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Appendix a Common Abbreviations Used in Medication
UNIVERSITY OF AMSTERDAM MASTERS THESIS Impact of Medication Grouping on Fall Risk Prediction in Elders: A Retrospective Analysis of MIMIC-III Critical Care Database Student: SRP Mentor: Noman Dormosh Dr. Martijn C. Schut Student No. 11412682 – SRP Tutor: Prof. dr. Ameen Abu-Hanna SRP Address: Amsterdam University Medical Center - Location AMC Department Medical Informatics Meibergdreef 9, 1105 AZ Amsterdam Practice teaching period: November 2018 - June 2019 A thesis submitted in fulfillment of the requirements for the degree of Master of Medical Informatics iii Abstract Background: Falls are the leading cause of injury in elderly patients. Risk factors for falls in- cluding among others history of falls, old age, and female gender. Research studies have also linked certain medications with an increased risk of fall in what is called fall-risk-increasing drugs (FRIDs), such as psychotropics and cardiovascular drugs. However, there is a lack of consistency in the definitions of FRIDs between the studies and many studies did not use any systematic classification for medications. Objective: The aim of this study was to investigate the effect of grouping medications at different levels of granularity of a medication classification system on the performance of fall risk prediction models. Methods: This is a retrospective analysis of the MIMIC-III cohort database. We created seven prediction models including demographic, comorbidity and medication variables. Medica- tions were grouped using the anatomical therapeutic chemical classification system (ATC) starting from the most specific scope of medications and moving up to the more generic groups: one model used individual medications (ATC level 5), four models used medication grouping at levels one, two, three and four of the ATC and one model did not include med- ications. -
Chlorthalidone Is Superior to Potassium Citrate in Reducing Calcium Phosphate Stones and Increasing Bone Quality in Hypercalciuric Stone-Forming Rats
BASIC RESEARCH www.jasn.org Chlorthalidone Is Superior to Potassium Citrate in Reducing Calcium Phosphate Stones and Increasing Bone Quality in Hypercalciuric Stone-Forming Rats Nancy S. Krieger,1 John R. Asplin,2 Ignacio Granja,2 Felix M. Ramos,1 Courtney Flotteron,1 Luojing Chen,1 Tong Tong Wu,3 Marc D. Grynpas,4 and David A. Bushinsky1 1Division of Nephrology, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York; 2Litholink Corporation, Laboratory Corporation of America Holdings, Chicago, Illinois; 3Department of Biostatistics and Computational Biology, University of Rochester School of Medicine, Rochester, New York; and 4Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada ABSTRACT Background The pathophysiology of genetic hypercalciuric stone-forming rats parallels that of human idiopathic hypercalciuria. In this model, all animals form calcium phosphate stones. We previously found that chlorthalidone, but not potassium citrate, decreased stone formation in these rats. Methods To test whether chlorthalidone and potassium citrate combined would reduce calcium phos- phate stone formation more than either medication alone, four groups of rats were fed a fixed amount of a normal calcium and phosphorus diet, supplemented with potassium chloride (as control), potassium citrate, chlorthalidone (with potassium chloride to equalize potassium intake), or potassium citrate plus chlorthalidone. We measured urine every 6 weeks and assessed stone formation and bone quality at 18 weeks. Results Potassium citrate reduced urine calcium compared with controls, chlorthalidone reduced it fur- ther, and potassium citrate plus chlorthalidone reduced it even more. Chlorthalidone increased urine citrate and potassium citrate increased it even more; the combination did not increase it further. -
The Effect of Selected Herbal Extracts on Lactic Acid Bacteria Activity
