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Joanne Frederike OliemanAuthor Vitae Corine PenningAuthor Vitae Hanneke IJsselstijnAuthor Vitae Johanna C. EscherAuthor Vitae Koen F. JoostenAuthor Vitae Jessie M. HulstAuthor Vitae Dick Tibboel Author Vitae 《Journal of the American Dietetic Association》2010,110(3):420-426
The optimal enteral feeding regimen in children with short-bowel syndrome (SBS) is debated by clinicians. The purpose of this article is to present an overview of published data on feeding strategies in children with SBS. A structured literature search (years 1966 through 2007) was done to identify human studies in children directly addressing nutrition (or specified nutrients) in relation to SBS. Eight relevant studies retrieved were graded by seven experts according to the Scottish Intercollegiate Guidelines Network criteria. This grading system is based on the study design and methodological quality of individual studies. Recommendations were made based on the outcome according to the Scottish Intercollegiate Guidelines Network if appropriate and on expert opinion otherwise. The most important recommendations are:
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- Enteral nutrition should be initiated as soon as possible after bowel resection to promote intestinal adaptation.
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- Enteral nutrition should be administered in a continuous fashion.
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- Breast milk or standard polymeric formula (depending on the child's age) is recommended as preferred type of nutrition.
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- Bottle-feeding (small volumes) should be started as soon as possible in neonates to stimulate the suck and swallow reflexes. Solid food can be introduced at the age of 4 to 6 months (corrected for gestational age if necessary) to stimulate oral motor activity and to avoid feeding aversion behavior.
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Daniel Rigaud Claude Fischler Hélène Pennacchio Omer Van den Bergh Matty Chiva† 《Cahiers de Nutrition et de Diététique》2006,41(6):353-363
Purpose: it was to know the cognitive and emotional thoughts concerning foods and eating in the general and student population of the region of Dijon.Methods: a questionnaire concerning the cognitive and emotional thoughts was beforehand established, validated and handed or sent to 10 000 students and persons of the population of Dijon drawn lots and paired according to district and family. The analysis concerned 3 732 persons, i.e. the 882 students and the 2 850 people of both genders from the general population who restored a more than 95% completed and coherent questionnaire.Results: in this population, negative thoughts and fear in front of the food were noted in a not exceptional way:
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- to eat disgusts me: 1.6%;
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- to eat frightens me: 3.3%;
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- the glance of the other one when I eat frightens me: 13%;
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- this food which we propose me make me bad, sink, sad or tightened in 9 at 18% of the cases.
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- binge eating: 8%;
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- bulimia nervosa: 4.3%;
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- anorexia nervosa: 2.2%;
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- low weight (IMC<19 kg/(m)2) and frightens in front of glance of the other one: 13%.
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Direct and indirect effects of metal stress on physiology and life history variation in field populations of a lycosid spider 总被引:1,自引:0,他引:1
Eraly D Hendrickx F Backeljau T Bervoets L Lens L 《Ecotoxicology and environmental safety》2011,74(6):1489-1497
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- Under stress, life history theory predicts reduced growth rates and adult sizes, reduced reproductive allocation, production of larger offspring and postponed reproduction. Both direct and indirect effects of metals can explain these trends, mainly linked to energetic constraints. Metallothionein-like proteins (MTLP’s) are believed to be an important defense mechanism against the adverse effects of metals and other stressors.
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- We tested these predictions comparing six field populations of the wolf spider Pardosa saltans, three of which were on sites that are historically polluted with heavy metals.
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- As expected for life histories evolving under energetic constraints, adult size and condition correlated negatively and egg mass positively with Cd concentrations for a subset of four populations. In the population that showed the highest cadmium and zinc body burdens, reproductive output and allocation were lowest and reproduction was postponed.
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- Contrary to our expectation, for all six study populations MTLP concentrations did not increase in exposed populations, indicating that this defense mechanism cannot explain the observed variation in life histories.
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- We conclude that indirect and synergistic effects of metal pollution may be more important than physiological defense mechanisms in shaping life history traits in field populations.
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Jean-Michel Lecerf 《Cahiers de Nutrition et de Diététique》2008,43(3):138-146
From a quantitative point of view the role of dietary fat in weight gain apparently seems clear, but its accountability in obesity pathogenesis, for individuals or population, is not definitively established.This concern may be divided in four sections:
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- On a physiopathological point of view, experimental data show that fats are able to increase energy density and food intake and to increase lipogenesis.
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- On an epidemiological point of view the data are more conflicting. An higher fat intake was associated to the obesity epidemic, its decrease did not stopped it, and that suggest the role of others lifestyle patterns including physical activity.
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- On a clinical point of view the studies are far from a consensus, but it is true that they focuse on the role of familial, educative and genetic factors. But really a fat excess can sensitive the effect of inactivity. Total energy intakes seem a main issue.
