scholarly journals Efficacy of Calcium-Containing Eggshell Powder Supplementation on Urinary Fluoride and Fluorosis Symptoms in Women in the Ethiopian Rift Valley

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1052
Author(s):  
Demmelash Mulualem ◽  
Dejene Hailu ◽  
Masresha Tessema ◽  
Susan J. Whiting

Dietary calcium binds Fluoride (F), thus preventing excess F absorption. We aimed to assess the efficacy of supplementing calcium-containing Eggshell Powder (ESP) on F absorption using urine F excretion and on fluorosis symptoms. In total, 82 women (41 Intervention Group, IG; 41 Control Group, CG) were recruited; overall, 39 in each group completed the trial. Morning spot urine was collected before (baseline, BL) and after (endline, EL) the intervention that was 6-months daily supplementation with 2.4 g ESP (providing ~1000 mg of calcium). Dental, skeletal, and non-skeletal fluorosis assessments was carried out at BL and, except for dental, at EL. Relative risk (RR) and linear generalized estimating equation were used to compare outcomes between groups. At BL, urinary F excretion in the IG and CG groups was similar, ~10 mg/L. At EL, urinary F excretion in IG women was six-fold lower (β = −6.1 (95% CI: −7.1, −5.1)) compared to CG. The risk of developing skeletal and non-skeletal fluorosis were significantly (p < 0.001) reduced in the intervention group. A significant reduction in urinary F excretion and reduction in many fluorosis symptoms were observed among women supplemented with calcium-containing ESP, thus providing evidence for using this dietary calcium source for mitigation of fluorosis. Clinical trials registration: NCT03355222.

2021 ◽  
Author(s):  
Umesh Shukla ◽  
Nitin Ujjaliya

Introduction: The characteristic clinical features of Covid-19 disease range between asymptomatic to mild-moderate symptoms. Studies suggest that a large population (80%) presents its asymptomatic or milder form. Remaining 20 percent, owing to severity of the diseases, need hospital-based care. Many treatment protocols and strategies have been promoted and recommended by authorities including WHO, but nothing has actually been finalized till date. The present study was planned to evaluate the effectiveness of an Ayurvedic formulation viz. Arogya Kashayam-20 in the hospitalized cases of Covid-19.Aim: To evaluate the effectiveness of Arogya Kashayam-20 in the cases of COVID-19 particularly the negative conversion of RTPCR in 10 days duration.Material and Methods: This was a randomized controlled trial conducted at COVID-19 Care Center, Pt. Khushilal Sharma Government Ayurveda College &amp; Institute, Bhopal, Madhya Pradesh with a sample size of 112 participants, aged between 16 to 60 years of either sex. Participants were divided in two groups viz. group A and B. Both the groups received Hydroxychloroquine (HCQ), vitamin C and Zinc as per the prevailing ICMR guidelines and group 'A' received additionally Arogya Kashayam-20 for 10 days. Outcome measure of the study was to see the negative conversion RT-PCR test after intervention period of 10 days. CTRI Registration: CTRI/2020/06/026221. Results: Among the 60 cases registered in study group (group A), 51 cases (85.00%) were reported with negative RTPCR on 10th day. Out of 52 cases registered in control group (group B); 39 cases (75.00%) were tested negative RTPCR on 10th day. In both the groups all the cases were discharged asymptomatically on 10th day as per the prevailing ICMR guidelines. No ADR/AE observed during the intervention period.Conclusion: The study observes that the add on intervention group has a better outcome in terms of RT-PCR negative reports after 10 days comparing to the control group.


2021 ◽  
Author(s):  
Eslam Moradi Asl ◽  
Abedin Saghafipour ◽  
Amir Hamta ◽  
Zahra Taheri-Kharameh ◽  
Malek Abazari ◽  
...  

