Factors associated with non adherence to a gluten free diet in adult with celiac disease: A survey assessed by BIAGI score

Publication date: Available online 12 February 2020Source: Clinics and Research in Hepatology and GastroenterologyAuthor(s): Zelnik Yovel Dana, Berezovsky lena, Richter Vered, Shirin Haim, Broide EfratSummaryIntroductionThe cornerstone of the recommended treatment for Celiac disease (CeD) is a lifelong strict gluten-free diet (GFD). We aimed to identify prospectively the demographic, clinical, social and psychological profile associated with non-adherence to a GFD in adult CeD patients in Israel.MethodsAn anonymous online questionnaire was sent via the Israeli Celiac association and through social networks. Only CeD patients ≥ 18 years old were included. Socio-demographic, laboratory and clinical data as well as anxiety and depression scores were reported. Adherence to a GFD was assessed by a Biagi questionnaire.ResultsIn total, 301 patients completed the questionnaire with a mean age of 37.5 ± 14.9 years, 79.2% female. The most common presenting symptoms were: anemia (59.7%), abdominal pain (50.8%) and diarrhea (42.8%). According to the Biagi score, 82% of patients were found to be high adherent to a GFD (Biagi 3–4) and 18% were low adherent to a GFD (Biagi-0–2). Univariate analysis revealed that low adherence was associated with: younger age at the time of diagnosis (P 
Source: Clinics and Research in Hepatology and Gastroenterology - Category: Gastroenterology Source Type: research

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ConclusionFor the first time our study demonstrates the distinct action of E. carinatus and N. naja venoms on the process of NETosis. NETosis being a newly explored area in snake venom pharmacodynamics, it is important to study its impact on the various pathophysiological properties induced by snake venoms.SignificanceUnderstanding the varied actions of snake venoms on neutrophils/blood cells and the role of DNase are likely to provide insights for better management of snakebite pathophysiology.
Source: Biochimica et Biophysica Acta (BBA) General Subjects - Category: Biochemistry Source Type: research
Publication date: 15 February 2020Source: New Scientist, Volume 245, Issue 3269Author(s):
Source: New Scientist - Category: Science Source Type: research
Authors: Cesareo R, Pacella CM, Pasqualini V, Campagna G, Iozzino M, Gallo A, Lauria Pantano A, Cianni R, Pedone C, Pozzilli P, Taffon C, Crescenzi A, Manfrini S, Palermo A Abstract BACKGROUND: No direct prospective studies comparing laser ablation (LA) and radiofrequency ablation (RFA) for debulking benign non-functioning thyroid nodules (BNTNs) exist. We aimed to compare the efficacy and safety of both techniques in patients with solid or predominantly solid BNTN. METHODS: This six-month, single-use, randomized open label parallel trial compared the following primary endpoints between the RFA and LA groups si...
Source: Thyroid : official journal of the American Thyroid Association - Category: Endocrinology Tags: Thyroid Source Type: research
Publication date: March 2020Source: Molecular Genetics and Metabolism Reports, Volume 22Author(s): Johannes KrämerAbstractIntroductionPhenylketonuria (PKU) is an inborn error of metabolism, which is caused by a deficiency in the enzyme phenylalanine hydroxylase (PAH). Life-long Phe-free diet impairs quality of life, especially in adolescents and young adults which take responsibility over their diet and therapy from their parents, but expect freedom in daily routine.Methods and results105 patients with PKU were screened for eligibility for participating in this study. Data of 21 patients with genetic predictive value ...
Source: Molecular Genetics and Metabolism Reports - Category: Genetics & Stem Cells Source Type: research
ConclusionsAn integrated collaborative care intervention for obesity and depression that was shown previously to improve weight and depressive symptoms may also confer benefits for quality of life and psychosocial functioning over 6 months.Trial registrationThis study is registered at clinicaltrials.gov NCT02246413.
Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
In conclusion, the synergy between the antioxidant properties of Laban and the possible decrease of vicine and convicine concentrations by lactobacillus found in the fermented dairy products could explain the ability of Laban to reduce the hemolysis crisis ex vivo. PMID: 32051767 [PubMed]
Source: Journal of Nutrition and Metabolism - Category: Nutrition Tags: J Nutr Metab Source Type: research
Publication date: Available online 14 February 2020Source: Arthroscopy TechniquesAuthor(s): Graeme P. WhyteAbstractMassive and retracted tears of the supraspinatus and infraspinatus tendons of the rotator cuff are associated with great pain and disability and may be considered “non-repairable,” depending on the extent of injury and the experience of the treating clinician. The technique of anatomic vector repair of the rotator cuff is a surgical treatment method that enables the surgeon to accurately characterize the injury pattern and successfully repair many of these debilitating injuries anatomically in a st...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Hey everyone, So I recently got a chance to do a PM&R rotation and to see some of the procedures they do fairly often in the outpatient setting. I was wondering how much exposure neurology gets to some of these procedures in residency / in general without doing a pain fellowship. In trigger point injections or steroid joint injections for back and hips seem pretty easy, and a lot of times people get referred to neuro with back pain even if there is no nerve involvement. It seems nice to be... Pain Procedures in Residency
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Neurology Source Type: forums
Would anyone inject? Patient with bilateral leg weakness.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
By Brandon R. Peters, MD When sleep is not refreshing, the feelings of tiredness and fatigue can undermine your daytime function. Beyond common sleep disorders like obstructive sleep apnea and insomnia, what are some of the reasons for feeling tired? Explore some of these potential causes, ranging from medications to diet and exercise, and try to discover what you can do to feel better. Understanding the Role of Sleep Disorders First, it is important to recognize that there is a difference between sleepiness and fatigue. Sleepiness is the strong desire for sleep that often immediately precedes falling asleep. It is some...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
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