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Attention deficit hyperactivity disorder and gastrointestinal morbidity in a large cohort of young adults

World Journal of Gastroenterology 2020年第42期26卷 6626-6637页

作者： Sivan kedem Shlomit Yust-Katz Dan Carter Zohar Levi ron kedem Adi Dickstein Salah Daher Lior H Katz Medical Corps Israeli Defense ForcesRamat-Gan 52621Israel Medical School Hebrew University-Hadassah Medical CenterJerusalem 91120Israel Sackler Faculty of Medicine Tel-Aviv UniversityTel-Aviv 77096Israel Neuro-Oncology Unit Davidoff Cancer CenterRabin Medical CenterPetach Tikva 49100Israel Department of Gastroenterology Sheba Medical CenterRamat-Gan 52361Israel Department of Gastroenterology Beilinson HospitalRabin Medical CenterPetach Tikva 49100Israel Department of Gastroenterology and Hepatology Hebrew University-Hadassah Medical CenterJerusalem 91120Israel

BACKGROUND Although the association of attention deficit hyperactivity disorder(ADHD)with psychiatric disorders is well known,its association with somatic diseases is *** few studies have investigated the gastrointestinal(GI)morbidity in adult patients with *** To measure gastrointestinal comorbidity and its burden on healthcare in young adults with *** The cohort included subjects aged 17-35 years recruited to the Israel Defense Forces in 2007-2013,33380 with ADHD and 355652 without(controls).The groups were compared for functional and inflammatory conditions of the gastrointestinal tract and clinic and specialist visits for gastrointestinal symptoms/disease during service(to 2016).Findings were analyzed by generalized linear models adjusted for background *** Compared to controls,the ADHD group had more diagnoses of functional gastrointestinal disorders(referred to as FGID),namely,dyspepsia[odds ratio(OR):1.48,95%confidence interval(CI):1.40-1.57,Pronic constipation(OR:1.64,95%CI:1.48-1.81,P<0.001),and irritable bowel syndrome(OR:1.67,95%CI:1.56-1.80,P<0.001)but not of organic disorders(inflammatory bowel disease,celiac disease).They had more frequent primary care visits for gastrointestinal symptoms[rate ratio(RR):1.25,95%CI:1.24-1.26,P<0.001]and referrals to gastrointestinal specialists(RR:1.96,95%CI:1.88-2.03,P<0.001)and more episodes of recurrent gastrointestinal symptoms(RR:1.29,95%CI:1.21-1.38,P<0.001).Methylphenidate use increased the risk of dyspepsia(OR:1.49,95%CI:1.28-1.73,P<0.001)and constipation(OR:1.42,95%CI:1.09-1.84,P=0.009).CONCLUSION ADHD in young adults is associated with an excess of FGID and increased use of related health *** is needed to determine if an integrative approach treating both conditions will benefit these patients and cut costs.

关键词： Functional gastrointestinal disorders Irritable bowel syndrome Dyspepsia Constipation Adolescents

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Inflammatory bowel disease patient profiles are related to specific information needs: A nationwide survey

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World Journal of Gastroenterology 2019年第30期25卷 4246-4260页

作者： Saleh Daher Tawfik Khoury Ariel Benson John R Walker Oded Hammerman ron kedem Timna Naftali Rami Eliakim Ofer Ben-Bassat Charles N Bernstein Eran Israeli Institute of Gastroenterology and Liver Diseases Hadassah-Hebrew University Medical CenterJerusalem 91120Israel Department of Gastroenterology Galilee Medical CenterFaculty of Medicine in the GalileeBar-Ilan UniversityNahariya 22100Israel IBD Clinical and Research Centre University of ManitobaWinnipegMB R3E3P4Canada Research Branch IDF Medical CorpsTel-HashomerRamat Gan 52630Israel Institute of Gastroenterology Meir Medical CenterKfar-saba 4428164Israel Sackler School of Medicine Tel-Aviv UniversityTel-Aviv 6997801Israel Institute of Gastroenterology Sheba Medical CenterRamat-Gan 52630Israel Institute of Gastroenterology Rabin Medical CenterPetach-Tikva 49100Israel

