Nutritional supplementation according to energy and protein requirements in malnourished HIV-infected patients.

To evaluate the effects of nutritional supplements on nitrogen and energy balances, body composition and immune parameters, HIV-infected malnourished adult outpatients were prospectively studied. Forty-six patients (4 females and 42 males; 37 +/- 12 y) were supplemented with a polymeric diet (PD) or regular foods (RF) on two consecutive 45-day periods on a crossover design. Weight, skinfold thicknesses, plasma albumin (PA), CD4 and CD8 lymphocyte counts (LC), resting energy expenditure (REE) and urinary nitrogen excretion were measured at baseline, 45 and 90-day.

Inhibition of small intestinal motility by casein: a role of beta casomorphins?

Several aspects on the effect of nutrients on small intestinal motility are not completely understood. We have analyzed changes of motor activity of the canine small bowel following intragastric administration of casein and soy protein. Studies were performed by intraluminal manometry with external transducers and multiple infused catheters with closely spaced registrating sites.

[Anorexigenic drugs in the treatment of obesity].

Obesity is highly prevalent and has several adverse effects on health. Its treatment is thus warranted and must aim to modify dietary and physical activity habits. The opinion of this association is that anorexigenic drugs with cathecolaminergic action (diethylpropion, phentermine, mazindol and phenylpropanolamine) or serotoninergic action (fenfluoramine and fluoxetine) may be used in moderate or severe obesity (BMI > 30 kg/m2) after a complete clinical assessment and in the context of an integral medical treatment.

[Total parenteral nutrition in severe hyperemesis gravidarum].

Eight patients with severe HG, were treated through parenteral nutrition. This treatment was formulated as aminoacid, sucrose solution and fat solution (3 of 8 cases), blended with vitamins electrolites and oligoelements. The procedure lasted 5 at 16 days conforming a total of 77 days.

[Indirect calorimetry and nitrogen balance in patients with elective craniotomy].

The aim of this study was to assess resting energy expenditure and nitrogen excretion in patients with cranial injury. In 25 patients subjected to elective craniotomy and 23 healthy volunteers, energy expenditure was measured using indirect calorimetry and compared with estimations according to Harris-Benedict equations. During the second postoperative day, measured energy expenditure in patients was 100 +/- 19% (range 66-185) of estimation and 115 +/- 22% (range 76-159%) of measured values in control subjects.

[Protein and energy requirements in patients with severe head injury].

The aim of the present study was to assess the effect of severe head injury over resting energy expenditure and nitrogen losses. Eight patients with severe head trauma (mean Glasgow scale of 4.9 +/- 1.

Parenteral nutrition in hyperemesis gravidarum.

Hyperemesis gravidarum (HG) is a clinical condition that threatens fetal viability and even the mother's life when the severity of symptoms almost completely prevents the intake of food. Parenteral nutrition (PN) is a possible alternative. We present eight patients with HG.

Dorsomedial thalamotomy as a treatment for terminal anorexia: a report of two cases.

Anorexia nervosa has been considered a compulsive obsessive disorder (OCDS). We present a case report of two patients, male and female, suffering from an extremely severe, chronic and refractory anorectic syndrome. Both patients underwent bilateral stereotactic thalamotomy with involvement of the lamella medialis.

[Effect of casein on the temporo-spatial organization++ of the contractile activity of the small intestine in the dog].

Some observations in man and experimental animals have demonstrated that casein decreases intestinal transit speed. However, its effects on intestinal motility have not been studied previously in a systematic fashion. The aim of this work was to study the temporospatial distribution of small bowel motility before and after the administration of calcium caseinate.

[Treatment of acute secretory diarrhea with casein: an effect of beta-casomorphins?].

A patient with acute secretory diarrhea refractory to conventional therapy received calcium caseinate as sole nutrient, based on the recognized development of constipation and fecaloma in patients receiving this agent. Complete remission of diarrhea followed within 10 days. An inhibition of intestinal motility mediated by B-casomorphins released after hydrolysis of casein in the intestinal tract may be the mechanism involved in this effect.

Variances and Covariances of Kendall's Tau and Their Estimation.

We generalize the formulas derived by Daniels and Kendall (1947) for the variance of the sample tau correlation. It is assumed that multivariate data are sampled from a population, and sample taus between pairs of variables are being used to estimate their population counterparts. Expressions for the variance of tau-a are generalized to allow for ties on either variable, and we further provide an expression for the covariance between two taus, including the special case where there is a variable in common.

Peer-group association and adolescent tobacco use.

Mosbach & Leventhal (1988) examined the relation of cigarette smoking to peer-group identification in rural Wisconsin adolescents. They found that among dirts (problem-prone youth), regulars (average youth), hot-shots (good social or academic performers), and jocks (athletes), youth most likely to smoke were dirts and hot-shots. We performed a replication with a Southern California cohort and also for use of smokeless tobacco.

Physical features, physical attractiveness, and psychological adjustment among alcohol abuse inpatients.

Relations between specific physical features, attractiveness, and psychological adjustment of alcoholic inpatients were examined. Measures were obtained during the first week of admission and 6 weeks later (within 2 weeks of discharge). The nine physical features assessed formed three factors: face, facial expression, and body.

Adolescents' first and most recent use situations of smokeless tobacco and cigarettes: similarities and differences.

This study compared first and most recent use situations of adolescent smokeless tobacco experimenters with those of adolescent cigarette experimenters. Structured, open-ended interviews were conducted with 320 seventh and tenth grade youths in 16 Southern California schools. Students were categorized as nonusers (those who had never experimented with any tobacco product), minimal experimenters (those who had experimented with smokeless tobacco or cigarettes between 1 and 9 times), and persistent experimenters (those who had experimented with smokeless tobacco or cigarettes 10 or more times).

The power of policy: the relationship of smoking policy to adolescent smoking.

This study examined the effects of smoking policy on 4,807 adolescents in 23 schools over a two-county area in California. Amounts and prevalence rates of adolescent smoking were measured with a self-report survey and a biochemical measure; school smoking policy was measured with two independent surveys of school staff. Policy effects were evaluated with multiple and logistic regression analyses controlling for school-level socioeconomic status and environmental support for teaching and administration.

Positive mood and helping behavior: a test of six hypotheses.

Past research has shown rather consistently that positive mood states lead to increased helpfulness. In an expanded analysis of the published literature, we examined six distinct views about this relation: the focus of attention, objective self-awareness, separate process, social outlook, mood maintenance, and concomitance hypotheses. For each of 61 positive affect conditions in which it was possible to generate an effect-size estimate corresponding to the relative degree of helpfulness exhibited by positive mood subjects (compared with neutral affect subjects), judges assessed the contextual levels of variables relevant to each of the six hypotheses by reading the Method section of each article.