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| 1 | Impact of social isolation on behavioral health in elderly: Systematic review显示文摘AIM: To examine and compare the effects of subjective and objective social isolation on behavioral health in elderly adults.METHODS: A systematic search of Pub Med was performed for original research articles from peerreviewed journals examining one of the following topics: 'Social isolation and sleep disturbance', 'social isolation and depression', or 'social isolation and fatigue in older adults'. Studies were selected following the criteria established based on the aim of this review. Data were extracted from the articles by two independent reviewers. Due to the heterogeneity in study designs and outcome measures of the included studies, qualitative and narrative analyses were conducted.RESULTS: The set criteria were used to select a total of 16 studies for the review. Of the 16, 13 were crosssectional studies. The characteristics of study populations were identified as follows. A total of 12 studies randomly selected subjects irrespective of pre-existing health conditions. Consequently, an unspecified number of the study subjects had chronic diseases in the studies compared. In addition, cultural and ethnic backgrounds of studies in this review were diverse, and included subjects living in North America, South America, Asia, Europe, and Oceania. Both subjective and objective types of social isolation increased behavioral symptoms, such as sleep disturbance, depressive symptoms, and fatigue in older adults. Furthermore, a few recent studies reported stronger effects of subjective social isolation than objective social isolation on sleep disturbance and depressive symptoms.CONCLUSION: Social isolation affects behavioral health in older adults. Compared to the objective social isolation, subjective social isolation contributes more significantly to sleep disturbance and depression. | Hanbyul Choi Michael R Irwin Hyong Jin Cho | 2015 | World Journal of Psychiatry2015,5,4: | 4 |
| 2 | New perspectives on exploitation of incretin peptides for the treatment of diabetes and related disorders显示文摘The applicability of stable gut hormones for the treatment of obesity-related diabetes is now undisputable. This is based predominantly on prominent and sustained glucoselowering actions, plus evidence that these peptides can augment insulin secretion and pancreatic islet function over time. This review highlights the therapeutic potential of glucagon-like peptide-1(GLP-1), glucose-dependent insulinotropic polypeptide(GIP), oxyntomodulin(OXM) and cholecystokinin(CCK) for obesity-related diabetes.Stable GLP-1 mimetics have already been successfully adopted into the diabetic clinic, whereas GIP, CCK and OXM molecules offer promise as potential new classes of antidiabetic drugs. Moreover, recent studies have shown improved therapeutic effects following simultaneous modulation of multiple receptor signalling pathways by combination therapy or use of dual/triple agonist peptides. However, timing and composition of injections may be important to permit interludes of beta-cell rest. The review also addresses the possible perils of incretin based drugs for treatment of prediabetes. Finally, the unanticipated utility of stable gut peptides as effective treatments for complications of diabetes, bone disorders, cognitive impairment and cardiovascular dysfunction is considered. | Nigel Irwin Peter R Flatt | 2015 | World Journal of Diabetes2015,6,15: | 4 |
| 3 | Shellfish allergy and relation to iodinated contrast media: United Kingdom survey显示文摘AIM: To assess current practice of United Kingdom cardiologists with respect to patients with reported shellfish/iodine allergy, and in particular the use of iodinated contrast for elective coronary angiography.Moreover we have reviewed the current evidence-base and guidelines available in this area.METHODS: A questionnaire survey was send to 500senior United Kingdom cardiologists(almost 50% cardiologists registered with British Cardiovascular Society)using email and first 100 responses used to analyze practise. We involved cardiologists performing coronary angiograms routinely both at secondary and tertiary centres. Three specific questions relating to allergy were asked:(1) History of shellfish/iodine allergy in pre-angiography assessment;(2) Treatments