Nutritional implications of food allergies

Food allergy is becoming an increasing problem worldwide, with an estimated 6–8% of children affected at some point in their childhood. It is important to recognise that the nutritional implications encompass not only the elimination of essential food(s) from the diet (and the consequent attendant lack of energy, protein or other macro or micro constituents, including vitamins), but that undiagnosed or poorly managed conditions such as severe hayfever or asthma may result in decreased activity, and/or increased or decreased food intake, which in turn may cause either negative effects on growth, or obesity. Clinical awareness is required among health professionals as to the clinical characteristics, epidemiology, investigation, and management of food allergic disorders, as is the inclusion of a dietitian as part of the allergy team. Good dietary intervention in children (and adults) with single or multiple food allergies should be seen as an integral part of the allergy consultation.It remains an essential part of holistic care.

Multiple organ failure - death of consumer protection?

The enormously profitable complementary medicines, dietary supplements and traditional medicines markets are largely unregulated internationally and South Africa. Attempts to ensure that consumers are not exposed to harmful or ineffective products have met with varying success around the world

Voluntary binocular gaze-shifts in the plane of regard: Dynamics of version and vergence

We studied the dynamics of voluntary, horizontal, binocular gaze-shifts between pairs of continuously visible, real three-dimensional targets. Subjects were stabilized on a biteboard to allow full control of target angles, which were made to differ only in distance (pure vergence), only in direction (pure version; conjugate saccades) or in both distance and direction (disjunctive saccades). A wide range of changes in vergence (0-25 deg) and version (0-65 deg) was recorded to study the dynamics of disjunctive saccades, described until now for limited ranges, throughout the horizontal oculomotor range within manual working space, and to study the velocity-duration-amplitude relations ("main sequence") of disjunctive vs conjugate saccades. Pure vergence was almost never observed; divergence, especially, was always associated with saccades. Likewise, horizontal saccades were never strictly conjugate, they always contained a transient divergence-convergence sequence. The amplitude and velocity of these transient components varied systematically with saccadic size. In combined version-vergence movements, vergence was, in general, accelerated and shortened as a function of increasing version. This effect was fairly uniform for divergence, which appeared to increase in velocity by about as much as the transient peak divergent velocity of the version saccade. The intrasaccadic fraction of divergence increased from about 50% to close to 100% as a function of increasing version. For convergence, saccades up to about 20 deg were also accelerating; in this case it appeared as if the transient peak convergent velocity of the version saccade was added to the basic convergence velocity. For larger saccades this effect was partly counteracted by the penetration of an initial divergence associated with the saccade. This initial divergence delayed and slowed down convergence. The intrasaccadic fraction of convergence varied between about 40% and 70%. In disjunctive saccades the individual eyes did not follow the main-sequence parameters of conjugate saccades of comparable sizes, except for the eye that moved with the combination "abduction and divergence". For all other combinations of vergence and version, disjunctive saccades had lower peak velocities and longer durations than conjugate saccades. As a consequence, disjunctive version was also slower than conjugate version. Thus, while version accelerates vergence, vergence slows down version: in the generalized case of three-dimensional gaze-shifts, peak velocities and durations are in between those of the limiting cases of pure version and pure vergence. We conclude that, within manual working space, binocular gaze-shifts are effected by the highly integrated action of conjugate and disjunctive mechanisms, both of which are expressed preferentially in fast, saccadic movements

Pain patterns in patients with polycystic kidney disease

Pain patterns in patients with polycystic kidney disease.BackgroundPain is a common problem in patients with polycystic kidney disease (PKD), but patterns have not been characterized as to frequency and severity. Physicians should be aware of pain problems so an approach to chronic pain management can be pursued.MethodsOne hundred seventy-one completed questionnaires out of 300 distributed to PKD patients whose renal function ranged from normal to end-stage renal disease (ESRD) were analyzed. Age at diagnosis of PKD was documented, and patients noted how the diagnosis was made. Location, severity, and frequency of pain were characterized. The Visual Analogue Scale (VAS) was used to measure pain intensity.ResultsThere were 94 females and 77 male respondents, with a mean age of 47.4 years. Initial diagnosis of PKD occurred at a mean age of 31.6 years. Caucasians comprised 92.2% of the respondents. Patients' symptoms, a family history of PKD, and discovery of PKD during evaluation for hypertension or hematuria were the most frequent factors that led to the diagnosis. Order of frequency of pain was: low back pain, abdominal pain, headache, chest pain, and leg pain. Severity of pain, documented by the VAS intensity, was 4 to 5/10 in the majority of patients.ConclusionPain, which can be diffuse, is the most frequent symptom that led to the diagnosis of PKD in patients who responded to this questionnaire, and occurs with greater frequency than generally appreciated. Physicians need to obtain a detailed history about pain in their PKD population so as to allow an approach to pain management

Two classes of generalized functions used in nonlocal field theory

We elucidate the relation between the two ways of formulating causality in nonlocal quantum field theory: using analytic test functions belonging to the space $S^0$ (which is the Fourier transform of the Schwartz space $\mathcal D$) and using test functions in the Gelfand-Shilov spaces $S^0_\alpha$. We prove that every functional defined on $S^0$ has the same carrier cones as its restrictions to the smaller spaces $S^0_\alpha$. As an application of this result, we derive a Paley-Wiener-Schwartz-type theorem for arbitrarily singular generalized functions of tempered growth and obtain the corresponding extension of Vladimirov's algebra of functions holomorphic on a tubular domain.Comment: AMS-LaTeX, 12 pages, no figure