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The Influence of Unsaturated Fatty Acids for Atherosclerosis in Recent Years 近年来不饱和脂肪酸对动脉粥样硬化的影响
Pub Date : 2019-04-12 DOI: 10.33805/2638-812X.110
M. Bando, H. Bando
There have been various discussions of Monounsaturated Fatty Acids (MUFA) and Polyunsaturated Fatty Acids (PUFA) for influencing atherosclerosis. MUFA seems to have beneficial effects on the risk of coronary heart disease and atherosclerosis [1], and the authors have reported the marine-derived long-chain MUFA decrease atherosclerosis lesion development and total cholesterol in mouse [2]. On contrast, n-3 PUFA has been studied by GISSI-P trial, which was the Gruppo Italiano Per Lo Studio Della Sopravvivenza Nell’lnfarto Miocardio-Prevenzione (GISSI-P) Trial [3]. It included 11,324 subjects who had myocardial infarction followed up for 3.5 years. Administration of n-3 PUFA significantly lowered the risk of primary endpoint by 10%, suggesting beneficial effect statistically. Consecutive study showed the clinical effects for death, combined death, stroke and non-fatal myocardial infarction. Furthermore, it attributed the reduced risk of the events for overall by 20%, cardiovascular by 30%, and sudden death by 45% [4].
关于单不饱和脂肪酸(MUFA)和多不饱和脂肪酸(PUFA)对动脉粥样硬化的影响有各种各样的讨论。MUFA似乎对冠心病和动脉粥样硬化[1]的风险有有益的影响,作者已经报道了海洋来源的长链MUFA可以降低小鼠[1]动脉粥样硬化病变的发展和总胆固醇。相比之下,n-3 PUFA已通过gisisp试验进行了研究,该试验是Gruppo Italiano Per Lo Studio Della Sopravvivenza Nell ' infarto micardio - preventzione (gisisp) trial[3]。该研究包括11324名心肌梗死患者,随访时间为3.5年。给予n-3 PUFA可显著降低10%的主要终点风险,统计学上显示有益效果。连续研究显示了对死亡、合并死亡、中风和非致死性心肌梗死的临床效果。此外,该研究还将这些事件的总体风险降低了20%,心血管疾病风险降低了30%,猝死风险降低了45%。
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引用次数: 1
A Switch to the Duodenal Switch A十二指肠开关
Pub Date : 2019-03-25 DOI: 10.17352/2455-8583.000035
A. Baltasar, N. Pérez, R. Bou, M. Bengochea, C. Serra
Background: Duodenal Switch (DS) is a procedure that combines a Sleeve-Forming Gastrectomy (SFG) plus a biliopancreatic diversion (BPD) for the treatment of morbid obesity (MO) with a higher weight loss and resolution of comorbidities Objectives: Report our experience with 950 consecutive DS operations performed from 1994 to 2016. Setting: Mix of teaching and private institution in a county hospital of Spain.
背景:十二指肠转换(DS)是一种结合了袖状胃切除术(SFG)和胆胰转移(BPD)的手术,用于治疗病态肥胖(MO),具有更高的体重减轻和合并症的解决。目的:报告我们从1994年到2016年连续950例十二指肠转换手术的经验。环境:西班牙某县医院教学与私立机构的结合。
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引用次数: 3
Adding Cognition to the Semanticscience Integrated Ontology 为语义科学集成本体增加认知
Pub Date : 2019-03-08 DOI: 10.33805/2638.8073.116
Stephen K. Reed, M. Dumontier
The goal of the NIMH RDoC initiative is to establish a biological basis for mental illness that includes linking cognition to molecular biology. A key challenge lies in how to represent such large, complex, and multi-scale knowledge in a manner that can support computational analysis, including query answering. Formal ontologies, such as the Semanticscience Integrated Ontology (SIO), offer a scaffold in which complex domain knowledge such as neurological and cognitive functions can be represented and linked to knowledge of molecular biology. In this article, we explore the use of SIO to represent concepts in molecular biology and in cognition. We extend SIO to traditional cognitive topics by illustrating axioms for both an information-processing and a neuroscience perspective on reading. We next discuss the NIMH RDoC taxonomy and include SIO axioms for the units-of-analysis and functions-of-behavior dimensions. An example demonstrates its use of deductive reasoning to establish causal relations across RDoC dimensions. From a broader perspective this article demonstrates how informatics can assist in integrating work in clinical psychology, cognitive psychology, cognitive neuroscience, computer science, molecular biology, and philosophy.
