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The Global Role of Kidney Transplantation

肾脏病与透析肾移植杂志 2012年第1期21卷 1-7页

作者： Guillermo Garcia Garcia paul harden Jeremy Chapman Nephrology Service Hospital Civil de GuadalajaraUniversity of Guadalajara Health Sciences Center (CUCS)Hospital 278GuadalajaraJal.44280MEXICO Oxford Kidney Unit and Oxford Transplant Centre Churchill HospitalOxfordUnited Kingdom Centre for Transplant and Renal Research Westmead Millennium InstituteSydney UniversityWestmead HospitalSydneyNSW2145Australia

World Kidney Day on March 8th 2012 provides a chance to reflect on the success of kidney transplantation as a therapy for end stage kidney disease that surpasses dialysis treatments both for the quality and quantity of life that it provides and for its cost *** that is both cheaper and better,but is not actually the dominant therapy,must have other drawbacks that prevent replacement of all dialysis treatment by *** barriers to universal transplantation as the therapy for end stage kidney disease include the economic limitations which,in some countries place transplantation,appropriately,at a lower priority than public health fundamentals such as clean water,sanitation and *** in high income countries the technical challenges of surgery and the consequences of immunosuppression restrict the number of suitable recipients,but the major finite restrictions on kidney transplantation rates are the shortage of donated organs and the limited medical,surgical and nursing workforces with the required *** problems have solutions which involve the full range of societal,professional,governmental and political *** Kidney Day is a call to deliver transplantation therapy to the one million people a year who have a right to benefit.

关键词：肾脏病肾移植症状临床研究

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Feasibility, effectiveness, and perceptions of an Internet-and incentive-based behavioral weight loss intervention for overweight and obese college freshmen: A mixed methods approach

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Open Journal of Preventive Medicine 2013年第7期3卷 429-440页

作者： Brenda M. Davy Kerry L. Potter Elizabeth A. Dennis Parker Samantha harden Jennie L. Hill Tanya M. Halliday paul A. Estabrooks Bon Secours Health System Porstmouth USA Department of Human Nutrition Foods and Exercise Virginia Tech Blacksburg USA Department of Human Nutrition Foods and Exercise Virginia Tech Blacksburg USA Department of Human Nutrition Foods and Exercise Virginia Tech Blacksburg USA Department of Human Nutrition Foods and Exercise Virginia Tech Blacksburg USA Department of Family and Community Medicine Carilion Clinic Roanoke USA Office of Minority Health & Health Disparities Research Georgetown University Washington DC USA

Challenges inherent with the transition to college are often accompanied by weight gain among college freshmen. Weight gain and duration of obesity increase metabolic syndrome and cardiovascular disease risk in young adulthood, which supports the need for weight loss interventions tailored to college students. The purpose of this investigation was to conduct a mixed methods pilot trial to determine the efficacy and acceptability of a semester long Internet-and incentive-based weight loss intervention for overweight/obese college freshmen. Participants (n = 27, aged >18 yrs, BMI >25) were randomly assigned to a 12-week social cognitive theory (SCT)-based intervention (Fit Freshmen [FF]) or a health information control group. The FF intervention also included modest financial incentives for weight loss. Primary outcomes included body weight/composition, dietary and physical activity (PA) behaviors, and psychosocial measures (i.e. self-efficacy, self-regulation) associated with diet, PA, and weight loss. Students in the FF intervention participated in focus groups to provide qualitative feedback on program structure and design. FF participants demonstrated significant reductions (all group differences

关键词： College Freshmen Weight Gain Social Cognitive Theory Diet Physical Activity

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