types of tannins in vascular plants, hydrolysis tannin and condensed tannin. The content of vegetable tannins is concerned with genes,location, growth stage, and diseases of plant. The impacts of tannins on animals are in many aspects, high content tannins can protect the plant from herbivore and appropriate content tannins can re- duce animal bloat. There are many ways to reduce the content of vegetable tannins.%对植物中单宁含量、单宁对动植物的影响及降低单宁含量的方法进行了综述。植物单宁是广泛存在于植物体内的一类多元酚化舍物,是植物进化过程中由碳水化舍物代谢衍生出来的一种自身保护性物质。一般认为单宁在维管植物中有两种存在形式既水解单宁和缩合单宁。单宁的含量与基因、部位、植物生长阶段、植物病虫害等有关;植物含有高度单宁可保护植物不被采食,适当浓度单宁可减少动物胃胀气,因此,对动物的影响有利有弊;可以通过多种方法来降低植物中单宁的含量。

  4. A Real Shooting Star

    Science.gov (United States)

    2007-01-01

    [figure removed for brevity, see original site] Click on the image for movie of A Real Shooting Star This artist's animation illustrates a star flying through our galaxy at supersonic speeds, leaving a 13-light-year-long trail of glowing material in its wake. The star, named Mira (pronounced my-rah) after the latin word for 'wonderful,' sheds material that will be recycled into new stars, planets and possibly even life. NASA's Galaxy Evolution Explorer discovered the long trail of material behind Mira during its survey of the entire sky in ultraviolet light. The animation begins by showing a close-up of Mira -- a red-giant star near the end of its life. Red giants are red in color and extremely bloated; for example, if a red giant were to replace our sun, it would engulf everything out to the orbit of Mars. They constantly blow off gas and dust in the form of stellar winds, supplying the galaxy with molecules, such as oxygen and carbon, that will make their way into new solar systems. Our sun will mature into a red giant in about 5 billion years. As the animation pulls out, we can see the enormous trail of material deposited behind Mira as it hurls along between the stars. Like a boat traveling through water, a bow shock, or build up of gas, forms ahead of the star in the direction of its motion. Gas in the bow shock is heated and then mixes with the cool hydrogen gas in the wind that is blowing off Mira. This heated hydrogen gas then flows around behind the star, forming a turbulent wake. Why does the trailing hydrogen gas glow in ultraviolet light? When it is heated, it transitions into a higher-energy state, which then loses energy by emitting ultraviolet light - a process known as fluorescence. Finally, the artist's rendering gives way to the actual ultraviolet image taken by the Galaxy Evolution Explorer Mira is located 350 light-years from Earth in the constellation Cetus, otherwise known as the whale. Coincidentally, Mira and its 'whale of a tail' can be

  5. Rapid Characterization of Molecular Chemistry, Nutrient Make-Up and Microlocation of Internal Seed Tissue

    Energy Technology Data Exchange (ETDEWEB)

    Yu,P.; Block, H.; Niu, Z.; Doiron, K.

    2007-01-01

    Wheat differs from corn in biodegradation kinetics and fermentation characteristics. Wheat exhibits a relatively high rate (23% h{sup 01}) and extent (78% DM) of biodegradation, which can lead to metabolic problems such as acidosis and bloat in ruminants. The objective of this study was to rapidly characterize the molecular chemistry of the internal structure of wheat (cv. AC Barrie) and reveal both its structural chemical make-up and nutrient component matrix by analyzing the intensity and spatial distribution of molecular functional groups within the intact seed using advanced synchrotron-powered Fourier transform infrared (FTIR) microspectroscopy. The experiment was performed at the U2B station of the National Synchrotron Light Source at Brookhaven National Laboratory, New York, USA. The wheat tissue was imaged systematically from the pericarp, seed coat, aleurone layer and endosperm under the peaks at {approx}1732 (carbonyl C{double_bond}O ester), 1515 (aromatic compound of lignin), 1650 (amide I), 1025 (non-structural CHO), 1550 (amide II), 1246 (cellulosic material), 1160, 1150, 1080, 930, 860 (all CHO), 3350 (OH and NH stretching), 2928 (CH{sub 2} stretching band) and 2885 cm{sup -1} (CH{sub 3} stretching band). Hierarchical cluster analysis and principal component analysis were applied to analyze the molecular FTIR spectra obtained from the different inherent structures within the intact wheat tissues. The results showed that, with synchrotron-powered FTIR microspectroscopy, images of the molecular chemistry of wheat could be generated at an ultra-spatial resolution. The features of aromatic lignin, structural and non-structural carbohydrates, as well as nutrient make-up and interactions in the seeds, could be revealed. Both principal component analysis and hierarchical cluster analysis methods are conclusive in showing that they can discriminate and classify the different inherent structures within the seed tissue. The wheat exhibited distinguishable

  6. Prevalence of gastrointestinal symptoms and related drug use among pregnant women of South-Western Nigeria

    Directory of Open Access Journals (Sweden)

    Abiodun Christopher Jemilohun

    2015-10-01

    Full Text Available Background: Gastrointestinal (GI symptoms are quite common in pregnancy but there is paucity of data in regard to their frequencies in the south-western part of Nigeria. This study was conducted to determine the prevalence of various gastrointestinal symptoms and related drug use among south-western Nigerian women. Methods: A cross-sectional multicenter study involving three centers in two states of south-western Nigeria from March to August 2014. A composite questionnaire consisting of demographic data, anthropometric indices, obstetrics information, a list of gastrointestinal symptoms and drug usage was administered to 420 consecutive healthy pregnant women at various gestational ages. Data were analysed and presented as means +/-S.D, frequencies and percentages. Relationships between categorical variables were explored with chi-square test. A 5% significance level (p < 0.05 was considered significant. Results: Respondents had age range of 18-43years and a mean of 27.26 (+/-4.98. The commonest gastrointestinal symptom was nausea (46.9%, followed by vomiting (45.0% and then anorexia (36.2%. Excessive salivation, heart burn, constipation, regurgitation, and bloating had frequencies of 35.5%, 28.3%, 20.7%, 19.0% and 18.3% respectively. Epigastric pain was the least frequent among the symptoms (16.9%.The association between the parity of respondents and each of the GI symptoms was not statistically significant. But associations between educational status and excessive salivation and anorexia were statistically significant (P-value of 0.018 and 0.023 respectively. Subjects with heartburn had the highest drug usage (23.5%, followed by those with vomiting (22.8%. Subjects with excessive salivation (2% had the least drug intake. Conclusions: Gastrointestinal symptoms are common among pregnant women of south-western Nigeria. There is need for the physician to be abreast with the prevalence of the common pregnancy related GI problems in the particular

  7. Impact of beta-glucan on the faecal microbiota of polypectomized patients: a pilot study.

    Science.gov (United States)

    Turunen, K; Tsouvelakidou, E; Nomikos, Tz; Mountzouris, K C; Karamanolis, D; Triantafillidis, J; Kyriacou, A

    2011-12-01

    increase on the 30th day, which decreased (p = 0.013) on the 90th day and then increase 2 weeks after the intervention (p = 0.017) compared to placebo. A decrease was recorded in the β-glucan group in the bloating and abdominal pain score after the 30th day of the intervention (Day 30-37) compared to placebo. During β-glucan administration we did not observe any changes on beta-glucuronidase or beta-glucosidase activity, faecal pH, or on faecal moisture. PMID:21515398

  8. 疏肝和胃化瘀安神汤治疗胃病不寐25例%Treating25 cases of gastropathy insomnia with the Shugan Hewei Huayu Anshen decoction

    Institute of Scientific and Technical Information of China (English)

    张荣芳

    2015-01-01

    目的:观察疏肝和胃化瘀安神汤治疗胃病不寐的临床效果。方法:选取本门诊收治的25例胃病不寐患者作为观察组,给予其疏肝和胃化瘀安神汤治疗;同期选取25例患者作为对照组,给予耳穴位贴敷治疗;对比两组患者的治疗效果。结果:观察组的总有效率为92.00%,明显高于对照组的64.00%;患者腹胀、嘈杂泛酸、嗳气、纳呆等主要症状评分均低于对照组;PSQI评分改善明显优于对照组,差异有统计学意义(P<0.05)。结论:疏肝和胃化瘀安神汤治疗胃病不寐,能提高临床疗效,有利于改善患者的睡眠质量,促进病情的恢复。%Objective: To observe clinical effects of the Shugan Hewei Huayu Anshen decoction on gastropathy insomnia. Methods: 25 cases of gastropathy insomnia in our outpatient were selected as the observation group, and received the Shugan Hewei Huayu Anshen decoction. At the same time, 25 cases of gastropathy insomnia were selected as the control group, and received ear acupoint application. Clinical efficiency in two groups was observed. Results: The total efficiency in the observation group was 92.00%, much higher than that in the control group(64.00%). Bloating, noisy, acid reflux, belching, anorexia and other major symptom score in the observation group were lower than those in the control group. PSQI scores in the observation group were improved significantly better than the control group. The difference was statistically significant (P<0.05). Conclusion: Treating gastropathy insomnia with the Shugan Hewei Huayu Anshen decoction was effective, could improve the quality of sleep in patients, and promote the rehabilitation.