applied sciences Article The Effect of Selected Herbal Extracts on Lactic Acid Bacteria Activity Małgorzata Ziarno 1,* , Mariola Kozłowska 2 , Iwona Scibisz´ 3 , Mariusz Kowalczyk 4 , Sylwia Pawelec 4 , Anna Stochmal 4 and Bartłomiej Szleszy ´nski 5 1 Division of Milk Technology, Department of Food Technology and Assessment, Institute of Food Science, Warsaw University of Life Sciences–SGGW (WULS–SGGW), 02-787 Warsaw, Poland 2 Department of Chemistry, Institute of Food Science, Warsaw University of Life Sciences–SGGW (WULS–SGGW), 02-787 Warsaw, Poland; [email protected] 3 Division of Fruit, Vegetable and Cereal Technology, Department of Food Technology and Assessment, Institute of Food Science, Warsaw University of Life Sciences–SGGW (WULS–SGGW), 02-787 Warsaw, Poland; [email protected] 4 Department of Biochemistry and Crop Quality, Institute of Soil Science and Plant Cultivation, State Research Institute, 24-100 Puławy, Poland; [email protected] (M.K.); [email protected] (S.P.); [email protected] (A.S.) 5 Institute of Horticultural Sciences, Warsaw University of Life Sciences–SGGW (WULS–SGGW), 02-787 Warsaw, Poland; [email protected] * Correspondence: [email protected]; Tel.: +48-225-937-666 Abstract: This study aimed to investigate the effect of plant extracts (valerian Valeriana officinalis L., sage Salvia officinalis L., chamomile Matricaria chamomilla L., cistus Cistus L., linden blossom Tilia L., ribwort plantain Plantago lanceolata L., marshmallow Althaea L.) on the activity and growth of lactic acid bacteria (LAB) during the fermentation and passage of milk through a digestive system model. Citation: Ziarno, M.; Kozłowska, M.; The tested extracts were also characterized in terms of their content of polyphenolic compounds and Scibisz,´ I.; Kowalczyk, M.; Pawelec, S.; antioxidant activity. -
Choline for a Healthy Pregnancy
To support healthy for a Healthy weight gain and keep up with the nutritional needs of both mom and Pregnancy the developing baby, CHOLINE additional nutrients are necessary. Nine out of 10 Americans don’t meet the daily recommended choline intake of 550 mg1,2 and it can be challenging to reach this goal even when choosing choline-containing foods like beef, eggs, wheat germ and Brussels sprouts. Choline is particularly important during pregnancy for both mom and baby because it supports healthy brain growth and offers protection against neural tube defects. Women are encouraged to take a prenatal supplement before and during pregnancy to ensure they’re meeting vitamin and mineral recommendations. In fact, the American Medical Association recommends that choline be included in all prenatal vitamins to help ensure women get enough choline to maintain a normal pregnancy.3 Look for a prenatal supplement that contains folic acid, iron, DHA (omega-3s), vitamin D and choline. Consider smart swaps to get the most choline in your diet for a healthy pregnancy, as well as optimal health after baby arrives. PREGNANCY EATING PATTERN* CHOLINE-FOCUSED PREGNANCY EATING PATTERN* 1 1 hard-cooked egg 1 2 cups toasted whole grain oat cereal / 1 large peach 1 cup nonfat milk 1 1 slice whole grain bread /3 cup blueberries 1 1 tablespoon jelly /3 cup sliced banana BREAKFAST 1 cup nonfat milk 1 /2 whole grain bagel 1 whole wheat tortilla 2 tablespoons peanut butter 2 tablespoons peanut butter 1 small apple 1 SNACK 1 /2 large banana /2 cup nonfat vanilla Greek yogurt 2 slices whole grain bread 3 oz. -
Lipotrienols RYR™
Lipotrienols RYR™ Natural support for lipid management & cardiovascular health Lipotrienols RYR™ is a powerful combination of natural substances designed to provide nutritional support for cardiac and vascular health. Modern diets and lifestyles often contribute to the damage of blood vessels, leading to various cardiovascular risk factors. Maintaining strong vessel walls and healthy lipid levels are foundational for maintaining a healthy heart and cardiovascular system. Lipotrienols RYR™ offers organic red yeast rice extract (Monascus purpurea), naturally extracted tocotrienols, and the antioxidant, lycopene, to protect blood vessels, support healthy cholesterol production, and maintain optimal cardiovascular health. These fat-soluble nutrients are delivered in a sunflower lecithin base for optimal absorption and bioavailability. Highlights • Organic Red Yeast Rice – Red yeast rice is produced from yeast, which grow on rice, and contain several beneficial compounds that have been positively associated with healthy blood lipid levels. It also supports a healthy inflammatory response in the body and can function as an antioxidant. Collectively, these characteristics infer positive benefits to blood vessels and can support a healthy cardiovascular system. Lipotrienols RYR™ is made from certified organic red yeast rice that has been grown in the US and carefully cultivated to ensure adequate levels of its health-promoting compounds. • Tocotrienols – This class of vitamin E fractions has the unique ability to synergistically work with red yeast rice to support healthy blood lipid levels. Lipotrienols RYR™ contains a unique, purified blend of delta and gamma tocotrienols, which specifically act upon enzyme systems in the body to maintain healthy cholesterol levels and support cardiovascular health. • Lycopene – Lycopene is a carotenoid with potent antioxidant properites found abundantly in human tissues and most often associated with tomatoes, which supply a large amount of lycopene. -
