scholarly journals Meal Timing and Glycemic Control during Pregnancy—Is There a Link?

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3379
Author(s):  
Shengjie Zhu ◽  
Prasanth Surampudi ◽  
Nancy T. Field ◽  
Maria Chondronikola
Keyword(s):  
Glycemic Control ◽  
Glucose Homeostasis ◽  
Public Health Problem ◽  
Nutrient Distribution ◽  
Important Public Health Problem ◽  
Clinical Investigations ◽  
Meal Timing ◽  
Meal Time

Hyperglycemia during pregnancy and gestational diabetes mellitus (GDM) constitute an important public health problem due to their prevalence and long-term health consequences both for the mother and offspring. Results from studies in rodents and some clinical investigations suggest that meal time manipulation may be a potential lifestyle approach against conditions involving perturbations in glucose homeostasis (e.g., hyperglycemia, insulin resistance, diabetes, etc.). The purpose of this review is to summarize and critically evaluate the current literature on the role of meal timing and daily nutrient distribution on glycemic control during pregnancy. Only a small number of mostly observational studies have assessed the role of meal timing in glucose homeostasis during pregnancy. Food consumption earlier in the day and short-term fasting with adequate nutrient intake may improve glycemic control during the second and third trimester of gestation. Considering that the field of chrononutrition is still in its infancy and many questions remain unanswered, future prospective and carefully designed studies are needed to better understand the role of meal timing in metabolic homeostasis and maternal and fetal health outcomes during pregnancy.

scholarly journals Continuous glucose monitoring: review of promising technologies

2019 ◽  
Vol 252 ◽  
pp. 02012
Author(s):  
Monika Klimek ◽  
Tytus Tulwin
Keyword(s):  
Glycemic Control ◽  
Continuous Glucose Monitoring ◽  
New Technologies ◽  
Glucose Monitoring ◽  
Flash Glucose Monitoring ◽  
Uncontrolled Diabetes ◽  
Monitoring Technologies

Despite the progress we have made in the management of diabetes it is still incurable and aggravating disease affecting all domains of quality of life. Uncontrolled diabetes associated with hyperglycemia leads to serious microvascular and macrovascular long-term complications. The proper long-term glycemic control is a key strategy for preventing the development or slowing the progression of diabetes complications, thus there is a crucial role of new technologies in the diabetes care. New technologies in diabetology are developing dynamically in recent years and therefore this is a topical issue. In this paper we describe current and developing continuous glucose monitoring technologies and their usefulness in promoting optimal glycemic control, influence on personalized diabetes managements and the functioning of patients. Moreover we review knowledge about flash glucose monitoring and close-loop system. This review examines studies published before 31st August 2018.

scholarly journals Role of ovarian hormones in the long-term control of glucose homeostasis

Diabetologia ◽  
1980 ◽  
Vol 19 (5) ◽  
pp. 475-481 ◽  
Author(s):  
C. J. Bailey ◽  
H. Ahmed-Sorour
Keyword(s):  
Glucose Homeostasis ◽  
Ovarian Hormones

scholarly journals Reinserção social: processo que implica continuidade e cooperação

2015 ◽  
Vol 10 (1) ◽  
pp. 113
Author(s):  
Eliane Ganev ◽  
Wagner de Lorence Lima
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Public Health Problem ◽  
Drug Addicts ◽  
Important Public Health Problem ◽  
Drug Dependency ◽  
Important Public Health ◽  
Risk Of Relapse

O presente artigo propõe uma reflexão em torno do conceito de reinserção social de indivíduos que se tornaram dependentes de drogas, com o objetivo de oferecer uma contribuição na construção de políticas públicas sobre drogas capazes de fazer frente a este importante problema de saúde pública na contemporaneidade. Além dos aspectos conceituais da reinserção social, discutimos seus pressupostos e objetivos; seu contexto sempre atravessado pelas complexidades e singularidades características da dependência de drogas; aspectos tais como abstinência, riscos de recaídas, desconstrução e reconstrução de estilos de vida; o caráter multidisciplinar e a necessidade do trabalho continuado e metódico, no curto, médio e longo prazos, exigindo a cooperação de distintos agentes e sujeitos implicados nos desafios da reinserção social. Abstract: In this paper, we propose an analysis about the concept of social reinsertion of individuals who have become drug addicts. We want to help in planning public actions about drugs which can face this important public health problem nowadays. Apart from the conceptual aspects of social reinsertion, we hereby discuss its proposals, objectives and its context which is permanently affected by the complexities and peculiarities of drug dependency; aspects such as withdrawal, the risk of relapse, deconstruction and reconstruction of lifestyles; its multidisciplinary character and the need for continuous and methodical short-, mid- and long-term work, requiring the cooperation of those specific agents and subjects implied within the challenges of social reinsertion.

