scholarly journals THE USE OF ENTERAL NUTRITION IN BOWEL CLEANSING BEFORE COLONOSCOPY

2018 ◽  
pp. 25-30
Author(s):  
A. V. Galyaev ◽  
D. A. Mtvralashvili ◽  
O. V. Arkhipova ◽  
V. V. Veselov ◽  
S. S. Belous
Keyword(s):  
Enteral Nutrition ◽  
Subjective Assessment ◽  
Protein Diet ◽  
Diagnostic Colonoscopy ◽  
Colon Cleansing ◽  
Negative Results ◽  
Bowel Cleansing ◽  
Prospective Comparative Study ◽  
Standard Protein

AIM: to evaluate the effectiveness of bowel cleansing before colonoscopy using enteral nutrition agent «Nutridrink» as the single nutrient. MATERIALS AND METHODS: a prospective comparative study included 150 patients (83 females, aged 20-65 years), who underwent diagnostic colonoscopy. To assess the quality of bowel cleansing the Likert scale was used. Subjective assessment of patients' comfort was performed by patients on a 10-point visual scale (from 0 - «excellent» to 10 - «extremely negative»). RESULTS: the quality of colon cleansing before colonoscopy was significantly better in patients who got enteral nutrition, especially in comparison with patients with standard protein diet. Subjective assessment of comfort during cleansing was better in the group of patients who used Nutridrink as the only source of nutrition as well. CONCLUSION: use of enteral nutrition as a part of bowel cleansing before colonoscopy can replace the protein diet.

scholarly journals A NEW AGENT BOWEL CLEANSING BEFORE ENDOSCOPY - «COLOKIT»

2019 ◽  
Vol 18 (2) ◽  
pp. 27-32
Author(s):  
A. V. Galyaev ◽  
V. V. Veselov ◽  
R. I. Romanov ◽  
E. A. Poltorykhina ◽  
O. S. Ozerova
Keyword(s):  
Bowel Preparation ◽  
Drug Tolerance ◽  
Subjective Assessment ◽  
Diagnostic Colonoscopy ◽  
Randomised Study ◽  
Bowel Cleansing ◽  
Good Preparation ◽  
Alternative Regime

AIM: to evaluate the efficacy, safety and drug tolerance of «Colokit» for bowel cleansing before colonoscopy.PATIENTS AND METHODS: an open prospective non-randomised study of the quality of bowel cleansing was carried out in 30 patients (17 females, aged 26-72 years), who underwent diagnostic colonoscopy after using «Сolokit» (Mayoly Spindler, France) using two different regimes (recommended and alternative).RESULTS: the quality of the bowel cleansing was significantly better in patients after «Colokit» use in recommended regime vs alternative regime. No difference in subjective assessment of patients’ comfort during bowel preparation was found in both regimes. CONCLUSION: the «Colokit» agent provides good preparation and patients’ comfort and can be recommended for the bowel cleansing before colonoscopy.

scholarly journals Adding stewed apricot juice to sena improves the right-side and overall colon cleansing quality for colonoscopy preparation

2017 ◽  
Vol 7 (1) ◽  
pp. 54
Author(s):  
Bulent Yasar ◽  
Evren Abut ◽  
Huseyin Kayadibi ◽  
Fatih Akdoğan ◽  
Can Gonen
Keyword(s):  
Adverse Events ◽  
Patient Comfort ◽  
Patient Acceptance ◽  
Colonoscopic Examination ◽  
Colon Cleansing ◽  
Patient Tolerance ◽  
Bowel Cleansing ◽  
The Right ◽  
Colonoscopy Preparation

