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The second Diabetes Attitudes Wishes and Needs (DAWN2) study: Insights into nutritional management of diabetes in India 第二项糖尿病态度、愿望和需求(DAWN2)研究:对印度糖尿病营养管理的见解
Pub Date : 1900-01-01 DOI: 10.4103/2278-019X.123428
S. Kalra, M. Baruah, R. Sahay
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引用次数: 0
Current clinical aspects of parenteral nutrition in geriatric patients 当前临床方面的肠外营养在老年患者
Pub Date : 1900-01-01 DOI: 10.4103/2278-019X.146157
Sukhminder Jit Bajwa, A. Kulshrestha
Advancements in medicine, better diagnostics and zeal for a high quality of life have enabled many geriatric patients seeking medical attention for any type of illness. The elderly population is increasing globally and so does the number of such patients in hospital and critical care units. However, increased incidence of debilitating diseases in elderly makes them more prone to develop malnutrition and thus supplementation of nutrition plays an important role in care of these patients. The parenteral nutrition is usually given if enteral nutrition is inadequate or cannot be given. The causes of malnutrition in elderly can be manifold and may be due to weight loss, loss of fat free mass and due to muscle wasting. The special considerations when formulating parenteral nutrition in elderly population is increased content of lipids, early supplementation of trace elements, minerals and vitamins. The outcomes of parenteral nutrition in elderly population have been found to be similar to that in young patients, however overall prognosis in these patients remain guarded due to more severity and guarded prognosis of the diseases found in these patients. The complications due to parenteral nutrition in elderly patients are similar to that of the young patients and are mainly mechanical (catheter related), infectious and metabolic. It has been recommended that the parenteral nutrition should be started early, if indicated, in geriatric patients and should follow the same guidelines as in younger patients with some modifications.
医学的进步、更好的诊断和对高质量生活的热情使许多老年患者能够为任何类型的疾病寻求医疗照顾。全球老年人口正在增加,医院和重症监护病房的老年患者数量也在增加。然而,老年人衰弱性疾病的发病率增加,使他们更容易出现营养不良,因此补充营养在照顾这些病人方面起着重要作用。如果肠内营养不足或不能给予肠外营养,通常给予肠外营养。老年人营养不良的原因可能是多方面的,可能是由于体重减轻、无脂肪量减少和肌肉萎缩。在制定老年人肠外营养时需要特别考虑的是增加脂质含量,早期补充微量元素、矿物质和维生素。老年人群肠外营养的结局与年轻患者相似,但由于老年人群疾病的严重程度和预后的谨慎性,其总体预后仍值得警惕。老年患者肠外营养并发症与年轻患者相似,主要为机械性(导管相关)、感染性和代谢性并发症。如果有必要,建议老年患者应尽早开始肠外营养,并应遵循与年轻患者相同的指导方针,并进行一些修改。
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引用次数: 1
Nutrition and the Bhagavad Gita 《营养与薄伽梵歌》
Pub Date : 1900-01-01 DOI: 10.4103/2278-019X.105285
B. Kalra, N. Agrawal, A. Unnikrishnan
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引用次数: 2
Nutrition in endocrinology: Coverage at the first South Asian Federation of Endocrine Societies conference, Hyderabad, 2013 内分泌学营养学:首届南亚内分泌学会联合会会议报道,海德拉巴,2013
Pub Date : 1900-01-01 DOI: 10.4103/2278-019X.123454
S. Kalra, R. Sahay, S. Bajaj
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引用次数: 0
Vitamin A and dermatology 维生素A和皮肤病
Pub Date : 1900-01-01 DOI: 10.4103/2278-019X.123458
Aakshit Goyal
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引用次数: 0
Nutrition, metabolism, endocrinology, and the Bhagavad Gita 营养学,新陈代谢,内分泌学,还有《博伽梵歌》
Pub Date : 1900-01-01 DOI: 10.4103/2278-019X.123439
S. Kalra, S. Jindal
Nutrition is an integral part of science, medicine, and life in general. The Bhagavad Gita, an ancient religious scripture of India, discusses nutrition, metabolism, and endocrinology in surprisingly great detail. This paper highlights aspects of these subjects that are covered in this book, trying to achieve concordance between ancient wisdom and modern science. It proposes an overlap between the metabolic classification mentioned in the Gita [sattvika, rajsika, tamsika] and endocrine or metabolic diseases recognized today
营养是科学、医学和一般生活的一个组成部分。印度古代宗教经典《博伽梵歌》(Bhagavad Gita)以惊人的细节讨论了营养、新陈代谢和内分泌学。本文突出了本书所涵盖的这些主题的各个方面,试图实现古代智慧与现代科学之间的和谐。它提出了Gita [sattvika, rajsika, tamsika]中提到的代谢分类与今天公认的内分泌或代谢性疾病之间的重叠