Psychological Maltreatment and Digital Addiction

2019 ◽  
pp. 138-155
Author(s):  
Gökmen Arslan
Keyword(s):  
Mental Health ◽  
Internet Addiction ◽  
Public Health Problem ◽  
Psychological Maltreatment ◽  
Healthy Development ◽  
Health And Wellbeing ◽  
Significant Public Health ◽  
Short And Long Term

Internet use enhances people's quality of life, yet, excessive use may lead to various problems for their healthy development and wellbeing. Understanding the risks and protective factors in the development of internet addiction have importance to promote individuals' mental health and wellbeing. Therefore, the purpose of the present chapter is to explore the role of psychological maltreatment in the development of internet addiction. Psychological maltreatment is a significant public health problem associated with a range of short and long-term mental health and wellbeing outcomes during the period from childhood to adulthood. Considering the outcomes, it is clear that maltreated individuals are at risk to develop internet addiction disorder, and psychological maltreatment has a crucial role in the development of internet addiction. However, evidence on this issue is relatively limited, and there is a need for further research investigating short and long-term impacts of psychological maltreatment on internet addiction.

scholarly journals Variables de riesgo y protección relacionadas con la tentativa de suicidio

2019 ◽  
Vol 23 (3) ◽  
pp. 221
Author(s):  
David Sánchez-Teruel ◽  
José Antonio Muela-Martínez ◽  
Ana García-León
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Public Health Problem ◽  
Suicidal Attempt ◽  
Important Public Health Problem ◽  
Psychological Variables ◽  
Completed Suicide ◽  
Increased Risk ◽  
Predictive Behavior

Abstract: Risk and protection variables related to suicidal attempt. Suicide is an important public health problem, being the suicidal attempt the most predictive behavior of completed suicide. The aim of this study was to detect if there are differences in psychosocial and emotional variables in people with and without suicidal ideation and attempt. The sample consisted of 166 participants (86.36% women), aged between 20 and 77 years (M= 36, SD= 14.12) with and without suicide attempts, which was in turn divided into three groups through the Scale of Suicidal Ideation. The results show that there are important differences between the three groups in the psychological variables measured. We discuss the role of psychosocial variables, which are at the base of the increased risk or protection towards the ideation or suicidal attempt, to promote public suicide prevention policies more focused on those clinical subpopulations with specific risk profiles.Resumen: El suicidio es un importante problema de salud pública, siendo la tentativa de suicidio la conducta más predictiva del suicidio consumado. Mediante el presente estudio se pretende detectar si existen diferencias en variables psicosociales y emocionales en personas con y sin ideación y tentativa suicida.  La muestra estuvo constituida por 166 participantes (86.36 % mujeres), con edades comprendidas entre los 20 y 77 años (M= 36; DT= 14.12) con y sin tentativas suicidas, que fue a su vez dividida en tres grupos a través de la Escala de Ideación Suicida. Los resultados muestran que existen importantes diferencias entre los tres grupos en las variables psicológicas medidas. Se discute el papel de las variables psicosociales, que están en la base del incremento del riesgo o protección hacia la ideación o tentativa suicida, para propiciar políticas públicas de prevención del suicidio más centradas en aquellas subpoblaciones clínicas con perfiles de riesgo concretos.

scholarly journals Role of Vitamin D Status in Diabetic Patients with Renal Disease

Medicina ◽  
2019 ◽  
Vol 55 (6) ◽  
pp. 273 ◽  
Author(s):  
Guido Gembillo ◽  
Valeria Cernaro ◽  
Antonino Salvo ◽  
Rossella Siligato ◽  
Alfredo Laudani ◽  
...  
Keyword(s):  
Vitamin D ◽  
Public Health Problem ◽  
The United States ◽  
Vitamin D Supplementation ◽  
Western World ◽  
Diabetic Patients ◽  
Major Public Health Problem

Diabetes mellitus (DM) poses a major public health problem worldwide, with ever-increasing incidence and prevalence in recent years. The Institute for Alternative Futures (IAF) expects that the total number of people with type 1 and type 2 DM in the United States will increase by 54%, from 19,629,000 to 54,913,000 people, between 2015 and 2030. Diabetic Nephropathy (DN) affects about one-third of patients with DM and currently ranks as the first cause of end-stage kidney disease in the Western world. The complexity of interactions of Vitamin D is directly related with progressive long-term changes implicated in the worsening of renal function. These changes result in a dysregulation of the vitamin D-dependent pathways. Various studies demonstrated a pivotal role of Vitamin D supplementation in regression of albuminuria and glomerulosclerosis, contrasting the increase of glomerular basement membrane thickening and podocyte effacement, with better renal and cardiovascular outcomes. The homeostasis and regulation of the nephron’s function are absolutely dependent from the cross-talk between endothelium and podocytes. Even if growing evidence proves that vitamin D may have antiproteinuric, anti-inflammatory and renoprotective effects in patients with DN, it is still worth investigating these aspects with both more in vitro studies and randomized controlled trials in larger patient series and with adequate follow-up to confirm the effects of long-term vitamin D analogue supplementation in DN and to evaluate the effectiveness of this therapy and the appropriate dosage.

