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Intestinal fermentation in patients with self-reported food hypersensitivity: painful, but protective?
J rgen Valeur, Mette Helvik Morken, Elisabeth Norin, et al
Clinical and Experimental Gastroenterology , 2010, DOI: http://dx.doi.org/10.2147/CEG.S11349
Abstract: testinal fermentation in patients with self-reported food hypersensitivity: painful, but protective? Original Research (4365) Total Article Views Authors: J rgen Valeur, Mette Helvik Morken, Elisabeth Norin, et al Published Date July 2010 Volume 2010:3 Pages 65 - 70 DOI: http://dx.doi.org/10.2147/CEG.S11349 J rgen Valeur1,2, Mette Helvik Morken1, Elisabeth Norin3, Tore Midtvedt3, Arnold Berstad1,2 1Institute of Medicine, University of Bergen, Bergen, Norway; 2Department of Medicine, Haukeland University Hospital, Bergen, Norway; 3Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden Purpose: Enterometabolic disturbances may cause meal-related symptoms. We performed a functional evaluation of the intestinal microflora in patients with unexplained, self-reported food hypersensitivity by measuring fecal short-chain fatty acids (SCFAs). Patients and methods: Thirty-five consecutive patients with self-reported food hypersensitivity and 15 healthy volunteers of similar age, gender, and body mass index collected all feces for 72 hours. Fecal concentrations of acetic, propionic, n-butyric, i-butyric, n-valeric, i-valeric, n-caproic, and i-caproic acids were analyzed by gas-liquid chromatography. Concentrations and excretions (output) of SCFAs in patients and controls were compared and related to gastrointestinal symptoms. Results: Despite nonsignificant differences between patients and controls for both total and individual SCFA concentrations and excretions, n-butyric acid comprised a higher (P = 0.035) and acetic acid a lower (P = 0.012) proportion of total SCFA in patients compared to controls. There were no significant correlations between symptom scores and concentrations or excretions of individual or total SCFAs, but the proportion of n-butyric acid was significantly higher in patients with severe symptoms compared to patients with moderate symptoms (P = 0.016). Conclusion: The results indicate an enterometabolic disturbance in patients with self-reported food hypersensitivity. Higher proportions of n-butyric acid may be related to abdominal symptom generation, but may also protect against organic bowel disease. Further studies are needed to clarify these aspects.
Bibliometric study of articles published in a Brazilian journal of pediatric dentistry
Poletto, Vanessa Ceolin;Faraco Junior, Italo Medeiros;
Brazilian Oral Research , 2010, DOI: 10.1590/S1806-83242010000100014
Abstract: this cross-sectional study aimed at evaluating the abstracts of all articles published in the "jornal brasileiro de odontopediatria e odontologia do bebê" in order to collect data on the study design used, the most researched topics and the brazilian states with the highest scientific production. copies were made of the abstracts of each article, totaling 572 abstracts. data categorization was done by two trained and independent reviewers. the results showed that the most used study design were case report (33%) and cross-sectional study (30%). on the other hand, there were only 2.5% of randomized clinical trials and no systematic review or meta-analysis. the most researched topics were cariology (15%) and restorative dentistry / dental materials (10%). the state with the greatest number of publications was s?o paulo (40%), followed by rio de janeiro (17%). it was concluded that the majority of the articles published referred to studies with a low potential to establish scientific evidence, indicating a need for conducting research based on better quality methodology. moreover, it was found that the assessed literature reflected the trends observed in the clinical practice of pediatric dentistry in brazil.
Self-reported predictors of depressive symptomatology in an elderly population with type 2 diabetes mellitus: a prospective cohort study
Manjiri D Pawaskar, Roger T Anderson, Rajesh Balkrishnan
Health and Quality of Life Outcomes , 2007, DOI: 10.1186/1477-7525-5-50
Abstract: A prospective cohort study was conducted by administrating health risk assessment questionnaire to elderly (≥65 years) with type 2 diabetes. Responses were linked with administrative claim's data. Data were obtained from elderly with type 2 diabetes who were enrolled in Medicare Health Maintenance Organization (HMO) in southeastern United States. The instrument collected information related to demographics, health status, medication use, and healthcare service utilization prior to enrollment. Responses were combined with the administrative claims data of HMO to obtain information on actual utilization of healthcare resources. The Short Form Center for Epidemiologic Studies Depression scale was used to assess depressive symptoms. Multivariable logistic regression analyses were conducted to determine predictor variables.Of 792 respondents, about 17% had depressive symptoms. Almost 96% of patients were using 1 or more antidiabetic medications. Overall, increased risk of depression was associated with lower health related quality of life (HRQoL) (OR: 0.97; 95% CI: 0.96–0.98) and higher impairments in instrumental activities of daily living (IADLs) (OR: 1.31; 95% CI: 1.14–0.52) in elderly patients. Poor health related quality of life (OR: 0.97, 95%CI: 0.95–0.99) was associated with higher risk of depression in patients on insulin therapy.Impairments in daily activities and lower HRQoL were predictors of depressive symptomatology in elderly with diabetes. Determinants of depression varied according to pharmacotherapeutic class of antidiabetic medications.Diabetes affects 20.8 million individuals and is considered as the sixth leading cause of death in the United States [1]. It poses an immense economic burden on the U.S. healthcare system costing around $100 billion annually [1]. Around 7 million elderly Americans suffer from type 2 diabetes mellitus. An elderly population in the United States is associated with maximum utilization of healthcare resources [2].Like diabete
