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Leo Meunier Jossie A. Garthoff Anne Schaafsma Lisette Krul Jaap Schrijver Johannes B. van Goudoever Gerrit Speijers Yvan Vandenplas 《Regulatory toxicology and pharmacology : RTP》2014
Locust bean gum (LBG) is a galactomannan polysaccharide used as thickener in infant formulas with the therapeutic aim to treat uncomplicated gastroesophageal reflux (GER). Since its use in young infants below 12 weeks of age is not explicitly covered by the current scientific concept of the derivation of health based guidance values, the present integrated safety review aimed to compile all the relevant preclinical toxicological studies and to combine them with substantial evidence gathered from the clinical paediatric use as part of the weight of evidence supporting the safety in young infants below 12 weeks of age. LBG was demonstrated to have very low toxicity in preclinical studies mainly resulting from its indigestible nature leading to negligible systemic bioavailability and only possibly influencing tolerance. A standard therapeutic level of 0.5 g/100 mL in thickened infant formula is shown to confer a sufficiently protective Margin of Safety. LBG was not associated with any adverse toxic or nutritional effects in healthy term infants, while there are limited case-reports of possible adverse effects in preterms receiving the thickener inappropriately. Altogether, it can be concluded that LBG is safe for its intended therapeutic use in term-born infants to treat uncomplicated regurgitation from birth onwards. 相似文献
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目的观察黎氏哮喘I号方治疗小儿外寒肺热型哮喘的临床疗效。方法将80例哮喘患儿随机分为2组。治疗组50例口服黎氏哮喘I号方加减治疗;对照组30例予以西医抗炎、平喘药物治疗。2组疗程均为7d。结果治疗组临床治愈38例,好转10例,未愈2例,总有效率为96.0%;对照组临床治愈9例,好转16例,未愈5例,总有效率为83.3%。2组总有效率比较,差异有统计意义(P〈0.05)。2组治疗前后同组症状积分值比较,差异有统计意义(P〈0.05或P〈0.01);治疗后与对照组比较,差异有统计意义(P〈0.05),治疗组优于对照组。结论黎氏哮喘I号方治疗小儿外寒肺热型哮喘可明显改善患儿临床症状,疗效显著。 相似文献
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Yuka Tsujimura Yoshimitsu Takahashi Tatsuro Ishizaki Akira Kuriyama Kikuko Miyazaki Toshihiko Satoh Shunya Ikeda Shinya Kimura Takeo Nakayama 《Diabetes research and clinical practice》2014
Aims
Although people screened as being hyperglycaemic often fail to follow up with physicians for clinical assessment, epidemiologic findings on the frequency and predictors of not following up (hereafter, “no follow-up”) are lacking. The purpose of this study was to examine the no follow-up rate with physicians after screening for diabetes and predictors of no follow-up.Methods
We assessed cases of no follow-up with physicians within six months after screening based on medical claims data from employee-based social health insurance programs in Japan, for people aged 20 to 68 years from 2005 to 2010.Results
Among 3878 screened participants with hyperglycaemia, 2527 (65%) did not follow up with their physicians within six months after screening. Multiple logistic regression analysis revealed that younger age and lower blood glucose level predicted no follow-up among both men and women, while lower body mass index and negative proteinuria also predicted no follow-up among men. Treatment for dyslipidaemia facilitated follow-up among both genders, and treatment for hypertension or depression facilitated follow-up among men.Conclusions
Approximately two thirds of individuals screened as having hyperglycaemia did not follow up with their physicians within six months after screening. Predictors of no follow-up were younger age and milder hyperglycaemia. Being on treatment for co-morbidities tended to facilitate follow-up. 相似文献97.
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