scholarly journals Lymphedema and nutrition: A review

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Attilio Cavezzi ◽  
Simone Ugo Urso ◽  
Lorenzo Ambrosini ◽  
Sonia Croci ◽  
Fausto Campana ◽  
...  

Nutrition is considered a basic component in the management of any vascular disease. Lymphedema is characterised by an increase of interstitial fluid due to a lymphatic system morphological and/or functional alteration. Therapeutic management of lymphedema includes a multi-faceted approach based on compression and physiotherapy mainly. Weight control and antiinflammatory and anti-edema diet are two additional necessary components of the holistic therapy in presence of primary or secondary limb lymphedema. This narrative review provides the available information derived from the scientific literature on nutrition in lymphedema, which anyway lacks robust evidence. Additional information and speculations are provided on the role of food, diet, nutraceuticals and fasting on the basic processes at the root of the chronic progressive degeneration of tissue lymph stasis, i.e. weight excess, inflammation, edema, fibroadiposis. More targeted and randomized studies are needed in order to assess and standardise the obvious, so far neglected, role of nutrition in lymphedema patients.

2012 ◽  
Vol 106 (4) ◽  
pp. 762-786 ◽  
Author(s):  
EDMUND MALESKY ◽  
PAUL SCHULER ◽  
ANH TRAN

An influential literature has demonstrated that legislative transparency can improve the performance of parliamentarians in democracies. In a democracy, the incentive for improved performance is created by voters’ responses to newly available information. Building on this work, donor projects have begun to export transparency interventions to authoritarian regimes under the assumption that nongovernmental organizations and the media can substitute for the incentives created by voters. Such interventions, however, are at odds with an emerging literature that argues that authoritarian parliaments primarily serve the role of co-optation and limited power sharing, where complaints can be raised in a manner that does not threaten regime stability. We argue that under these conditions, transparency may have perverse effects, and we test this theory with a randomized experiment on delegate behavior in query sessions in Vietnam, a single-party authoritarian regime. We find no evidence of a direct effect of the transparency treatment on delegate performance; however, further analysis reveals that delegates subjected to high treatment intensity demonstrate robust evidence of curtailed participation and damaged reelection prospects. These results make us cautious about the export of transparency without electoral sanctioning.


2014 ◽  
Vol 27 (1) ◽  
pp. 99 ◽  
Author(s):  
José Camolas ◽  
Osvaldo Santos ◽  
Pedro Moreira ◽  
Isabel Do Carmo

There is a wide acknowledgement of obesity as a relevant clinical entity. Such relevance can be inferred by the huge worldwide amount of research and related health promotion and clinical efforts. Though the evidence sustains some cues for the therapeutic success, the overall long-term effectiveness of obesity treatment tends to be not so satisfactory. Scientific literature is not unequivocal in key areas of nutritional intervention, such as the magnitude of caloric restriction, proportion of macronutrients, meal frequency, among others. The same applies to the area of physical activity recommendation for weight control. As a correlate of this scenario of incertitude, there is a proliferation of interventions and there is a clear need to integrate the scientific and clinical evidence. This paper presents a narrative literature review of key issues of clinical practice in obesity, regarding a set of actions that, in the overall, have as main purpose the promotion<br />of reduction and/or control of body weight. The role of the health professional is highlighted as a facilitator of acquisition of habits that favor weight control, by integrating the professional’s scientific knowledge with the patient’s readiness for and capacity to change.


2001 ◽  
Vol 21 (3) ◽  
pp. 222-230 ◽  
Author(s):  
Rolf K. Reed ◽  
Ansgar Berg ◽  
Eli-Anne B. Gjerde ◽  
Kristofer Rubin

Oikos ◽  
2014 ◽  
Vol 16 (33) ◽  
pp. 69
Author(s):  
Luis Muñoz Medina ◽  
Rafael Pizarro Rodríguez

The Role of Rhetoric and Metaphors in Organisational Change  RESUMEN El presente artículo es una recopilación de literatura científica que demuestra la relevancia de comprender nuevas formas de construir el concepto de cambio organizacional a través del lenguaje, en especial a través de claves lingüísticas como la retórica y metáfora. Esta construcción ayuda a generar procesos de cambio organizacional que presenten una menor intensidad y carga emocional negativa para los individuos, así como una mejor comprensión del mismo cambio para los empleados. Palabras clave: cambio, organización, retórica, metáfora. ABSTRACT This article is a compilation of scientific literature about the importance of understanding new approaches to the construction of the organisational change concept through language, especially through linguistic devices such as rhetorical and metaphorical ones. This construction helps the creation of organisational change processes with lower levels of impact and a lower negative emotional burden for individuals as well as a better understanding of such changesKeywords: changes; organisation; rhetoric; metaphor. 