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引用次数: 3
Evaluation of nutritional and other activities at Anganwadi centers under integrated child development services program in different districts of Gujarat, India 在印度古吉拉特邦不同地区的综合儿童发展服务项目下,对Anganwadi中心的营养和其他活动进行评估
Pub Date : 1900-01-01 DOI: 10.4103/2278-019X.141543
Rajesh K. Chudasama, A. Kadri, P. Verma, Mayur Vala, Matib Rangoonwala, Ankit M. Sheth
Background: Even after more than three decades of implementation, the success of Integrated Child Development Services program in tackling maternal and childhood problems still remains a matter of concern. The present study was conducted to evaluate nutritional and other activities at Anganwadi centers (AWCs) in different districts of Gujarat state, India. Materials and Methods: A total of 60 AWCs were selected including 46 AWCs from the rural area and 14 AWCs from the urban area during April 2012 to March 2013 from 12 districts of Gujarat. Five AWCs were selected from one district randomly. Detailed information about various nutritional activities including growth monitoring, information related to preschool education (PSE), and nutrition and health education (NHED) were collected. Results: Growth chart was present in 96.7% AWCs and accurately plotted by Anganwadi workers (AWWs) in 95.0% AWCs. Weight monitoring of children was done by using Salter scale/spring balance in 75.0% AWCs, followed by weighing pan (18.3%). Overall 18.5% moderately malnourished and 1.5% severely malnourished children were reported. PSE material was available only in 35.0% AWCs. Only in one-third AWCs, NHED training material was available in adequate quantity. Conclusion: There were gaps in the status of PSE activities in AWCs, which needs to be promptly addressed. The need for PSE should be emphasized to all AWWs. There was also a shortage of supply of PSE and NHED material at the AWCs suggesting need of regular supply of material.
背景:即使经过三十多年的实施,儿童综合发展服务项目在解决母婴问题方面的成功仍然是一个令人关注的问题。本研究旨在评估印度古吉拉特邦不同地区的Anganwadi中心(AWCs)的营养和其他活动。材料与方法:2012年4月至2013年3月,在古吉拉特邦12个县共选取60名AWCs,其中农村AWCs 46名,城市AWCs 14名。从一个地区随机抽取5名awc。收集了各种营养活动的详细信息,包括生长监测、学前教育(PSE)和营养与健康教育(NHED)相关信息。结果:96.7%的AWCs存在生长图,95.0%的AWCs被Anganwadi工人(aww)准确绘制。75.0%的AWCs使用索尔特秤/弹簧秤进行体重监测,18.3%的AWCs使用称重锅进行体重监测。总的来说,18.5%的儿童中度营养不良,1.5%的儿童重度营养不良。PSE材料仅在35.0%的AWCs中可用。只有三分之一的农村地区有足够数量的国家教育发展培训材料。结论:AWCs的PSE活动状况存在空白,需要及时解决。应该向所有aww强调PSE的必要性。此外,awc的PSE和NHED材料供应短缺,这表明需要定期供应材料。
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引用次数: 8
Antioxidant activity of Gmelina arborea Roxb. (Verbenaceae) bark extract: In vivo and in vitro study 小檗碱的抗氧化活性研究。(马鞭草科)树皮提取物:体内外研究
Pub Date : 1900-01-01 DOI: 10.4103/2278-019X.146159
A. Attanayake, K. Jayatilaka, C. Pathirana, L. Mudduwa
Context: Gmelina arborea Roxb (Family: Verbenaceae) is widely used in Sri Lankan traditional Ayurvedic medicine for long -term treatment of diabetes mellitus. Aims: To investigate the in vitro and in vivo antioxidant activities of the aqueous bark extract of G. arborea. Materials and Methods: The in vitro total antioxidant activities of the hot water bark extract of G. arborea were evaluated by 2,2'-diphenyl-2-picrylhydrazyl hydrate (DPPH), ferric reducing antioxidant potential (FRAP), and NO inhibition assays. The in vivo antioxidant activity was evaluated by the activities of liver enzymes, antioxidant enzymes, and extent of lipid peroxidation (LPO) in the liver of streptozotocin (STZ)-diabetic rats. Results: In vitro antioxidant assays (DPPH, FRAP, and NO) clearly demonstrated the antioxidant potential of G. arborea extract. The G. arborea extract decreased LPO by 27%; activities of alanine aminotransferase, aspartate aminotransferase, and alkaline phosphatase decreased by 29%, 23% and 29%, respectively (P Conclusions: The present investigation revealed that the bark extract of G. arborea exerts significant in vivo and in vitro antioxidant activities.