Abstract Background Head lice are a main public health problem and the most important human ectoparasites and the use of pediculicides is the most common way to control it. One of the possible causes of treatment failure is the lack of improper application of pediculicide. The aim of this study was to assess the effect of education on efficacy of 1% permethrin or 4% dimeticone lotion to treat head lice infestation. Methods This quasi-experimental study was performed on 100 people infected with head lice in comprehensive urban health centers of Ardabil (intervention group) and 400 people of East Azerbaijan and West Azerbaijan (control group) provinces from April to March 2019. The data collection tool included demographic questionnaire and examination evidence recording sheet in terms of presence of hits or adult lice. Results The outcome of treatment included elimination of head lice infestation on days 7, and in the case of recurrence, it was considered on days 14 and 30 after treatment. Data were analyzed using R software and Generalized Estimating Equation method. GEE analysis showed there is significant difference in evaluating head lice over time. Conclusion Participants who received the training intervention (OR = 3.29; CI 95%: 2.21–4.88) were more likely to have a successful treatment than control group. In the case of providing proper training on the use of pediculicides and observing hygiene tips to patients with pediculosis, could help to successful treatment of pediculosis.


Author(s):  
Hong Yin ◽  
Fangpeng Chen ◽  
Xiaqing Su ◽  
Jingyi Wang ◽  
Yan Xu ◽  
...  

Background: Most studies have shown that Beta-Casomorphin-7 (BCM-7) has many physiological functions, this study aims to investigate the effects of BCM-7 on renal function and immunity in naturally aging mice and to reveal the effects of BCM-7 on health and provide more theoretical reference for inflammatory aging.Methods: All mice were weighed weekly and the organ indexes were calculated, Paraffin sections were prepared for kidney histopathological examination with conventional Haematoxylin and Eosin (HE) staining, renal function indexes and cytokines were main measured by ELISA and biochemical colorimetry.Result: The weight of each group increased during gastric perfusion and the higher the intervention concentration, the lower the weight gain rate. The renal index was not affected by BCM-7, but the spleen index was significantly decreased by medium-dose BCM-7. There were inflammatory cell infiltration and other renal lesions in the aging control group and intervention group. A medium dose of BCM-7 can significantly reduce Cystatin C (Cys-C) content in aging mice, the content of Adrenocorticotropic hormone (ACTH) in aged mice decreased with the increase of BCM-7 intervention dose. BCM-7 and aging caused cytokine imbalance in mice.


2017 ◽  
Vol 3 (2) ◽  
pp. 40
Author(s):  
Luluk Fajria Maulida

 One of the obstacles in breastfeeding attitude is the lack of lactation communication and counseling. Breastfeeding health education is designed to enforce healthy lifestyle of breastfeeding by delivering proof based information. Flipchart media usage can be easily understood by health counsellors and clients. The study is to investigate the influence of health education using flipchart over breastfeeding attitude in post-partum mothers. This research was used a quasi experiment design with posttest only design with control group. A random assignment sampling design was used to 42 respondents which were divided into 2 groups; intervention group and control group. The samples were randomized using numbers and were divided into intervention and control group. The intervention group was given health education after delivery and questionnaires were given in intervention and control group a week after postpartum. The average score postpartum maternal behavior in the intervention group (18,43) is higher than the control group (15,14). The results of chi square test p = 0.00; RR = 3.16; CI = 1,58-6,31. External variables related to the behavior of breastfeeding is the education level of p = 0.02. Health education using flipchart significantly affects breastfeeding behavior in postpartum mothers.


2020 ◽  
Vol 9 (10) ◽  
pp. 3085
Author(s):  
Yejong Park ◽  
Jae Hyung Ko ◽  
Dae Ryong Kang ◽  
Jun Hyeok Lee ◽  
Dae Wook Hwang ◽  
...  