offeredfor shellfish/iodine allergy individuals; and(3) Any specific treatment protocol for shellfish/iodine allergy cases. We aimed to establish routine practice in United Kingdom for patients undergoing elective coronary angiography. We also performed comprehensive PubMed search for the available evidence of relationship between shellfish/iodine allergy and contrast media.RESULTS: A total of 100 responses were received, representing 20% of all United Kingdom cardiologists. Ninety-three replies were received from consultant cardiologists, 4 from non-consultant grades and 3 from cardiology specialist nurses. Amongst the respondents, 66% routinely asked about a previous history of shellfish/iodine allergy. Fifty-six percent would pre-treat these patients with steroids and anti-histamines. The other 44% do nothing, or do nonspecific testing based on their personal experience as following:(1) Skin test with 1 mL of subcutaneous contrast before intravenous contrast;(2) Test dose 2 mL contrast before coronary injection;(3) Close observation for shellfish allergy patients; and(4) Minimal evidence that the steroid and anti-histamine regime is effective but it makes us feel better.CONCLUSION: There is no evidence that allergy to shellfish alters the risk of reaction to intravenous contrast more than any other allergy and asking about such allergies in pre-angiogram assessment will not provide any additional information except propagating the myth. | Mudassar Baig Ahmad Farag Jamal Sajid Rahul Potluri R Bruce Irwin Hafiz Mohammed Idrees Khalid | 2014 | World Journal of Cardiology2014,6,3: | 3 |
| 4 | Metals removals and partitioning in conventional wastewater treatment plant显示文摘 | PETRASEK A C IRWIN J R KUGELMAN I J | 1993 | Journal WPCF1993,55,9: | 1 |
| 5 | Fatigue crack growth in pavements显示文摘 | CASTELL M A INGRAFFEA A R IRWIN L H | 2000 | Journal of Transportation Engineering ASCE2000,126,4: | 1 |
| 6 | 1,2,3-Trichloropropane: a multisite carcinogen in rats and mice 显示文摘 | Irwin R D Haseman J K Eustis S L | 1995 | Fundam Appl Toxicol1995,25,2: | 1 |
| 7 | Chronic cough - the spectrum and frequency of cause, key components of the diagnostic evaluation, and outcome of specific therapy 显示文摘 | IRWIN R S CURLEY F J FRENCH C L | 1990 | Am Rev Respir Dis1990,141,3: | 1 |
| 8 | Normal bone density obtained in the absence of insulin receptor expression in bone显示文摘 | Irwin R Lin Hv Motyl KJ | 2006 | Endocrinology2006,147,12: | 1 |
| 9 | Analysis of stresses and strain near the end of a crack transversing a plate 显示文摘 | Irwin G R | 1957 | Journal of Applied Mechanics1957,24,: | 1 |
| 10 | Ceftiofur resistance in Salmonella enterica serovar Heidelberg from chicken meat and humans, Canada显示文摘 | Dutil L Irwin R Finley D | 2010 | Emerg Infect Dis2010,16,1: | 1 |
| 11 | Misleading heuristics and moderated multiple regression models 显示文摘 | IRWIN J R MCCLELLAND G H | | Journal of Marketing0,,: | 1 |
| 12 | Analysis of stresses and strain near the end of a crack traversing a plate 显示文摘 | Irwin G R | 1957 | J App M ech1957,,24: | 1 |
| 13 | Stocking density, growth and growth variation in Juvenile turbot, Scophthlmus maximus 显示文摘 | Irwin S HaUoran J O FitzGeald R D | 1999 | Aquaculture1999,178,: | 1 |
| 14 | An edge-based heuristic for steiner routing显示文摘 | M Borah R M Owens M J Irwin | 1994 | IEEE Trans Computer-Aided Des1994,13,: | 1 |
| 15 | Analysis of stresses andstrains near the end of a c rack traversing a plate显示文摘 | IRWIN G R | 1957 | J Appl Mech,1957,,24: | 1 |
| 16 | Liberation of staling aldehydes during storage of beer 显示文摘 | Barker R L Gracey D E F Irwin A J Pipasts P Leiska E | 1983 | J Inst Brew1983,89,: | 1 |
| 17 | Imerpreting the histopathology of chronic cough: a prospective, controlled, comparative study 显示文摘 | Irwin RS Ownbey R Cagle PT | 2006 | Chest2006,130,2: | 1 |
| 18 | Maintenance infliximab treat- ment is associated with improved bone mineral density in crohn' s disease 显示文摘 | Bernstein M Irwin S Grunberg G R | 2005 | Am J Gastroentem12005,100,9: | 1 |
| 19 | Method to calculate the fire resistance of reinforced concrete columns with rectangular cross section显示文摘 | Lie T T Irwin R J | 1993 | ACI Structural Journal1993,90,1: | 1 |
| 20 | Changes in the racial composition of Phytophthora sojae in Australia between 1979 and 1996显示文摘 | Ryley M J Obst N R Irwin J A G | 1998 | Plant Dis1998,82,: | 1 |