6,185 research outputs found

    Update on celiac disease – etiology, differential diagnosis, drug targets, and management advances

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    Celiac disease (CD) is an immune-mediated enteropathy triggered by exposure to wheat gluten and similar proteins found in rye and barley that affects genetically susceptible persons. This immune-mediated enteropathy is characterized by villous atrophy, intraepithelial lymphocytosis, and crypt hyperplasia. Once thought a disease that largely presented with malnourished children, the wide spectrum of disease activity is now better recognized and this has resulted in a shift in the presenting symptoms of most patients with CD. New advances in testing, both serologic and endoscopic, have dramatically increased the detection and diagnosis of CD. While the gluten-free diet is still the only treatment for CD, recent investigations have explored alternative approaches, including the use of altered nonimmunogenic wheat variants, enzymatic degradation of gluten, tissue transglutaminase inhibitors, induction of tolerance, and peptides to restore integrity to intestinal tight junctions

    Maternal recognition of child mental health problems in two Brazilian cities

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    Objective: To identify child behaviors and types of impairment that increase the likelihood of maternal recognition of emotional/behavioral problems (EBP) in children and adolescents. Methods: Maternal-reported data were obtained from two subsamples of 11-to-16-year-olds derived from cross-sectional studies conducted in two Brazilian municipalities: Itaborai, state of Rio de Janeiro (n=480), and Embu, state of Sao Paulo (n=217). The Itaborai study involved a representative sample of 6-to-16-year-olds (n=1,248response rate = 86.0%) selected from the Family Health Program registry, which covered 85.5% of the municipal population. The Embu study was based on a probabilistic sample of clusters of eligible households (women aged 15-49 years, child < 18 years), with one mother-child pair selected randomly per household (n=813response rate = 82.4%). The outcome variable was mother's opinion of whether her child had EBP. Potential correlates included types of child behaviors (hyperactivity/conduct/emotional problems as isolated or combined conditions) and impairment, assessed using the Strengths and Difficulties Questionnaire (SDQ)child's age and gendermaternal education and anxiety/depression (assessed using the Self-Reporting Questionnaire [SRQ]). Results: Multivariate regression models identified the following correlates of maternal perception of child EBP: comorbidity (co-occurring hyperactivity/conduct/emotional problems), emotional problems alone, and interference of problems with classroom learning and friendships. Conclusion: Comorbidity of different problem types, emotional problems alone, and interference with classroom learning and friendships increase the likelihood of maternal recognition of EBP in children.Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPqMCT/CNPq/CT-Saude/MS/SCTIE/DECIT grant) [33/2008]Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [00/14555-4]Univ Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, BrazilUniv Cambridge, Dept Psychiat, Cambridge, EnglandUniv Fed Pelotas, Programa Posgrad Epidemiol, Pelotas, RS, BrazilUniv Fed Sao Paulo UNIFESP, Dept Psiquiatria, Sao Paulo, SP, BrazilCNPqMCT/CNPq/CT-Saude/MS/SCTIE/DECIT grant) [33/2008]FAPESP [00/14555-4]Web of Scienc

    Corporate Takeovers: Who Wins; Who Loses; Who Should Regulate

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    On December 3, 1987, during its 11th Annual Policy Conference in Washington, DC, the American Enterprise Institute convened a panel discussion on Corporate Takeovers and Insider Trading: Who Should Regulate? The panelists were John C. Coffee, Jr., professor of law at Columbia University; Joseph A. Grundfest, commissioner at the Securities and Exchange Commission; Roberta Romano, professor of law at Yale Law School; and Murray L. Weidenbaum, Mallinckrodt Distinguished University Professor and director of the Center for the Study of American Business at Washington University. The panel was moderated by Christopher C. DeMuth, president of AEI. The following discussion is drawn from these proceedings

    Unleash Physical Limitations: Virtual Emergency Preparedness Planning Simulation Training, Methodology and a Case Study

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    Simulation is perhaps the most widely used method for training emergency management workers. Despite its wide application, traditional simulation suffers from several constraints and limitations, which motivate us to pursue a different way – virtual simulation, as an alternative and supplement for the traditional training method. Utilization of groupware, network, and other information technologies makes virtual simulation more flexible and easier to prepare. Although virtual simulation can overcome some of the constraints related to physical simulation, so far there are little evidences that this new method can achieve similar or even better training effects compared with traditional simulation training method. To test the effects of this new training approach and the methodology to run it, several pilot trials have been conducted in the U.S. and Europe. This article is an exploratory study of a pilot emergency preparedness planning virtual simulation conducted in NJIT in late 2004. This study will help us understand the nature of virtual simulation, and help us improve the theories and designs of virtual simulation for emergency preparedness

    Evaluation of household drinking water filter distribution programmes in Haiti

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    Household water treatment can reduce diarrhoeal disease in populations without safe water access. We evaluated five programmes that distributed biosand, ceramic, or Sawyer household water filters in Haiti after the 2010 earthquake. We conducted household surveys, collected water samples, and tested water quality at ~50 houses from each programme. Across programmes, self-reported filter use ranged from 27-78%; confirmed use (met reported use and showed the filter with water in it) ranged from 20-76%; and, effective use (stored water quality was improved to international guideline values using the filter) ranged from 0-54%. More successful programmes: 1) distributed an effective technology; 2) provided safe storage; 3) required cash investment; 4) provided initial training; 5) provided follow-up; 6) provided supply-chain access; 7) targeted households relying on contaminated water sources; and, 8) had experience working in the local context. These findings suggest that well implemented programmes can result in sustained filter use in Haiti

    Ancient Egypt 1916 Part 1

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    Part 1 of the 1916 Ancient Egypt books. Contents include Egypt in the Grail Romance, French and Italian Egyptology, the Grenfell scarabs, and the end of the Hittites.https://knowledge.e.southern.edu/kweeks_coll/1005/thumbnail.jp
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