24 research outputs found

    A systematic review of home-based dietary interventions during radiation therapy for cancer.

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    Purpose: Our objectives are to assess (1) the acceptability and feasibility of dietary interventions for patients undergoing radiation therapy (RT), and (2) the impact of dietary interventions on patient reported outcomes, toxicities, and survival. Methods: A PICOS/PRISMA/MOOSE selection protocol was used to include articles that evaluate adding dietary interventions to patients receiving RT. Acceptability was defined as (# accepting/# approached); feasibility was (# completing/# approached). Patient-reported outcomes were reported based on questionnaires used in each study and survival was measured from the date of diagnosis until death in each study. Level of evidence was assessed with Center for Evidence-Based Medicine (CEBM) criteria. Results: Sixteen articles were included; among these, 2027 patients were approached regarding the intervention, and 1661 accepted (81.9%); of these, 1543 (92.9%) completed the prescribed diet + RT course. The most common cancers included were gynecological, head and neck, and gastrointestinal. For patients with pelvic cancers, a high fiber diet may improve diarrhea (CEBM level 1b). Enteral nutrition formula, including formulas with proteins such as L-arginine, lipids such as eicosapentaenoic acids, glucids, and ribonucleotides, may help prevent of malnutrition in head and neck cancer patients undergoing RT (level 2b). Vitamin C and ÎČ-carotene may reduce of xerostomia in head and neck cancer patients; however, the studies evaluating these vitamins included vitamin E, which increases all-cause mortality (level 2b). No dietary intervention for cancer patients receiving RT has been shown to improve survival. Conclusion: There are limited data to support safe and efficacious use of dietary interventions during RT

    Tully–Fisher Distances and Dynamical Mass Constraints for 24 Host Galaxies of Reverberation-mapped AGNs

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    International audienceWe present Tully–Fisher distances for 24 active galactic nucleus (AGN) host galaxies with black hole mass (M BH ) measurements from reverberation mapping, as well as the first calibration of the V-band Tully–Fisher relation. Combining our measurements of H i 21 cm emission with Hubble Space Telescope and ground-based optical and near-infrared images allows multiple distance measurements for 19 galaxies and single measurements for the remaining 5. Separation of the nucleus from its host galaxy via surface brightness decomposition yields galaxy-only luminosities, thus allowing measurements of the distance moduli free of contamination from the AGNs. For 14 AGN hosts, these are the first reported distances independent of redshift, and hence independent of peculiar velocities. For the remaining galaxies, we show good agreement between our distances and those previously reported from surface brightness fluctuations and Cepheids. We also determine the total galaxy mass enclosed within the estimated H i radius, which when compared to the baryonic content allows for constraints on the dark matter masses. We find a typical mass fraction of M DM /M DYN = 62%, and find significant correlations between M BH –M DYN and M BH –M DM . Finally, we scale our galaxy radii based on estimated relationships between visible and halo radii and assume a flat rotation curve out to the halo radius to approximate M HALO . Over the range of M BH and M HALO in this sample, we find good agreement with observationally constrained relationships between M BH and M HALO and with hydrodynamical simulations

    Increasing serotonin concentrations alter calcium and energy metabolism in dairy cows.

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    A 4×4 Latin square design in which varied doses (0, 0.5, 1.0, and 1.5 mg/kg) of 5-hydroxy-l-tryptophan (5-HTP, a serotonin precursor) were intravenously infused into late-lactation, non-pregnant Holstein dairy cows was used to determine the effects of serotonin on calcium and energy metabolism. Infusion periods lasted 4 days, with a 5-day washout between periods. Cows were infused at a constant rate for 1 h each day. Blood was collected pre- and 5, 10, 30, 60, 90, and 120 min post-infusion, urine was collected pre- and post-infusion, and milk was collected daily. All of the 5-HTP doses increased systemic serotonin as compared to the 0 mg/kg dose, and the 1.0 and 1.5 mg/kg doses increased circulating glucose and non-esterified fatty acids (NEFA) and decreased beta-hydroxybutyrate (ÎČHBA) concentrations. Treatment of cows with either 1.0 or 1.5 mg/kg 5-HTP doses decreased urine calcium elimination, and the 1.5 mg/kg dose increased milk calcium concentrations. No differences were detected in the heart rates, respiration rates, or body temperatures of the cows; however, manure scores and defecation frequency were affected. Indeed, cows that received 5-HTP defecated more, and the consistency of their manure was softer. Treatment of late-lactation dairy cows with 5-HTP improved energy metabolism, decreased loss of calcium into urine, and increased calcium secretion into milk. Further research should target the effects of increasing serotonin during the transition period to determine any benefits for post-parturient calcium and glucose metabolism

    Transforming poverty-related policy with intersectionality

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    Despite progress toward poverty alleviation, policy making still lags in thinking about how individuals experience poverty as overlapping sources of disadvantage. Using the lens of intersectionality, this article identifies the gaps that arise from a conventional focus on isolated facets of poverty. Insights generated from an analysis of extant scholarship are used to develop a road map to help policy makers develop programs that address the complex experience of poverty and promote transformative solutions
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