Características clínicas de anorexia nervosa extrema. Reporte de caso

2021 ◽  
Vol 64 (2) ◽  
pp. 26-30
Author(s):  
María Fernanda Morales Allende ◽  
◽  
Griselda Galván Sánchez ◽  
Keyword(s):  
Anorexia Nervosa ◽  
Great Influence ◽  
Health Resources ◽  
Good Prognosis ◽  
The Body ◽  
Medical Complications ◽  
High Morbidity ◽  
Risk Of Death ◽  
Biological Family ◽  
First Contact

Anorexia nervosa is currently considered a disease of great impact due to its association with malnutrition. It occurs mainly in women, adolescents and young adults. The severity is defined by BMI. It is a multifactorial disease, with great influence of the cultural environment, biological, family and personal aspects. No system in the body is spared from the adverse sequelae of these illnesses, especially as anorexia nervosa becomes more severe and chronic. We review the medical complications that are associated with extreme anorexia nervosa. It is also considered as a disease with a high morbidity and mortality rate, due to an increase of up to 6 times the risk of death and the multiple medical complications associated with the disease. Hence, it is essential to increase health resources, reinforce information in first-contact doctors to identify this condition, and increase factors of good prognosis such as early patient care. Keywords: Anorexia nervosa; medical complications; eating disorders

Medical Complications of Anorexia Nervosa

2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Jia Liu ◽  
Jeff Hollis ◽  
Kara Leach ◽  
Millie Plotkin ◽  
Philip Mehler
Keyword(s):  
Anorexia Nervosa ◽  
Excess Mortality ◽  
Medical Literature ◽  
The Body ◽  
Medical Complications ◽  
Body System ◽  
Nutritional Rehabilitation ◽  
Search Terms ◽  
Weight Restoration

Anorexia nervosa (AN) is a mental illness which is associated with many different medical complications. A comprehensive medical literature review of the medical complications of AN was undertaken using relevant search terms on PubMed to prepare this manuscript. We demonstrate that every body system is adversely affected by the ravages of AN. As the body mass index becomes progressively lower, the number and acuity of these medical complications increase. No body system is ultimately immune to medical complications, which most commonly impact the cardiac, gastrointestinal, and endocrine systems. AN has the highest mortality of any psychiatric illness. About half of the excess mortality risk associated with AN is due to the medical complications which are inextricably tied to AN. Nutritional rehabilitation and weight restoration attenuate and reverse the long-term medical complications.

Effect of age on outcome in patients with cerebral stroke

2020 ◽  
pp. 41-45
Author(s):  
G. R. Kuchava ◽  
E. V. Eliseev ◽  
B. V. Silaev ◽  
D. A. Doroshenko ◽  
Yu. N. Fedulaev
Keyword(s):  
Ischemic Stroke ◽  
Neurological Deficit ◽  
Neurological Status ◽  
Statistical Correlation ◽  
Multiple Organ ◽  
The Body ◽  
Social Adaptation ◽  
Cerebral Stroke ◽  
Septic Complications ◽  
Risk Of Death

The aim of the study was to assess the course and outcome of cerebral infarction, depending on the age factor and duration of stay in the neuroblock. Materials and methods: a dynamic observation of 494 patients, men and women, aged 38–84 years with acute ischemic stroke of hemispheric localization, which were divided into the three groups depending on age, was performed. Group 1 – younger than 60 years old, group 2–60–70 years old, group 3 – older than 60 years. All patients underwent standard therapy, according to the recommendations for the treatment of ischemic stroke. The patients underwent comprehensive clinical and instrumental monitoring, which included assessment of somatic and neurological status according to the NIH‑NINDS scales at 1st, 3rd, 10th days and at discharge or death; assessment of the level of social adaptation according to the Bartel scale on 1st, 3rd, 10th days and at discharge, clinical and biochemical blood tests, computed tomography of the brain. Assessment of the quality of therapy was carried out according to specially developed maps using methods of statistical correlation analysis. Results: the most pronounced positive dynamics of neurological status was in the 1st group of patients. The regression of neurological deficit in the 2nd group was worse. The minimal dynamics of neurological deficit was in the 3rd group of patients with cerebral stroke. Most often, the death of patients with cerebral stroke occurred from the development of multiple organ disorders. Conclusions: patients over 70 years of age have the greatest risk of death, due to: a decrease in the reactivity of the body, the presence of initially severe concomitant somatic pathology in patients with admission to hospital; accession of secondary somatic and purulent‑septic complications.