Background: To achieve optimal colonoscopic examination, the bowel must be sufficiently cleansed. However, none of the currently available colonoscopy preparation regimens is safe, efficient and comfortable. The aim of this study was to determine whether adding stewed apricot juice to senna increased patient comfort and improved bowel cleansing during colonoscopy preparation.Methods: Outpatients of both genders, aged over 18 years, who were referred for elective colonoscopy were randomly allocated to drink stewed apricot juice with senna or senna alone. The quality of colon cleansing was evaluated using the Ottawa scale. The evaluation of patient tolerance and adverse events was made through completion of a questionnaire. Results: The study included a total of 128 patients in the randomization procedure. A significantly greater effect of cleansing  was determined with stewed apricot juice plus senna in the right and transverse colon (p= 0.038, p=0.037, respectively). It was also determined that in the stewed apricot juice plus senna group, overall cleansing was superior (p<0.001), total colonoscopy (17.6 min vs 22.8 min, p=0.048) and cecal intubation (7.4 min vs 11.2 min, p=0.042) times were shorter, and the colonoscopy procedure was easier (79.4%vs 49.2%, p<0.001). No difference was determined between the groups in respect of patient  acceptance, compliance and adverse events (p>0.05). In the stewed apricot juice plus senna group, 91.2% of patients stated willingness to receive the same regimen in the future compared with 80% of the patients in thesenna alone group (p=0.037).Conclusion: The addition of natural, stewed apricot juice to senna significantly improves cleansing outcomes without additional adverse events.Keywords: bowel cleansing, colonoscopy, stewed apricot juice, senna.

Prospective randomized controlled trial comparing efficacy of 1-L Peg-Asc with prucalopride and 2-L Peg-Asc for the bowel preparation.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 597-597
Author(s):  
Seong Ji Choi ◽  
Yoon Tae Jeen ◽  
Eun Sun Kim ◽  
Woojung Kim ◽  
Geeho Min ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Controlled Trial ◽  
Split Dose ◽  
Colon Cleansing ◽  
Bowel Cleansing ◽  
Prospective Randomized Controlled Trial ◽  
Group A ◽  
Survey Results ◽  
Group B

597 Background: Though numerous researches enabled decrease of the bowel preparation solution volume, it is still a major complaint of patients preparing colonoscopy. There have been studied that additional administration of laxatives could lessen the amount of aqueous formula with prokinetic effect. Prucalopride is a serotonin (5-HT4) receptor agonist which stimulate colonic mass movements and provide main propulsive force for defecation. The aim of this study is to compare 2-L PEG-Asc and 1-L PEG-Asc plus prucalopride for quality of bowel cleansing while preparing for colonoscopy and patient compliance. Methods: Two hundred patients were prospectively enrolled. Patients referred for colonoscopy were divided into group A (the split-dose 2-L PEG-Asc) and group B (1-L PEG-Asc + prucalopride) randomly. During colonoscopy, each patient’s bowel preparation quality was evaluated with The Boston Bowel Preparation Scale (BBPS) and Aronchick Preparation Scale (APS). The tolerability and satisfaction of patients was determined based on a questionnaire-based survey. Results: One hundred patients received either 2-L PEG-Asc or 1-L PEG-Asc with prucalopride. Regarding colon cleansing outcome (BPPS and APS), the 1-L PEG-Asc with prucalopride group showed similar, but non-inferior results compared to the 2-L PEG-Asc group on both BBPS (7.65±1.27 vs 7.52±1.40, p = 0.586) and APS scales (93.3% vs 95%, p = 0.717). Tolerability was similar for both 1-L PEG-Asc with prucalopride and 2-L PEG-Asc. Conclusions: 1-L PEG-Asc plus prucalopride preparation showed comparable result to traditional 2-L PEG-Asc preparation. 1-L PEG-Asc plus prucalopride preparation method could be an alternative method for bowel preparation which can relieve patient’s discomfort. Clinical trial information: KCT0002409.

Feasibility and Clinical Implications of Remotely Guided Ultrasound Examinations

2020 ◽  
Vol 91 (7) ◽  
pp. 592-596
Author(s):  
Quinn Dufurrena ◽  
Kazi Imran Ullah ◽  
Erin Taub ◽  
Connor Leszczuk ◽  
Sahar Ahmad
Keyword(s):  
Clinical Utility ◽  
Regional Wall Motion ◽  
Subjective Assessment ◽  
Clinical Implications ◽  
Pilot Studies ◽  
Objective Quality ◽  
The Us ◽  
Regional Wall Motion Abnormalities ◽  
Wall Motion Abnormalities