Profile of Brazilian scientific research in pediatric dentistry based on the 26th Annual Meeting of the SBPqO
Morosini, Imara de Almeida Castro;Otto, Wanessa Bueno;Carneiro, Vera Lúcia;Oliveira, Louise Liu Rigo Vargas de;Oliveira, Diego Canavese de;Ferreira, Fernanda de Morais;
Revista Odonto Ciência , 2012, DOI: 10.1590/S1980-65232012000200007
Abstract: purpose: to describe the brazilian scientific research in pediatric dentistry in 2009 based on the 26th annual meeting of the sbpqo (brazilian division of the iadr). methods: all studies on pediatric dentistry were selected from the abstracts presented at the 26th annual meeting of the sbpqo in 2009. they were assessed in terms of subjects, methodology and sampling units. results: of the 2,648 abstracts presented, 7.7% were on pediatric dentistry, thereby representing the field with the 4th greatest participation in the meeting. the southeast was the most productive region in brazil, accounting for 70.1% of abstracts. a wide range of subjects were addressed: dental trauma (5.4%), diagnosis of dental caries (4.9%), diet and dental caries (4.4%), endodontic medication (4.4%), developmental enamel defects (3.4%), glass ionomer cement (3.4%), and dental care for pregnant women (3.4%). the cross-sectional design was the most prevalent type of study (52.5%), followed by in vitro studies (23.5%). only 2.5% of the abstracts were randomized controlled trials. a total of 41.7% of the studies included children aged 0 to 11 years old, while 14.7% used human deciduous teeth. conclusion: pediatric dentistry played an important role in brazilian scientific research in 2009, presenting a broad diversity of subjects and methodological approaches.
Assessment of prevalence study of 40 variables related to painful dysfunction syndrome of masticatory muscles in patients referred to faculty of dentistry in Mashhad, Northeast of Iran
Hamed Mortazavi,Abbas Javadzadeh,Zahra Delavarian,Zare Mahmoodabadi
Iranian Journal of Otorhinolaryngology , 2010,
Abstract: Introduction: Painful dysfunction syndrome of masticatory muscles is one of the most important causes of pain in orofacial region. Therefore, the aim of this study was to evaluate the prevalency of 40 variables related to this disorder. Materials and Methods: A total 39 patients (32 females, 7 males) with painful dysfunction syndrome of masticatory muscles were studied. Patients were evaluated for prevalence of age, sex, job, marriage status, masticatory muscles tenderness, maximum mouth opening, deviation, deflection, temporomandibular joint involvement, habits, parafunctions, mall occlusions, neck pain, headache, ear pain and previous history of jaw involvement. Results: Mean age of patients was 35±13.32 years old and most common range of age was 20-40, 51% were house wife and 74.4% were married. Other variables included: Clicking (74.4%), temporomandibular joint pain (54%), headache (46.2%), ear pain (41%), neck pain (35.9%), limitation of maximum opening (71.8%), class I mall occlusion (74.4%), cross bite and deep bite (25.6%), deviation (7.7%), deflection (41%), bruxism (56.4%), clenching (64.1%) Masseter and external petrygoid (85%) muscles of masticatoty muscles had higher involvement. Conclusion: Because of painful dysfunction syndrome of masticatory muscles has variable signs and symptoms, diagnosis and treatment planning may be very difficult, Therefore having more information about this disorder can help physicians to make best decisions.
Retention system for implant-supported dentures used by brazilian dentists who work in implant dentistry  [PDF]
Fábio Pontes Dantas,Saturnino Aparecido Ramalho
RGO : Revista Gaúcha de Odontologia , 2010,
Abstract: Objective: To provide the dentists with support in the choice of the cement or screw type of retention for implant-supported dentures, according to the patient’s problem. Methods: An opinion questionnaire was applied to a sample of 468 participants, all dentists working in the field of Implant Dentistry, of whom 272 (58.1%) participated in the 4th International Congress of Osseointegration of APCD, held in S o Paulo (SP) from 6 to 9 May 2004, 119 (25.4%) participated in the 2nd International Congress of Implant Dentistry of Minas Gerais, between 10 and 12 June 2004 and 77 (16.5%) were professors and specialization and master students from S o Leopoldo Mandic. Results: The results showed that 254 participants opted for the screw-retained system while 214 opted for the cement-retained system. Conclusion: There was a preference for the use of the screw-retained system, and that both cemented and screw-retained systems have advantages and disadvantages, so that the dentist is left to decide and evaluate them in order to indicate and use them with confidence in different clinical cases.