Anorexia Nervosa and Depression in a Woman Blind since the Age of Nine Months

1993 ◽  
Vol 38 (7) ◽  
pp. 469-471 ◽  
Author(s):  
Clifford W. Sharp
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Major Depression ◽  
Food Intake ◽  
Older Women ◽  
The Body ◽  
Atypical Presentation ◽  
History Of

A woman aged 58 who has been blind since the age of nine months presented with major depression and a 40 year history of an eating disorder characterized by a restriction of food intake and body disparagement. The case is additional evidence that a specifically visual body image is not essential for the development of anorexia nervosa and supports the view that the concept of body image is unnecessary and unproductive in eating disorders. Greater emphasis should be placed on attitudes and feelings toward the body, and the possibility of an eating disorder should be considered in cases of older women with an atypical presentation.

Body Image in Anorexia Nervosa

1981 ◽  
Vol 26 (4) ◽  
pp. 224-227 ◽  
Author(s):  
David M. Garner
Keyword(s):  
Body Image ◽  
Anorexia Nervosa ◽  
Body Satisfaction ◽  
Body Part ◽  
The Body ◽  
Size Perception ◽  
Whole Body ◽  
Size Estimation ◽  
Psychological Disturbance ◽  
Body Image Disturbances

Despite much recent interest in the objective measurement of body image in anorexia nervosa, many questions remain regarding basic mechanisms responsible for the findings as well as their meaning in the disorder. It is unclear if “whole body” measures assess the same underlying phenomena as the “body part” method, and it is unclear if body image disturbances are etiologic or a byproduct of anorexia nervosa. The possible association between self-esteem and body satisfaction and the relationship of the latter variable to actual size estimation supports the hypothesis that size perception may be closely tied to satisfaction with non-physical aspects of self. Finally it must be determined if over estimation is a function of a general psychological disturbance or of a deficit of specific interest in this disorder. Despite these questions, the way in which anorexic patients see themselves as well as the cognitive and affective responses to this perception remains an interesting and potentially fruitful area of study with this disorder.

scholarly journals Stroke Prevention in the Developing World

Stroke ◽  
2011 ◽  
Vol 42 (12) ◽  
pp. 3655-3658 ◽  
Author(s):  
Valery L. Feigin ◽  
Rita Krishnamurthi
Keyword(s):  
Developing Countries ◽  
21St Century ◽  
Stroke Prevention ◽  
Developing World ◽  
Health Resources ◽  
Narrative Review ◽  
High Morbidity ◽  
Early 21St Century ◽  
Limited Health ◽  
The Early 21St Century

In the early 21st century, developing countries are experiencing an ever-increasing burden of stroke due its high morbidity and associated disability. Given the limited health resources available in developing countries, stroke prevention there is of paramount importance. This narrative review summarizes currently available evidence for stroke prevention in the developing world and outlines their major strategies and priorities.

Abstract WP282: Protecting Stroke Patients from Aspiration and Mortality through a Bedside Aspiration Screen

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Edith Matesic
Keyword(s):  
Organizational Learning ◽  
Aspiration Pneumonia ◽  
The Body ◽  
Kappa Statistics ◽  
Evidence Based ◽  
Stroke Patients ◽  
Rater Reliability ◽  
Stroke Treatment ◽  
Risk Of Death ◽  
The Impact

