Only a few case reports are available on refeeding edema among patients with eating disorders, such as anorexia nervosa. Although the precise mechanisms for the onset of refeeding edema have remained uncertain, changes in the secretion of hormones, such as insulin, induced by refeeding treatment or dietary intake loads have been considered as possible causes. We report two cases of refeeding edema in patients with eating disorders. Case 1 involved a 25-year-old female patient with an eating disorder in whom bilateral lower extremity edema was observed 5 days after increasing dietary intake. Consequently, a diagnosis of refeeding edema was established, which disappeared 2 weeks after dietary and salt restriction without pharmacotherapy. Case 2 involved a 17-year-old female patient with an eating disorder in whom anasarca was observed 4 days after increasing dietary intake and decreasing emesis. A diagnosis of refeeding edema was established, which disappeared 2 weeks after dietary and salt restriction without pharmacotherapy. However, in the latter case, plasma insulin levels remained low at the onset of edema and were slightly higher following resolution.
Objective: Verify the effect of Tinospora cordifolia extract for reducing the effects of alcohol on the specific enzymes in chronic alcoholics. Method: A systematic review of quasi-experimental clinical studies. The primary study sources used were the Cochrane Library, Embase, Latin American and Caribbean Health Sciences (LILACS), PubMed (including MedLine), SciELO, and Web of Science electronic databases. The statistical analysis was performed with the Mantel-Haenszel method with 95% confidence interval and I-square test. The accumulation of evidence was performed using the GRADE tool. Results: The search provided 1673 results, from which five met the inclusion criteria. The studies were published between 2015 and 2016 in India and assessed the effects of Tinospora cordifolia for improving hepatic biomarkers. The studies included presented low risk of bias. The results of the meta-analysis showed that there was a statistically significant difference in the parameters evaluated in the experimental group and the control group, with better results for the control group in both D0 (p <0.001) and D14 (p <0.001). Conclusion: The results suggest that the use of Tinospora cordifolia helped improving the hepatic levels assessed. However, it was not sufficient to generate reductions in levels of biomarkers similar to those in the control group.
Tomato germplasm was screened against root knot nematode (Meloidogyne spp.). Tomato resistance was enhanced by the application of elicitors i.e., salicylic acid (SA) and benzothiadiazole (BTH). Germplasms was collected from NARC Islamabad, Pakistan and grown in glass house conditions of Zhejiang University. All accessions of tomato showed varying response. Tomato plants showed susceptibility to M. incognita in terms of total number of galls, total number of egg masses, root weight and shoot weight. Out of nine accessions of tomato, only two accessions showed moderately susceptible response and four accession viz., numbers 19865, 19888, 19860 and 19856 were considered highly susceptible (HS) while remaining all cultivars showed susceptible response. One HS accession of tomato (19860) was selected and application of SA and BTH was done at different concentrations that showed moderately response against Meloidogyne incognita when SA was applied as drench @ 10 mg/L and BTH was applied @ 100 mg/L as drench. Results of enzymatic activities in treated and control plants of tomato with the varying concentrations of SA and BTH showed promising results. The enzymatic antioxidants activity was found to be increased in response to infection of the pathogen. SA and BTH played a significant role in inducing resistance in tomato plants against M. incognita.
This article aims to evaluate the impact of penicillin scarcity on the incidence of congenital syphilis in the State of Mato Grosso do Sul, Brazil, from 2010 to 2017. This is a study based on secondary source data. The population sample was based on pregnant women diagnosed with syphilis, regardless of the period of pregnancy, age, socioeconomic status, marital status, education. The results demonstrate the need of better attention to the control of congenital syphilis in the country, specifically regarding penicillin supply and prenatal care.
In the high level-speed urbanization and modern automobile technology, road traffic accidents and traffic risk have become a severe mistake in India roads. Drivers’ functioning error and risk-taking behaviour is a major cause of traffic accidents. Under this condition, the demand of drivers’ traffic safety evaluation keeps increasing, mainly for professional drivers like passenger drivers and delivery drivers. This work suggest a data mining framework of drivers’ traffic safety evaluation utilizing drivers’ personal information, traffic violations and traffic accident data files. Model validation and result explanation are given, showing the reasonable and usefulness of our proposed approach.