BACKGROUND Inflammatory bowel diseases(IBD) is a heterogenous, lifelong disease, with an unpredictable and potentially progressive course, that may impose negative psychosocial impact on *** informed patients with chronic illness have improved adherence and outcomes, previous research showed that the majority of IBD patients receive insufficient information regarding their *** large heterogeneity of IBD and the wide range of information topics makes a one-size fits all knowledge resource overwhelming and *** hypothesized that different patient profiles may have different and specific information needs, the identification of which will allow building personalized computer-based information resources in the *** To evaluate the scope of disease-related knowledge among IBD patients and determine whether different patient profiles drive unique information *** We conducted a nationwide survey addressing hospital-based IBD clinics.A Total of 571 patients completed a 28-item questionnaire, rating the amount of information received at time of diagnosis and the importance of information, as perceived by participants, for a newly diagnosed patient, and for the participants themselves, at current *** performed an exploratory factor analysis of the crude responses aiming to create a number of representative knowledge domains(factors), and analyzed the responses of a set of 15 real-life patient profiles generated by the study *** Participants gave low ratings for the amount of information received at disease onset(averaging 0.9/5) and high ratings for importance, both for the newly diagnosed patients(mean 4.2/5) and for the participants themselves at current time(mean 3.5/5).Factor analysis grouped responses into six *** responses of selected profiles, compared with the rest of the participants, yielded significant associations(defined as a difference in rating of >0.5 points with a P < 0.05).Patients w

关键词： Inflammatory bowel diseases Information needs Patient education Knowledge resources Patient profiles

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Effects of Gamma-Irradiation Mutagenesis for Induction of Seedlessness, on the Quality of Mandarin Fruit

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Food and Nutrition Sciences 2014年第10期5卷 943-952页

作者： Livnat Goldenberg Yossi Yaniv ron Porat Nir Carmi Department of Fruit Tree Crops Agricultural Research Organization Bet Dagan Israel Department of Postharvest Science of Fresh Produce Agricultural Research Organization Bet Dagan Israel Department of Postharvest Science of Fresh Produce Agricultural Research Organization Bet Dagan Israel Faculty of Agricultural Food and Environmental Quality Sciences Hebrew University of Jerusalem Rehovot Israel

Gamma irradiation mutagenesis is a technique commonly used to induce seedlessness in citrus fruits. We compared fruit quality traits of eight different seeded mandarin varieties within the Israeli citrus breeding collection with those of their corresponding gamma-irradiated low-seeded mutants. The mandarin varieties compared were: “Rishon” with “kedem”;“Michal” with irradiated “Michal”;“Merav” with “Meravit”;“Vered” with “Vardit”;“Ora” with “Or”;“Murcott” with “Mor”;“Shani” with irradiated “Shani”;“King” with irradiated “King”. Mutational breeding by gamma irradiation reduced average fruit seed number by 70% - 92%. Furthermore, mutational breeding by gamma irradiation delayed ripening of the early-season mandarin varieties “Rishon” and “Michal” by 8 - 13 days, but did not delay ripening of most mid- and late-season varieties. Gamma-irradia- tion mutagenesis also reduced fruit weight of seven of the eight tested low-seeded varieties by 6 - 41 g per fruit. Gamma-irradiation mutagenesis had variable effects on biochemical composition and nutritional quality, in that some irradiated clones presented no changes whereas other had either higher or lower levels of juice total soluble solids, acidity, vitamin C and total antioxidant activity. Finally, sensory evaluations by a trained panel revealed that the flavor of most of the low-seeded, gamma-irradiated varieties was slightly or significantly preferable to that of unirradiated varieties.

关键词： Citrus Gamma Irradiation Flavor Fruit Quality Mandarin

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