Influence of Dietary Fiber Addition on the Properties of Probiotic Yogurt
International Journal of Chemical Engineering and Applications, Vol. 5, No. 5, October 2014 Influence of Dietary Fiber Addition on the Properties of Probiotic Yogurt T. Ozcan and O. Kurtuldu low energy density, and should promote satiation and satiety, Abstract—In this study, the effects of using dietary fiber and play a role in the control of energy balance. These foods barley and oat β-glucan as a prebiotic on the viability of have the capacity of binding bile acids and metabolites of Bifidobacterium bifidum in probiotic yoghurt and properties of cholesterol that play an important role in digestion and yogurt during storage were investigated. The survival of B. absorption of lipids in the small intestine, lowering blood bifidum was within biotherapeutic level (> 7 log cfu/g) as a result of the prebiotic effect of barley and oat based β-glucan. cholesterol, regulating blood glucose levels for diabetes The addition of β-glucan to yogurt significantly affected management, producing short chain fatty acids and physicochemical properties including pH, titratable acidity promoting the growth of beneficial gut microflora (i.e. as a (LA %), whey seperation, color (L*, a*, b*) and sensorial prebiotic) [18]–[23]. Due to beneficiary health effects the properties of yogurts. In conclusion, β-glucan can be used on recommended daily intake of fiber is about 38 g for men and the development of cereal-based functional dairy products with sufficient viability and acceptable sensory characteristics. 25 g for women [24]. Fiber can be used for improvement of some functional Index Terms—Yoghurt, probiotic, dietary fiber, β-glucan. properties such as texture, water holding capacity, oil holding capacity, emulsification and/or gel formation, bulking agent in reduced-sugar applications, and shelf-life of I. -
Probiotic Sufficiency™ Brochure
Everybody - Everyday - For Life!TM Everybody Everyday For Life! ® RESEARCH INDICATES THAT: 1. Probiotic bacteria are ESSENTIAL for wellness and prevention. ® The human body contains 90% microorganisms Energy and only 10% human cells. Dietary sufficiency of healthy microorganisms (probiotics) is necessary for Vitality the proper function of the digestive and immune Strength systems and for overall wellness and prevention. Balance Natural Health 2. The Western diet is DANGEROUSLY DEFICIENT in Probiotic bacteria. Purity Research shows that we now consume one millionth of the healthy probiotic bacteria that we did before pesticides, herbicides, and industrial farming. We also kill many of our probiotic bacteria with poor nutrition, prescription drugs, and stress. This PROBIOTIC deficiency of healthy probiotic bacteria is implicated TM as a casual factor in lack of health and vitality and an alarming number of preventable illnesses from SUFFICIENCY infancy to old age. The Innate Human Probiotic Formula 3. The only way to obtain sufficient amounts of Everybody - Everyday - For Life!™ ® healthy probiotic bacteria is through daily How to consume Innate Choice PROBIOTIC SUFFICIENCY™ SUPPLEMENTATION. Please visit www.innatechoice.com for The dietary sources of probiotic bacteria are virtually The World’s Premier Multi-Strain a complete list of references supporting the A Dietary Supplement to Promote unavailable in industrialized society. Our fruits Probiotic Supplement importance of daily probiotic supplementation for Healthy Intestinal Flora and vegetables are sprayed with pesticides, much Adults should consume 2 capsules per day with a meal wellness and prevention. of our food is pasteurized or irradiated, and we do containing raw fruit or vegetables. not consume sufficient amounts of fresh, raw, local foods. -
Is There an Ideal Diet to Protect Against Iodine Deficiency?