BACKGROUND: Remotely guided ultrasound (US) examinations carried out by nonmedical personnel (novices) have been shown to produce clinically useful examinations, at least in small pilot studies. Comparison of the quality of such exams to those carried out by trained medical professionals is lacking in the literature. This study compared the objective quality and clinical utility of cardiac and pulmonary US examinations carried out by novices and trained physicians.METHODS: Cardiac and pulmonary US examinations were carried out by novices under remote guidance by an US expert and independently by US trained physicians. Exams were blindly evaluated by US experts for both a task-based objective score as well as a subjective assessment of clinical utility.RESULTS: Participating in the study were 16 novices and 9 physicians. Novices took longer to complete the US exams (median 641.5 s vs. 256 s). For the objective component, novices scored higher in exams evaluating for pneumothorax (100% vs. 87.5%). For the subjective component, novices more often obtained clinically useful exams in the assessment of cardiac regional wall motion abnormalities (56.3% vs. 11.1%). No other comparisons yielded statistically significant differences between the two groups. Both groups had generally higher scores for pulmonary examinations compared to cardiac. There was variability in the quality of exams carried out by novices depending on their expert guide.CONCLUSION: Remotely guided novices are able to carry out cardiac and pulmonary US examinations with similar, if not better, technical proficiency and clinical utility as US trained physicians, though they take longer to do so.Dufurrena Q, Ullah KI, Taub E, Leszczuk C, Ahmad S. Feasibility and clinical implications of remotely guided ultrasound examinations. Aerosp Med Hum Perform. 2020; 91(7):592–596.

scholarly journals PSIV-6 Effect of a Phytogenic Water Additive on Growth Performance, Blood Metabolites and Gene Expression of Amino Acids Transporters in Nursery Pigs Fed with Low Protein Diets

2020 ◽  
Vol 98 (Supplement_4) ◽  
pp. 281-282
Author(s):  
Cedrick N Shili ◽  
Mohammad Habibi ◽  
Julia Sutton ◽  
Jessie Barnes ◽  
Jacob Burchkonda ◽  
...  
Keyword(s):  
Gene Expression ◽  
Amino Acids ◽  
Growth Performance ◽  
Mrna Abundance ◽  
Protein Diet ◽  
Low Protein Diet ◽  
Blood Calcium ◽  
Low Protein ◽  
Protein Diets ◽  
Standard Protein

Abstract Moderately low protein (MLP) diets can help decrease nutrient excretion from the swine production. However, MLP diets negatively impact growth performance. We hypothesized that supplementing MLP diets with phytogenics may reduce the negative effects of these diets on growth. The objective of this study was to investigate the effect of a phytogenic water additive (PWA; Herbanimal®) on growth performance, blood metabolite and gene expression of amino acids transporters in pigs fed with MLP diets. Forty-eight weaned barrows were allotted to six dietary treatments (n = 8) for 4 weeks: &gt;CON-NS: standard protein diet-no PWA; CON-LS: standard protein diet-low PWA dose (4 ml/L); CON-HS: standard protein diet-high PWA dose (8 ml/L); LP-NS: low protein diet-no PWA; LP-LS: low protein diet-low PWA dose (4 ml/L); LP-HS: low protein diet- high PWA dose (8 ml/L). Feed intake and body weight were recorded daily and weekly, respectively. At week 4, blood and tissue samples were collected and analyzed for metabolites using a chemistry analyzer and amino acid transporters using qPCR, respectively. The data were analyzed by univariate GLM (SPSS®) and the means were separated using paired Student’s t-test corrected by Benjamini-Hochberg. Pigs fed CON-HS improved the average daily gain and serum calcium and phosphorus concentrations compared to CON-NS. Pigs fed LP-LS had higher serum phosphorus and blood urea nitrogen compared to the pigs fed with LP-NS. The mRNA abundance of SLC7A11 in the jejunum was lower in CON-LS and CON-HS compared to CON-NS. Additionally, mRNA abundance of SLC6A19 in the jejunum of pigs fed with LP-LS was higher compared to LP-NS and lower in CON-HS relative to pigs fed with CON-LS. In conclusion, PWA improved the growth performance of pigs fed standard protein diets but not low protein diets. Further, the PWA improved the concentrations of blood calcium and phosphorous in pigs fed MLP diets. Funding: Agrivida and Animal Health and Production and Animal Products: Improved Nutritional Performance, Growth, and Lactation of Animals from the USDA-NIFA.