背景:马鞭草(Gmelina arborea Roxb)(马鞭草科)在斯里兰卡传统阿育吠陀医学中被广泛用于长期治疗糖尿病。目的:研究白杨树皮水提物的体内外抗氧化活性。材料与方法:采用2,2'-二苯基-2-吡啶酰水合肼(DPPH)、铁还原抗氧化电位(FRAP)和NO抑制试验,对木参热水树皮提取物的体外总抗氧化活性进行评价。采用肝酶活性、抗氧化酶活性和脂质过氧化程度评价链脲佐菌素(STZ)诱导的糖尿病大鼠体内抗氧化活性。结果:体外抗氧化实验(DPPH、FRAP、NO)显示了木桐提取物的抗氧化潜力。木桐提取物使LPO降低27%;丙氨酸转氨酶、天冬氨酸转氨酶和碱性磷酸酶活性分别降低29%、23%和29% (P)。结论:本研究表明,木参树皮提取物具有显著的体内和体外抗氧化活性。
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引用次数: 12
Consensus guidelines on male sexual dysfunction 男性性功能障碍的共识指南
Pub Date : 1900-01-01 DOI: 10.4103/2278-019X.105288
Y. Balhara, M. Baruah, D. Jumani, S. Kalra, K. Kochhar, S. Majumdar, G. Makker, A. Saxena, H. Zaveri, N. Agrawal
Male sexual dysfunction (MSD) is a common and distressful condition which is often amenable to counseling and other non pharmacological therapy. These ALLIANCE guidelines are an exhaustive coverage of the counseling and related non-pharmacological methods used for management of MSD. The guidelines discuss various concepts of medical care, including the bio-psychosocial model, patient centered care, couple centered care, therapeutic patient education, shared decision making, minimizing the discomfort of change, and coping skills training, as related to MSD. They go on to describe the ideal environment and prerequisites in which a proper history should be elicited, and physical examination performed. Counseling related to investigations, physical activity and yoga is described. Specific examples of psychotherapy for various sexual disorders are presented to illustrate the usage of counseling. The guidelines discuss cognitive behavioral therapy, couple centered therapy, family therapy, and use of religion in detail. Counseling regarding pharmacological, device and invasive therapy is also covered. The guidelines conclude with a call to enhance community awareness of MSD
男性性功能障碍(MSD)是一种常见且令人痛苦的疾病,通常可以通过咨询和其他非药物治疗来解决。这些联盟指南详尽地涵盖了用于MSD管理的咨询和相关的非药物方法。该指南讨论了与MSD相关的各种医疗护理概念,包括生物-社会心理模型、以患者为中心的护理、以夫妇为中心的护理、治疗性患者教育、共同决策、尽量减少变化带来的不适以及应对技能培训。他们接着描述了理想的环境和先决条件,在这些条件下,应该询问适当的病史,并进行身体检查。介绍了与调查、体育活动和瑜伽相关的咨询。具体的例子,心理治疗的各种性功能障碍,提出说明使用咨询。该指南详细讨论了认知行为治疗、以夫妻为中心的治疗、家庭治疗和宗教的使用。咨询有关药理学,设备和侵入性治疗也包括在内。该指引最后呼吁提高社区对MSD的认识
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引用次数: 12
Estonian people's assessment of their health and eating habits 爱沙尼亚人民对其健康和饮食习惯的评估
Pub Date : 1900-01-01 DOI: 10.4103/2278-019X.146163
V. Laidmäe
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引用次数: 0
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Journal of Medical Nutrition and Nutraceuticals
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