  9. Gastric Emptying in Patients with Diabetes: Gastric Emptying Time, Retention Rate and Effect of Cisapride

    International Nuclear Information System (INIS)

    Gastic emptying scan in diabetic patients is widely used to assess the degree of motility disturbance and the symptoms such as nausea, vomiting, bloating, abdominal pain and early gastric fullness which we can't find anatomic lesion by fiberoscopic or barium study. In order to determine the relationship among diabetic gastropathy, neropathy, retinopathy and disease duration, gastric emptying scan using 99mTc-tin colloid labeled scramble egg in hamburger was performed in 10 healthy male controls and 50 diabetic patients which were subdivided to no neuropathy, peripheral neuropathy and autonomic neuropathy groups according to the degree of diabetic neuropathy and no retinopathy, background retinopathy and proliferative retinopathy groups according to the degree of diabetic retinopathy. After medication of cisapride for 2 weeks, we observed the presence of improvement of gastric motility in diabetics. The results were as following: 1) In controls, gastric emptying time (GET1/2) was 75 ± 13.6 min and 2 hour gastric retension rate(GRR2) was 32 ± 11.1%. 2) In diabetics, GET/2 was prolonged more than 2 hours and GRR2 was 58 ± 23.1%. According to degree of neuropathy, GET1/2 was prolonged more than 2 hours in all three groups and GRR2 was 54± 24.1% in no neuropathy group, 57 ± 24.3% in peripheral neuropathy group and 69 ± 24.6% in autonomic neuropathy group. According to degree of retinopathy, GET1/2 was 110 ± 23.4 min in no retinopathy group and prolonged more than 2 hours in other two groups and GRR2 was 45 ± 21.6% in no retinopathy group, 71 ± 19.7% in background retinopathy group and 73 ± 21.5% in proliferative retinopathy group. 3) After cisapride for 2 weeks, GET1/2 and GRR2 were improved as 90 ± 14.6 min and 40 ± 13.8% (initial GET1/2 and GRR2 were above 2 hours and 61 ± 15.4%). We can conclude from above findings that gastropathy in diabetic neuropathy suggesting main underlying factor in motility disorder. The degree of retinopathy and disease

  10. 类状态测试模型%Test model of class state

    Institute of Scientific and Technical Information of China (English)

    蒋林超; 李军义; 陈剑

    2011-01-01

    Aiming at the problems of data errors may be ignored in class state testing, the generated test sequences is analyzed based on the data flow analysis techniques to find out data flow anomaly and correct.It can solve the problem effectively.The state transitions can be tracked by injecting tracking code into source code in order to analysis the feasibility, and break encapsulation restriction of classes by rewriting the codes of classes to certificate their states.These will lead the test scripts becoming out of bloated, strong aggregation and the version of classes is inconsistent.An innovation class state test execute method based on the AOP is proposed to solve these challenges effectively by separating concerns and breaking the class encapsulation restriction.On the basis of the above technique and method,a class state test model is presented.Case study and experimental results show that the model can achieve better class state tests.%针对类状态测试可能遗漏数据错误问题,利用数据流分析技术对生成的测试序列进行分析,找出数据流异常进而对其改进,能较好地解决数据错误问题.为解决在状态测试执行时需要插装代码来跟踪状态转换以便进行可行性检测分析,以及需要通过改写被测类代码来解决类封装性限制进行类状态验证,导致测试脚本臃肿、强聚合和被测类代码版本不一致问题,提出了一种基于AOP类状态测试执行方法,它通过分离关注点、突破类封装性限制,能有效地解决这些问题.基于上述技术和方法,提出一种类状态测试模型,实例分析和实验结果表明,该模型能较好地实现类状态测试.

  11. 以二氧化碳为媒介的老年人结肠镜检查的安全性和舒适性%Safety and comfort of colonoscopy with carbon dioxide insufflation in elderly people

    Institute of Scientific and Technical Information of China (English)

    陈英; 杨春敏; 唐合兰; 杜斌; 范勤; 贾敏; 于妍

    2012-01-01

    目的 分析评价二氧化碳( CO2)为媒介的结肠镜检查应用于老年患者的安全性和舒适性.方法 这是一项随机双盲对照研究.选取110例老年人,随机分为以空气为媒介的结肠镜组(n=55)和以CO2为媒介的结肠镜组(n=55).通过腹痛和腹胀的问卷调查、腹部平片肠管积气程度、经皮CO2分压连续测定等结果,分析比较两组间的差异性. 结果 CO2组平均插入时间短,且成功率高,与空气组比较差异有统计学意义[(7.0±4.9)vs(9.0±3.7) min;P<0.05];结肠镜检查后5,10,15,20 min不同时间点进行的腹痛、腹胀的问卷调查评分中,CO2组的评分明显低于空气组,差异有统计学意义[5min:( 15.4±2.1 )vs( 63.5±13.5),10min:( 5.1±1.3 )vs( 60.3±10.9),15min:(0.5±0.7) vs (58.6±11.6),20min:( 0.0±0.7) vs(50.4±8.2);P< 0.01];CO2组的肠管扩张程度评分明显低于空气组,差异有统计学意义[(1.2±0.5)vs(3.6±0.9);P<0.05];结肠镜检查前、到达回盲部、退回至直肠、检查结束后10 min 4个时间点记录经皮呼气末CO2分压,差异均无统计学意义.结论 与以空气为媒介的结肠镜比较,以CO2为媒介的结肠镜检查应用于老年人,安全可靠,并且具有痛苦小、操作时间短、耐受性好的显著优势.%Objective To assess the safety and comfort of colonoscopy with carbon dioxide(CC>2) insufflation in elderly people. Methods This was a randomized controlled double-blind study. Totally 110 consecutive elderly participants undergoing colonoscopy were randomized into air insufflation group(n=55) and CO2 insufflation group(n=55). Patients' experiences of abdominal pain and bloat were registered using Visual Analog Scale (VAS). The degrees of pneumatosis in the intestinal canal were recorded by the X-ray exam. Transcutaneous partial CO2 pressure was continuously measured with a capnograph as a safety parameter. Above parameters were compared between air insufflation and CO2 insufflation group

  12. Combination therapy of azintamide and domperidone in functional dyspepsia: a randomised, double-blind, placebo-controlled trial%复方阿嗪米特肠溶片联合多潘立酮治疗功能性消化不良的随机、双盲、安慰剂对照临床研究

    Institute of Scientific and Technical Information of China (English)

    赵莉; 许乐; 李琪; 王秀娣; 王冬梅; 王昭钢

    2011-01-01

    Objective To study the efficacy and safety of combined therapy of compound azintamide and domperidone in functional dyspepsia. Methods A randomised, double-blind, placebo-controlled trial.Two hundred and eight patients with functional dyspepsia were randomly grouped into group A (experimental group, 102 cases) and group B (control group, 106 cases). The patients in the group A were given 2 tablets of compound azintamide 3 times a day in addition to domperidone 10 mg 3 times per day for four weeks. The patients in the group B were only given domperidone 10 mg 3 times per day for 4 weeks. The therapeutic efficacy was evaluated by modified Severity of Dyspepsia Assessment (mSODA) and Global Patient Assessment (GPA). Results Subscore in mSODA:the change of bloating/pain intensity score in group A is -12.35±5.48 while group B is -10.52±4.65(P=0.009), the change of non-bloating/pain symptoms score in group A is -5.75±3.31 while group B is - 4. 86 ± 2.65 (P=0.033), and the change of satisfaction score in group A is 7. 09 ± 3. 78 while group B is 5.62 ± 3. 54 (P = 0. 004). The response rate in group A is 89. 2% which is significantly higher than 76.4% in group B (P=0. 015). Other symptoms for response assessment included loss of appetite, early satiety, fullness after meal, diarrhea. No severe side-effect was found in both groups. Conclusions Combined therapy of compound azintamide and domperidone may lead to bigger improvement in overall efficacy and health related quality of life in patients with functional dyspepsia than use of motility medicine alone. Potential mechanisms that may account for the efficacy of compound azintamide in functional dyspepsia include modulation of visceral sensitivity and/or gastrointestinal motility.%目的 评估复方阿嗪米特肠溶片与促动力剂联合使用对功能性消化不良(FD)患者症状和生活质量的影响.方法 随机、双盲、安慰剂对照临床试验.卫生部北京医院门诊就诊的208例符合罗马

  13. Live combined bacillus subtilis and enterococcus faecium enteric-coated capsules combined with smecta in treatment of antibiotics-related diarrhea%美常安与思密达治疗抗生素相关性腹泻的临床研究

    Institute of Scientific and Technical Information of China (English)

