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Adherence to dietary prescriptions in patients with acute food protein-induced enterocolitis syndrome

Pediatric Investigation 2022年第3期6卷 207-210页

作者： Stefano Miceli Sopo Dario Sinatti Giorgio Sodero Mariannita Gelsomino Francesco Mastellone Department of Life Sciences and Public Health Pediatric Allergy UnitPediatrics SectionPoliclinico Gemelli Universitary Foundation IRCCSCatholic University of Sacre HearthRomeItaly Department of Life Sciences and Public Health Post-Graduate School of PediatricsPoliclinico Gemelli Universitary Founda tion IRCCSCatholic University of Sacre HearthRomeItaly

Food protein-induced enterocolitis syndrome(FPIES)is a non-Immunoglobulin(non-IgE)-mediated food allergy.The elimination diet is the only therapy,the culprit food will be reintroduced if tolerance is acquired.However,it is possible that patients do not follow the recommendations given by the healthcare professional.We investigated if our advice to avoid the trigger food in patients with active FPIES and to reintroduce it in the diet in patients who achieved tolerance had been implemented.We interviewed by telephone the parents of children who were diagnosed with acute FPIES.About 23.2%of our patients disregarded our dietary recommendations:6/42(14.3%)of patients who passed a tolerance oral food challenge(OFC)did not eat the trigger food,4/22(18.2%)of patients who failed OFC ate the trigger food,and 9/18(50.0%)of patients who did not perform a tolerance OFC ate the trigger food.We have analyzed some possible influencing factors and no difference was found to be statistically significant.Our results are in line with those reported for IgE-mediated food allergies.As has already been proposed by others,we suggest reassessing food consumption in all patients after a food challenge.

关键词： Adherence dietary management Follow up Food protein-induced enterocolitis syndrome

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I must eat what I want: A roadblock to type 2 diabetes management

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Journal of Integrative Nursing 2022年第2期4卷 91-96页

作者： Oluwaseyi Abiodun AKPOR Samuel Segun ABEGUNDE Olaolorunpo OLORUNFEMI Oluwaseun Oluwafunmilayo ABIODUN Department of Nursing Science College of Medicine and Health SciencesAfe Babalola UniversityAdo EkitiNigeria Department of Medical Surgical/Adult Health Nursing Federal UniversityOye-EkitiEkiti StateNigeria Department of Nursing Science College of Basic Health ScienceAchievers UniversityOwoOndo StateNigeria

Globally,type 2 diabetes mellitus(T2DM)is considered as one of the most common diseases,which is associated with irreversible risk factors such as age,gene,race,ethnicity,and reversible factors such as diet,physical activity,and smoking.Noncompliance to dietary regimen is the major factors for rapidly rising incidence of T2DM among developing countries.Recently,elevated HbA1c level has also been considered as one of the leading risk factors for developing microvascular and macrovascular complications.Improvement in the elevated HbA1c level can be achieved through diet management;thus,this study found that improvement in patients’dietary knowledge,attitude toward,and compliance to diet regimen will promote a better control of the disease.In conclusion,the stakeholders(health-care providers,health facilities,agencies involved in T2DM care)should educate the patients on the importance of dietary modification in the disease management.Similarly,there is a need for nurses and other health care professionals to advocate and promote a better holistic management that will encourage patients participation and family involvement in the care.

关键词： dietary compliance dietary management Roles of family members type 2 diabetes mellitus

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Advances in metabolomics of chronic obstructive pulmonary disease

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Chinese Medical Journal Pulmonary and Critical Care Medicine 2023年第4期1卷 223-230页

作者： Wenqian Wu Zhiwei Li Yongqiang Wang Chuan Huang Tiantian Zhang Hongmei Zhao The State Key Laboratory of Complex Severeand Rare DiseasesInstitute of Basic Medical SciencesChinese Academy of Medical SciencesDepartment of PathophysiologyPeking Union Medical CollegeBeijing 100005China State Key Laboratory of Respiratory Health and Multimorbidity Institute of Basic Medical Sciences Chinese Academy of Medical SciencesSchool of Basic Medicine Peking Union Medical CollegeBeijing 100005China Department of Respiratory and Critical Care Medicine 302 Hospital of China Guizhou Aviation Industry GroupAn ShunGuizhou 561000China Department of Thoracic Surgery Beijing HospitalNational Center of GerontologyInstitute of Geriatric MedicineChinese Academy of Medical SciencesBeijing 100005China

Chronic obstructive pulmonary disease(COPD)is a chronic lung disease with limited airflow.COPD is charac-terized by chronic bronchitis and emphysema,and is often accompanied by malnutrition with fatigue,muscle weakness,and an increased risk of infection.Although the pulmonary function test is used as the gold crite-rion for diagnosing COPD,it is unable to identify early COPD or classify the subtypes,thereby impeding early intervention and the precise diagnosis of COPD.Recent evidence suggests that metabolic dysfunction,such as changes in lipids,amino acids,glucose,nucleotides,and microbial metabolites in the lungs and intestine,have a great potential for diagnosing COPD in the early stage.However,a comprehensive summary of these metabolites and their effects on COPD is still lacking.This review summarizes the metabolites that are changed in COPD and highlights some promising early diagnostic markers and therapeutic targets.We emphasize that intensified dietary management may be among the most feasible methods to improve metabolism in the body.