scholarly journals The Role of Prestroke Glycemic Control on Severity and Outcome of Acute Ischemic Stroke

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Clara Hjalmarsson ◽  
Karin Manhem ◽  
Lena Bokemark ◽  
Björn Andersson
Keyword(s):  
Ischemic Stroke ◽  
Glycemic Control ◽  
Acute Ischemic Stroke ◽  
Functional Outcome ◽  
University Hospital ◽  
Stroke Severity ◽  
Term Survival ◽  
Long Term Mortality

Background/Aim. Relatively few studies have investigated the association of prestroke glycemic control and clinical outcome in acute ischemic stroke (IS) patients, regardless of presence of diabetes mellitus (DM). The aim of this study was to investigate the importance of prestroke glycemic control on survival, stroke severity, and functional outcome of patients with acute IS.Methods. We performed a retrospective survival analysis of 501 patients with IS admitted to Sahlgrenska University Hospital from February 15, 2005, through May 31, 2009. The outcomes of interest were acute and long-term survival; the stroke severity (NIHSS) and the functional outcome, mRS, at 12 months.Results. HbA1c was a good predictor of acute (HR 1.45; CI, 1.09 to 1.93,P=0.011) and long-term mortality (HR 1.29; CI 1.03 to 1.62;P=0.029). Furthermore, HbA1c >6% was significantly correlated with acute stroke severity (OR 1.29; CI 1.01 to 1.67;P=0.042) and predicted worse functional outcome at 12 months (OR 2.68; CI 1.14 to 6.03;P=0.024).Conclusions. Our study suggests that poor glycemic control (baseline HbA1c) prior to IS is an independent risk factor for poor survival and a marker for increased stroke severity and unfavorable long-term functional outcome.

scholarly journals Options for Treating Resistant Shigella Species Infections in Children

2008 ◽  
Vol 13 (1) ◽  
pp. 29-43
Author(s):  
Sharon M. Erdman ◽  
Elizabeth E. Buckner ◽  
Janet F. Hindler
Keyword(s):  
Pediatric Population ◽  
Safety Data ◽  
Public Health Problem ◽  
The United States ◽  
Efficacy And Safety ◽  
First Line ◽  
Important Public Health Problem ◽  
American Academy Of Pediatrics ◽  
Shigella Species

Infection due to Shigella species remains an important public health problem, especially in developing countries where it remains the most common cause of bloody diarrhea. In the United States (US), 10,000 to 15,000 cases of shigellosis are reported each year in both children and adults. US surveillance data from 2004 has demonstrated increased resistance in Shigella species to first-line antibiotics such as ampicillin and trimethoprim-sulfamethoxazole, with approximately 37% of isolates demonstrating resistance to both ampicillin and trimethoprim-sulfamethoxazole. Since approximately 69% of Shigella infections occur in children younger than 5 years of age, it is important that alternative antibiotics other than typical first-line agents such as ampicillin and trimethoprim-sulfamethoxazole be available to treat Shigella infections in this population. The American Academy of Pediatrics (AAP) recommends cefixime, ceftriaxone, azithromycin, and fluoroquinolones as alternative antibiotics for the treatment of Shigella species infections in children. This paper will review the microbiology, susceptibility, efficacy and safety data of these alternative antibiotics with regard to the treatment of Shigella species infections in children, and will attempt to define the role of each of these agents in the pediatric population.

scholarly journals Food Allergy Prevention and Management in Children

2021 ◽  
Vol 3 (2) ◽  
pp. 080-086
Author(s):  
Melike YILDIZ ◽  
Gülcan ARUSOĞLU
Keyword(s):  
Food Allergy ◽  
Treatment Strategies ◽  
Public Health Problem ◽  
Epidemiological Data ◽  
Allergy Prevention ◽  
Important Public Health Problem ◽  
Immunological Mechanisms ◽  
Ige Mediated ◽  
Personalized Approach

Food allergy is a reaction mediated by immunological mechanisms that cause various symptoms in susceptible individuals while harmless in individuals who are not sensitive to the specific allergen. The reactions that take place are divided into three: IgE-mediated reactions, non-IgE-mediated reactions, and mixed-type reactions. While many types of food have the potential to cause allergen reactions, fewer foods are responsible for the most clinically severe reactions and for the majority of reported cases. Food allergy, which is increasingly common worldwide, is becoming an important public health problem. Although there are no clear epidemiological data, the prevalence of food allergy varies between 6-10% in preschool children and decreases to 2-5% in adulthood. Food allergy has long been recognized as a pediatric disease, as most cases tend to begin in childhood and disappear with growth. There is increasing evidence to support the role of early administration of potential food allergens to prevent food allergy. The management process of food allergy cases includes plans and innovative treatment strategies aimed at a personalized approach.

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