    周爱玲

    2016-01-01

    Objective To investigate the clinical efficacy of live combined bacillus subtilis and enterococcus faecium enteric-coated capsules combined with smecta in the treatment of antibiotics-related diarrhea.Methods 80 patients with antibiotics-related diarrhea were randomly divided into a study group and a control group.The study group was treated with live combined bacillus subtilis and enterococcus faecium enteric-coated capsules (two capsules each time,three times a day) and smecta (taking 3.0 g dissolved in 50 ml warm water between meals,three times a day) and the control group with live combined bacillus subtilis and enterococcus faecium enteric-coated capsules (two capsules each time,three times a day).The relief times of main symptoms (diarrhea,bloating,fatigue),stool frequency and forming time,mold detection rate,treatment effective rate,and adverse drug reactions were compared between these two groups.Results The effective rate was significantly higher in the study group than in the control group (g 2=4.021,P<0.05).After the treatment,the relief times of diarrhea,bloating,and fatigue and stool forming time were significantly shorter and the stool frequency and stool mold detection rate were significantly lower in the study group than in the control group (t=-15.460,t=-10.086,t=-6.555,P<0.01;t=-3.471,P< 0.01;t=-1.903,P<0.01;x 2=7.440,P<0.05).No serious adverse reactions occurred in both groups.Conclusions Live combined bacillus subtilis and enterococcus faecium enteric-coated capsules combined with smecta in the treatment of antibiotics-related diarrhea is effective,safe,and reliable,can rapidly improve the patients' clinical symptoms,has no adverse drug reactions,and has clinical application value.%目的 探讨美常安联合思密达治疗抗生素相关性腹泻的临床效果.方法 将80例抗生素相关性腹泻患者按照数字表法分为研究组和对照组.研究组采用美常安(每次2粒,每天3次)与思密达(3.0g溶解于50 ml温

  14. Inclusão dos sintomas na discriminação entre tumores anexiais benignos e malignos Inclusion of symptoms in the discrimination between benign and malignant adnexal masses

    Directory of Open Access Journals (Sweden)

    Caio Augusto Hartman

    2012-11-01

    áusea e/ou vômito, irregularidade menstrual, perda de peso, diarreia e sinusorragia foram semelhantes nos dois grupos. CONCLUSÕES: Em mulheres com tumores anexiais com indicação cirúrgica, a avaliação pré-operatória dos sintomas pode auxiliar na predição da malignidade.PURPOSE: To assess the association between clinical symptoms and the diagnosis of malignancy in women with adnexal tumors who underwent surgery. METHODS: Cross-sectional study, in which 105 women with adnexal tumors and indication for laparotomy/laparoscopy were included. All women were treated at a teaching hospital in the state of São Paulo between November 2009 and March 2011. All patients underwent a structured interview about the occurrence of 18 symptoms associated with ovarian cancer. The interview included the severity, frequency, and duration of these symptoms in the 12 months prior to the first medical consultation. The CA125 levels and the ultrasound classification of the tumors were also evaluated. We calculated for each symptom the prevalence ratio with 95% confidence intervals. The golden-standard was the result of the pathological examination of the surgical specimens. RESULTS: Of the 105 women included, 75 (71.4% had benign tumors and 30 (28.6% had malignant ones. In women with malignant tumors, the most frequent symptoms were: abdominal bloating (70%, increased abdominal size (67%, pelvic pain (60%, menstrual irregularity (60%, swelling (53%, abdominal pain (50%, backache (50%, and early repletion (50%. Women with benign tumors showed essentially pelvic pain (61%, menstrual irregularities (61%, and abdominal swelling (47%. Symptoms significantly associated with malignancy were: bloating (PR=2.0; 95%CI 1.01 - 3.94, increased abdominal size (PR=2.16; 95%CI 1.12 - 4.16, backache (RP=1.97; 95%CI 1.09 - 3.55, swelling (PR=2.25; 95%CI 1.25 - 4.07, early repletion (RP=2.06; 95%CI 1.14 - 3.70, abdominal mass (PR=1.83; 95%CI 1.01 - 3.30, eating difficulties (PR=1.98; 95%CI 1.10 - 3

  15. BK Virus-Hemorrhagic Cystitis Following Allogeneic Stem Cell Transplantation: Clinical Characteristics and Utility of Leflunomide Treatment

    Directory of Open Access Journals (Sweden)

    Young Hoon Park

    2016-08-01

    Full Text Available Objective: BK virus-hemorrhagic cystitis (BKV-HC is a potential cause of morbidity and mortality in patients having undergone allogeneic stem cell transplantation (Allo-SCT. We analyzed the clinical features of BKV-HC following Allo-SCT and reported the utility of leflunomide therapy for BKV-HC. Materials and methods: From January 2005 to June 2014, among the 69 patients underwent Allo-SCT in our institution, the patients who experienced BKV-HC were investigated retrospectively. Results: Hemorrhagic cystitis (HC was observed in 30 patients (43.5%, and among them, 18 patients (26.1% were identified as BKV-HC. The median age of the patients (12 males and 6 females was 45 years (range, 13-63. Patients received Allo-SCT from acute myeloid leukemia (n=11, aplastic anemia (n=4, myelodysplastic syndrome (n=2, and non-Hodgkin lymphoma (n=1.The donor types were a HLA-matched sibling donor for 6 patients, HLA-matched unrelated donor for 9, and a haploidentical familial donor for 2. The median onset and duration of BKV-HC was on day 21 (range, 7-97 after transplantation and 22 days (range, 6-107. Eleven patients (62.1% had grade I-II HC and seven patients (38.9% had grade III-IV (high-grade HC. Among the seven patients who had high-grade HC, one had complete response (CR, one partial response (PR, and five no response (NR. Among the five non-responders, one died of BKV-HC associated complications. The remaining four patients were treated with leflunomide, with achieving CR (n=2 and PR (n=2. The median duration from the start of leflunomide therapy to response was 13 days (range, 8–17 days. All patients tolerated the leflunomide treatment well, with three patients having mild gastrointestinal symptoms, including anorexia and abdominal bloating. Conclusion: BKV-HC was commonly observed in patients with HC following Allo-SCT. In high-grade BKV-HC patients who fail supportive care, leflunomide may be a feasible option without significant toxicity. Materials

  16. ASTRO-ENTOMOLOGY? ANT-LIKE SPACE STRUCTURE PREVIEWS DEATH OF OUR SUN

    Science.gov (United States)

    2002-01-01

    From ground-based telescopes, the so-called 'ant nebula' (Menzel 3, or Mz 3) resembles the head and thorax of a garden-variety ant. This dramatic NASA/ESA Hubble Space Telescope image, showing 10 times more detail, reveals the 'ant's' body as a pair of fiery lobes protruding from a dying, Sun-like star. The Hubble images directly challenge old ideas about the last stages in the lives of stars. By observing Sun-like stars as they approach their deaths, the Hubble Heritage image of Mz 3 -- along with pictures of other planetary nebulae -- shows that our Sun's fate probably will be more interesting, complex, and striking than astronomers imagined just a few years ago. Though approaching the violence of an explosion, the ejection of gas from the dying star at the center of Mz 3 has intriguing symmetrical patterns unlike the chaotic patterns expected from an ordinary explosion. Scientists using Hubble would like to understand how a spherical star can produce such prominent, non-spherical symmetries in the gas that it ejects. One possibility is that the central star of Mz 3 has a closely orbiting companion that exerts strong gravitational tidal forces, which shape the outflowing gas. For this to work, the orbiting companion star would have to be close to the dying star, about the distance of the Earth from the Sun. At that distance the orbiting companion star wouldn't be far outside the hugely bloated hulk of the dying star. It's even possible that the dying star has consumed its companion, which now orbits inside of it, much like the duck in the wolf's belly in the story 'Peter and the Wolf.' (See http://oposite.stsci.edu/pubinfo/qt/ssudec.mov for an animation that shows how this might work.) A second possibility is that, as the dying star spins, its strong magnetic fields are wound up into complex shapes like spaghetti in an eggbeater. Charged winds moving at speeds up to 1000 kilometers per second from the star, much like those in our sun's solar wind but millions of

  17. Laxative abuse: epidemiology, diagnosis and management.

    Science.gov (United States)

    Roerig, James L; Steffen, Kristine J; Mitchell, James E; Zunker, Christie

    2010-08-20

    laxative abuse when a patient feels bloated and has gained weight. Treatment begins with a high level of suspicion, particularly when a patient presents with alternating diarrhoea and constipation as well as other gastrointestinal complaints. Checking serum electrolytes and the acid/base status can identify individuals who may need medical stabilization and confirm the severity of the abuse. The first step in treating laxative misuse once it is identified is to determine what may be promoting the behaviour, such as an eating disorder or use based on misinformation regarding what constitutes a healthy bowel habit. The first intervention would be to stop the stimulant laxatives and replace them with fibre/osmotic supplements utilized to establish normal bowel movements. Education and further treatment may be required to maintain a healthy bowel programme. In the case of an eating disorder, referral for psychiatric treatment is essential to lessen the reliance on laxatives as a method to alter weight and shape. PMID:20687617

  18. Production of lightweight aggregates from washing aggregate sludge and fly ash

    Science.gov (United States)