nutrients Review Is There an Ideal Diet to Protect against Iodine Deficiency? Iwona Krela-Ka´zmierczak 1,† , Agata Czarnywojtek 2,3,†, Kinga Skoracka 1,* , Anna Maria Rychter 1 , Alicja Ewa Ratajczak 1 , Aleksandra Szymczak-Tomczak 1, Marek Ruchała 2 and Agnieszka Dobrowolska 1 1 Department of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, Heliodor Swiecicki Hospital, 60-355 Poznan, Poland; [email protected] (I.K.-K.); [email protected] (A.M.R.); [email protected] (A.E.R.); [email protected] (A.S.-T.); [email protected] (A.D.) 2 Department of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, 60-355 Poznan, Poland; [email protected] (A.C.); [email protected] (M.R.) 3 Department of Pharmacology, Poznan University of Medical Sciences, 60-806 Poznan, Poland * Correspondence: [email protected]; Tel.: +48-665-557-356 or +48-8691-343; Fax: +48-8691-686 † These authors contributed equally to this work. Abstract: Iodine deficiency is a global issue and affects around 2 billion people worldwide, with preg- nant women as a high-risk group. Iodine-deficiency prevention began in the 20th century and started with global salt iodination programmes, which aimed to improve the iodine intake status globally. Although it resulted in the effective eradication of the endemic goitre, it seems that salt iodination did not resolve all the issues. Currently, it is recommended to limit the consumption of salt, which is the main source of iodine, as a preventive measure of non-communicable diseases, such as hypertension or cancer the prevalence of which is increasing. -
Analysis of the Effects of Three Commercially Available Supplements on Performance, Exercise Induced Changes and Bio-Markers in Recreationally Trained Young Males
Analysis of the effects of three commercially available supplements on performance, exercise induced changes and bio-markers in recreationally trained young males Robert Cooper A thesis is submitted in partial fulfilment of the requirements of the University of Greenwich for the Degree of Doctor of Philosophy This research programme was carried out in collaboration with GlaxoSmithKline Maxinutrition division December 2013 School of Science University of Greenwich, Medway Campus Chatham Maritime, Kent ME4 4TB, UK i DECLARATION “I certify that this work has not been accepted in substance for any degree, and is not concurrently being submitted for any degree other than that of Doctor of Philosophy being studied at the University of Greenwich. I also declare that this work is the result of my own investigations except where otherwise identified by references and that I have not plagiarised the work of others”. Signed Date Mr Robert Cooper (Candidate) …………………………………………………………………………………………………………………………… PhD Supervisors Signed Date Dr Fernando Naclerio (1st supervisor) Signed Date Dr Mark Goss-Sampson (2nd supervisor) ii ACKNOWLEDGEMENTS Thank you to my supervisory team, Dr Fernando Naclerio, Dr Mark Goss Sampson and Dr Judith Allgrove for their support and guidance throughout my PhD. Particular thanks to Dr Fernando Naclerio for his tireless efforts, guidance and support in developing the research and my own research and communication skills. Thank you to Dr Eneko Larumbe Zabala for the statistics support. I would like to take this opportunity to thank my wonderful mother and sister who continue to give me the support and drive to succeed. Also on a personal level thank you to my amazing fiancée, Jennie Swift. -
Potassium-Magnesium Citrate Is an Effective Prophylaxis Against Recurrent Calcium Oxalate Nephrolithiasis
0022-5347/97/1586-2069$03.00/0 JOURNAL OF UROLOGY Vol. 158,2069-2073, December 1997 Copyright Q 1997 by AMERICANUROLOGICAL ASS~CIATION, INC. Printed in U.S.A. POTASSIUM-MAGNESIUM CITRATE IS AN EFFECTIVE PROPHYLAXIS AGAINST RECURRENT CALCIUM OXALATE NEPHROLITHIASIS BRUCE ETTINGER,* CHARLES Y. C. PAK, JOHN T. CITRON, CARL THOMAS, BEVERLEY ADAMS-HIJET AND ARLINE VANGESSEL From the Diuision of Research, Kaiser Permanente Medical Care Program, Oakland, California, the Department of Mineral Metabolism, Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, Department of Medicine, Kaiser Permanente Medical Center, Walnut Creek, California, Department of Urology, Kaiser Permanente Medical Center, San Francisco, California, and Kaiser Foundation Research Institute, Kaiser Foundation Hospitals, Oakland, California ABSTRACT Purpose: We examined the efficacy of potassium-magnesium citrate in preventing recurrent calcium oxalate kidney calculi. Materials and Methods: We conducted a prospective