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Relationships Between Estimated Hourly Energy Balance and Body Composition in professional Cheerleaders

Journal of Science in Sport and Exercise 2019年第1期1卷 69-77页

作者： moriah p.bellissimo Ashley D.Licata Anita Nucci Walter Thompson Dan Benardot Laboratory for Elite Athlete performance Department of NutritionGeorgia State UniversityAtlantaGAUSA Doctoral program in Nutrition and Health Sciences Laney Graduate SchoolEmory University101 Woodruff Cir NEWMRB 1337AtlantaGA 30322USA Department of Nutrition Byrdine F.Lewis School of Nursing and Health ProfessionsGeorgia State UniversityAtlantaGAUSA Department of Kinesiology and Health College of Education and Human DevelopmentGeorgia State UniversityAtlantaGAUSA Department of Nutrition Sciences University of Alabama at BirminghamBirminghamALUSA Center for the Study of Human Health Emory UniversityAtlantaGAUSA

purpose We sought to describe and examine the interrelationships between energy intake,body composition,and estimated energy *** Using self-reported hourly food intake and formula-based energy expenditure(EE)protocols,19 female profes-sional cheerleaders(mean age 25.4 years)were assessed to obtain energy balance(EB)for a typical training *** intake(EI)was predicted using the USDA Food Composition Database SR27,and EE was predicted using the Harris-Benedict equation plus a MET-based relative intensity activity *** composition was predicted using a multi-current,8-mode segmental bioelectrical impedance analysis *** and daily EB was calculated from EI and EE *** Subjects reported a 24 h EI significantly below(ppredicted energy requirement(1482 kcal vs.2199 kcal,respectively),resulting in an average negative net EB of−720 *** intake was significantly below the minimum recommended level(3.1 g/kg vs.6 g/kg,pprotein and fat intakes met the recommended *** fat intake(g/kg)was significantly associated with a higher EI kcal/kg(r=0.726;pp=0.01)with a lower body fat percent(BF%).Using the median of BF%(20.9)as the cut point,participants with fewer hours in a negative EB had lower BF%(p=0.043)and those with lower BF%spent more time in an EB of±300 kcal(p=0.013).Conclusions These athletes reported low energy intakes that resulted in large EB deficits and/or more hours in a negative EB,which could be counterproductive for achieving a lean body composition overtime.

关键词： Athlete Energy availability Energy deficit RED-S Restrictive diet Nutrition

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Extrahepatic cholestasis associated with paracoccidioidomycosis:Challenges in the differential diagnosis of biliopancreatic neoplasia

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World Journal of Gastrointestinal Oncology 2024年第6期16卷 2531-2540页

作者： Jose Sebastiao dos Santos Vitor de Moura Arrais William Jose Rosseto Ferreira Ricardo Ribeiro Correa Filho Mariangela Ottoboni Brunaldi Rafael Kemp Ajith Kumar Sankanrakutty Jorge Elias Junior Fernando bellissimo-Rodrigues Roberto Martinez Edson Zangiacomi Martinez Jose Celso Ardengh Faculdade de Medicina de Ribeirao preto da Universidade de Sao paulo(FMRp-USp) Departamento de Cirurgia e AnatomiaRibeirao Preto 14049-900Sao PauloBrazil Universidade de Sao paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de PatologiaRibeirao Preto 14048900Sao PauloBrazil Universidade de Sao paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Imagens MédicasHematologia e Oncologia ClínicaRibeirao Preto 14048900Sao PauloBrazil Universidade de Sao paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Medicina SocialRibeirao Preto 14015-010Sao PauloBrazil Universidade de Sao paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Clínica MédicaRibeirao Preto 14015-010Sao PauloBrazil Universidade de Sao paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Cirurgia e AnatomiaRibeirao Preto 14049-900Sao PauloBrazil and Hospital MoriahServico de Endoscopia DigestivaSao Paulo 04084-002Sao PauloBrazil