    González-Corrochano, Beatriz; Alonso-Azcárate, Jacinto; Rodas, Magdalena

    2010-05-01

    Increasing generation of wastes is one of the main environmental problems in industrialised countries. Heat treatment at high temperatures can convert some types of wastes into ceramic products with a wide range of microstructural features and properties (Bethanis et al., 2004). A lightweight aggregate (LWA) is a granular material with a bulk density (bd) not exceeding 1.20 g/cm3 or with a particle density not exceeding 2.00 g/cm3 (UNE-EN-13055-1, 2003). They have become a focus of interest because the low particle density and the low bulk density entail a decrease in the load transmitted to the ground, and less work and effort are required to transport them (De' Gennaro et al., 2004). The benefits associated with these low densities, which are due to the formation of voids and pores, are very good thermal and acoustic insulation and materials with a good resistance to fire (Benbow, 1987; Fakhfakh et al., 2007). The objective was to recycle fly ash, used motor oil from cars and mineral wastes from washing aggregate sludge, in order to obtain a usable material such as lightweight aggregates, and also to ensure that they are of good quality for different applications. Raw materials have been physically, chemically and mineralogically characterized. On the basis of the results obtained, they were mixed, milled to a grain size of less than 200 μm (Yasuda, 1991), formed into pellets, pre-heated for 5 min and sintered in a rotary kiln at 1150°C, 1175°C, 1200°C and 1225°C for 10 and 15 min at each temperature (Theating). Effects of raw material characteristics, heating temperature and dwell time on the following LWAs properties were determined: loss on ignition (LOI), bloating index (BI), loose bulk density (bd), apparent and dry particle density (ad, dd), voids (H), water absorption (WA24h) and compressive strength (S). The products obtained were lightweight aggregates in accordance with norm UNE-EN-13055-1 (bd ≤1.20 g/cm3 or particle density ≤2.00 g/cm3). LWAs

  19. The effects of biofeedback training on clinical symptoms, psychological status and quality of life in patients with functional constipation%生物反馈训练对功能性便秘患者临床症状、心理状况和生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    朱芬芬; 林征; 林琳; 王美峰; 周丽荣

    2010-01-01

    目的 探讨生物反馈训练对功能性便秘(FC)患者临床症状、心理状况和生活质量的影响.方法 对49例符合FC罗马Ⅲ标准的患者进行生物反馈训练,应用临床症状积分量表、Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)、汉化版简明健康调查量表(SF-36)评定患者治疗前后的临床症状、心理状况和生活质量的综合改善情况.结果 生物反馈训练后,FC患者临床症状显著改善,临床症状积分量表中排便间隔天数、费力程度、排便不尽和坠胀感、粪便性状、腹胀评分及总积分均有显著降低(临床症状改善).SF-36量表的8个维度(总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能和精神健康)的评分均显著提高(生活质量改善).患者治疗后与治疗前相比,SAS量表评分(41.0±8.1比46.5±11.9)和SDS量表评分(44.0±8.2比51.2±11.5)亦显著降低(焦虑、抑郁状况改善).结论 生物反馈训练不仅能有效改善FC患者的临床症状,还可提高患者的生活质量和心理健康水平.%Objective To explore the effects of biofeedback training on clinical symptom,psychological state and quality of life in patients with functional constipation (FC).Methods Forty-nine patients with FC diagnosed by Rome Ⅲ were enrolled and received biofeedback training Bowel symptom measure, Zung's self-rating anxiety scale (SAS), self-rating depression scale (SDS) and Chinese version of the MOS 36-item short form healthy survey (SF-36) were recorded to assess the effects before and aftertreatment.Results After biofeedback training, clinical symptom of patients with FC was greatly improved:there was a very significant decrease in total and subscales scores of bowel symptom including spontaneous frequency of bowel movements, straining effort, sensation of anorectal obstruction/blockage, stool consistence and bloating.Patients with FC also improved their quality of life as well as

  20. Ileocecal valve dysfunction in small intestinal bacterial overgrowth: A pilot study

    Institute of Scientific and Technical Information of China (English)

    Larry S Miller; Anil K Vegesna; Aiswerya Madanam Sampath; Shital Prabhu; Sesha Krishna Kotapati; Kian Makipour

    2012-01-01

    air insufflation 21.23 ± 3.52 mmHg vs 16.10 ± 3.39 mmHg.The average percentage difference of the area under the pressure curve of the ICV from the cecum during air insufflation was not significantly different 101.08% ± 7.96% vs 100% ±0%.The total symptom score for subjects with normal lactulose breath tests and subjects with positive lactulose breath tests was not statistically different (13.30 ±4.09 vs 24.14 ± 6.58).The ICV peak pressures during air insufflations were significantly higher in subjects with normal lactulose breath tests than in subjects with positive lactulose breath tests (P =0.005).The average percent difference of the area under the pressure curve in the ICV from cecum was significantly higher in subjects with normal lactulose breath tests than in subjects with positive lactulose breath tests (P =0.0012).Individuals with positive lactulose breath tests demonstrated symptom scores which were significantly higher for the following symptoms:not able to finish normal sized meal,feeling excessively full after meals,loss of appetite and bloating.CONCLUSION:Compared to normal,subjects with a positive lactulose breath test have a defective ICV cecal distension reflex.These subjects also more commonly have higher symptom scores.

  1. Gastric Large Cell Neuroendocrine Carcinoma

    Science.gov (United States)

    Rustagi, Tarun; Alekshun, Todd J.

    2010-01-01

    Case: A 63-year-old male presented with unintentional weight loss of 20 pounds over a 4-month duration. He reported loss of appetite, intermittent post-prandial nausea, bloating and early satiety. He also complained of dyspepsia and had been treated for reflux during the previous 2 years. He denied vomiting, dysphagia, odynophagia, abdominal pain, melena, hematochezia, or alterations in bowel habits. Additionally, he denied fevers, night sweats, cough, or dyspnea. He quit smoking 25 years ago, and denied alcohol use. His past medical history was significant for basal cell carcinoma treated with local curative therapy and he was without recurrence on surveillance. Pertinent family history included a paternal uncle with lung cancer at the age of 74. Physical examination was unremarkable except for occult heme-positive stools. Laboratory evaluation revealed elevated liver enzymes (ALT-112, AST-81, AlkPhos-364). CT scan of the chest, abdomen and pelvis showed diffuse heterogeneous liver with extensive nodularity, raising the concern for metastases. Serum tumor-markers: PSA, CEA, CA 19-9, and AFP were all within normal limits. Screening colonoscopy was normal, but esophagogastroduodenoscopy revealed a malignant-appearing ulcerative lesion involving the gastro-esophageal junction and gastric cardia. Pathology confirmed an invasive gastric large cell neuroendocrine carcinoma. Ultrasound-guided fine needle aspiration of a hepatic lesion revealed malignant cells with cytologic features consistent with large-cell type carcinoma and positive immunostaining for synaptophysin favoring neuroendocrine differentiation. A PET-CT demonstrated intense diffuse FDG uptake of the liver, suggesting diffuse hepatic parenchymal infiltration by tumor. There were multiple foci of intense osseous FDG uptake with corresponding osteolytic lesions seen on CT scan. The remaining intra-abdominal and intra-thoracic structures were unremarkable. The patient will receive palliative systemic therapy

  2. SYMBIOTIC STAR BLOWS BUBBLES INTO SPACE

    Science.gov (United States)

    2002-01-01

    A tempestuous relationship between an unlikely pair of stars may have created an oddly shaped, gaseous nebula that resembles an hourglass nestled within an hourglass. Images taken with Earth-based telescopes have shown the larger, hourglass-shaped nebula. But this picture, taken with NASA's Hubble Space Telescope, reveals a small, bright nebula embedded in the center of the larger one (close-up of nebula in inset). Astronomers have dubbed the entire nebula the 'Southern Crab Nebula' (He2-104), because, from ground-based telescopes, it looks like the body and legs of a crab. The nebula is several light-years long. The possible creators of these shapes cannot be seen at all in this Wide Field and Planetary Camera 2 image. It's a pair of aging stars buried in the glow of the tiny, central nebula. One of them is a red giant, a bloated star that is exhausting its nuclear fuel and is shedding its outer layers in a powerful stellar wind. Its companion is a hot, white dwarf, a stellar zombie of a burned-out star. This odd duo of a red giant and a white dwarf is called a symbiotic system. The red giant is also a Mira Variable, a pulsating red giant, that is far away from its partner. It could take as much as 100 years for the two to orbit around each other. Astronomers speculate that the interaction between these two stars may have sparked episodic outbursts of material, creating the gaseous bubbles that form the nebula. They interact by playing a celestial game of 'catch': as the red giant throws off its bulk in a powerful stellar wind, the white dwarf catches some of it. As a result, an accretion disk of material forms around the white dwarf and spirals onto its hot surface. Gas continues to build up on the surface until it sparks an eruption, blowing material into space. This explosive event may have happened twice in the 'Southern Crab.' Astronomers speculate that the hourglass-shaped nebulae represent two separate outbursts that occurred several thousand years apart

  3. Nutritional support teams increase percutaneous endoscopic gastrostomy uptake in motor neuron disease

    Institute of Scientific and Technical Information of China (English)

    Lin Zhang; Leanne Sanders; Robert JL Fraser

    2012-01-01

    placement compared to weight at the time of the procedure (22.5 ± 3.0 kg/m2)].However,weight loss recurred in the terminal stages of the illness.There was a strong trend for longer survival from diagnosis among MND in PEG recipients with limb onset presentation compared to similar patients who did not undergo the procedure (P =0.063).Initial discussions regarding PEG insertion occurred earlier after diagnosis when seen by nutrition support team (NST) clinicians compared to other dinicians.(5.4 ± 7.0 mo vs 11.9 ± 13.4 mo,P =0.028).There was a significant increase in PEG uptake (56% vs 24%,P =0.011) if PEG discussions were initiated by the NST staff compared to other clinicians.There was no change in the ALSFRS-R score in patients who underwent PEG (pre 34.1 ±-8.6 vs post 34.8 ±7.4),although in non-PEG recipients there was a nonsignificant fall in this score (33.7 ± 7.9 vs 31.6 ± 8.8).Four patients died within one month of the procedure,4 developed bacterial site infection requiring antibiotics and 1 required endoscopic therapy for gastric bleeding.Less serious complications attributed to the procedure included persistent gastrostomy site discomfort,poor appetite,altered bowel function and bloating.CONCLUSION:Initial discussion with NST clinicians increases PEG uptake in MND.Gastrostomy stabilizes patient weight but weight loss recurs with advancing disease.