Dental approach in the pediatric oncology patient: characteristics of the population treated at the dentistry unit in a pediatric oncology brazilian teaching hospital
Carrillo, Camila;Vizeu, Heloisa;Soares-Júnior, Luis Alberto;Fava, Marcelo;Odone Filho, Vicente;
Clinics , 2010, DOI: 10.1590/S1807-59322010000600002
Abstract: objectives: the objective of this paper was to characterize the population seen at the dentistry unit of the hematology-oncology service of the oncology-hematology service, instituto da crian?a at the hospital das clínicas, faculdade de medicina, universidade de s?o paulo. oral problems resulting from cancer therapy increase the risk of infection, length of hospital stay, treatment cost and negative impact on the course and prognosis of the disease. method: of the 367 medical records of cancer patients seen from november 2007 until december 2008: 186 with a cancer diagnosis and complete clinical data were selected, while 20 with a cancer diagnosis and incomplete records were excluded; 161 medical records with only hematological diagnosis were also excluded. the following characteristics were assessed: ethnicity, gender, age, diagnosis and characteristics of the neoplasm, cancer therapy status and performed dental procedures. results: review of 1,236 visits indicated that 54% (n=100) of the patients had blood cancers, 46% (n=86) had solid tumors and 63% were undergoing anticancer therapy. the proportion of males (52.7%) in the study population was slightly greater. the most common cancer was acute lymphocytic leukemia (32.2%). cancer occurred more often among those patients aged 5 to 9 years. the most common dental procedures were restorative treatment, preventive treatment and removal of infectious foci. conclusion: the characteristics of the studied population were similar to those of the general brazilian and global populations, especially regarding gender and diagnosis distributions. the aim of implementation of the dentistry unit was to maintain good oral health and patients' quality of life, which is critical to provide oral care and prevent future oral problems.
Epileptic events in the XIX century as reported by the Brazilian Royal Family
Gomes, Marleide da Mota;Maia-Filho, Heber de Souza;
Arquivos de Neuro-Psiquiatria , 2010, DOI: 10.1590/S0004-282X2010000300029
Abstract: members of the brazilian royal family carry a rich medical history of epileptic seizures and alike. objective: to present the medical knowledge about epilepsy by the time of the brazilian empire, as reported by the royal family. method: narrative review of historical facts about d. pedro i's family health. results: the royal family, since d. jo?o vi's generation is full of members with epilepsy or acute symptomatic seizures of different etiologies. conclusion: the reported cases suggest that dom pedro i's family presented epilepsy with tonic-clonic generalized seizures, besides psychogenic, organic non epileptic events and acute symptomatic seizures. as a whole, this familial epilepsy could fit the diagnosis of generalized epilepsy with febrile convulsion plus.
Are self-reported measures valid for the assessment of nutritional status in the brazilian population?
Raildo da Silva Coqueiro,Lucélia Justino Borges,Valbério Candido Araújo,Andreia Pelegrini
Revista Brasileira de Cineantropometria e Desempenho Humano , 2009,
Abstract: Self-reported measures have been widely used for the assessment of nutritional status in epidemiological studies. This paper discusses aspects regarding the validity of self-reported measures of body weight and height for the assessment of nutritional statusin Brazilian children, adolescents, adults and elderly subjects. The available evidence suggests that: a) in children, the use of self-reported measures is not recommended because of the lack of Brazilian studies; b) in adolescents, these measures should be used with caution since the only study carried out in Brazil was restricted to a local sample and may not represent the situation in other regions; c) in adults, this method can be considereda viable alternative for assessing and monitoring nutritional status in situations in which these data cannot be measured directly; d) in the elderly, the use of self-reported measures cannot yet be recommended for two reasons: first, studies specifically includingsubjects older than 60 years have not been conducted and, second, this age group tends to estimate these measures less accurately.
Agency and Relationship Dissatisfaction Associated with Orthorexia Symptomatology  [PDF]
Crystal D. Oberle, Shelby L. Lipschuetz
Open Journal of Psychiatry (OJPsych) , 2018, DOI: 10.4236/ojpsych.2018.83027
Abstract: This study explored whether orthorexia symptomatology is linked to gender-related personality traits and to levels of satisfaction in one’s romantic relationships. Undergraduate students (418 women, 98 men) completed an online survey with measures to assess orthorexia symptomatology, agency, unmitigated agency, communion, unmitigated communion, and relationship satisfaction. Orthorexia symptomatology was positively correlated with levels of agency (r = 0.18; p < 0.001), but it was unrelated to unmitigated agency (p = 0.51), communion (p = 0.76), unmitigated communion (p = 0.17), and relationship status (p = 0.99). Among the participants who were in a committed relationship, symptomatology was negatively correlated with relationship satisfaction (p = 0.01), and this correlation was most pronounced for those with higher levels of unmitigated agency (p = 0.01). Orthorexia is associated with the agency personality trait, indicative of one’s need to be independent and to achieve personal accomplishments. However, particularly for those individuals whose agency becomes unmitigated, characterized by selfishness and avoidance of others, orthorexia symptomatology predicts significant dissatisfaction in romantic relationships.
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