关键词： Metabolomics Chronic obstructive pulmonary disease Metabolite Nutrient Microbe dietary management

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Effect of Weight Loss on In Vitro Fertilization Treatment Outcome

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Reproductive and Developmental Medicine 2017年第4期1卷 210-215页

作者： Jing-Yan Song Shan Xiang Zhen-Gao Sun Department of Gynecology of Traditional Chinese Medicine The First Clinical CollegeShandong University of Traditional Chinese MedicineJinanShandong 250011China Reproductive Medicine Center of Integration of Traditional and Western Medicine The Affiliated Hospital of Shandong University of Traditional Chinese MedicineJinanShandong 250011China

Background:To assess the effect of weight loss in overweight and/or obese women on the in vitro fertilization(IVF)treatment outcome before IVF cycles by a systematic review and meta-analysis of clinical trials.Methods:Systematic review and meta-analysis of randomized controlled trials(RCTs)and cohort studies were conducted.Systematic literature searches were conducted,and all randomized trials that evaluated the impact of weight loss in IVF treatment cycles were included in the study.Study selection,quality estimation,and data extractions were performed independently and in duplicate.Results:A total of 924 patients were enrolled in seven studies;the effects of weight loss on the IVF treatment outcome before the IVF treatment cycle were assessed.The clinical pregnancy rate(risk ratio[RR]:1.61,95%confidence interval[CI]:1.15-2.27),miscarriage rate(RR:0.56,95%CI:0.34-0.93),and live birth rate(RR:1.86,95%CI:1.41-2.45)had a statistically significant difference between the intervention and control group.No significant differences were observed in the number of oocytes retrieved(weighted mean difference[WMD]:0.84,95%CI:−0.12-1.79),gonadotropin consumption(WMD:2.59,95%CI:−6.61-1.42),or the duration of stimulation(WMD:−0.46,95%CI:−1.64-0.71).Conclusions:Before IVF treatment,obese and overweight women should lose weight by physical activity and/or dietary management because weight loss can improve pregnancy rate,reduce miscarriage rate,and meliorate live birth rate.At the same time,further prospective RCTs are required to establish which methods of weight loss are most suited to this purpose,as well as determining whether cut points for body mass index need to be recommended before accessing IVF.

关键词： dietary management In Vitro Fertilization Obesity Weight Loss

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Effect of Weight Loss onFertilization Treatment Outcome

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生殖与发育医学(英文) 2017年第4期01卷 210-215页

作者： Song Jing-Yan Xiang Shan Sun Zhen-Gao Department of Gynecology of Traditional Chinese Medicine The First Clinical College Shandong University of Traditional Chinese Medicine Jinan Shandong 250011 China Reproductive Medicine Center of Integration of Traditional and Western Medicine The Affiliated Hospital of Shandong University of Traditional Chinese Medicine Jinan Shandong 250011 China

Background: To assess the effect of weight loss in overweight and/or obese women on thein vitro fertilization (IVF) treatment outcome before IVF cycles by a systematic review and meta-analysis of clinical trials.Methods: Systematic review and meta-analysis of randomized controlled trials (RCTs) and cohort studies were conducted. Systematic literature searches were conducted, and all randomized trials that evaluated the impact of weight loss in IVF treatment cycles were included in the study. Study selection, quality estimation, and data extractions were performed independently and in duplicate.Results: A total of 924 patients were enrolled in seven studies; the effects of weight loss on the IVF treatment outcome before the IVF treatment cycle were assessed. The clinical pregnancy rate (risk ratio [RR]: 1.61, 95% confidence interval [CI]: 1.15- 2.27), miscarriage rate (RR: 0.56, 95%CI: 0.34–0.93), and live birth rate (RR: 1.86, 95%CI: 1.41- 2.45) had a statistically significant difference between the intervention and control group. No significant differences were observed in the number of oocytes retrieved (weighted mean difference [WMD]: 0.84, 95%CI: -0.12–1.79), gonadotropin consumption (WMD: 2.59, 95%CI: -6.61–1.42), or the duration of stimulation (WMD: -0.46, 95%CI: -1.64- 0.71).Conclusions: Before IVF treatment, obese and overweight women should lose weight by physical activity and/or dietary management because weight loss can improve pregnancy rate, reduce miscarriage rate, and meliorate live birth rate. At the same time, further prospective RCTs are required to establish which methods of weight loss are most suited to this purpose, as well as determining whether cut points for body mass index need to be recommended before accessing IVF.

关键词： dietary management In Vitro Fertilization Obesity Weight Loss

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