Behcet’s disease (Silk Road disease): a rare inflammatory disease

Background: Behcet’s disease (Silk Road disease), a rare immune-mediated multisystem inflammatory disorder described by intermittent oralaphthae and genital ulcer, backsliding uveitis, mucocutaneous, articular, gastrointestinal, neurological and vascular manifestations, with no cure.It is brought about by changes in the: a) arteries that flexibly blood to the body tissues b) veins that return the blood to the lungs, the rear of the eyes retina, brain, joints, skin and bowels. Case Presentation: A 55-year-old male patient was sensed with c/o joint agony in lower appendages, oral ulcer and scrotal ulcer. On physical assessment the patient was cognizant and oriented with B/L lower leg joint emanation. All lab examination including RA factor was within normal limits, with diminished Serum Vitamin D. HLA B51, ANA were checked and oral mucosal biopsy was done. The most punctual sign exhibited was oral disintegration, various shallow ulcer and scarcely any dissolved knobs in the scrotum. At that point the patient gave joint pain and numbness on right leg. On neurological assessment, a strange motor nerve conduction saw with right tibial neuropathy. At first, doubt with syphilis and tarsal tunnel disorder and following 7-8 days of affirmation, analyzed as Behcet's illness dependent on dermatological, rheumatologic and neurological signs. Treatment given was symptomatic and supportive with pain relievers, corticosteroid, antibiotics, IV fluids, PPI, vitamin supplement, laxative and local anaesthetic. Discussion:Without adequate data it's difficult to examine, in light of anomaly and standardized treatment are questionable at present. New information with respect to its immunopathogenesis, genetics will significantly help in the advancement of research center tests, diagnostic criteria and particularly in the decision of the best treatment

Patterns and Predictors of Healthcare Use among Adolescent and Young Adult Cancer Survivors versus a Community Comparison Group

Healthcare use (HCU) during survivorship can mitigate adolescent and young adult (AYA) cancer survivors’ (aged 15–39 years) risk of medical and psychosocial late effects, but this is understudied. We surveyed 93 Australian AYA post-treatment cancer survivors (Mage = 22.0 years, SD = 3.5; 55.9% female) and a comparison sample of 183 non-matched AYAs (Mage = 19.7, SD = 3.2; 70.5% female) on their HCU, medication use, depression/anxiety, and general functioning. Relative to our comparison AYAs, a higher proportion of our survivor group reported medical HCU (community-delivered: 65.6% versus 47.0%, p = 0.003; hospital-delivered: 31.2% versus 20.3%, p = 0.044) and mental HCU (53.8% vs. 23.5%; p < 0.0001) in the past six months. A higher proportion of our survivors reported taking medications within the past six months than our comparison AYAs (61.3% vs. 42.1%, p = 0.003) and taking more types (p < 0.001). Vitamin/supplement use was most common followed by psychotropic medications. Our survivor group reported lower depression (p = 0.001) and anxiety symptoms (p = 0.003), but similar work/study participation (p = 0.767) to our comparison AYAs. Across groups, psychological distress was associated with higher mental HCU (p = 0.001). Among survivors, those who were female, diagnosed with brain/solid tumors and who had finished treatment more recently reported greater HCU. Future research should establish whether this level of HCU meets AYAs’ survivorship needs.

The Perception of Vitamins and Their Prevalence in Fortified Food and Supplements in Japan

Most vitamins are primarily ingested from foods. However, it has been reported that intakes of some vitamins do not meet the nutrition reference values even in high-income countries. In this case, vitamin-fortified foods and/or vitamin supplements are helpful to fix insufficient/deficient status. However, it is not clear whether consumers are aware of their nutritional status or whether they use these products efficiently. To address this issue, we conducted an online cross-sectional questionnaire survey among 14,741 Japanese adults (over 20 years old, 7489 males and 7252 females) concerning the perceptions and prevalence of vitamin-fortified food and/or vitamin supplements. Differences in distribution among groups were compared using the chi-squared test. According to dietary habits, 33.2% of the participants consumed a well-balanced diet every day, but 25.5% could not because of time (41.6%) or money (36.9%) constraints. The perception of each vitamin varied: the highest was for vitamin C (93.2%) and the lowest was for biotin (41.9%). In addition, only a portion of the participants believed that they took sufficient amounts of each vitamin; the highest was vitamin C (22.3%) and the lowest was biotin (5.2%). Despite this situation, most did not use vitamin-fortified food and/or vitamin supplements due to economic reasons. Among vitamin-fortified food and/or vitamin supplement users, the purposes for the usage of these products were varied, such as maintaining health (80.5%), supplementation of nutrients (47.8%), beauty-related purposes (27.5%), and to prevent infectious disease (23.2%). To remedy nutritional status in individuals, it is important to improve not only consumer awareness but also the environment, which can lead consumers to use acceptable vitamin products without any burden.

Consumption of nutritional supplements by gym attendants and health clubs

Background Nowadays there has been a greater concern for health and well-being, as well as the constant search for the ‘ideal body’ trend. As a consequence, vitamin, protein and food supplements are more and more frequent in the population's dietary pattern, as compensation for an unbalanced diet and in the fight against intense physical/psychological wear and tear. The main objective of the study was to assess the prevalence of consumption of nutritional supplements by gym goers. Methods This is an observational, descriptive and cross-sectional study, lasting 9 months and with the collection of information through a questionnaire. The statistical treatment of the data was carried out with the aid of the SPSS program. Results It was found that the prevalence of consumption is higher in males (58.9%). The most consumed type of vitamin supplement were multivitamins with mineral salts (46.2%) and whey protein (89%) as a protein supplement. The most cited reason for its consumption was ‘accelerating the recovery’ (62.3%). The most common supplementation frequency is daily (54.1%), with the majority of respondents assuming a cost in the consumption of supplements in the range of 10 to 20 €monthly. The main place for its acquisition was the internet (65.6%) and the sources most mentioned by respondents to obtain knowledge about supplements were the internet and the trainer, both with 36.1%. Conclusions In Portugal, the prevalence of consumption is still unknown, and it is necessary to make the population aware of the possible risks associated with incorrect supplementation, unbalanced diet and exercise.