  4. Sintered bentonite ceramics for the immobilization of cesium- and strontium-bearing radioactive waste

    Science.gov (United States)

    Ortega, Luis Humberto

    were also tested. The final solid product was a hard dense ceramic with a density that varied from 2.12 g/cm3 for a 19% waste loading with a 1200°C sintering temperature to 3.03 g/cm 3 with a 29% waste loading and sintered at 1100°C. Differential Scanning Calorimetry and Thermal Gravimetric Analysis (DSC-TGA) of the loaded bentonite displayed mass loss steps which were consistent with water losses in pure bentonite. Water losses were complete after dehydroxylation at ˜650°C. No mass losses were evident beyond the dehydroxylation. The ceramic melts at temperatures greater than 1300°C. Light flash analysis found heat capacities of the ceramic to be comparable to those of strontium and barium feldspars as well as pollucite. Thermal conductivity improved with higher sintering temperatures, attributed to lower porosity. Porosity was minimized in 1200°C sinterings. Ceramics with waste loadings less than 25 wt% displayed slump, the lowest waste loading, 15 wt% bloated at a 1200°C sintering. Waste loading above 25 wt% produced smooth uniform ceramics when sintered >1100°C. Sintered bentonite may provide a simple alternative to vitrification and other engineered radioactive waste-forms.

  5. KANDUNGAN VITAMIN B6, B9, B12 DAN E BEBERAPA JENIS DAGING, TELUR, IKAN DAN UDANG LAUT DI BOGOR DAN SEKITARNYA (VITAMIN B6, B9, B12 AND E CONTENT OF SEVERAL TYPES OF MEATS, EGGS, FISHES AND MARINE SHRIMPS IN BOGOR AND SURROUNDING AREAS

    Directory of Open Access Journals (Sweden)

    Heru Yuniati

    2012-06-01

    Full Text Available ABSTRACT Food Composition Table (DKBM in Indonesia has not mentioned all types of nutrients available in the food, particularly vitamin B6, B9 (folic acid, B12, and vitamin E. Therefore this study aimed to analyze the content of vitamin B6, B9 (folic acid, B12, and vitamin E in several types of meat, eggs, fish and marine shrimps consumed in Bogor and surrounding areas. Vitamin B6, B9, B12, and vitamin E from three kinds of meat (chicken, beef, lamb, two types of eggs (chicken, duck, and four species of fish (snapper, bloating, carp and tuna and crayfish are analyzed using High-Performance Liquid Chromatography (HPLC. The samples used are raw and taken from three locations in Bogor and surrounding areas. Fishes, meats and eggs contain high levels of folic acid, however the amount of folic acid content in meat varies depending on which part of meat the samples are taken, types of organ, and the fat content of the meat. The folic acid content in chicken wings is different with those in thigh. In fatty mutton the folic acid is higher than in those lean meat, and in yolk is higher than those in egg white. Vitamin E content of snapper is the highest amongs other types of fishes (6.54 µg/100 g.Chicken eggs contain a higher amount of vitamin E than duck eggs, while the yolk contains ahigher amount of vitamin E than those egg white. Keywords: animal foods, vitamin B6, vitamin B9 (folic Acid, vitamin B12, vitamin E   ABSTRAK Daftar Komposisi Bahan Makanan (DKBM yang ada di Indonesia belum memuat semua jenis zat gizi dalam makanan, khususnya vitamin B6, B9 (asam folat, B12 dan vitamin E. Menganalisis kandungan vitamin B6, B9 (asam folat, B12, dan vitamin E dalam beberapa jenis daging, telur, ikan dan udang laut yang dikonsumsi masyarakat di Bogor dan sekitarnya. Kandungan vitamin B6, B9, B12 dan vitamin E dari tiga jenis daging (ayam, sapi, kambing, dua jenis telur (ayam, itik, serta empat jenis ikan (kakap, kembung, mas, tongkol dan udang laut

  6. Application of popliteal intermediate cutaneous artery descending branch island flap for treatment of knee joint scar%腘窝中间皮动脉下行支岛状皮瓣治疗膝关节瘢痕

    Institute of Scientific and Technical Information of China (English)

    孙广峰; 金文虎; 魏在荣; 聂开瑜; 祁建平; 邓呈亮; 王达利; 张子阳; 李书俊

    2016-01-01

    Objective To investigate the effect with the popliteal intermediate cutaneous artery descending branch island flap repair the wound in the knee joint after resection of scar.Methods From January 2006 to December 2014,A total of 12 cases of knee joint contracture patients,8 cases were male,4 were female;the age ranged from 4 to 58 years old;8 cases of hot water scald,electric injury in 2 cases,2 cases of scar radioactive contracture,3 cases with ulcer.The knee extension 10 degrees to 30 degrees.For scar excision of knee joint loosening,the scar excision wound size (3-5) cm × (10-14) cm,popliteal intermediate cutaneous wounds with artery descending branch island flap,The flap size (4-6) cm × (11-15) cm.Donor sites were closed directly in 2 cases,10 cases of skin graft.Results The all were followed up after operation.Follow-up 6 to 24 months,the 12 cases survived completely,and the skin graft donor site homogeneity of survival,the skin color and similar to the surrounding mucosa,soft texture,shape is not bloated,the knee extension of up to 0 degree,and the walking without a limp.Conclusions The popliteal intermediate cutaneous artery descending branch island flap blood supply is reliable,donor and recipient adjacent region,which has the advantages of simple operation,is one of the ideal flap for repairing the knee joint wound.%目的 探讨腘窝中间皮动脉下行支岛状皮瓣在膝关节瘢痕挛缩修复中的应用.方法 2006年1月至2014年12月,共收治膝关节瘢痕挛缩患者12例,膝关节完全伸展后呈10°~30°(以解剖位为0°),行瘢痕切除膝关节松解术,创面大小(3~5) cm×(10~14) cm,应用腘窝中间皮动脉下行支岛状皮瓣转移修复创面,皮瓣大小(4~6) cm×(11~15) cm.供瓣区直接缝合2例,游离植皮10例.结果 12例均获随访,时间为6~ 24个月,皮瓣完全成活,供区植皮均一期成活,皮瓣色泽与周围组织相近,质地柔软,外形不臃肿,膝关节伸展可达0

  7. 指固有动脉皮支血管链逆行侧方皮瓣修复手指软组织缺损%Flap Pedicled with Lateral Vascular Chain of Cutaneous Branch of Digital Artery to Repair the Soft Tissue Defect of the Distal Finger

    Institute of Scientific and Technical Information of China (English)

    李超; 王浩; 潘朝晖

    2014-01-01

    目的:探讨指固有动脉皮支血管链逆行侧方皮瓣修复手指远端软组织缺损的效果。方法以指固有动脉背侧皮支上行支、下行支形成的链式吻合供血,在手指近节侧方切取皮瓣。皮瓣的轴线是手指侧方中线,皮瓣旋转点为中节指体中远端,皮瓣的蒂部宽度为0.5~1.0cm。皮瓣携带指背神经与创面指神经断端进行缝合修复,重建手指感觉。逆行移位皮瓣修复指端创面32例。结果32例皮瓣全部成活。术后随访6个月~1年,皮瓣外形与正常相近,弹性、色泽良好。缺损饱满而不臃肿,质地柔软,有排汗功能,两点辨别觉达5~9 mm。结论采用指固有动脉皮支血管链逆行侧方皮瓣一期修复指端缺损,疗程短,效果好,操作简单,血供可靠,不牺牲指固有动脉、神经,供区损伤小,术后并发症少,并且能重建皮瓣感觉,是一种理想的手术修复方法。%Objective To explore the effect of flap pedicled with lateral vascular chain of cutaneous branch of digital artery to re -pair the soft tissue defect of the distal finger .Methods The flap based on the dorsal cutaneous branch of digital artery ,the ascending branch and the descending branch formation of supply vascular chain in the finger's lateral.The axis of the flap was finger lateral midline , the rotation point of flap was the middle finger of the distal , and the pedicle width of flap was 0.5~1.0cm.Flap repaird dorsal nerve and stump nerve , reconstructed of the finger's feeling.Retrograde transposition of flap in 32 cases to repair finger end .Results All flaps survived in 32 cases. After followed up for 6 months~1 years,flap had the normal close,elastic,good colour.Defect was full and not bloated , and soft texture,had the function that discharge sweat ,two-point discrimination Jueda 5~9mm.Conclusion Flap pedicled with lateral vascular chain of cutane-ous branch of digital artery to repair the