2019 ◽  
Vol 26 (20) ◽  
pp. 3719-3753 ◽  
Author(s):  
Natasa Kustrimovic ◽  
Franca Marino ◽  
Marco Cosentino

:Parkinson’s disease (PD) is the second most common neurodegenerative disorder among elderly population, characterized by the progressive degeneration of dopaminergic neurons in the midbrain. To date, exact cause remains unknown and the mechanism of neurons death uncertain. It is typically considered as a disease of central nervous system (CNS). Nevertheless, numerous evidence has been accumulated in several past years testifying undoubtedly about the principal role of neuroinflammation in progression of PD. Neuroinflammation is mainly associated with presence of activated microglia in brain and elevated levels of cytokine levels in CNS. Nevertheless, active participation of immune system as well has been noted, such as, elevated levels of cytokine levels in blood, the presence of auto antibodies, and the infiltration of T cell in CNS. Moreover, infiltration and reactivation of those T cells could exacerbate neuroinflammation to greater neurotoxic levels. Hence, peripheral inflammation is able to prime microglia into pro-inflammatory phenotype, which can trigger stronger response in CNS further perpetuating the on-going neurodegenerative process.:In the present review, the interplay between neuroinflammation and the peripheral immune response in the pathobiology of PD will be discussed. First of all, an overview of regulation of microglial activation and neuroinflammation is summarized and discussed. Afterwards, we try to collectively analyze changes that occurs in peripheral immune system of PD patients, suggesting that these peripheral immune challenges can exacerbate the process of neuroinflammation and hence the symptoms of the disease. In the end, we summarize some of proposed immunotherapies for treatment of PD.


2021 ◽  
pp. 101269022110186
Author(s):  
Véronique Boudreault ◽  
Marie-Pierre Gagnon-Girouard ◽  
Noémie Carbonneau ◽  
Sophie Labossière ◽  
Catherine Bégin ◽  
...  

The use of extreme weight-control behaviors is prevalent among adolescent athletes and may result from individual and sport-specific factors. Weight-related maltreatment from coaches and parents, and conformity to sport ethic norms have recently been linked to the use of extreme weight-control behaviors. This study aims to investigate the role of sport ethic norms and weight-related maltreatment from coaches and parents in the use of extreme weight-control behaviors among adolescent athletes. A sample of 999 French-Canadian athletes aged 14–17 years competing in a variety of sports completed an online survey assessing extreme weight-control behaviors, weight-related maltreatment from coaches and parents, and conformity to sport ethic norms. A total of 16.9% of the adolescent athletes reported having adopted extreme weight-control behaviors during their athletic careers. Extreme weight-control behaviors were significantly more prevalent among girls (19.75% vs 9.7% in boys) and weight-class-sport athletes (44%). In addition, 7.4% of the sample experienced at least one type of weight-related maltreatment by coaches or parents. Sex, weight-related neglect by coaches and parents, and weight-related psychological violence by coaches explained 24.4% of extreme weight-control behaviors variance. Indeed, participants who engaged in extreme weight-control behaviors experienced significantly more violence than the other participants did. In contrast, no differences were observed between people who engaged in extreme weight-control behaviors and those who did not due to conformity to sport ethic norms.


