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Selected AbstractsWorld Gastroenterology Organization Practice Guidelines for the Diagnosis and Management of IBD in 2010INFLAMMATORY BOWEL DISEASES, Issue 1 2010Dr. Charles N. Bernstein Chairman Abstract Inflammatory bowel disease (IBD) represents a group of idiopathic, chronic, inflammatory intestinal conditions. Its two main disease categories are: Crohn's disease (CD) and ulcerative colitis (UC), which feature both overlapping and distinct clinical and pathological features. While these diseases have, in the past, been most evident in the developed world, their prevalence in the developing world has been gradually increasing in recent decades. This poses unique issues in diagnosis and management which have been scarcely addressed in the literature or in extant guidelines. Depending on the nature of the complaints, investigations to diagnose either form of IBD or to assess disease activity will vary and will also be influenced by geographic variations in other conditions that might mimic IBD. Similarly, therapy varies depending on the phenotype of the disease being treated and available resources. The World Gastroenterology Organization has, accordingly, developed guidelines for diagnosing and treating IBD using a cascade approach to account for variability in resources in countries around the world. Inflamm Bowel Dis 2010 [source] Adopted Children: Core Issues and Unique ChallengesJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 4 2002Eileen M. Smit MSN TOPIC Psychological impact of adoption and resulting core issues for adopted children. PURPOSE To raise awareness of the psychological impact of adoption. SOURCES Published literature and personal observations. CONCLUSIONS Adoption raises unique issues and challenges for the child and adoptive parents. Resolving the issues of adoption is a lifelong process. Through an awareness of the issues inherent in adoption, nurses and parents can use strategies that will enhance childrens self-esteem and decrease their emotional vulnerability. [source] Simulation of polymer melt processingAICHE JOURNAL, Issue 7 2009Morton M. Denn Abstract Polymer melt processing requires an integration of fluid mechanics and heat transfer, with unique issues regarding boundary conditions, phase change, stability and sensitivity, and melt rheology. Simulation has been useful in industrial melt processing applications. This brief overview is a personal perspective on some of the issues that arise and how they have been addressed. © 2009 American Institute of Chemical Engineers AIChE J, 2009 [source] The REFLECT Statement: Methods and Processes of Creating Reporting Guidelines for Randomized Controlled Trials for Livestock and Food SafetyJOURNAL OF VETERINARY INTERNAL MEDICINE, Issue 1 2010A.M. O'Connor The conduct of randomized controlled trials in livestock with production, health, and food-safety outcomes presents unique challenges that might not be adequately reported in trial reports. The objective of this project was to modify the CONSORT (Consolidated Standards of Reporting Trials) statement to reflect the unique aspects of reporting these livestock trials. A 2-day consensus meeting was held on November 18,19, 2008 in Chicago, IL, to achieve the objective. Before the meeting, a Web-based survey was conducted to identify issues for discussion. The 24 attendees were biostatisticians, epidemiologists, food-safety researchers, livestock production specialists, journal editors, assistant editors, and associate editors. Before the meeting, the attendees completed a Web-based survey indicating which CONSORT statement items would need to be modified to address unique issues for livestock trials. The consensus meeting resulted in the production of the REFLECT (Reporting Guidelines for Randomized Control Trials) statement for livestock and food safety and 22-item checklist. Fourteen items were modified from the CONSORT checklist, and an additional subitem was proposed to address challenge trials. The REFLECT statement proposes new terminology, more consistent with common usage in livestock production, to describe study subjects. Evidence was not always available to support modification to or inclusion of an item. The use of the REFLECT statement, which addresses issues unique to livestock trials, should improve the quality of reporting and design for trials reporting production, health, and food-safety outcomes. [source] The Nutrition Transition: An Overview of World Patterns of ChangeNUTRITION REVIEWS, Issue 2004Barry M. Popkin Ph.D. This paper examines the speed of change in diet, activity, and obesity in the developing world, and notes potential exacerbating biological relationships that contribute to differences in the rates of change. The focus is on lower- and middle-income countries of Asia, Africa, the Middle East, and Latin America. These dietary, physical activity, and body composition changes are occurring at great speed and at earlier stages of these countries' economic and social development. There are some unique issues that relate to body composition and potential genetic factors that are also explored, including potential differences in body mass index (BMI),disease relationships and added risks posed by high levels of poor fetal and infant growth patterns. In addition there is an important dynamic occurring,the shift in the burden of poor diets, inactivity and obesity from the rich to the poor. The developing world needs to give far greater emphasis to addressing the prevention of the adverse health consequences of this shift to the nutrition transition stage of the degenerative diseases [source] |