  8. Bundle Care of ICU Patients with Enteral Nutrition%集束干预护理在危重患者肠内营养的临床应用

    Institute of Scientific and Technical Information of China (English)

    于恺英

    2012-01-01

    目的:通过对危重患者胃肠内营养进行集束干预管理(Bundle of Care),降低肠内营养(enteral nutrition,EN)并发症,提高危重患者EN的耐受性.方法:选取2011年1月~2011年6月,我院ICU进行EN治疗的112例危重患者(APACHEⅡ评分≥15分)作为研究组,同时选择2009年入住我院ICU行EN治疗的危重患者128例作为常规护理对照组,进行集束化护理的临床病例研究.集束干预护理包括:接受EN患者均给予半卧位,床头抬高30~45度;定时回抽胃内容物,测定胃残液量;防止误吸,预防堵管,预防腹泻措施等综合护理干预措施,分别统计两组腹泻、腹痛、腹胀、恶心、呕吐、误吸等并发症的发生率.结果:危重患者EN并发症对照组为14.06%,研究组为3.57%.差异有统计学意义(P<0.05).结论:实施集束干预管理对提高危重患者EN耐受性,降低并发症有促进作用.%Objective:To investigate the implementation of synthetic nursing scheme of bundle in ICU patients to reduce the complications and improve tolerance of enteral nutrition.Methods:We choosed the 112 cases of enteral nutrition with bundle care in our hospital ICU during 2011-1-2011-6 as the study group,and 128 patients admitted to the ICU in 2009 with conventional care as the control group,so as to determine the effectiveness of synthetic nursing scheme of bundle. Bundle care include: patients receiving enteral nutrition with semi-recumbent position, head up 30 - 45 degrees, Withdrawing the stomach contents on time, determining the amount of Gastric residual volumes, preventing aspiration,plugging and diarrhea as well as other Comprehensive nursing interventions.Comparing the incidence of complications with enteral nutrition patients such as diarrhea, abdominal pain, bloating, nausea, vomiting, aspiration in the two group.Results:Complications of enteral nutrition in ICU patients I werel4.06% in the contorl group, while the bundle care group' s complications were 3

  9. Feasibility and safety study of no setting gastric tube and early drinking water for post-operative patients with distal gastric cancer radical gastrectomy%远端胃癌根治术后不置胃管及早饮水的可行性和安全性研究

    Institute of Scientific and Technical Information of China (English)

    邱兰; 印义琼; 文曰; 卢春燕

    2014-01-01

    Objective To study the feasibility and safety of no setting gastric tube and early drinking water for post-operative patients with distal gastric cancer radical gastrectomy .Method 100 post-operative patients with distal gastric cancer radical gastrectomy was randomly divided into control group and observation group according to the operation order ,50 patients in the control group received routine postoperative care ,placed stomach ,fasting , drinking and keeping the stomach exhaust pipe to the anus after defecation eating water .Patients in observation group received routine nursing ,did not place the tube ,but did drinking warm water 10~20 ml for every four hours under the guidance of doctors 6 hours after the patient fully awake from anesthesia ,The post-operative intestinal function recovery time ,ambulation ,bloating ,respiratory infections ,anastomotic leakage and other factors were ob-served and analyzed between two groups .Result The post-operative intestinal function recovery time and bed time in observation group was shorter .There was significant difference compared with control group (P0 .05) .Conclusion No setting gastric tube and early drinking water for post-operative patients with distal gastric cancer radical gastrectomy was feasible and safe ..It can promote the recovery of bowel function ,postoperative rehabilitation and reduce postoperative com-plications .%目的:探讨远端胃癌根治术后不置胃管及早饮水的安全性和可行性。方法将100例行远端胃癌根治术的患者根据手术先后顺序随机分为对照组和观察组各50例。对照组采用外科术后护理常规,予以安置胃管,禁食、禁饮,保留胃管至肛门排气、排便后再进食水;观察组除外科护理常规外,不安置胃管,术后6h患者麻醉完全清醒后,在医生指导下协助患者每4h饮一次温开水,每次10~20ml,对两组患者术后肠功能恢复时间、下床活动时间、腹胀、呼吸道感染

  10. The Clinical Observation on Oral Liquid of Stomach Digestion and Western Medicine in Treatment of Children with Functional Dyspepsia%健胃消食口服液联用西药治疗小儿功能性消化不良的临床观察

    Institute of Scientific and Technical Information of China (English)

    许淑贞

    2014-01-01

    目的:研究健胃消食口服液联用西药对小儿功能性消化不良的治疗方法并观察其临床应用效果。方法选取2012年1月至2013年11月我院收治的102例功能性消化不良患儿,随机均分为实验组与对照组。两组患儿于餐前给予西药多潘立酮片,然后实验组加服健胃消食口服液,观察并比较两组患儿的临床疗效。结果实验组患儿在嗳气腹胀、早饱、恶心呕吐、上腹疼痛人数、胃内残存率均明显少于对照组(P<0.05)。实验组总有效率为94.12%,对照组为76.47%,差异性显著(P<0.05)。1例实验组患儿出现药物不良反应。结论健胃消食口服液联用西药多潘立酮片治疗小儿功能性消化不良疗效显著,安全性高。%Objective To explore the method and efficacy of the oral liquid of stomach digestion and Western medicine in treatment of children with functional dyspepsia. Method 106 cases of children with functional dyspepsia were randomly divided into the control group which were treated by the domperidone before meal and the experimental group based on it with the oral liquid of stomach digestion in the hospital from January 2012 to November 2013. Then the total effects between the two groups were observed and compared after treatment. Result The children with functional dyspepsia in the experimental group was significantly lower than the control group in the belching and bloating, early satiety, nausea and vomiting, abdominal pain and Gastric residual rate(P <0.05).The total effective rate of the experimental group was 94.12% while the control group was 76.47% after treatment, and the difference between the two groups was statistically significant(P <0.05). only one case in the experimental group appeared the symptom of drug reactions. Conclusion The clinical effect of oral liquid of stomach digestion and Western medicine in treatment of children with functional dyspepsia is excellent and safe.

  11. Influence of Dietary Interventions on Gastric Cancer Patients' Quality of Life and Complications after Billroth Ⅱ Gastrectomy%饮食干预对胃癌毕Ⅱ式根治术后患者生活质量及并发症的影响

    Institute of Scientific and Technical Information of China (English)

    周桂兰; 洪菁; 方登

    2012-01-01

    Objective To investigate the influence of dietary interventions on the gastric cancer patients' quality of life after Billroth II gastrectomy. Methods From June 2009 to December 2010,60 patients undergoing Billroth TJ gastrectomy in the hospital were randomly divided into interventional group(n = 30) and control group(n = 30). The patients of the control group received conventional dietary guidance,and the interventional group used the project of individual dietary guidance in accordance with the principle of gradual and orderly progress at the suggestion of nutritionists. The patients'quality of life and the incidences of complications were evaluated at six months and one year after gastrectomy separately using quality of life questionnaire of stomach 22(QLQ-STO22). Results The patients' overall QLQ-STO22 level in the interventional group was significantly higher than that of the control group (P<0. 01). The patients in both groups suffered from bloating after meals,gastro-esophageal reflux,dumping syndrome and other complications. The incidence of complications in 6 months after operation was significantly lower in the observational group than that in the control group (P<0. 05). Conclusion Individual dietary interventions can change patients' unhealthy lifestyle,reduce the complication rate and improve their quality of life after gastrectomy.%目的 探讨饮食干预对毕Ⅱ式胃癌根治术后患者生活质量的影响.方法 便利抽样法选取2009年6月至2010年12月在桂林医学院附属医院行胃癌毕Ⅱ式根治术的患者60例为研究对象,按随机数字表法将其分为观察组和对照组,每组30例.对照组患者根据胃癌毕Ⅱ式根治术后饮食原则给予常规饮食指导,观察组在此基础上根据患者的个体情况,与营养师合作按照循序渐进原则进行个体化指导及跟踪督查、指导.分别于术后6个月、1年采用胃癌患者生活质量问卷(quality of life questionnaire of stomach 22,QLQ

  12. Clinical Observation on Fire Needle Therapy for Gastroesophageal Reflux Disease%火针治疗胃食管反流病临床观察

    Institute of Scientific and Technical Information of China (English)