double-blind study of 64 patients who were randomly assigned to receive placebo or potassium-magnesium citrate (42 mEq. potassium, 21 mEq. magnesium, and 63 mEq. citrate) daily for up to 3 years. Results. New calculi formed in 63.6%of subjects receiving placebo and in 12.9%of subjects receiving potassium-magnesiumcitrate. When compared with placebo, the relative risk of treat- ment failure for potassium-magnesium citrate was 0.16 (95%confidence interval 0.05 to 0.46). potassium-magnesium citrate had a statistically significant effect (relative risk 0.10,95%confi- dence interval 0.03 to 0.36) even after adjustment for possible confounders, including age, pretreatment calculous event rate and urinary biochemical abnormalities. -
Zinc Citrate – a Highly Bioavailable Zinc Source
Wellness Foods Europe THE MAGAZINE FOR NUTRITION, FUNCTIONAL FOODS & BEVERAGES AND SUPPLEMENTS Zinc citrate – a highly bioavailable zinc source Reprint from Wellness Foods Europe issue 3/2014 Wellness Foods Europe Special salts Zinc citrate – a highly bioavailable zinc source Markus Gerhart, Jungbunzlauer Ladenburg GmbH Zinc, the versatile mineral, is about to be- Zinc is a component of about 300 enzymes and come the next star in the minerals catego- 2000 transcriptional factors, and 10 % of the ry. Profiting from its various health benefits human proteome contain zinc-binding motives. and its relatively low cost in use, zinc sales Impairment of intestinal zinc absorption results in supplements have shown a double digit in severe clinical manifestations like skin lesions, growth in 2012 and are starting to catch up developmental retardation, stunted growth and with calcium, magnesium and iron, the cate- immune deficiency. gory leaders. Its importance for human health was empha- sised by the European health claim regu lation, Zinc is an essential transition metal that is where zinc received more positive opinions (18 directly or indirectly involved in a wide varie- in total) than any other mineral. The range of ty of physiological processes. After discover- claims (Table 1) includes, amongst others, im- ing the necessity of zinc for Aspergillus niger, it portant health benefits like immunity, bone took another 100 years before its relevance for health, cognitive function and healthy vision. humans was recognised, when the zinc deficien- These health benefits can be clearly defined and cy syndrome was described for the first time by are easy for the consumer to understand. -
Lycopene By: Gary E
Lycopene By: Gary E. Foresman, MD December 2008 Used for: Prostate cancer prevention and treatment, lowering cholesterol, prevention of atherosclerosis, treatment of human papilloma virus (HPV), treatment of oral leukoplakia. Best when: Used in conjunction with our Basic Nutritional Protocol. Scientific studies document the synergistic role of vitamin D, fish oils, and a “multi-carotene” (as can be found in a high quality multi-vitamin or taken separately). Obviously eating 5-8 servings of fruits and vegetables per day and at least 10 servings per week of tomatoes serves as the healthiest way to get our nutrients… But this article is called “supplement of the week” for those who aren’t reaching recommended dietary guidelines. Carotenoids, the family of nutrients found so readily in our fruits and vegetables, provide profound and varied health-promoting qualities. There are six carotenoids known to be important in humans: lycopene, lutein, alpha-carotene, beta-carotene, beta-cryptoxanthin, and zeaxanthin. Epidemiologic data strongly correlates higher levels of these carotenoids with the prevention of almost all of the most common chronic diseases, from macular degeneration to atherosclerosis to all of the common cancers. Although beta-carotene can be converted into vitamin A in the body, these other carotenoids cannot be. Most importantly, the health benefits of lycopene and the carotenoids (sounds like a great band…I digress) comes from a great variety of mechanisms that include antioxidant properties, cholesterol lowering qualities, and the ability to directly interact with our DNA to turn on tumor suppressor genes. Lycopene specifically has been proven in randomized clinical trials, and in my clinical practice, specifically as part of a “team of nutrients” approach as described above, to treat the following conditions: • Prostate cancer: Specifically in men with benign prostatic hypertrophy (BPH) and an elevated prostate specific antigen (PSA) lycopene at 30 mg per day can significantly lower the chance of developing prostate cancer.