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Diet and nutrition in primary care. From antioxidants to zinc.

This article reviews the role of diet in primary prevention based on current epidemiologic and clinical studies. Special consideration is given to circumstances which may require individualizing the dietary prescription. The role of dietary supplements in primary care is discussed. Particular emphasis is given to studies highlighting the clinical importance of specific minerals. Additionally, the practical application of antioxidant vitamins is presented in light of recent research findings.

Antioxidants↗

Anhydrous pill ingestion: a new cause of esophageal obstruction.

We report the case of a patient who presented with complaints of abdominal discomfort and recurrent vomiting after ingestion of an anhydrous protein pill. Esophagoscopy revealed the presence of a pill much larger than initially ingested. The pill was removed through the endoscope. This is the first report of esophageal obstruction from anhydrous pill ingestion.

Adult↗

A festive musing.

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Diet Fads↗

Interpersonal predictors of dieting practices among married couples.

The relations between couples' marital quality and dieting behavior were examined. One-hundred eighty-seven married couples' dieting behaviors, marital quality, body mass index, weight concerns, depression, and self-esteem were assessed. Results indicate that the relation between healthy dieting behaviors and marital quality is similar for both husbands and wives. However, among wives, marital discord predicted unhealthy dieting behaviors, even after wives' body mass index, weight concerns, self-esteem, and depression were controlled for. Furthermore, wives' self-esteem interacted with marital quality when predicting unhealthy dieting. These findings suggest gender differences in the relations between marital quality and dieting behaviors and are consistent with previous research suggesting that men and women have differential response patterns to marital disharmony, with women tending to internalize negative affect experienced in their marriage.

Adult↗

The ketogenic diet may have mood-stabilizing properties.

The ketogenic diet, originally introduced in the 1920s, has been undergoing a recent resurgence as an adjunctive treatment for refractory epilepsy, particularly in children. In this difficult-to-treat population, the diet exhibits remarkable efficacy with two-thirds showing significant reduction in seizure frequency and one-third becoming nearly seizure-free. There are several reasons to suspect that the ketogenic diet may also have utility as a mood stabilizer in bipolar illness. These include the observation that several anticonvulsant interventions may improve outcome in mood disorders. Furthermore, beneficial changes in brain-energy profile are noted in subjects on the ketogenic diet. This is important since global cerebral hypometabolism is a characteristic of the brains of depressed or manic individuals. Finally, the extracellular changes that occur in ketosis would be expected to decrease intracellular sodium concentrations, a common property of all effective mood stabilizers. Trials of the ketogenic diet in relapse prevention of bipolar mood episodes are warranted.

Bipolar Disorder↗

Arrogance.

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Communication↗