Background: The aim of this study was to evaluate the safety and efficacy of a flowable hemostatic matrix, and their effects for postoperative pancreatic fistula (POPF) after pancreatectomy. Methods: This was a randomized, clinical, single-center, single-blind (participant), non-inferiority, phase IV, and parallel-group trial. The primary endpoint was the incidence of POPF. The secondary endpoints were risk factors for POPF, drain removal days, incidence of complication, 90-day mortality, and length of hospital stay. Results: This study evaluated a total of 53 patients, of whom 26 patients were in the intervention group (flowable hemostatic matrix) and 27 patients were in the control group (thrombin-coated collagen patch). POPF was more common in the control group than in the intervention group (59.3% vs. 30.8%, p = 0.037). Among participants who underwent distal pancreatectomy, POPF (33.3% vs. 92.3%, p = 0.004), and clinically relevant POPF (8.3% vs. 46.2%, p = 0.027) was more common in the control group. A multivariate logistic regression model identified flowable hemostatic matrix use as an independent negative risk factor for POPF, especially in cases of distal pancreatectomy (DP) (odds ratio 17.379, 95% confidential interval 1.453–207.870, p = 0.024). Conclusion: Flowable hemostatic matrix application is a simple, feasible, and effective method of preventing POPF after pancreatectomy, especially for patients with DP. Non-inferiority was demonstrated in the efficacy of preventing POPF in the intervention group compared to the control group.


2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Cheryl A. Howe ◽  
Ryan A. Harris ◽  
Bernard Gutin

Objective. To determine if a 10-month after-school physical activity (PA) intervention could prevent deleterious changes in body composition and cardiovascular (CV) fitness in young black boys.Methods. Following baseline measures, 106 boys (8–12 yrs) were randomized to either a control group or an intervention group, further divided into attenders (ATT) and nonattenders (NATT), participating in ≥60% or <60% of the intervention, respectively. The daily intervention consisted of skills development (25 min), vigorous PA (VPA, 35 min), and strengthening/stretching (20 min) components. Body composition was measured by dual-energy X-ray absorptiometry.Results. Following the intervention, the ATT exhibited an increase in moderate-to-vigorous PA and a significant reduction in BMI, fat mass, and %BF compared to the control group. A significant association among the intervention energy expenditure and changes in body composition and CV fitness was observed only in the ATT group.Conclusion. An after-school PA program of sufficient length and intensity can promote healthy changes in body composition and fitness levels in black boys who attend at least 3 days/week.


Author(s):  
Pedro Amoedo Fernandes ◽  
Flavia Tobaldini Russo ◽  
Lucas Augusto Monetta da Silva ◽  
Lafayete Willian Ferreira Ramos ◽  
Aline de Almeida Simões ◽  
...  

Background: Patients with hematological disease are 15 times more likely to develop sepsis than the general population. The patient with hematological disease and, mainly, those undergoing hematopoietic stem cell transplantation (HSCT), develop a severe secondary humoral immunodeficiency, with low serum levels of IgM, which may take more than a year to be restored. Materials and Methods: This is a retrospective, controlled and observational study that analyzed 51 patients with underlying hematological disease, who were diagnosed with sepsis or septic shock during the study period, to evaluate whether IgM-rich Ig replacement decreases the 30-day mortality. Results: Of the 51 patients, 35 patients received IgM-rich immunoglobulin (group A) and 16 (31%) received conventional therapy. Eleven (69%) patients in the control group were alive after 30 days compared to 11 (34%) patients in the intervention group, p= 0.013. Conclusion: There are no apparent benefits in the use of IgM-rich immunoglobulin in septic patients with hematological disease.


2021 ◽  
Vol 31 (2) ◽  
pp. 135-145
Author(s):  
Yasaman Akbarian Moghaddam ◽  
◽  
Maryam Moradi ◽  
Mohammad Vahedian Shahroodi ◽  
Vahid Ghavami ◽  
...  