scholarly journals Adaptive Reservation of Network Resources According to Video Classification Scenes

Sensors ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 1949
Author(s):  
Lukas Sevcik ◽  
Miroslav Voznak
Keyword(s):  
User Satisfaction ◽  
Quality Evaluation ◽  
Spatial Information ◽  
Service Providers ◽  
Video Quality ◽  
Subjective Assessment ◽  
Video Sequences ◽  
Network Resources ◽  
Proposed Model

Video quality evaluation needs a combined approach that includes subjective and objective metrics, testing, and monitoring of the network. This paper deals with the novel approach of mapping quality of service (QoS) to quality of experience (QoE) using QoE metrics to determine user satisfaction limits, and applying QoS tools to provide the minimum QoE expected by users. Our aim was to connect objective estimations of video quality with the subjective estimations. A comprehensive tool for the estimation of the subjective evaluation is proposed. This new idea is based on the evaluation and marking of video sequences using the sentinel flag derived from spatial information (SI) and temporal information (TI) in individual video frames. The authors of this paper created a video database for quality evaluation, and derived SI and TI from each video sequence for classifying the scenes. Video scenes from the database were evaluated by objective and subjective assessment. Based on the results, a new model for prediction of subjective quality is defined and presented in this paper. This quality is predicted using an artificial neural network based on the objective evaluation and the type of video sequences defined by qualitative parameters such as resolution, compression standard, and bitstream. Furthermore, the authors created an optimum mapping function to define the threshold for the variable bitrate setting based on the flag in the video, determining the type of scene in the proposed model. This function allows one to allocate a bitrate dynamically for a particular segment of the scene and maintains the desired quality. Our proposed model can help video service providers with the increasing the comfort of the end users. The variable bitstream ensures consistent video quality and customer satisfaction, while network resources are used effectively. The proposed model can also predict the appropriate bitrate based on the required quality of video sequences, defined using either objective or subjective assessment.

scholarly journals The effect of dietary protein on reproduction in the mare. VI. Serum progestagen concentrations during pregnancy

1998 ◽  
Vol 69 (4) ◽  
Author(s):  
F.E. Van Niekerk ◽  
C.H. Van Niekerk
Keyword(s):  
Dietary Protein ◽  
Protein Quality ◽  
Amino Acid Content ◽  
Protein Supplementation ◽  
The Other ◽  
Protein Diet ◽  
Sharp Decline ◽  
High Quality Protein ◽  
Essential Amino Acid Content

Sixty-four Thoroughbred and Anglo-Arab mares aged 6-12 years were used, of which 40 were non-lactating and 24 lactating. Foals from these 24 mares were weaned at the age of 6 months. Non-lactating and lactating mares were divided into 4 dietary groups each. The total daily protein intake and the protein quality (essential amino-acid content) differed in the 4 groups of non-lactating and 4 groups of lactating mares. The mares were covered and the effect of the quantity and quality of dietary protein on serum progestagen concentrations during pregnancy was studied. A sharp decline in serum progestagen concentrations was recorded in all dietary groups from Days 18 to 40 of pregnancy, with some individual mares reaching values of less than 4 ng/mℓ. Serum progestagen concentrations recorded in some of the non-lactating mares on the low-quality protein diet increased to higher values (p<0.05) than those of mares in the other 3 dietary groups at 35-140 days of pregnancy. A similar trend was observed for the lactating mares on a low-quality protein diet at 30-84 days of pregnancy. No such trends were observed in any of the other dietary groups. High-quality protein supplementation increased serum progestagen concentrations during the 1st 30 days of pregnancy. Lactation depressed serum progestagen concentrations until after the foals were weaned.

scholarly journals Factors Affecting Proximal Colon Cleansing Based on Bowel Movement Kinetics: A Prospective Observational Study