    李永红; 张万龙; 汪芗; 杨文婷; 钟亚彬; 王丹; 张俞

    2015-01-01

    Objective To observe the fire needle therapy for GERD symptom scores and endoscopic results impact. Methods Fifty six patients were randomly divided into two groups. Patients in the treatment group received acupuncture combined with fire needles. Patients in the control group were given omeprazole treatment for 8 weeks. The therapeutic effects and TCM syndrome scores were observed.(1)Main symptoms:burning sensation after observing sternum heart,chest pain,discomfort Chung.(2)Sub - mouth disease on a sour or bitter taste,stomach contents:chest fullness or pain,acid regurgitation,belching,epigastric noisy,emo-tional irritability or depression,foreign body sensation in the throat,stomach pain or bloating,early satiety,ab-dominal fullness or pain,abnormal stools and other symptoms. Results After treatment,symptom scores im-proved significantly compared with those before treatment(P <0. 05). The 28 cases in treatment group achieved the efficiency rate of 92. 6 % ,and the control group had the efficiency rate of 80. 6% . There was statistically significant difference between the two groups(P <0. 05). Conclusion Fire acupuncture treating gastroesopha-geal reflux disease has a good effect,and it is the economic and secure which should be widely applied.%目的:观察火针疗法对胃食管反流病患者的临床疗效及症状评分的影响。方法将56例随机分为两组,治疗组采用火针结合针刺进行治疗,对照组服用奥美拉唑治疗,疗程9周。观察两组患者治疗后临床疗效及中医症状评分。主症:反酸,嘈杂,胸骨后灼痛,两肋胀满;次症:心烦,易怒,口干口苦,大便秘结等症状变化,采用症状程度评分对治疗前后疗效进行对比。结果两组治疗后,症状评分均较治疗前明显改善(P <0.05)。治疗组28例,有效率92.6%,对照组28例,有效率80.6%%,两组有效率比较,差异有统计学意义(P <0.05),治疗组疗效优于对照组。结

  13. 胃镜加外套管辅助下取出上消化道尖锐异物的临床观察%Assisted endoscopy plus jacket pipe out of upper gastrointestinal clinical observation of sharp foreign bodies

    Institute of Scientific and Technical Information of China (English)

    赵伟; 杜志强

    2014-01-01

    Objective to explore the outer sleeve assisted endoscopy plus upper gastrointestinal endoscopy to take a sharp edge, the value of long foreign bodies. Methods upper gastrointestinal swallow foreign bodies 27 cases were treated with endoscopic ligation device plus akita jacket tube, aided by upper gastrointestinal endoscopy foreign body forceps, and observe the success rate of removal of foreign body and side effects of carbon dioxide during the operation to be replaced by an air pump. Results the esophagus, stomach, duodenum foreign bodies of 27 patients, a total of 30 foreign bodies, 28 foreign bodies were successfully removed, including seven children, there are two cases of esophageal foreign body impaction due to serious turn in the operating room surgery removed, the number of foreign body cases 93.3% success rate, no adverse reactions. the largest foreign body was removed 12cmχ3.0cm, were successfully removed, serious complications bleeding, perforation occurred. Conclusion endoscopic assisted plus jacket tube, take relatively sharp edge on the digestive tract, long foreign body, a high success rate and safety, can effectively prevent adverse reactions and complications, carbon dioxide instead of air can effectively relieve abdominal pain, bloating and so on.%目的:探讨胃镜加外套管辅助胃镜取上消化道边缘尖锐、过长的异物的价值。方法对上消化道吞服异物的27例患者,采用胃镜加秋田套扎器外套管辅助下,胃镜钳取上消化道异物,并观察异物取出成功率及副作用,操作过程予以二氧化碳气泵代替空气。结果本组食管、胃、十二指肠异物共27例患者,共有30件异物,28件异物均成功取出,其中有儿童有7件,有2例食管异物因严重嵌顿转在手术室外科取出,取异物例数成功率93.3%,无不良反应。取出异物中最大的为12cmχ3.0cm,均成功取出,未发生大出血、穿孔等严重并发症。结论胃镜加外套

  14. 胰腺转移癌10例诊断及治疗%Diagnosis and treatment of metastatic pancreatic tumor with a case series of 10 patients

    Institute of Scientific and Technical Information of China (English)

    孟凡斌; 郭克建; 赵梅芬

    2008-01-01

    Objective To describe the diagnosis and treatment of metastatic pancreatic cancer. Methods The clinical data of 10 cases of metastatic pancreatic tumor in the first affiliated hospital of China Medical University from July 1997 to July 2007 were analyzed retrospectively. Results The etiologies of primary tumors were lung cancer(n=3), colonic carcinoma(n=2), stomach cancer(n=2), renal cell carcinoma(n=2), nasopharyngeal carcinoma(n=1). The median interval between the diagnosis of primary tumor and pancreatic metastases was 40 months (range:0~192 months). All the metastases were located in the pancreatic heed and neck, and solitary metastasis was detected in one ease, while other 9 cases were multiple metastases. The mean maximum tumor size was 3.03 cm. The main clinical manifestations were abdominal pain, bloating, anorexia and jaundice. 2 cases underwent pancreaticoduodeneetomy, 1 case underwent arterial pancreatic perfusion chemotherapy, 1 case underwent percutaneous biliary stenting and 2 cases received systematic chemotherapy, 1 case received radiotherapy, 3 patients did not accept any therapy. 7 patients were followed-up, the median survival was 10.6 months (range:2~44 months). Conclusions Metastatic pancreatic cancer was rare and the clinical manifestation was non-specific, lndividuaized treatment should be selected on a case-by-case basis. Aggressive surgical resection should be offered to some selected patients.%目的 探讨胰腺转移癌的诊断及治疗方法.方法 对1997年7月至2007年7月中国医科大学附属第一医院收治的10例胰腺转移癌进行回顾性分析.结果 原发肿瘤为肺癌3例、结肠癌2例、胃癌2例、肾癌2例、鼻咽癌1例.胰腺转移距发现原发肿瘤时间间隔平均40个月(0-192个月).10例转移灶均位于胰腺头颈部,单发9例,多发1例,肿瘤最大径平均3.03cm.主要临床表现为腹痛、腹胀、厌食、黄疸等.行胰十二指肠切除术2例.胰动脉灌注化疗1例,经皮

  15. Clinical efficacy of Qiwei lishi san in the treatment of spleen and stomach type of chronic diarrhea%中药七味利湿散治疗脾胃虚弱型慢性腹泻的临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    黄克杰

    2016-01-01

    目的:探究七味利湿散治疗脾胃虚弱型慢性腹泻的临床疗效。方法选择2014年2月~2015年2月期间收治的86例慢性腹泻患者,随机平均分为观察组和对照组,各43例。对照组给予蒙脱石散治疗,观察组给予自拟中药方剂七味利湿散治疗,观察对比两组临床疗效及症状缓解时间,并记录两组患者的不良反应情况。结果观察组临床总有效率为95.3%,明显高于对照组的79.1%,差异具有统计学意义(P<0.05);观察组止泻时间、腹痛腹胀缓解时间、退热时间均明显短于对照组,组间差异均具有统计学意义(P<0.05);两组用药期间均未发生严重药物不良反应。结论七味利湿散治疗脾胃虚弱型慢性腹泻的临床疗效确切,可缩短病症改善时间,且用药安全性较高。%Objective To explore the clinical efficacy of traditional Chinese medicine Qiwei lishi san in the treatment of spleen and stomach type of chronic diarrhea. Methods 86 cases of patients with spleen and stomach type of chronic diarrhea were selected in hospital from February 2014 to February 2015,and then were divided into control group and observation group randomLy,43 cases of each. The patients of control group were given montmorillonite powder treatment,and the patients of observation group were self-made casual treatment of traditional Chinese medicine Qiwei lishi san,then observed and compared clinical efficacy,remission time and recorded adverse drug reactions of the two. Results The total effective rate of observation group was 95.3%, significantly higher than 79.1%of the control group(P < 0.05). Antidiarrheal time,abdominal pain and bloating relief time,cooling time of observation group were significantly shorter than the those of the control group(P < 0.05). No serious adverse drug reactions were found during the treatment. Conclusion Qiwei lishi san in the treatment of spleen and stomach type of chronic diarrhea

  16. Clinical effect comparison on gynecological preoperative bowel cleansing with mannitol solution and magnesium sulfate solution%甘露醇溶液与硫酸镁溶液用于妇科术前肠道清洁临床效果比较

    Institute of Scientific and Technical Information of China (English)

    王静霞; 王新梅; 李庆妍

    2012-01-01

    AIM: To compare the clinical effect on gynecological preoperative bowel cleansing with mannitol solution and magnesium sulfate solution, in order to guide clinical drugs of choice. METHODS: The prepare hysterecto-my medical records 106 cases were chosed, which was randomly divided into oral the mannitol so-lution group (n= 53) and oral magnesium sulfate group (n= 53). The intestinal cleanliness, num-ber of bowel movements,exhaust time and relat-ed adverse reactions were compared. RESULTS: There was no statistical significance in the intes-tinal cleanliness, number of bowel movements, exhaust time in the two groups ( P > 0. 05 ); there was no statistical significance in the nause- a, vomiting, stomach pain, bloating, abdominal pain, anal stimulation,dizziness,headache in the two groups (P>0. 05). CONCLUSION: There was no significant difference in the clinical effect and the related adverse reactions in the two groups. Mannitol solution and magnesium sulfate solution can be used in clinic, but magnesium sulfate solution is bitter in taste. Mannitol solu-tion is easy to use, easy to store, and good taste, and can be widely used for bowel prepara-tion before gynecologic surgery.%目的:比较口服甘露醇溶液与硫酸镁溶液用于妇科术前肠道准备临床效果,以便指导临床选择用药.方法:选择准备行子宫切除病例106例,随机分为口服甘露醇溶液组(n=53)与口服硫酸镁组(n=53),比较两组患者肠道清洁度、排便次数、术后排气时间及不良反应.结果:两组患者在肠道清洁度、排便次数、排气时间差异均无统计学意义(P>0.05);两组患者在发生恶心、呕吐,胃痛,腹胀、腹痛,肛门刺激,头晕、头痛等不良反应差异均无统计学意义(P>0.05).结论:两组患者疗效与不良反应发生率差异均无统计学意义(P>0.05),均可作为妇科术前肠道准备使用药物;但硫酸镁味苦,易长菌;甘露醇使用方便,易保存,口感好,可广泛用于妇科手术前肠准备.