Introduction: Rapid decline of the total fertility rate in Iran in recent decades has caused serious demographic challenges to the country. One important reason for this decrease is single-child behavior adopted by Iranian families. Objective: The present study was conducted to assess the effectiveness of education based on the Theory of Planned Behavior (TPB) on childbearing intention in single-child women. Materials and Methods: This randomized field trial with the pretest-posttest design was done on 72 single-child women presenting to health centers in Mashhad City, Iran, in the intervention (37 persons) and control (35 persons) groups from August 2019 to February 2020. Research tools included a demographic and obstetric questionnaire and a researcher-made childbearing intention questionnaire based on TPB. The intervention group received three 110-min sessions of education, which was based on TPB. The control group received routine health center care. The study data were analyzed by using the Kolmogorov-Smirnov, Shapiro-Wilk, Independent t-test, Mann-Whitney U test, repeated measures Analysis of Variance (ANOVA), Freidman test, post hoc tests of Bonferroni and Dunn, the Spearman rank correlation coefficient, and the Generalized Estimating Equation (GEE) model. Results: The mean±SD age of the participants were 32.6±4.7 and 32.9±4.7 years in the intervention and control groups, respectively, and most of the women had university-level education in both groups. Changes in childbearing intention from the pre-intervention stage were significantly higher in the intervention group than the control group immediately (P=0.001) and then one month after the intervention (P=0.001). The results of the GEE model showed that the childbearing intention was significantly higher in the intervention group (β=0.68, 95% CI; 0.449-0.911, P=0.001,), and there was a significant positive relationship between attitude and childbearing (β=0.023, 95% CI; 0.013-0.033, P=0.001). Conclusion: Education based on the theory of planned behavior increased childbearing intention in single-child women in this study, so this educational program is advised for promoting childbearing.


2021 ◽  
Author(s):  
Elaine Finucane ◽  
Ann O’Brien ◽  
Shaun Treweek ◽  
John Newell ◽  
Kishor Das ◽  
...  

Abstract BackgroundThe best way of comparing healthcare treatments is through a randomised trial. In a randomised trial, we compare something (a treatment or intervention) to something else, often another treatment. Who gets what is decided at random, meaning everyone has an equal chance of getting any of the treatments. This means any differences found can be put down to the treatment received rather than other things, such as where people live, or health conditions they might have.The People’s Trial aimed to help the public better understand randomised trials by inviting them to design and carry out a trial. The question chosen by the public for The People’s Trial was:‘Does reading a book in bed make a difference to sleep, in comparison to not reading a book in bed?’ This paper describes that trial, called ‘The Reading Trial’.MethodsThe Reading Trial was an online, randomised trial. Members of the public were invited to take part through social media campaigns. People were asked to either read a book in bed before going to sleep (intervention group) or not read a book in bed before going to sleep (control group). We asked everyone to do this for seven days, after which they measured their sleep quality. Results During December 2019, a total of 991 people took part in The Reading Trial, half (496 (50%)) in the intervention group and half (495 (50%)) in the control group. Not everyone finished the trial: 127 (25.6%) people in the intervention group, and 90 (18.18%) people in the control group. Of those providing data, 156/369 (42%) people in the intervention group felt their sleep improved, compared to 112/405 (28%) of those in the control group, a difference of 14%. When we consider how certain we are of this finding, we estimate that, in The Reading Trial, sleep improved for between 8% and 22% more people in the intervention group compared to the control group.ConclusionsReading a book in bed before going to sleep improved sleep quality, compared to not reading a book in bed.Trial Registration Registered 4th December 2019, ClinicalTrials.gov ID: NCT04185818.


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Silvia Nuruddani ◽  
Handono Fatkhur Rahman ◽  
Setiyo Adi Nugroho ◽  
Sri Astutik Andayani ◽  
Abdul Hamid Wahid

Objective:   Hypertension  is one of the main problems of public health, and if still a big challenge in indonesia with a high prevelention amounting to 34,1% (percent). Uncontrolled hypertension will cause  complication and death. One of the factors that can cause hypertension is a bad self management. To improve self management on hypertensive dilent is health education needs to be done.Methods:   The kind of quantitative research with Quasi Experiment design in the form of a Pretest-Posttest Nonequivalent Control Group sampale selection with Simple Random Samping as many as 40 respondets 20 intervention groups, 20 control graups data collection techniaques with self management questioner (H-SCALE).Results:   Paired T-test results of the intervention group obtained a P-value of 0,000, and in the control group a P-value of 0.106 was obtained. While the results of the Independent T-test in the intervention group and the control group obtained a value of 0,000. So it can be said that there are effects and differences before and after health education is given to hypertension client self management. Conclusion:   Expected by health education obout hypertension can improve self management on hypertension drent.


Sign in / Sign up

Export Citation Format

Share Document