[Bezoars following gastric surgery].
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Biomedical subjects
Publications and source records attributed to G Egger.
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OBJECTIVE: To test the effects on laxative sales of two methods of promoting increased consumption of wholemeal/wholegrain bread by the elderly. DESIGN: Community intervention trials were carried out in two test communities and one control community on the mid-north coast of New South Wales. PARTICIPANTS: Small retirement communities with a high proportion of the population aged over 55 years. INTERVENTIONS: A community organisation strategy (COS) involving the media, community activities and social marketing principles using the theme "Bread: It's a Great Way to Go" was compared with a patient education strategy (PES) through local doctors and a control community (CON). MAIN OUTCOME MEASURES: Wholemeal/wholegrain bread sales and laxative sales. RESULTS: There was a 49% decrease in laxative sales corresponding to a 58% increase in sales of wholemeal/wholegrain bread in the COS community but no significant changes in either the PES or CON communities. CONCLUSIONS: The study suggests a positive, cost effective approach for increasing fibre intake and improving gastrointestinal problems in the elderly.
OBJECTIVES: To review the evidence for the effectiveness of popular, non-prescription weight loss supplements. DATA SOURCES: A detailed literature search including all relevant medical and supplementary medicine databases and evidence submitted from manufacturers. DATA SYNTHESIS: The theoretical basis and rationale for the use of each substance is considered along with available research in the published literature on effectiveness and potential risks. We classified the level of evidence represented by the main research studies on each substance. CONCLUSIONS: There is no good evidence for any weight loss benefits from most of the substances reviewed here. There is some support for mild effects of capsaicin, caffeine and fibre, but only in whole foods. In some cases (e.g., chitosan), there is a plausible theoretical basis for the product, but no supporting proof of effect in humans in the absence of a calorie-controlled diet. Possible synergistic effects of different ingredients cannot be dismissed, but cannot be assessed from current data. There is an absence of good quality research on many substances, which means that advertising claims may be misleading.
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