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Warner Wynn posted an update 2 days, 17 hours ago
Findings outline frequent and impactful areas of ethical concern that arise when treating patients diagnosed with EDs. Practitioners most commonly reported that patient- and insurance-driven factors limited patient access to appropriate care. Regulations supporting the provision of evidence-based care should be emphasized in public health policy and advocacy efforts, given their impact in limiting the delivery of adequate patient care.
Findings outline frequent and impactful areas of ethical concern that arise when treating patients diagnosed with EDs. Practitioners most commonly reported that patient- and insurance-driven factors limited patient access to appropriate care. Regulations supporting the provision of evidence-based care should be emphasized in public health policy and advocacy efforts, given their impact in limiting the delivery of adequate patient care.
To study the clinical application of high-frequency ultrasound in the treatment of infantile hemangiomas.
Ultrasonographic data before and after treatment for 1 month, 3 months and 5 months were recorded from 80 patients with infantile hemangioma. The hemangioma was monitored dynamically with relevant indexes before and after treatment, and the treatment results were divided into 2 groups the treatment-effective group of 70 cases and the treatment-ineffective group of 10 cases. The differences of tumor size, internal echo and hemodynamic parameters (peak arterial systolic flow velocity, resistance index and venous velocity) were compared before and after treatment, and reliable ultrasound observation indexes were summarized.
After treatment, in the treatment-effective group, the thickness of tumor was reduced in all cases, the blood flow signals decreased in 55 cases, the peak systolic velocity decreased in 55 cases, resistance index increased in 55 cases, and venous flow velocity decreased in 53 cases; the differences were statistically significant compared with those before treatment (P < 0.05). OGL002 The thickness of tumors was significantly decreased after 5 months of treatment compared with 1 month and 2 month treatment (P < 0.05). There was no significant difference in the longitudinal and transverse diameter of tumors after treatment (P > 0.05). In the treatment-ineffective group, there was no significant difference in the above indexes before and after treatment (P > 0.05).
High-frequency ultrasound had primary application value in the treatment of infantile hemangiomas, where the change of tumor thickness provided the most important observational indicator.
High-frequency ultrasound had primary application value in the treatment of infantile hemangiomas, where the change of tumor thickness provided the most important observational indicator.
To describe the development of HbA
and BMI over time in Danish children with type 1 diabetes; and to investigate the association between HbA
and BMI including influence of age, gender, diabetes duration, severe hypoglycaemia and treatment method.
We used the nationwide Danish Registry of Childhood and Adolescent Diabetes, DanDiabKids, including annual registrations of all children with diabetes treated at Danish hospitals. With linear mixed-effects models and splines we analyzed the HbA
and BMI development over time as well as the association between HbA
and BMI including effects of gender, age, disease duration, hypoglycaemia and treatment method. BMI z-scores were calculated for these analyses.
For the period from 2000 to 2018, 6097 children with type 1 diabetes were identified from the DanDiabKids database. The median (interquartile range) HbA
level was 65 (57-74) mmol/mol (8.1%) and the median BMI z-score was 0.85 in girls and 0.67 in boys. A non-linear association was found between HbA
and BMI z-score, with the highest BMI z-score observed for HbA
values in the range of approximately 60-70 mmol/mol (7.6-6.8%). The association was modified by gender, age and diabetes duration. Severe hypoglycaemia and insulin pump treatment had a small positive impact on BMI z-score.
The association between HbA
and BMI z-score was non-linear, with the highest BMI z-score being observed for intermediate HbA
levels; however, specific patterns depended on gender, age and diabetes duration.
The association between HbA1c and BMI z-score was non-linear, with the highest BMI z-score being observed for intermediate HbA1c levels; however, specific patterns depended on gender, age and diabetes duration.Poor maternal mental health during pregnancy is associated with adverse birth outcomes, including lower birthweight and gestational age. However, few studies assess both mental health and diet, which might have interactive effects. Furthermore, most studies are in high-income countries, though patterns might differ in low- and middle-income countries (LMICs).
To analyze relationships between mental health and diet during pregnancy with birth outcomes in Vanuatu, a lower-middle income country.
We assessed negative emotional symptoms of depression, anxiety, and stress (referred to as “distress”) and dietary diversity during pregnancy, and infant weight and gestational age at birth, among 187 women. We used multivariate linear regression to analyze independent and interactive relationships between distress, dietary diversity, and birth outcomes, controlling for sociodemographic and maternal health covariates.
There were no direct linear relationships between dietary diversity or distress with infant birthweLMICs. Interactive relationships between mental health and diet might ultimately point to new intervention pathways to address the persistent problem of low birthweight in LMICs.Plant-based proteins gained importance in recent years due to the increase in the awareness of healthy diet and in the consumption of plant-based foods. However, some features of plant-based proteins like the undesirable odor and flavor affect the sensorial properties of protein containing foods. Therefore, encapsulation of these proteins could be a good strategy to tackle with this problem. The objective of this study was to design microcapsules (beads) consisting of pea protein by using sodium alginate and to investigate the effect of different alginate concentrations (1.0, 1.5, and 2.0%) on the protein content, encapsulation efficiency, particle size, bead stability, and the morphology of the capsules and then add them to different fruit juices (pomegranate and melon) and examine the release behavior from the capsules. Rheological behavior of the juices including pectin were also investigated. TD- nuclear magnetic resonance relaxometry analysis through T2 relaxation times was conducted on the capsules to observe the changes in the beads.