NIMH RDoC计划的目标是建立精神疾病的生物学基础,包括将认知与分子生物学联系起来。一个关键的挑战在于如何以一种能够支持计算分析(包括查询回答)的方式表示如此庞大、复杂和多尺度的知识。形式化本体,如语义科学集成本体(SIO),提供了一个框架,其中复杂的领域知识(如神经学和认知功能)可以被表示并与分子生物学知识联系起来。在这篇文章中,我们探讨了使用SIO来表示分子生物学和认知中的概念。我们将SIO扩展到传统的认知主题,从信息处理和神经科学的角度阐述阅读的公理。接下来,我们将讨论NIMH RDoC分类法,并包括分析单元和行为功能维度的SIO公理。一个示例演示了它使用演绎推理来建立跨RDoC维度的因果关系。从更广泛的角度来看,本文展示了信息学如何帮助整合临床心理学、认知心理学、认知神经科学、计算机科学、分子生物学和哲学的工作。
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引用次数: 2
Effectiveness of a behavioural incentive scheme linked to goal achievement in overweight children: a cluster randomized controlled trial 与超重儿童目标实现相关的行为激励方案的有效性:一项随机对照试验
Pub Date : 2019-01-15 DOI: 10.33805/2638-812X.109
J. Redfern, Gemma Enright, K. Hyun, S. Raadsma, M. Allman-Farinelli, C. Innes-Hughes, S. Khanal, S. Lukeis, C. Rissel, Hui-Yih Chai, A. Gyani
Background: The prevalence of childhood overweight and obesity is becoming an increasing concern worldwide. This study aimed to determine effectiveness of a structured goal setting incentive scheme, delivered within a community program, on health outcomes in overweight children at 6 and 18 months.Methods: Single-blind, cluster randomized controlled trial with 10 weeks, 6 month and 18 month follow-up. Community weight-loss programs for children were randomized to (i) standard program plus incentive scheme (intervention) or (ii) standard program alone (control). Primary outcome was mean BMIz score at 18 months. Secondary outcomes included anthropometric and behavioural measures.Results: A total of 37 sites (33 urban and 4 regional) and 512 children were recruited. Compared to baseline, at 18 month follow-up, the total cohort achieved significant reductions in the mean BMIz score (1.7 v 1.0, p<0.001), median screen time (16.5 v 15.8 hours/week p=0.0414), median number of fast food meals per week (1.0 v 0.7, p<0.001) and significant increases in physical activity (6.0 v 10.0 hours/week, p<0.001) and self-esteem score (20.7 v 22.0, p<0.002). There were no significant differences between the control and intervention groups at any follow-up time-points. There were significantly more participants in the intervention than control group who completed 10 sessions of the weight management program (23% v 13%, p=0.015).Conclusions: The incentive scheme, delivered in addition to the standard program, did not have a significant impact on health outcomes in overweight children. However, the intervention increased program attendance and overall cohort achieved sustained improvements in clinical and lifestyle outcomes.
背景:儿童超重和肥胖的患病率在世界范围内日益受到关注。本研究旨在确定在社区项目中提供的结构化目标设定激励方案对6个月和18个月超重儿童健康结果的有效性。方法:单盲、整群随机对照试验,随访10周、6个月、18个月。社区儿童减肥计划被随机分为(1)标准计划加激励计划(干预)或(2)单独标准计划(对照)。主要终点是18个月时的平均BMIz评分。次要结果包括人体测量和行为测量。结果:共招募了37个站点(33个城市站点,4个区域站点),512名儿童。与基线相比,在18个月的随访中,整个队列的平均bmi评分(1.7 v 1.0, p<0.001)、中位数屏幕时间(16.5 v 15.8小时/周p=0.0414)、中位数每周快餐次数(1.0 v 0.7, p<0.001)显著降低,体力活动(6.0 v 10.0小时/周,p<0.001)和自尊评分(20.7 v 22.0, p<0.002)显著增加。在任何随访时间点,对照组和干预组之间没有显著差异。干预组的参与者明显多于完成10次体重管理计划的对照组(23% vs 13%, p=0.015)。结论:在标准方案之外提供的激励方案对超重儿童的健康结果没有显著影响。然而,干预增加了项目出勤率,整个队列在临床和生活方式方面取得了持续的改善。
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引用次数: 3
A Review on Associated Diseases, Diagnosis, Treatment and Management of Type 2 Diabetes Mellitus 2型糖尿病的相关疾病、诊断、治疗及管理综述
Pub Date : 2018-11-13 DOI: 10.17352/2455-8583.000034
Bahathiq Adil Omar
An incidence of diabetes is right away growing everywhere in the world at the startling rate. For the past 3 decades, the prominence of diabetes has been substantially changed, previously it’s been taken into consideration as a minor illness of the aged humans. A gift, it has become the most critical cause of morbidity and mortality affecting the young and center-elderly people. Type 2 diabetes mellitus is an advanced situation wherein the frame become immune to the normal outcomes of insulin and little by little loses the capacity to produce sufficient insulin in the pancreas. It is related to regulating lifestyle with strong genetic and circle of relatives associated hazard elements. This overview is primarily based on associated illnesses like Liver elements, the stiffness of intermediate-sized arteries in patients and cardiovascular disorder. Diagnosis and treatment based totally on numerous metabolic pathways and anti-diabetic retailers, control of sickness with social obligation. There are numerous anti-diabetics pills which might be administered orally or through injection, the synergistic effect of a few tablets would be extra powerful due to the complex components in it. The treatment couldn’t simply be energetic and secure, it ought to additionally enhance the satisfactory of existence.