Peningkatan pengetahuan guru dan orang tua siswa taman kanak-kanak tentang penggunaan suplemen vitamin yang tepat

COVID-19 global pandemic increases the usage of vitamin supplement products. However, easy access to purchase and consume the product increases the risk for its misuse. Lack of information and or misinformation available for vitamin supplement product usage leads to its abuse. Teachers' and parents' role in deciding the choice and use of vitamin supplement products for the pupil and children is crucial. Thus, a program was held to provide information about the correct usage of vitamin supplement products for teachers and parents. The program was performed for the teachers and pupil parents of TK Aisyiyah Ledug via online. The attractive audio-visual program materials were delivered via animation video, artistic leaflet, and presentation. The teachers and parents responded positively toward the program. All attendants actively participated, and 100% of attendants agreed that the program was interesting and increased their knowledge on the appropriate usage of vitamin supplement products.

The Effect of Vitamin B12, Physical and Cognitive Activity on Idiopathic Forgetfulness

Aim: In this study, we aimed to evaluate the effect of physical activity, vitamin B supplementation and mental activity on cognitive functions in middle-aged individuals with subjective forgetfulness. Methods: We included 82 people between 40-65 years of age who were admitted to Erciyes University Faculty of Medicine, Family Medicine and Neurology Departments polyclinics with the complaint of subjective forgetfulness between May 2017 and May 2018. General physical examination, blood tests including B12, folic acid level and thyroid functions were performed. In addition to the socio-demographic questionnaire, Beck Anxiety and Beck Depression Scale, Montreal Cognitive Assessment Test, Visual and Verbal Memory Tests were performed. Sixty-eight subjects were randomly allocated to 3 groups as cognitive activity, physical activity and vitamin B supplementation. The physical activity group made a minimum of half-hour brisk walk daily. The cognitive activity group was asked to solve a hooked puzzle every day. Vitamin supplement group used daily vitamin B complex. At the end of the third month, cognitive tests and B12 blood level test were repeated. Results: Improvement in cognitive functions was found only in the walking group. Long-term visual memory and verbal memory sub-test scores improved significantly in all groups. There were some differences between the groups in terms of verbal memory subtest scores. Conclusion: In people with forgetfulness, walking, puzzle and vitamin B supplementation seem to have positive effects even after a period of three months in terms of cognitive functions and memory. Keywords: dementia, cognitive activity, exercise, physical, B vitamins

Picture Perfect Vitamins The Semiotics Of Health Supplement Marketing on Instagram

Instagram. Specifically, this MRP examines the visual social media marketing techniques utilized by vitamin supplement companies in health images on Instagram, and the images communicated messages and implications. Through a qualitative content analysis case study approach, two vitamin supplement companies Instagram images were analyzed and compared: Sugar Bear Hair and Ritual. An image analysis guided by Roland Barthes semiotic theory of myth was conducted on 20 images posted on each company’s Instagram profile on and before April 1, 2019. The results suggest that health brands use a variety of visual marketing techniques to market their brands and products to users on social media, such as colours, influencers, and computer-generated imagery. In addition, the communicated messages in health images, or the “Barthian” myths as referred to in this study, exaggerate and differ from the scientific evidence surrounding the efficacy of vitamin supplements. Lastly, the myths derived from the images have the potential to confuse consumers, which may lead to health repercussions. This research contributes to the field of health communications as it builds upon literature that has found that marketing health via traditional and social media can be misleading and that organizations and brands on social media can do more to communicate necessary and accurate health messages.

Picture Perfect Vitamins The Semiotics Of Health Supplement Marketing on Instagram

Instagram. Specifically, this MRP examines the visual social media marketing techniques utilized by vitamin supplement companies in health images on Instagram, and the images communicated messages and implications. Through a qualitative content analysis case study approach, two vitamin supplement companies Instagram images were analyzed and compared: Sugar Bear Hair and Ritual. An image analysis guided by Roland Barthes semiotic theory of myth was conducted on 20 images posted on each company’s Instagram profile on and before April 1, 2019. The results suggest that health brands use a variety of visual marketing techniques to market their brands and products to users on social media, such as colours, influencers, and computer-generated imagery. In addition, the communicated messages in health images, or the “Barthian” myths as referred to in this study, exaggerate and differ from the scientific evidence surrounding the efficacy of vitamin supplements. Lastly, the myths derived from the images have the potential to confuse consumers, which may lead to health repercussions. This research contributes to the field of health communications as it builds upon literature that has found that marketing health via traditional and social media can be misleading and that organizations and brands on social media can do more to communicate necessary and accurate health messages.

Vitamin C in Human Health and Disease

Although the symptoms related to vitamin C deficiency were known in ancient Egypt and eighteenth century Scottish surgeon James Lind found that scurvy (a disease resulting from insufficient dietary ingestion of vitamin C) could be effectively treated with citrus fruit, this vitamin was discovered only in the year 1912 and then after 21 years it was chemically synthetized and introduced to the market as the first vitamin supplement [...]