Asian labor migration to the Middle East.
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"This article provides estimates of levels and structures of recent return migration from Canada. Estimates are distinguished according to sex, period of immigration and place of birth of foreign-born emigrants. Special attention is paid to propensity to return. The impact of return migration on change of foreign-born populations is also evaluated." This is a revised version of a paper originally presented at the 1989 Annual Meeting of the Population Association of America (see Population Index, Vol. 55, No. 3, Fall 1989, p. 426).
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BACKGROUND: Traumatic brain injury (TBI) constitutes a major public health problem. Most of the acute disturbances of autonomic nervous system activity seen in clinical practice resulting from head injury are due to increased intracranial pressure (ICP), which precipitates a complex set of changes causing lack of food tolerance. The aim of our study was to evaluate the effects of TBI on gastric myoelectric activity in coma patients. MATERIAL/METHODS: 24 patients (23 male, 1 female; mean age 43.6 +/- 7 yr.) hospitalized for TBI in the Department of Neurotraumatology were included in the study. Gastric myoelectric activity was recorded using the Synectics system (Sweden) on the 1st and 2nd day after injury. The control group consisted of healthy volunteers matched for age and gender. RESULTS: In the control group, electrogastrography (EGG) showed the percentage of time with bradygastria, normogastria and tachygastria to be 9.7 +/- 6.4, 88.3 +/- 7.6 and 2.0 +/- 3.5 respectively. The amplitude of the signal was 181 +/- 11.5 [micro V2]. In TBI patients, the percentage of time with bradygastria and tachygastria increased to 46.5 +/- 21.8 (p=0.03) and 5.5 +/- 11.8 (p=0.001) respectively, while the duration of normogastria decreased to 47.2 +/- 20.4 (p=0.001). Highly significant changes were observed in signal amplitude, which increased to 766 +/- 550 [micro V2] (p=0.0007). There was positive correlation between GCS and normogastria (r=0.66, p<0.001) and negative correlation between GCS and bradygastria (r=-0.77, p<0.001). CONCLUSIONS: In patients with brain trauma and coma, the functional brain-gut link is altered, causing gastric dysrrhythmias and intolerance to feeding. Prokinetics during enteral feeding are recommended.
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