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引用次数: 0
Triglyceride is Significantly Increased in Remnant Lipoproteins After Food Intake and its Association with Lipoprotein Lipase in the Plasma 食物摄入后残余脂蛋白中甘油三酯显著增加及其与血浆脂蛋白脂肪酶的关系
Pub Date : 2018-09-19 DOI: 10.33805/2638-812x.107
K. Nakajima, Y. Tokita, A. Tanaka
This article introduces the characteristics of postprandial Very Low Density Lipoprotein (VLDL) remnants (remnant lipoproteins; RLP) in plasma which significantly increased after fat load as a major component of increased Triglycerides (TG) and involved in obesity and insulin resistance. It has been long believed that postprandial RLP, mainly Chylomicron (CM) remnants, increases as the result of disturbed lipoprotein lipase (LPL) activity caused by insulin resistance, etc. However, based on this report, we recently proposed that elevated postprandial VLDL remnants produced by food intake, such as excessive fat and fructose, cause obesity and insulin resistance when exposed continuously [1]. VLDL remnants, but not CM remnants, is the key word of this article and VLDL remnants play a definitive role as a “bridge” between food intake and its metabolism. Here, we have explained the bridging role of VLDL remnants between the habit of food intake and its metabolism in body. Following 6 aspects between fat-rich meal intake and the increase of plasma postprandial TG and RLP are explained. (1) Why TG and RLP increase after food intake? (2) Which lipoproteins increase most after food intake? (3) What percentage of increased TG after food is comprised of RLP-TG? (4) How the increased TG is metabolized by LPL? (5) The increase of postprandial RLP is the result of obesity and insulin resistance or cause of obesity and insulin resistance? (6)Why postprandial TG is a risk of cardiovascular diseases?
本文介绍了餐后极低密度脂蛋白(VLDL)残余物(残体脂蛋白;RLP作为甘油三酯(TG)增加的主要成分,在脂肪负荷后显著增加,并参与肥胖和胰岛素抵抗。长期以来,人们一直认为餐后RLP(主要是乳糜微粒(chylommicron, CM)残余物)的增加是由于胰岛素抵抗等引起的脂蛋白脂肪酶(LPL)活性紊乱所致。然而,基于该报告,我们最近提出,当持续暴露于[1]时,由食物摄入产生的餐后VLDL残留物(如过量的脂肪和果糖)升高会导致肥胖和胰岛素抵抗。VLDL残体,而不是CM残体,是本文的关键词,VLDL残体在食物摄入和代谢之间起着决定性的“桥梁”作用。在这里,我们解释了VLDL残留物在食物摄入习惯和体内代谢之间的桥梁作用。从以下6个方面解释了高脂肪膳食摄入与餐后血浆TG和RLP升高之间的关系。(1)为什么TG和RLP在进食后增加?(2)哪些脂蛋白在进食后增加最多?(3)餐后增加的TG由RLP-TG组成的百分比是多少?(4) LPL如何代谢增加的TG ?(5)餐后RLP升高是肥胖和胰岛素抵抗的结果还是肥胖和胰岛素抵抗的原因?(6)为什么餐后TG是心血管疾病的风险因素?
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引用次数: 0
Is the CAPS School Curriculum in Life Orientation Doing Justice in Educating South African Children on Overweight, Obesity and Under Nutrition? CAPS生命导向学校课程在教育南非儿童超重、肥胖和营养不足方面是否公正?