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- The fat reduction is not sufficient to induce a weight loss or to prevent a weight gain. We must act on each component of energy balance. In insulin-resistant subjects the fat reduction without weight-loss does not seem favourable on cardiovascular risk.
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People vaccinated against influenza develop hemagglutination inhibition (HAI) antibodies (Ab) that bind to the virus and neutralize it. Ab titer levels are variable depending on factors insufficiently studied, and tend to decrease over time.In the present study, we analyzed antibodies responses before and after influenza vaccination in nurses working in a hospital, with the aim of:
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- identifying seroconversion rates to trivalent influenza vaccine one month after immunization;
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- evaluating if, six months after vaccination, influenza HAI Ab titer fall comparing to one-month post vaccination HAI Ab titer;
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- studying the association between the lack of HAI Ab response (seroconversion) assessed one month after immunization and:
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- past influenza vaccinations,
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- baseline (before vaccination) HAI Ab titer,
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- baseline (before vaccination) HAI Ab titer ≥ 40 (considered as a protection titer).
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Caroline Carriere Élodie Saubusse Colette Delmas Martine Ruello 《Cahiers de Nutrition et de Diététique》2008,43(3):147-151
Within the framework of the French National Programme on Nutrition and Health, a survey was conducted in middle and high schools of the French Aquitaine region with the aim of describing the food supply within middle and high schools in 2004-2005, before and after the application of regulation of snack machins in September 2005 of the recent French law of public health.The results show that:
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- 20 % of schools offered free snacks, specially bread (67 %) and fruit (39,3 %).
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- 63 % of the answering schools had food or drink sales, concerning pastries (74,6 %), chocolate bars (30 %) and soft drinks (25,4 %).
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- In 2004-2005, 44 % of the high schools had snack machins. In Septembre 2005, each school (99 %) had removed on snack machines.
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Objectives
Knowledge translation (KT) is becoming common vocabulary, but as a concept it is not clearly defined. Many related terms exist; these are often used interchangeably and given multiple interpretations. While there is a growing body of literature exploring these concepts, using it to inform public health practice, strategy, research and education is challenging given the range of sources and need for local ‘contextual fit’. This study explores how various public health stakeholders make sense of, and experience, KT and related concepts.Study design
A qualitative mapping study using a phenomenographic approach.Methods
Thirty-four academics, students and practitioners working in public health across the north east of England participated in six focus groups and five one-to-one interviews. Discussions were audio-recorded, transcribed and analysed using a thematic framework approach. The framework drew on findings from reviews of the existing literature, whilst allowing unanticipated issues to emerge.Results
Three main themes were identified from the stakeholder discussions:- (i)
- Definitions: there was some agreement in terms of meanings and interpretations of core concepts relating to KT, although stakeholders spoke of the differing ‘languages’ across disciplines and sectors;
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- Process issues: access to funding, targeted messages, the nature of the evidence base, and wider contextual factors were identified as barriers or facilitators to KT; and
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- People: various KT roles and responsibilities were highlighted for the different stakeholder groups.
Conclusions
This study has enabled further development of theoretical understandings of the KT discourses at play in public health, and identified the ways in which these may be bound by discipline and context. Ironically, the findings suggest that terms such as knowledge translation, transfer and exchange are seen as themselves requiring translation, or at least debate and discussion. 相似文献8.
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- 1. A complement fixation technique for 60°C.-inactivated sera, suited to the diagnosis of amoebic disease, is described. 相似文献
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Study of evaluate the effects of multiphasic screening within general practice in Britain: design and method 总被引:1,自引:0,他引:1
H Trevelyan 《Preventive medicine》1973,2(2):278-294
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John E. Morley Bruno Vellas G. Abellan van Kan Stefan D. Anker Juergen M. Bauer Roberto Bernabei Matteo Cesari W.C. Chumlea Wolfram Doehner Jonathan Evans Linda P. Fried Jack M. Guralnik Paul R. Katz Theodore K. Malmstrom Roger J. McCarter Luis M. Gutierrez Robledo Ken Rockwood Stephan von Haehling Jeremy Walston 《Journal of the American Medical Directors Association》2013,14(6):392-397
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C Bull S A Cockett 《Transactions of the Royal Society of Tropical Medicine and Hygiene》1972,66(6):916-920
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- 1. Suspensions of microfilariae were prepared in haematocrit tubes with “bait” solutions apposed to one end of the column to discover whether any specific tactic influences were operating. 相似文献
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Topical diethylcarbamazine in ocular onchocerciasis 总被引:3,自引:0,他引:3
J Anderson H Fuglsang 《Transactions of the Royal Society of Tropical Medicine and Hygiene》1973,67(5):710-717