Babel ◽  
2014 ◽  
Vol 60 (2) ◽  
pp. 216-233
Author(s):  
Gemma Andújar Moreno

Cultural referents not only designate specific realities of a given culture which do not always exist in another but they are also semantic elements which trigger social representations. By conveying values and points of view about different social groups, cultural referents become linguistic instruments to build stereotypes. These thought patterns are shared by the members of a social or cultural community and act as a filter of reality. The aim of this paper is to study the role of cultural referents in the construction of social stereotypes, focusing on the socio-cognitive universe they evoke. To this end, we have analyzed the translations techniques applied in the Spanish, Catalan and English versions of a novel which has been very successful on the French literary scene: Muriel Barbery’s L’Élégance du hérisson (2006). As show the results of this textual comparison, the explanations, descriptions and additional information observed in target texts do not trigger the same associations as cultural referents do in the source text. Translational approaches are too limited when it comes to achieve linguistic adequacy to different world visions. Therefore, translation must be conceived as an encounter between two cultural systems, in which the translator must build bridges, not so much between two linguistic systems as between the social perceptions and values of two different cultural communities.


2007 ◽  
Vol 24 (2) ◽  
pp. 255-269 ◽  
Author(s):  
Sabine Philipps ◽  
Christine Boone ◽  
Estelle Obligis

Abstract Soil Moisture and Ocean Salinity (SMOS) was chosen as the European Space Agency’s second Earth Explorer Opportunity mission. One of the objectives is to retrieve sea surface salinity (SSS) from measured brightness temperatures (TBs) at L band with a precision of 0.2 practical salinity units (psu) with averages taken over 200 km by 200 km areas and 10 days [as suggested in the requirements of the Global Ocean Data Assimilation Experiment (GODAE)]. The retrieval is performed here by an inverse model and additional information of auxiliary SSS, sea surface temperature (SST), and wind speed (W). A sensitivity study is done to observe the influence of the TBs and auxiliary data on the SSS retrieval. The key role of TB and W accuracy on SSS retrieval is verified. Retrieval is then done over the Atlantic for two cases. In case A, auxiliary data are simulated from two model outputs by adding white noise. The more realistic case B uses independent databases for reference and auxiliary ocean parameters. For these cases, the RMS error of retrieved SSS on pixel scale is around 1 psu (1.2 for case B). Averaging over GODAE scales reduces the SSS error by a factor of 12 (4 for case B). The weaker error reduction in case B is most likely due to the correlation of errors in auxiliary data. This study shows that SSS retrieval will be very sensitive to errors on auxiliary data. Specific efforts should be devoted to improving the quality of auxiliary data.


2014 ◽  
Vol 3 (4) ◽  
pp. 379-386
Author(s):  
Aurora Perez-Cornago ◽  
Marleen A. van Baak ◽  
Wim H. M. Saris ◽  
J. Alfredo Martínez ◽  
Arne Astrup
Keyword(s):  

2011 ◽  
Vol 14 (10) ◽  
pp. 1813-1822 ◽  
Author(s):  
Michela Barichella ◽  
Alexis E Malavazos ◽  
Giuseppe Fatati ◽  
Emanuele Cereda

AbstractObjectiveTo evaluate the awareness and knowledge about weight status and its management.DesignA 1 d cross-sectional survey. Basic anthropometric assessments (weight, height, BMI and waist circumference) and a self-administered questionnaire were considered.SettingNineteen Clinical Nutrition or Endocrinology and Metabolic Disorders Units or Dietetics Services in the Italian region of Lombardy.SubjectsAll adults attending the ‘Obesity Day’ initiative.ResultsA total of 914 participants (605 female and 309 male) were recruited. Although most of the participants (83·5 %) considered obesity to be a disease, 38·5 % were likely to misperceive their weight status. In particular, 38·8 % of normal-weight adults believed themselves to be overweight, whereas 71·1 % and 37·5 % of classes I and II/III obese adults classified themselves as being overweight and mildly obese, respectively. However, most of the overweight (90·2 %), mildly (96·8 %) and moderately/severely obese adults (99·1 %) recognized the need to lose weight. In all, 37·8 % of the sample underestimated the role of physical activity in weight management. Interestingly, only 17·2 % of dieters (previous or current) declared being advised by their doctor to lose weight. Multivariate models revealed that higher age, low education and higher BMI were important determinants of poor weight control and management. In addition, previous dieting appeared not to provide better knowledge, whereas the role of physical activity was recognized mainly by those practising it.ConclusionsThe present study suggests that in Italy knowledge about weight management should be improved not only in the general population but also among health-care professionals. To confirm this finding, there is now the rationale for a nationally representative survey. New educational programmes can be designed on the basis of the information collected.


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