Pub Date : 2018-09-17 DOI: 10.33805/2638-812x.106
Naidoo T, Maharajh Lr, B. Y.
Aim: Measure nutritional intake of grade eight learners in a purposively selected public school using 24 hour food recall and the Quantified Food Frequency Questionnaire to identify the food that the participants are consuming and compare the food intake to the South African Food Based Dietary Guideline. Objectives: 1. Measure nutritional intake of grade eight learners in a purposively selected public school using 24-hour food recall and Quantified Food Frequency Questionnaire. 2. Measure the BMI of grade eight learners in a purposively selected public school to determine overweight and obesity. 3. Analyse levels of obesity, overweight and nutritional deficiency among grade eight learners in a purposively selected public school and draw comparison with the nutrition education in the CAPS curriculum in Life Orientation and develop a possible new curriculum in Life Orientation to address the problem of obesity, overweight and nutritional deficiency. Method: This was a South African study conducted in KwaZulu–Natal that addressed the issue of obesity, overweight and nutrient deficiency amongst grade eight girls in a school in Durban Central. The learners at that school came from a diverse cultural and racial background. This was a study in an urban area. The participants that were included was a small percentage from the general population of grade 8 learners in the area. Ninety learners in Grade 8 were assessed before and after an intervention of nutrition education in terms of their body mass index (BMI) and food intake. Two of the instruments used for data collection were the 24 hour food recall questionnaire, and the Quantified Food Frequency Questionnaire (QFFQ), designed by the South African Medical Research Council and compiled by Steyn & Senekal (1991) to gain data on food intake over a period of time. Nutrient intake was determined using the South African Food Data System (SAFOODS) Food Composition Database (2016). ANOVA tests were used to determine significant differences in food intake between the first and second set of measurements. Results: The prevalence of underweight, overweight and obesity during session one was respectively 23.3%, 14.5% and 12.2%, with no significant change in session two. The daily kilojoule intake dropped from 17209.24 kJ in session one to 13455.39 kJ in session two for the QFFQ (p = 0.0002). The total amount of carbohydrates decreased from session one compared to session two, from 517.82 to 405.38 (p = 0.0003). Although the intervention was successful in reducing the kilojoule intake of the participants, the kilojoule intake remains higher than the recommended Dietary Reference Intake (DRI) of 8665 kJ for the age group of the participants. Conclusion: The study provides evidence that the school environment is an ideal setting for trained educators to provide, unbiased, objective and appropriate information that learners can relate to and apply in daily life. The nutrition programme in this study was based on sc
目的:利用24小时食物召回和量化食物频率问卷来测量一所有目的选择的公立学校八年级学生的营养摄入量,以确定参与者正在食用的食物,并将食物摄入量与南非食物膳食指南进行比较。目的:1。采用24小时食物召回法和量化食物频率问卷法对某公立学校八年级学生的营养摄入量进行测量。在有目的选择的公立学校测量八年级学生的体重指数,以确定超重和肥胖。3.分析有目的选择的一所公立学校八年级学生的肥胖、超重和营养缺乏水平,并与CAPS《生命导向》课程中的营养教育进行比较,开发一种可能的《生命导向》新课程来解决肥胖、超重和营养缺乏问题。方法:这是在夸祖鲁-纳塔尔省进行的一项南非研究,解决了德班中部一所学校八年级女孩肥胖、超重和营养缺乏的问题。那所学校的学生来自不同的文化和种族背景。这是一项在城市地区进行的研究。被纳入的参与者是该地区8年级学生中很小的一部分。对90名八年级学生在营养教育干预前后的身体质量指数(BMI)和食物摄入量进行了评估。用于数据收集的两种工具是24小时食品召回问卷和量化食物频率问卷(QFFQ),由南非医学研究理事会设计,由Steyn & Senekal(1991)编制,以获得一段时间内食物摄入的数据。使用南非食品数据系统(SAFOODS)食品成分数据库(2016年)确定营养摄入量。方差分析检验用于确定第一组和第二组测量值之间食物摄入量的显著差异。结果:第一阶段体重过轻、超重和肥胖的患病率分别为23.3%、14.5%和12.2%,第二阶段无显著变化。QFFQ的每日千焦耳摄入量从第一阶段的17209.24千焦耳下降到第二阶段的13455.39千焦耳(p = 0.0002)。与第二阶段相比,第一阶段的碳水化合物总量从517.82减少到405.38 (p = 0.0003)。虽然干预成功地减少了参与者的千焦耳摄入量,但千焦耳摄入量仍然高于参与者年龄组的推荐膳食参考摄入量(DRI) 8665千焦耳。结论:本研究提供证据,证明学校环境是训练有素的教育工作者提供公正、客观和适当的信息的理想环境,学习者可以在日常生活中联系和应用这些信息。这项研究中的营养计划是基于科学证据的,并被证明是非常成功的,尽管八年级学生在新环境中面临挑战和变化,但在第一和第二阶段,肥胖和超重学生的数量保持了稳定的平衡。在这项研究的基础上,提出了修订国家课程的建议,使其适用于各级营养教育。
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引用次数: 0
Behavioral therapy in diabetes mellitus and obesity 糖尿病和肥胖症的行为治疗
Pub Date : 2018-08-24 DOI: 10.17352/2455-8583.000033
S. István
In Weimar, on the wall of Albert Schweitzer Museum, there is a memorial tablet which says: “The purpose of our life is to serve, to show solidarity and helpfulness.” The humanist medical doctor, theologian, philosopher, organist could not have expressed more clearly our confession. Behavioral therapy integrates the cure of body and soul, which occasionally show some duality and opposition.