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Dae Bum Kim ◽  
Kang-Moon Lee ◽  
Sung-Goo Kang ◽  
Sung Hoon Jung
Keyword(s):  
Waist Circumference ◽  
Bowel Preparation ◽  
Female Gender ◽  
Distal Colon ◽  
Proximal Colon ◽  
Screening Colonoscopy ◽  
Factors Affecting ◽  
Colon Cleansing ◽  
Fair Poor

Background. Previous studies have suggested that relatively poor bowel preparation in the proximal colon, compared to that in the distal colon, could decrease the usefulness of colonoscopy. The aim of this study was to determine whether the “first defecation time” after polyethylene glycol (PEG) administration affects the cleansing quality in the proximal colon. Methods. A total of 425 individuals who were scheduled to undergo a screening colonoscopy were enrolled prospectively at the healthcare center of St. Vincent’s Hospital, Suwon, Korea, between April 2015 and March 2016. Bowel cleansing was performed using 4 L of PEG. Surveys were conducted to obtain information regarding the “first defecation time.” Endoscopists assessed the quality of bowel preparation in each bowel segment. Results. We investigated 425 consecutive eligible cases. The mean “first defecation time” after PEG administration was 54.35 min. The quality of bowel preparation was poorer in the proximal colon than that in the distal colon. The adequate (excellent, good) and inadequate (fair, poor) proximal colon preparation groups comprised 360 (84.7%) and 65 (15.3%) patients, respectively. A multivariate analysis revealed that female gender (P=0.029), small waist circumference (P=0.027), and the long “first defecation time” (P=0.034) were independently associated with inadequate bowel preparation in the proximal colon. Conclusion. Our data document that the “first defecation time,” female gender, and a small waist circumference affect the quality of preparation in the proximal colon. Inadequate preparation in the proximal colon was more common in females. Patients with these factors undergoing colonoscopy should be monitored carefully.

scholarly journals Assessment of Fatigue in Multiple Sclerosis

2017 ◽  
Vol 1 (02) ◽  
pp. E79-E85 ◽  
Author(s):  
Carina Sander ◽  
Hans-Ulrich Voelter ◽  
Hans-Peter Schlake ◽  
Paul Eling ◽  
Helmut Hildebrandt
Keyword(s):  
Multiple Sclerosis ◽  
Cognitive Performance ◽  
Causal Relation ◽  
Subjective Assessment ◽  
Clinically Isolated Syndrome ◽  
Professional Activity ◽  
Quality Of Sleep ◽  
Clinical Criteria ◽  
Clinical Interviews

AbstractOne of the most frequent symptoms in multiple sclerosis (MS) is fatigue. It has a major impact on quality of life as well as on professional activity. Even nowadays it is still unclear what constitutes an adequate assessment of the perceived fatigue.The following overview will discuss different possibilities to assess fatigue with the help of questionnaires, clinical interviews or the objective measurement of cognitive performance. Furthermore, a structured guideline for the assessment of fatigue will be proposed. Clinical criteria for MS related fatigue include the main symptoms, their everyday relevance, the possible causal relation with the cause of disease (the underlying MS), as well as an exclusion of other possible somatic or psychological reasons. It is recommended to use the “Würzburger Erschöpfungs-Inventar bei Multipler Sklerose (WEIMUS)” (English: Würzburg Fatigue Inventory for Multiple Sclerosis) and especially the “Fatigue Scale for Motor and Cognitive Functions” (FSMC), as these questionnaires distinguish between motor and cognitive fatigue and due to the larger number of research studies using the FSMC. Moreover, the presence of depression, quality of sleep and daytime sleepiness should be assessed. In addition, general cognitive performance as well as performance during monotonous stimulation (vigilance) should be assessed. This may be relevant for the evaluation of a patient’s capacity to work, and for determining prognosis, as there are indications for a relation to relapse frequency, a change from a clinically isolated syndrome (CIS) to an MS diagnosis with an increase of brain atrophy.All in all, it can be said, that despite the growing convergence of diagnostic criteria, the available studies of the objective as well as the subjective assessment of fatigue are still not sufficient and further research is needed.

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