Usefulness of Castor Oil and Elobixibat and Lactulose and Ascorbic Aid (Movicol) for Bowel Preparation for Colon Capsule Endoscopy:A Case Report
Colon capsule endoscopy was approved for reimbursement under the national health insurance system of Japan in 2014. However, the capsule excretion rate after recommended bowel preparation reportedly ranges from 70% to 90%, and administration of boosters is also necessary. The caster oil-based booster had an emission rate of 97%, but required a total water content of 3L. Some patients have been tested for the second and third time since the test was started in 2014. There is an opinion that these patients could reduce the booster more, and this time we will use the booster with mobiprep to perform the booster on the day with 350 ml.
Usefulness of Castor Oil and Elobixibat and Lactulose for Bowel Preparation for Colon Capsule Endoscopy in the patients on Dialysis -Including examination of small intestinal lesions-
Colon capsule endoscopy was approved for reimbursement under the national health insurance system of Japan in 2014. Dialysis patients are potentially susceptible to bleeding because of the fragile intestine, impaired platelet function, or oral administration of nonsteroidal antiinflammatory drugs (NSAIDs) or anticoagulants. However, the capsule excretion rate after recommended bowel preparation reportedly ranges from 70% to 90%, and administration of boosters is also necessary. For dialysis patients, liquid loading is a problem. The patient on dialysis has moisture restrictions. The caster oil-based booster had an emission rate of 97%, but required a total water content of 3L. A study was conducted on dialysis patients using a protocol in which castor oil was supplemented with Elobixibat and Lactulose to determine whether booster volume could be reduced and elimination rates improved.
Knowledge of Nutrition Care for Children on Peritoneal Dialysis at National Hospital of Pediatrics, Vietnam
Background: Nutrition is critically important for chronic kidney diseases, especially for children on CAPD (continuous ambulatory peritoneal dialysis). Nutrition not only plays the role of medication but also can control most abnormal metabolism disorders and preserve the residual renal functions. However, most patients’ families just focus on peritoneal dialysis while ignoring nutrition for the patients. Objective: Survey the knowledge of nutrition care for children with CAPD prescription. Method: Cross-sectional study on the nutritional status of 31 children undergoing CAPD. Interview and assess knowledge on kidney diseases with peritoneal dialysis, knowledge on nutrition care and nutrition practice of 31 mothers with children undergoing CAPD via a designed questionnaire. Result: The ratio of malnutrition of children on CAPD was 37.8%. Knowledge on caregiving and hygiene for CAPD was good with 74.4% mothers knowing about complications of peritonitis, 64.4% was aware of peritoneal catheter exit-site infection. However knowledge on nutrition was limited, only 25.8% mothers having knowledge on nutrition for the children. 9.7% mothers could meet the requirement in nutrition practice. Recommendation: It is necessary to enhance nutrition communication and counselling to achieve the expected treatment outcomes.
Research on the Current Situation of Industrial Structure and Upgrading Path in Hubei Province under the Background of Central Rise
The development of the industrial structure affects the development of the regional economy. From the implementation of the rise of central China to the present, while the industrial structure of Hubei Province is developing, there are also unreasonable phenomena. This article analyzes the industrial structure of Hubei Province from 2004 to 2018.It first analyzes the current situation of the industrial structure of Hubei Province, the current situation of the industrial structure, the existing problems and reasons, and finally proposes the path of industrial structure optimization in Hubei Province based on the analysis results.
Background: Trichotillomania (TTM) is a common cause of childhood alopecia. It’s a traumatic alopecia and is defined as the irresistible urge to pull out the hair, accompanied by a sense of relief after the hair has been plucked. The condition maybe episodic and the chronic type is difficult to treat. There seem to be an increase in the prevalence of the condition probably due to the changing life style into a more stressful one. Objective: To do full evaluation of this disease and description of hair loss patterns. Patients and methods: In this descriptive study, we collected patients with trichotillomania who had attended department of dermatology, college of medicine, university of Baghdad, Baghdad teaching hospital during the period from 2011 through 2019 where 114 cases of TTM were seen. The diagnosis was established on clinical basis after exclusion of other dermatological diseases and medical problems.Full history was taken from each patient including demographic data, presence of stressful life event as a triggering factor. Psycholgical assessment was carried out for each patient by experienced dermatologist as psychiatric referral was refused by all patients and their families.Full description of patterns of hair loss was carried out after exclusion of other causes of hair loss especially alopecia areata. Results: A total of 114 patients diagnosed with TTM were enrolled in this study,88 (77.19%) patients were females and 26 (22.8%) males with female to male ratio: 3.38:1 . Age of patients ranged from 6 – 65 years with a median age of 16 years with the commonest age range between 10-19 years in 64(56.14%) patients.While the duration of the condition ranged from 3 months to 4 years. Family history was positive in 6 (5.3%) patients, all of them were first degree relatives. Psychological evaluation showed obsessive compulsive neurosis in all patients and all patients…
There are many kinds of training in institutions. But one of them the latest and most eminent train pattern intended to appraise efficacy operating workforce teaching be Kirkpatrick model. , the efficacy of the worker’s teaching path investigated Islamic banking. The feedback form composed of five constituents that take in: acquisition, the reaction of attitude, consequences moreover the novelty within the position of confounding factors are dispensed. It is showed in an investigation that some elements are such as (reaction, actions as well as creations) are having momentous end products going on the tradition efficiency on the way to Kirkpatrick model. As well as two factors (education as well as product for path) are no more a trivial consequence.