Background: Stroke patients initially experience dysphagia approximately 42-76% of the time, putting them at high risk for developing aspiration pneumonia and increasing the risk of death threefold in the first 30 days following onset of the condition. Interventions to identify risk for aspiration pneumonia are key to reducing mortality in hospitalized patients. However, no generally recognized bedside aspiration screen exists, and few have been rigorously tested. The Edith-Huhn-Matesic Bedside Aspiration Screen (EHMBAS) TM was developed as an evidence-based RN bedside aspiration screening protocol. Purpose: This study analyzed the sensitivity and inter-rater reliability of EHMBAS TM , assessed the efficacy of training methods, evaluated patient feedback, and looked at the impact of organizational learning. Methods: RNs were trained to apply the EHMBAS TM . An evaluation study assessed the sensitivity, specificity and predictability of the screen to detect aspiration in the stroke population study group. Cohen’s Kappa statistics was applied to test inter-rater reliability. Pre- and post-implementation Likert surveys examined patient and staff satisfaction on the education plan and screening process, respectively. Lastly, an analysis of organizational learning examined whether changes enhanced adherence to screening requirements. Results: Results showed that the EHMBAS TM demonstrated strong validity (94% sensitivity) and high inter-rater reliability (Kappa = .92, p<.001). Pre- and post- staff training survey results demonstrated a significant positive change in knowledge gained, feelings of preparedness, and satisfaction with teaching methods. Further, 92.3% of patients surveyed had positive screening experiences. The hospital received Silver recognition from The American Heart Association for following stroke treatment guidelines 85% of the time for at least 12 months, demonstrating the positive impact of the protocol on organizational change. Conclusions: This study contributes to the body of work aimed at establishing a reliable evidence-based, bedside aspiration screen. Patient safety is enhanced, because screen results help determine when patients can safely receive medication and nutrition by mouth.

scholarly journals THE RELEVANCE OF NUTRITIONAL STATUS AND HISTOPATHOLOGICAL FINDINGS ON THE INFECTIOUS PROCESS OF BALB/C MICE INOCULATED WITH Lacazia loboi

2015 ◽  
Vol 57 (5) ◽  
pp. 421-426 ◽  
Author(s):  
Adriana Sierra Assencio Almeida BARBOSA ◽  
Suzana Madeira DIÓRIO ◽  
Silvia Cristina Barboza PEDRINI ◽  
Adauto José Ferreira NUNES ◽  
Andréa de Faria Fernandes BELONE ◽  
...  
Keyword(s):  
Great Influence ◽  
Giant Cells ◽  
The Body ◽  
Histopathological Analysis ◽  
Restricted Diet ◽  
Regular Diet ◽  
Protein Calorie Malnutrition ◽  
Large Numbers ◽  
Lacazia Loboi ◽  
Lacazia Loboï

SUMMARY The aim of this study was to evaluate the effects of the protein-calorie malnutrition in BALB/c isogenic mice infected with Lacazia loboi, employing nutritional and histopathological parameters. Four groups were composed: G1: inoculated with restricted diet, G2: not inoculated with restricted diet, G3: inoculated with regular diet, G4: not inoculated with regular diet. Once malnutrition had been imposed, the animals were inoculated intradermally in the footpad and after four months, were sacrificed for the excision of the footpad, liver and spleen. The infection did not exert great influence on the body weight of the mice. The weight of the liver and spleen showed reduction in the undernourished groups when compared to the nourished groups. The macroscopic lesions, viability index and total number of fungi found in the footpads of the infected mice were increased in G3 when compared to G1. Regarding the histopathological analysis of the footpad, a global cellularity increase in the composition of the granuloma was observed in G3 when compared to G1, with large numbers of macrophages and multinucleated giant cells, discrete numbers of lymphocytes were present in G3 and an increase was observed in G1. The results suggest that there is considerable interaction between Jorge Lobo's disease and nutrition.

scholarly journals Anorexia nervosa: The body and commands from the social-superego

2015 ◽  
Vol 13 (2) ◽  
pp. 923-935
Author(s):  
Sonia Patricia Murguía-Mier ◽  
Claudia Unikel-Santoncini ◽  
Bertha Blum-Grynberg ◽  
Bertha Elvia Taracena-Ruiz
Keyword(s):  
Anorexia Nervosa ◽  
The Body ◽  
The Social
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