  17. 体检人群中唇颊亮度值比值与脾胃症状关系的研究%Study on the relationship of the light value ratio of lip and cheek and spleenstomach symptoms in check-up group

    Institute of Scientific and Technical Information of China (English)

    陈松鹤; 耿丽梅

    2012-01-01

    Objective To study on the relationship of the light value ratio of lip and cheek and spleen-stomach symp- toms. Methods Using the International colorcheck, the 160 cases facial digital images of physical examination groups were got. Further, the light value of the upper lip, the lower lip and the cheek area after the image color restoration were got, and then the light value ratio of the upper lip and cheek and that of the lower lip and cheek were calculated. All peoples were collected the questionnaires of spleen-stomach symptoms. Results Statistical results showed that 11 spleen-stomach symptoms were closely related with the light value ratio of lip and cheek. There were 6 spleen-stomach symptoms, including diarrhea or abdominal pain after the cold or contaminated food, tooth-marked tongue, bloating after a meal, flavored mouth, hiccups, and preferences of drinking water, which were more serious, the brightness value of lip-around skin may decreased; However, when the Spleen-Qi deficiency symptoms appeared, dinner drowsiness, short breath, etc, then the brightness value of lip-around skin may increased. Conclusion The color of lip-around skin is closely related to the spleen and stomach symptoms. The light val-ue of lip-around and the light value ratio of lip and cheek may be used as diagnostic indicators of the complexion looking diagnosis for evaluating the spleen-stomach function in check-up group.%目的:探讨唇颊亮度值比值与脾胃症状的关系.方法:使用国际颜色校正卡,采集体检人群160例面部数码图像,使用软件获得侧唇、上唇、下唇与面颊的亮度值比值,并对入选者进行脾胃症状调查问卷的采集.结果:共筛选出11个与唇颊亮度值比值密切相关的脾胃症状,其中吃凉或不洁食物后出现腹泻或腹痛、齿痕舌、饭后胃胀、口中有味、呃逆、喜饮水6个脾胃症状越严重,则唇周亮度值可能降低;而饭后困倦、易短气等脾阳气虚症状出现时,则

  18. 掌背动脉皮支皮瓣修复多个手指软组织缺损%Repair of multi-fingers soft tissue defects with flaps based on cutaneous branches of dorsal metacarpal artery

    Institute of Scientific and Technical Information of China (English)

    刘宇舟; 芮永军; 糜菁熠; 邱扬; 华雍

    2015-01-01

    Objective To investigate the method and result of repairing multi-fingers soft tissue defects using the dorsal metacarpal flaps with cutaneous branches as pedicle.Methods From February,2010 to January,2013,9 patients with multi-fingers tissue defects were treated with the 2nd,3rd,4th dorsal metacarpal flaps with cutaneous branches as pedicles.The area of flaps ranged from 1.2 cm × 2.5 cm to 2.5 cm × 5.0 cm.The donor sites were sutured with full thick skin graft.Results All flaps survived.After a followed-up of 8 months to 24 months(average 12 months),the texture and shape of the flaps were good and non-bloated.The flap sensibility as sessment were S3-S3+.The two-point discrimination testing were 10 to 13 mm (average 11.6 mm).The TAM score of range of motion was 60% to 75% of the healthy side.The skin graft of donor site were soft.Conclusion Procedure of dorsal metacarpal flaps with cutaneous branches as pedicles easy is a good method to repaire the soft tissue defects of muhi-fingers.%目的 探讨应用掌背动脉皮支皮瓣修复多个手指软组织缺损的方法和效果. 方法 自2010年2月至2013年1月,对9例多个手指软组织缺损,采用第2、3、4掌背动脉皮支皮瓣修复,皮瓣切取面积为1.2cm×2.5cm~2.5 cm×5.0cm,供区全厚皮片植皮. 结果 术后皮瓣全部成活.术后随访8~24个月,平均12个月,皮瓣外形满意,质地优良,不臃肿,感觉恢复至S3~S3+,两点辨别觉10 ~ 13mm(平均11.6 mm),手指屈伸功能按TAM法评价,达健侧手指的60%~ 75%.供区植皮质地柔软. 结论 掌背动脉皮支皮瓣切取方便,血供可靠,不牺牲主干血管,是修复多个手指软组织缺损的良好方法.

  19. Efficacy of Levofloxacin-based Triple Therapy Combined with Probiotics as A Rescue Therapy for Helicobacter pylori Re-eradication%含左氧氟沙星三联疗法联合益生菌根除幽门螺杆菌的补救治疗

    Institute of Scientific and Technical Information of China (English)

    彭卫斌; 容海鹰; 沙卫红; 聂玉强; 朱雅丽; 张明

    2016-01-01

    背景:近年来,细菌耐药性的出现导致幽门螺杆菌(Hp)根除率逐渐降低,首次根除失败后,再次根除失败的可能性较大,因此补救治疗方案的选择尤为重要。目的:探讨含左氧氟沙星三联疗法联合益生菌根除 Hp 的补救治疗疗效。方法:192例经标准三联疗法根除 Hp 失败的患者随机分为四组,A 组:兰索拉唑片30 mg +阿莫西林胶囊1000 mg +左氧氟沙星片200 mg,bid,疗程14 d;B 组:A 组治疗方案基础上加用枸橼酸铋钾片600 mg,bid,疗程14 d;C 组:双歧杆菌乳杆菌三联活菌片2000 mg,tid,服用14 d 后给予 A 组治疗方案,疗程14 d;D 组:A 组治疗方案基础上加用双歧杆菌乳杆菌三联活菌片2000 mg,tid,疗程14 d。疗程结束4周后复查13 C-尿素呼气试验评估根除疗效。治疗期间记录患者不良反应发生情况。结果:177例(92.2%)患者按方案完成治疗,A、B、C、D 组治疗完成率分别为87.5%(42/48)、83.3%(40/48)、97.9%(47/48)和100%,C、D 组显著高于 A、B 组(P 0.05)。不良反应包括便秘、味觉异常、腹胀、厌食等。A、B、C、D 组的不良反应发生率分别为79.2%、95.8%、29.2%和22.9%,C、D 组显著低于 A、B 组(P 0. 05). Adverse effects included constipation,taste distortion,bloating and anorexia,the incidences of adverse effects in group A,B,C and D were 79. 2% ,95. 8% ,29. 2% and 22. 9% ,respectively;the incidences in group C and D were significantly lower than those in group A and B(P < 0. 05). Conclusions:Levofloxacin-based triple therapy combined with bifidobacterium and lactobacillus triple live bacteria can decrease the adverse effects of traditional triple and quadruple therapies and improve the patient compliance,thus increases the efficacy of rescue therapy for Hp re-eradication.

  20. Stellar Rubble May be Planetary Building Blocks

    Science.gov (United States)

    2006-01-01

    [figure removed for brevity, see original site] Click on the image for animation Birth of 'Phoenix' Planets? This artist's concept depicts a type of dead star called a pulsar and the surrounding disk of rubble discovered by NASA's Spitzer Space Telescope. The pulsar, called 4U 0142+61, was once a massive star until about 100,000 years ago when it blew up in a supernova explosion and scattered dusty debris into space. Some of that debris was captured into what astronomers refer to as a 'fallback disk,' now circling the remaining stellar core, or pulsar. The disk resembles protoplanetary disks around young stars, out of which planets are thought to be born. Supernovas are a source of iron, nitrogen and other 'heavy metals' in the universe. They spray these elements out into space, where they eventually come together in clouds that give rise to new stars and planets. The Spitzer finding demonstrates that supernovas might also contribute heavy metals to their own planets, a possibility that was first suggested when astronomers discovered planets circling a pulsar called PSR B1257+12 in 1992. Birth of 'Phoenix' Planets? About the Movie This artist's animation depicts the explosive death of a massive star, followed by the creation of a disk made up of the star's ashes. NASA's Spitzer Space Telescope was able to see the warm glow of such a dusty disk using its heat-seeking infrared vision. Astronomers believe planets might form in this dead star's disk, like the mythical Phoenix rising up out of the ashes. The movie begins by showing a dying massive star called a red giant. This bloated star is about 15 times more massive than our sun, and approximately 40 times bigger in diameter. When the star runs out of nuclear fuel, it collapses and ultimately blows apart in what is called a supernova. A lone planet around the star is shown being incinerated by the fiery blast. Astronomers do not know if stars of this heft host planets, but if they do, the planets would probably be