Associations between Dietary Patterns and Cardiometabolic Risk Factors—A Longitudinal Analysis among High-Risk Individuals for Diabetes in Kerala,India

The association between dietary patterns and cardiometabolic risk factors is not well understood among adults in India, particularly among those at high risk for diabetes. For this study, we analyzed the data of 1007 participants (age 30–60 years) from baseline and year one and two follow-ups from the Kerala Diabetes Prevention Program using multi-level mixed effects modelling. Dietary intake was measured using a quantitative food frequency questionnaire, and dietary patterns were identified using principal component analysis. Two dietary patterns were identified: a “snack-fruit” pattern (highly loaded with fats and oils, snacks, and fruits) and a “rice-meat-refined wheat” pattern (highly loaded with meat, rice, and refined wheat). The “snack-fruit” pattern was associated with increased triglycerides (mg/dL) (β = 6.76, 95% CI 2.63–10.89), while the “rice-meat-refined wheat” pattern was associated with elevated Hb1Ac (percentage) (β = 0.04, 95% CI 0.01, 0.07) and central obesity (OR 1.16, 95% CI 1.01, 1.34). These findings may help inform designing dietary interventions for the prevention of diabetes and improving cardiometabolic risk factors in high-diabetes-risk individuals in the Indian setting.     

初中生社会支持与心理健康的相关研究

目的探讨初中生社会支持与心理健康之间的关系。方法以976名初中学生作为调查对象,采用SSRS和MHT量表进行测试,收回有效问卷为903份。结果初中生男生心理健康水平高于女生;女生的社会支持水平高于男生;社会支持总分随年级的升高而降低;社会支持各因子与心理健康各因子除自责倾向外存在显著相关;不同社会支持水平的初中生的心理健康水平存在显著差异。结论社会支持对心理健康有较强的增益作用。     

表现为皮肤感染的原发性皮肤鳞状细胞癌一例

患者男,59岁,发现鼻部肿物1月余于2018年5月入院。患者入院前1个月左鼻翼出现花生大小肿物,质中,压之疼痛,瘙痒轻,搔抓后出现糜烂。肿物逐渐蔓延至整个鼻部,疼痛加重,挤压后出现黄白色脓液。当地医院行脓液培养：大肠埃希菌生长……