743 research outputs found
Dietary intakes in adult patients with cystic fibrosis–do they achieve guidelines?
AbstractBackground: Most patients with cystic fibrosis (CF) require a higher energy and protein intake than their healthy peer group. There are few data on dietary intakes of adult patients. The aim of this study was to determine nutritional intakes in an adult population with CF. The impact of nutritional intervention and disease on macronutrient intake was examined. Methods: Retrospective cross-sectional analysis of 94 unweighed food diaries at annual review (1995–2000). Energy and protein intakes were compared to the estimated average requirement (EAR) for energy and reference nutrient intake (RNI) for protein. The effect of diet alone, oral supplements, enteral tube feeding, and cystic fibrosis related diabetes (CFRD), on macronutrient intake was examined and impact of pancreatic sufficency (PS) and lung transplantation. Results: Mean energy and protein intakes approached recommended CF guidelines, but in 72% of assessments these values were not achieved. Mean energy and protein intakes for patients on diet alone and protein intake for those with CFRD failed to meet recommendations. Oral supplementation and enteral tube feeding regimens increased energy and protein intake above recommended levels. No group achieved 40% total energy from fat. Patients receiving enteral tube feeds had the highest mean energy and protein intakes but lowest body mass index (BMI) and lung function. Conclusion: Adequate mean energy and protein intakes in adult patients with CF mask subgroups of patients who fail to meet recommendations ie. diet alone, diabetic. Oral supplementation and enteral tube feeding increase energy and protein intake but fail to achieve an adequate BMI level in subjects with a decreased clinical status. Individual nutritional assessment remains essential
Cost of caregivers for treating hospitalized diarrheal patients in Bangladesh
Diarrheal diseases are a global public health problem and one of the leading causes of mortality, morbidity and economic loss. The objective of the study is to estimate the
economic cost of caregivers and cost distribution per diarrheal episodes in Bangladesh. This was a cross-sectional hospital-based study conducted in public hospitals in Bangladesh. A total of 801 diarrheal patients were randomly selected and interviewed during January to December 2015.
Simple descriptive statistics including frequencies, percentage, mean with 95% CI and median are presented. The overall average cost of caregivers was BDT 2243 (US 3.29) was spent as out of pocket payments. Caregivers mostly spent money (US 1.57). The caregivers spent more (US 12.42). The study delivers an empirical evidence to the health-care programmers and policy makers about the economic cost of caregivers during diarrheal treatment care, which should be accounted for in designing future diarrheal prevention programme
Recent experimental results in sub- and near-barrier heavy ion fusion reactions
Recent advances obtained in the field of near and sub-barrier heavy-ion
fusion reactions are reviewed. Emphasis is given to the results obtained in the
last decade, and focus will be mainly on the experimental work performed
concerning the influence of transfer channels on fusion cross sections and the
hindrance phenomenon far below the barrier. Indeed, early data of sub-barrier
fusion taught us that cross sections may strongly depend on the low-energy
collective modes of the colliding nuclei, and, possibly, on couplings to
transfer channels. The coupled-channels (CC) model has been quite successful in
the interpretation of the experimental evidences. Fusion barrier distributions
often yield the fingerprint of the relevant coupled channels. Recent results
obtained by using radioactive beams are reported. At deep sub-barrier energies,
the slope of the excitation function in a semi-logarithmic plot keeps
increasing in many cases and standard CC calculations over-predict the cross
sections. This was named a hindrance phenomenon, and its physical origin is
still a matter of debate. Recent theoretical developments suggest that this
effect, at least partially, may be a consequence of the Pauli exclusion
principle. The hindrance may have far-reaching consequences in astrophysics
where fusion of light systems determines stellar evolution during the carbon
and oxygen burning stages, and yields important information for exotic
reactions that take place in the inner crust of accreting neutron stars.Comment: 40 pages, 63 figures, review paper accepted for EPJ
Relations between fusion cross sections and average angular momenta
We study the relations between moments of fusion cross sections and averages
of angular momentum. The role of the centrifugal barrier and the target
deformation in determining the effective barrier radius are clarified. A simple
method for extracting average angular momentum from fusion cross sections is
demonstrated using numerical examples as well as actual data.Comment: 16 REVTeX pages plus 8 included Postscript figures (uses the epsf
macro); submitted to Phys. Rev. C; also available at
http://nucth.physics.wisc.edu/preprint
Hyperfine structure of the ground state muonic He-3 atom
On the basis of the perturbation theory in the fine structure constant
and the ratio of the electron to muon masses we calculate one-loop
vacuum polarization and electron vertex corrections and the nuclear structure
corrections to the hyperfine splitting of the ground state of muonic helium
atom . We obtain total result for the ground state hyperfine
splitting MHz which improves the previous
calculation of Lakdawala and Mohr due to the account of new corrections of
orders and . The remaining difference between our
theoretical result and experimental value of the hyperfine splitting lies in
the range of theoretical and experimental errors and requires the subsequent
investigation of higher order corrections.Comment: Talk on poster section of XXIV spectroscopy congress, 28 February-5
March 2010, Moscow-Troitsk, Russia, 21 pages, LaTeX, 8 figure
European Dermatology Forum guidelines on topical photodynamic therapy 2019 Part 1: treatment delivery and established indications – actinic keratoses, Bowen''s disease and basal cell carcinomas
Topical photodynamic therapy (PDT) is a widely approved therapy for actinic keratoses, Bowen''s disease (squamous cell carcinoma in situ), superficial and certain thin basal cell carcinomas. Recurrence rates when standard treatment protocols are used are typically equivalent to existing therapies, although inferior to surgery for nodular basal cell carcinoma. PDT can be used both as lesional and field therapies and has the potential to delay/reduce the development of new lesions. A protocol using daylight to treat actinic keratoses is widely practised, with conventional PDT using a red light after typically a 3-h period of occlusion employed for other superficial skin cancer indications as well as for actinic keratoses when daylight therapy is not feasible. PDT is a well-tolerated therapy although discomfort associated with conventional protocol may require pain-reduction measures. PDT using daylight is associated with no or minimal pain and preferred by patient. There is an emerging literature on enhancing conventional PDT protocols or combined PDT with another treatment to increase response rates. This guideline, published over two parts, considers all current approved and emerging indications for the use of topical PDT in dermatology, prepared by the PDT subgroup of the European Dermatology Forum guidelines committee. It presents consensual expert recommendations reflecting current published evidence
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