1,653 research outputs found

    Whey- vs Casein-Based Enteral Formula and Gastrointestinal Function in Children With Cerebral Palsy.

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    Objectives: Children with severe cerebral palsy (CP) commonly have gastrointestinal (GI) dysfunction. Whey-based enteral formulas have been postulated to reduce gastroesophageal reflux (GOR) and accelerate gastric emptying (GE). The authors investigated whether whey-based (vs casein-based) enteral formulas reduce GOR and accelerate GE in children who have severe CP with a gastrostomy and fundoplication. Methods: Thirteen children received a casein-based formula for 1 week and either a 50% whey whole protein (50% WWP) or a 100% whey partially hydrolyzed protein (100% WPHP) formula for 1 week. Reflux episodes, gastric half-emptying time (GE t1/2), and reported pain and GI symptoms were measured. Results: Whey formulas emptied significantly faster than casein (median [interquartile range (IQR)] GE t1/2, 33.9 [25.3-166.2] min vs 56.6 [46-191] min; P = .033). Reflux parameters were unchanged. GI symptoms were lower in children who received 50% WWP (visual analog symptom score, median [IQR], 0[0-11.8]) vs 100% WPHP (13.0 [2.5-24.8]) (P = .035). Conclusion: This pilot study shows that in children who have severe CP with a gastrostomy and fundoplication, GE of the whey-based enteral formula is significantly faster than casein. The acceleration in GE does not alter GOR frequency, and there appears to be no effect of whey vs casein in reducing acid, nonacid, and total reflux episodes. The results indicate that enteral formula selection may be particularly important for children with severe CP and delayed GE. (JPEN J Parenter Enteral Nutr. 2012;36:118S-123S

    Intracranial oligodendroglioma with optic nerve infiltration in a Labrador retriever

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    A seven-year-old neutered male Labrador retriever was presented with behavioral changes and reduced vision. Neurological examination revealed blindness of the left eye with a positive pupillary light reflex and a decreased mental status. Blood and cerebrospinal fluid analyses showed no abnormalities. MRI revealed a deviant area located in the thalamic, hypothalamic and caudate nuclear regions. Invasion of the left optic nerve was also observed. The dog was euthanized after 38 days of palliative treatment. Necropsy showed a non-encapsulated extruding white lardaceous mass, with a diameter of 2 cm, in the white matter, located in the ventral thalamic region near the chiasma opticum, which extended along the left optic nerve. Histologically, neoplastic cells had a “fried egg” appearance. Immunolabelling for glial fibrillary acidic protein demonstrated the presence of numerous reactive astrocytes. The tumor was diagnosed as a low grade (II) intracranial oligodendroglioma with infiltration of the optic nerve.</jats:p

    Global Stability of Infectious Disease Models Using Lyapunov Functions

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    Two systematic methods are presented to guide the construction of Lyapunov functions for general infectious disease models and are thus applicable to establish their global dynamics. Specifically, a matrix-theoretic method using the Perron eigenvector is applied to prove the global stability of the disease-free equilibrium, while a graph-theoretic method based on Kirchhoff\u27s matrix tree theorem and two new combinatorial identities are used to prove the global stability of the endemic equilibrium. Several disease models in the literature and two new cholera models are used to demonstrate the applications of these methods

    A study on vaccination models for a seasonal epidemic process

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    In this paper seasonal epidemiological processes are considered and a strategy of periodic vaccination is proposed. The invariant formulations associated with an N-periodic system and the reproduction numbers associated with them are considered. A collection of measures to study the stability of the system is introduced. Moreover, the collection of s-basic reproduction number at time j help us to establish conditions on the periodic vaccination rates in the vaccination program. Finally, an SIR model is showed and a comparison between the results obtained using constant or periodic vaccination program is analyzed. (C) 2014 Elsevier Inc. All rights reserved.The authors wish to express their thanks to the reviewers for helpful comments and suggestions. This paper is supported by Grant MTM2010-18228.CantĂł Colomina, B.; Coll, C.; SĂĄnchez, E. (2014). A study on vaccination models for a seasonal epidemic process. Applied Mathematics and Computation. 243:152-160. https://doi.org/10.1016/j.amc.2014.05.104S15216024
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