Eating disorders(ED) are characterized by a persistent disturbance of eating that impairs health or psychosocial functioning.They are associated with increased rates of medical complications and mortality.Insulin omis...Eating disorders(ED) are characterized by a persistent disturbance of eating that impairs health or psychosocial functioning.They are associated with increased rates of medical complications and mortality.Insulin omission is a unique purging behavior available to individuals with type 1 diabetes mellitus(T1DM).The standard treatment regimen for T1 DM requires a major focus on food andeating patterns.Moreover,intensive insulin therapy is associated with increasing body weight.These factors,combined with the psychological burden of chronic disease management and depression,may contribute to ED.The comorbidity of ED in T1 DM patients is associated with poorer glycemic control and consequently higher rates of diabetes complications.Early recognition and adequate treatment of ED in T1 DM is essential.展开更多
Background: Patient compliance to home exercise programs is significantly linked to improved treatment outcomes. Finding ways of encouraging patient conformity to these programs is imperative. For patients with osteoa...Background: Patient compliance to home exercise programs is significantly linked to improved treatment outcomes. Finding ways of encouraging patient conformity to these programs is imperative. For patients with osteoarthritis (OA) of the knee, a condition that causes pain, disability and lessens the quality of life, exercise is essential for effective control of the condition. Aim: to investigate the effectiveness of multimedia messaging services (MMS) in improving patient adherence and functional outcome to home based exercise programs for patients suffering from knee OA. Methods: Fourteen patients diagnosed with knee OA and were referred to an exercise group therapy (for a total of six sessions) participated in this pilot study. The patients were randomly assigned to either the research or control group. The research group received MMS messages additional to the exercise sessions (video of exercises up to 10 seconds in length) to their mobile phone. Outcome measurement included the Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire, combined Focus On Therapeutic Outcomes (FOTO) questionnaire, Visual Analog Scale for Pain (VAS), Fear-Avoidance Beliefs Questionnaire (FABQ) and a general questionnaire. Results: The research group had baseline scores representing slightly higher disability, pain and fear avoidance than the control group as observed by the lower FOTO score and the higher FABQ, VAS and WOMAC scores. Analyzing the difference between initial and final scores revealed that the research group had a slightly higher perceived functional improvement. Conclusions: This study addressed the feasibility of short video messaging via mobile phones in increasing compliance to home exercise programs prescribed to patients suffering from knee OA. This pilot study provides an indication for the potential of success and a larger sample study should be conducted.展开更多
In girls evaluated for anorexia nervosa(AN), coexistence of polycystic ovary disease(PCOS) was found when menstrual irregularities existed before weight loss, cessation of menses occurred at a relatively elevated body...In girls evaluated for anorexia nervosa(AN), coexistence of polycystic ovary disease(PCOS) was found when menstrual irregularities existed before weight loss, cessation of menses occurred at a relatively elevated body mass index, and LH and estrogen levels were elevated compared with adolescents with AN alone. In adolescents with PCOS+AN weight gain beyond recommended weight should not be advised.展开更多
文摘Eating disorders(ED) are characterized by a persistent disturbance of eating that impairs health or psychosocial functioning.They are associated with increased rates of medical complications and mortality.Insulin omission is a unique purging behavior available to individuals with type 1 diabetes mellitus(T1DM).The standard treatment regimen for T1 DM requires a major focus on food andeating patterns.Moreover,intensive insulin therapy is associated with increasing body weight.These factors,combined with the psychological burden of chronic disease management and depression,may contribute to ED.The comorbidity of ED in T1 DM patients is associated with poorer glycemic control and consequently higher rates of diabetes complications.Early recognition and adequate treatment of ED in T1 DM is essential.
文摘Background: Patient compliance to home exercise programs is significantly linked to improved treatment outcomes. Finding ways of encouraging patient conformity to these programs is imperative. For patients with osteoarthritis (OA) of the knee, a condition that causes pain, disability and lessens the quality of life, exercise is essential for effective control of the condition. Aim: to investigate the effectiveness of multimedia messaging services (MMS) in improving patient adherence and functional outcome to home based exercise programs for patients suffering from knee OA. Methods: Fourteen patients diagnosed with knee OA and were referred to an exercise group therapy (for a total of six sessions) participated in this pilot study. The patients were randomly assigned to either the research or control group. The research group received MMS messages additional to the exercise sessions (video of exercises up to 10 seconds in length) to their mobile phone. Outcome measurement included the Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire, combined Focus On Therapeutic Outcomes (FOTO) questionnaire, Visual Analog Scale for Pain (VAS), Fear-Avoidance Beliefs Questionnaire (FABQ) and a general questionnaire. Results: The research group had baseline scores representing slightly higher disability, pain and fear avoidance than the control group as observed by the lower FOTO score and the higher FABQ, VAS and WOMAC scores. Analyzing the difference between initial and final scores revealed that the research group had a slightly higher perceived functional improvement. Conclusions: This study addressed the feasibility of short video messaging via mobile phones in increasing compliance to home exercise programs prescribed to patients suffering from knee OA. This pilot study provides an indication for the potential of success and a larger sample study should be conducted.
文摘In girls evaluated for anorexia nervosa(AN), coexistence of polycystic ovary disease(PCOS) was found when menstrual irregularities existed before weight loss, cessation of menses occurred at a relatively elevated body mass index, and LH and estrogen levels were elevated compared with adolescents with AN alone. In adolescents with PCOS+AN weight gain beyond recommended weight should not be advised.
