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Kunihiko Tominaga MD Dr Ph John H. Kurata PhD Dr. Yang K. Chen MD Edward Fujimoto DHSc MPH Shouhei Miyagawa Ichiro Abe MSA Yoshimasa Kusano BS 《Digestive diseases and sciences》1995,40(9):2002-2009
The prevalence of fatty liver in children is unknown and its relationship to obesity is poorly defined. The present study of 810 northern Japanese children (4–12 years old) determined the prevalence of fatty liver in the pediatric population and its relationship to obesity. Diagnosis of fatty liver was based on established real-time ultrasonographic criteria. The overall prevalence of fatty liver was 2.6% and was higher for boys (3.4%) than for girls (1.8%), although not statistically significant (P=0.15). Fatty liver was found in children as young as 6 years of age. There was no significant association between the prevalence of fatty liver and height (physical growth). There was a strong positive correlation between fatty liver prevalence and established obesity indices: Rohrer's index-2 linear trend =59.2,P<0.0001; body mass index-2 linear trend =91.6,P<0.0001; and age-gender-adjusted Japanese standard index of weight for height-2 linear trend =93.2,P<0.0001. However, direct measurement of abdominal subcutaneous fat thickness by ultrasonography was the best predictor of fatty liver: 2 linear trend =159,P<0.0001. These results indicate that fatty liver may develop very early in life, and there is a direct relationship between degree of obesity and fatty liver in children. 相似文献
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Alexandra Pérez-Soriano MD Paloma Bravo MSc Marta Soto MSc Jon Infante MD PhD Manel Fernández BTech Francesc Valldeoriola MD PhD Esteban Muñoz MD PhD Yaroslau Compta MD PhD Eduard Tolosa MD PhD Alicia Garrido MD Mario Ezquerra PhD Rubén Fernández-Santiago PhD María-José Martí MD PhD the Catalan MSA registry 《Movement disorders》2020,35(10):1873-1879
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The Joint Standards Task Force of A.S.P.E.N. American Dietetic Association Dietitians in Nutrition Support Dietetic Practice Group Mary Russell MS RD Co-chair Marsha Stieber MSA RD Co-chair Susan Brantley MS RD Amy M. Freeman RD Jennifer Lefton MS RD Ainsley M. Malone MS RD Susan Roberts MS RD Janet Skates MS RD FADA Lorraine S. Young MS RD A.S.P.E.N. Board of Directors ADA Quality Management Committee 《Journal of the American Dietetic Association》2007,107(10):1815
The Standards of Practice for Registered Dietitians in Nutrition Support and the Standards of Professional Performance for the Registered Dietitian in Nutrition Support are key resources for RDs at all knowledge and performance levels. These standards can and should be used by RDs in daily practice to consistently improve and appropriately demonstrate competency and value as providers of safe and effective nutrition support therapy. The standards development and evaluation process is dynamic—these standards will be reviewed at least every 5 years for applicability to practice. Current and future initiatives of A.S.P.E.N. and ADA will provide information that will be used in these updates and in further clarifying and documenting the specific roles and responsibilities of practitioners at each level. As a quality initiative of A.S.P.E.N., its Dietetics Practice Section, ADA, and their DNS DPG, the standards themselves are an application of continuous quality improvement concepts and represent another very important collaborative endeavor. 相似文献
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Nicholas J. Okon DO ; Daniel V. Rodriguez MD ; Dennis W. Dietrich MD ; Carrie S. Oser MPH ; Lynda L. Blades MPH ; Anne M. Burnett RN MN CPHQ ; Joseph A. Russell NREMT-P ; Martha J. Allen RN ; Linda Chasson MSA ; Steven D. Helgerson MD MPH ; Dorothy Gohdes MD ; Todd S. Harwell MPH 《The Journal of rural health》2006,22(3):237-241
CONTEXT: Rapid diagnosis and treatment of ischemic stroke can lead to improved patient outcomes. Hospitals in rural and frontier counties, however, face unique challenges in providing diagnostic and treatment services for acute stroke. PURPOSE: The aim of this study was to assess the availability of key diagnostic technology and programs for acute stroke evaluation and treatment in Montana and northern Wyoming. METHODS: In 2004, hospital medical directors or their designees were mailed a survey about the availability of diagnostic technology, programs, and personnel for acute stroke care. FINDINGS: Fifty-eight of 67 (87%) hospitals responded to the survey. Seventy-nine percent (46/58) of responding hospitals were located in frontier counties, with an average bed size of 18 (11 SD). Of the hospitals in frontier counties, 44% reported emergency medical services prehospital stroke identification programs, 39% had 24-hour computed tomography capability, 44% had an emergency department stroke protocol, and 61% had a recombinant tissue plasminogen activator protocol. Thirty percent of hospitals in frontier counties reported that they met 6-10 of the criteria established by the Brain Attack Coalition to improve acute stroke care compared to 67% of hospitals in the nonfrontier counties. CONCLUSION: A stroke network model could enhance care and improve outcomes for stroke victims in frontier counties. 相似文献
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