28 research outputs found

    Effects of conjugated fatty acid supplementation on central obesity and blood pressure in women with benign breast disease: A randomized controlled-clinical trial

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    Summary. Objective: Health benefits of conjugated fatty acids, particularly conjugated linolenic acid (CLNA), have recently provide substantial insights in a variety of obesity-related tumorigenesis including breast neoplasia. This study aims to investigate the effects of CLNA-contained oil (CLNAO) supplementation on central obesity indices and blood pressure in women with benign breast disease (BBD). Methods: Forty six pre-menopausal women with BBD were randomly allocated to intervention group (n=23) or placebo (n=23). Patients in the intervention group received 1000 mg/day CLNAO capsule and the placebo group received 1000 mg/day inert oil-contained capsule during 13 weeks. Measures of blood pressure and some anthropometric variables were performed at the baseline and end of study. Result: Systolic (P<0.01) and diastolic (P<0.05) blood pressures decreased within CLNAO group on subjects whom were overweight. Normal weight participants who received placebo showed significant increases in total body fat (P<0.05), waist circumference (P<0.05), and waist circumference to height ratio (P<0.05), meantime CLNAO group showed no changes on both variables. Intervention with CLNAO caused no significant increases on skinfolds of abdomen and suprailiac, whereas these measures were remarkably increased in placebo (P<0.001 and P<0.05, respectively). Conclusion: Findings from this study show that CLNAO can attenuate development of central fat acquisition in the BBD patients who weighted normally. Administration of CLNAO decline systolic and diastolic blood pressures of overweight subjects. © Mattioli 188

    An experimental study of the dual-fuel performance of a small compression ignition diesel engine operating with three gaseous fuels

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    A dual-fuel engine is a compression ignition (CI) engine where the primary gaseous fuel source is premixed with air as it enters the combustion chamber. This homogenous mixture is ignited by a small quantity of diesel, the ‘pilot’, that is injected towards the end of the compression stroke. In the present study, a direct-injection CI engine, was fuelled with three different gaseous fuels: methane, propane, and butane. The engine performance at various gaseous concentrations was recorded at 1500 r/min and quarter, half, and three-quarters relative to full a load of 18.7 kW. In order to investigate the combustion performance, a novel three-zone heat release rate analysis was applied to the data. The resulting heat release rate data are used to aid understanding of the performance characteristics of the engine in dual-fuel mode. Data are presented for the heat release rates, effects of engine load and speed, brake specific energy consumption of the engine, and combustion phasing of the three different primary gaseous fuels. Methane permitted the maximum energy substitution, relative to diesel, and yielded the most significant reductions in CO2. However, propane also had significant reductions in CO2 but had an increased diffusional combustion stage which may lend itself to the modern high-speed direct-injection engine

    Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018

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    Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000–2018 geospatial estimates of anemia prevalence in women of reproductive age (15–49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization’s Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations

    Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018

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    Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000–2018 geospatial estimates of anemia prevalence in women of reproductive age (15–49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization’s Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations.Peer reviewe

    Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990-2019 : a systematic analysis from the Global Burden of Disease Study 2019

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    Background Ending the global tobacco epidemic is a defining challenge in global health. Timely and comprehensive estimates of the prevalence of smoking tobacco use and attributable disease burden are needed to guide tobacco control efforts nationally and globally. Methods We estimated the prevalence of smoking tobacco use and attributable disease burden for 204 countries and territories, by age and sex, from 1990 to 2019 as part of the Global Burden of Diseases, Injuries, and Risk Factors Study. We modelled multiple smoking-related indicators from 3625 nationally representative surveys. We completed systematic reviews and did Bayesian meta-regressions for 36 causally linked health outcomes to estimate non-linear dose-response risk curves for current and former smokers. We used a direct estimation approach to estimate attributable burden, providing more comprehensive estimates of the health effects of smoking than previously available. Findings Globally in 2019, 1.14 billion (95% uncertainty interval 1.13-1.16) individuals were current smokers, who consumed 7.41 trillion (7.11-7.74) cigarette-equivalents of tobacco in 2019. Although prevalence of smoking had decreased significantly since 1990 among both males (27.5% [26. 5-28.5] reduction) and females (37.7% [35.4-39.9] reduction) aged 15 years and older, population growth has led to a significant increase in the total number of smokers from 0.99 billion (0.98-1.00) in 1990. Globally in 2019, smoking tobacco use accounted for 7.69 million (7.16-8.20) deaths and 200 million (185-214) disability-adjusted life-years, and was the leading risk factor for death among males (20.2% [19.3-21.1] of male deaths). 6.68 million [86.9%] of 7.69 million deaths attributable to smoking tobacco use were among current smokers. Interpretation In the absence of intervention, the annual toll of 7.69 million deaths and 200 million disability-adjusted life-years attributable to smoking will increase over the coming decades. Substantial progress in reducing the prevalence of smoking tobacco use has been observed in countries from all regions and at all stages of development, but a large implementation gap remains for tobacco control. Countries have a dear and urgent opportunity to pass strong, evidence-based policies to accelerate reductions in the prevalence of smoking and reap massive health benefits for their citizens. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.Peer reviewe

    Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018

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