BACKGROUND paracoccidioidomycosis(pCM)may involve the hepatic pedicle and peripan creatic lymph nodes,cause damage to the bile duct and manifest,exceptionally,in combination with extrahepatic cholestasis(EHC),making investigation and treatment *** To investigate the management of patients with visceral pCM admitted with *** All patients diagnosed with pCM treated in a public,tertiary teaching hospital between 1982 and 2020 were retrospectively *** also identified with EHC were allocated to two groups according to the treatment approach for the purpose of comparing clinical,laboratory,and imaging findings,resources used for etiological diagnosis,treatment results,and *** analyses were performed using the linear mixed-effects model(random and fixed effects),which was adjusted using the pROC MIXED procedure of the SAS®9.0 software,and Fisher’s exact *** Of 1645 patients diagnosed with pCM,40(2.4%)had *** these,20(50.0%)lived in the rural area and 29(72.5%)were men,with a mean age of 27.1 years(3-65 years).Jaundice as first symptom and weight loss of at least 10 kg were observed in 16 patients(40.0%),and a mass in the head of the pancreas was observed in 8(20.0%).The etiological diagnosis was made by tissue collection during surgery in 4 cases(10.0%)and by endoscopic methods in 3 cases(7.5%).Twenty-seven patients(67.5%)received drug treatment alone(Group 1),whereas 13(32.5%)underwent endoscopic and/or surgical procedures in combination with drug treatment(Group 2).EHC was significantly reduced in both groups(40.7% in Group 1,with a mean time of 3 months;and 38.4% in Group 2,with a mean time of 7.5 months),with no statistically significant difference between *** recurrence rates,associated mainly with treatment nonadherence,were similar in both groups:37% in Group 1 and 15.4% in Group *** mortality rate was 18.5% in Group 1 and 23% in Group 2,with survival estimates of 71.3% and 72.5%,respectively,with

关键词： Cholestasis Jaundice Obstructive Blastomycosis paracoccidioides Diagnosis Treatment

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Diagnostic and therapeutic management of hepatocellular carcinoma

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World Journal of Gastroenterology 2015年第42期21卷 12003-12021页

作者： Francesco bellissimo Marilia Rita pinzone Bruno Cacopardo Giuseppe Nunnari Department of Clinical and Experimental Medicine Division of Infectious Diseases University of Catania

Hepatocellular carcinoma(HCC) is an increasing health problem, representing the second cause of cancerrelated mortality worldwide. The major risk factorfor HCC is cirrhosis. In developing countries, viral hepatitis represent the major risk factor, whereas in developed countries, the epidemic of obesity, diabetes and nonalcoholic steatohepatitis contribute to the observed increase in HCC incidence. Cirrhotic patients are recommended to undergo HCC surveillance by abdominal ultrasounds at 6-mo intervals. The current diagnostic algorithms for HCC rely on typical radiological hallmarks in dynamic contrast-enhanced imaging, while the use of α-fetoprotein as an independent tool for HCC surveillance is not recommended by current guidelines due to its low sensitivity and specificity. Early diagnosis is crucial for curative treatments. Surgical resection, radiofrequency ablation and liver transplantation are considered the cornerstones of curative therapy, while for patients with more advanced HCC recommended options include sorafenib and trans-arterial chemoembolization. A multidisciplinary team, consisting of hepatologists, surgeons, radiologists, oncologists and pathologists, is fundamental for a correct management. In this paper, we review the diagnostic and therapeutic management of HCC, with a focus on the most recent evidences and recommendations from guidelines.

关键词： Cancer Chronic hepatitis Cirrhosis Hepatitis B vir

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用速干手消毒剂做手卫生,揉搓多长时间即可?

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中国感染控制杂志 2017年第4期16卷 321-321页

作者：刘思娣 pires D Soule H bellissimo-Rodrigues F 中南大学湘雅医院湖南长沙410008

背景手卫生是预防与控制感染的关键因素,但是手卫生的最佳流程仍然不清楚.目的评价医务人员使用速干手消毒剂揉搓的持续时间对手细菌数减少的影响.方法参考欧洲标准（EN）1500,采用大肠埃希菌（ATCC 10536）污染医务人员的手,根据世... 详细信息

背景手卫生是预防与控制感染的关键因素,但是手卫生的最佳流程仍然不清楚.目的评价医务人员使用速干手消毒剂揉搓的持续时间对手细菌数减少的影响.方法参考欧洲标准（EN）1500,采用大肠埃希菌（ATCC 10536）污染医务人员的手,根据世界卫生组织（WHO）手卫生指南,使用3 mL速干手消毒剂分别揉搓10、15、20、30、45和60 s,然后进行采样.

关键词：手消毒剂手卫生揉搓世界卫生组织医务人员大肠埃希菌控制感染持续时间

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