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引用次数: 0
People with Type 2 Diabetes See Considerable HbA1c Improvement in 1 Month Using Lysulin 2型糖尿病患者使用Lysulin 1个月后HbA1c显著改善
Pub Date : 2018-01-01 DOI: 10.33805/2638-812x.108
J. Burd, Vivianne Noetzel
Diabetes mellitus is a leading and increasing cause of morbidity and mortality worldwide [1]. The causes of type-2 diabetes are multi-factorial, and supplements can play an important role on its’ incidence, severity and management [2]. Hence studies have frequently focused on dietary components beneficial in the prevention and treatment of diabetes. Recent studies have demonstrated that numerous herbal and nutraceutical products have beneficial effects in patients by improving glucose and lipid metabolism, antioxidant status, disease progression and capillary function [3].
糖尿病是世界范围内发病率和死亡率上升的主要原因[1]。2型糖尿病的病因是多因素的,补充剂对2型糖尿病的发病、严重程度和治疗都有重要作用[2]。因此,研究经常集中在预防和治疗糖尿病的有益饮食成分上。最近的研究表明,许多草药和营养品通过改善糖脂代谢、抗氧化状态、疾病进展和毛细血管功能对患者有有益的影响[3]。
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引用次数: 1
Obesity, Diabetes and Gastrointestinal Malignancy: The role of Metformin and other Anti-diabetic Therapy. 肥胖、糖尿病和胃肠道恶性肿瘤:二甲双胍和其他抗糖尿病治疗的作用。
Pub Date : 2018-01-01 DOI: 10.17352/2455-8583.000032
Michael Ashamalla, Irini Youssef, Mena Yacoub, Apoorva Jayarangaiah, Nikita Gupta, Justina Ray, Sadat Iqbal, Regina Miller, Joie Singh, Samy I McFarlane

The association between Diabetes and cancer has been known for decades with obesity and insulin resistance being postulated as the main underlying risk factors for both disorders. With rise of the epidemic of obesity in the USA and around the globe, there has been a rise in diabetes that is currently reaching epidemic proportions. Diabetes is known to be associated with increased risk of several types of malignancy including breast, cervical, pancreatic and colon cancer. In this review, we discuss the epidemic of obesity and its consequential epidemic of diabetes highlighting the pathophysiologic mechanisms of increased cancer in the diabetic population. We will then discuss the role of insulin therapy as well as, other antidiabetic medications, particularly metformin that has been to be associated with lower risk as well as better survival with GI malignancies based on several studies including a study that was recently published by our group.

糖尿病和癌症之间的联系几十年来一直为人所知,肥胖和胰岛素抵抗被认为是这两种疾病的主要潜在危险因素。随着肥胖在美国和全球范围内的流行,糖尿病的发病率也在上升,目前已达到流行病的程度。众所周知,糖尿病与几种恶性肿瘤的风险增加有关,包括乳腺癌、宫颈癌、胰腺癌和结肠癌。在这篇综述中,我们讨论了肥胖的流行及其相应的糖尿病流行,强调了糖尿病人群中癌症增加的病理生理机制。然后我们将讨论胰岛素治疗的作用,以及其他抗糖尿病药物,特别是二甲双胍,根据几项研究,包括我们小组最近发表的一项研究,二甲双胍与胃肠道恶性肿瘤的低风险和更好的生存率有关。
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引用次数: 8
期刊
Global journal of obesity, diabetes and metabolic syndrome
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