In order to test the wellbeing and development of a given nation economy, unemployment level is a primary macroeconomic pointer. It is considered as forgone output which denies the fundamental assets of government that required creating the economy. Thus, the objective of the study was to investigate the long-run and short-run causality between unemployment and macroeconomic variables. Resulting to utilizing the Augmented Dickey-Fuller to test for unit root this investigation utilized Auto Regressive Distributed Lag limits testing approach and Vector Error Correction Model granger causality test to inspect the time arrangement information over the time of 1984/85-2018/19. Relapse result recommends that since quite a while ago run causation running from joblessness to the recorded macroeconomic factors. In the short run there is significant granger causality from foreign direct investment and inflation rate to unemployment rate. Moreover, from unemployment to real gross domestic product and external debt in the short run. Finally, the study suggests the government should increase the level of aggregate supply, create conducive environment that entice more foreign direct investment and borrow only for productive purpose to form more business and assimilate an expensive pool of unemployment populace.
The study investigated the impact of federal government expenditure on the Nigerian economic development. The main objective of the study was to ascertain whether there is a relationship between federal government expenditure and economic development in Nigeria. The study adopted Least Square estimation technique to evaluate the model specified using time series from 2010-2018. Real Gross Domestic Product was used as the dependent variable while federal government capital and recurrent expenditures were used as the independent variables. The result from the regression analysis shows that federal government capital and recurrent expenditures have a positive effect on real GDP. The data used in the analysis were gotten from Central Bank of Nigeria (CBN) statistical bulletin. The study recommended that federal government should direct more of its recurrent expenditure towards economic and community services as they accelerate economic development. The study also recommended proper management of public funds allocated to the agricultural sector and manufacturing industries as they have the potential of raising the nation’s production capacity and providing employment for citizens in the country.
PEST Analysis of Development Trend in China’s Online Drug Retail Market under the “Internet Plus” Strategy
Objective: to probe the current situation of the online drug retail market in China, so as to provide reference for the future development direction of the market. Method: through big data, to establish PEST model and analysis the current situation of the online drug retail market in China from the four dimensions of politics, economic, society and technology. Results and Conclusion: at present, the policy environment of China’s online drug retail market is good, the number of pharmaceutical e-commerce enterprises will continue to increase and the scale of market size will grow. Although there are still problems such as insufficient purchasing power of consumers, uneven regional development, imperfect payment method and distribution system and so on, with the continuous promotion of “Internet Plus” strategy and benign competition in the market, China’s online drug retail market will develop rapidly. With the promotion of “Internet Plus” strategy in China, relying on network technology, drug market is closely liked to e-commerce activities, and the online drug retail market has become an important form of drug sales. By collecting and analyzing big data, establishing PEST model and probing the current situation of China’s online drug retail market from four dimensions, this paper provide the direction for the future of the online drug retail market in China.
The present paper concerns a theoretical study of heat transfer of the laminar two dimensional flows of various nanofluids taking into account the dissipation due to viscous term past a 2-D flat plate had a different temperatures. The steady incompressible flow equations were used and transformed to a nonlinear Ordinary Differential Equation (ODE). These equations were solved numerically using implicit finite difference method. Three types of nanoparticles in the base flow of water were considered. The symbolic software Mathematica was used in the present study. Different types of nanoparticles, different values of, nanoparticle volume fraction, Eckart and Prandtl number were tested and analyzed at different wall temperature. The effect of these parameters on the flow behaviour, the local skin friction coefficient, Nusselt number, the velocity and the temperature profiles were presented and investigated. It is concluded that these parameters affect the fluid flow behaviour and heat transfer parameters especially nanoparticle concentration. The presence of nanoparticles showed an enhancement in the heat transfer rate moreover its type has a significant effect on heat transfer enhancement.