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Clinical, Journal: Herbal formula improves upper and lower gastrointestinal symptoms and gut health in Australian adults with digestive disorders. (Pubmed Central) - Apr 22, 2021 All participants with normal stool, 90% with hard stool, and 66% with soft stool recovered from intestinal permeability, evident by normal lactulose to mannitol ratios...A third of participants were able to reintroduce food triggers, such as fermentable oligosaccharides, disaccharides, monosaccharides, and polyols garlic, onion, and beans, or reflux-causing acidic/spicy foods, for example, citrus, tomato, and caffeine, in their diet after 3 months without symptom aggravation. The NC Gut Relief Formula significantly improved GI symptoms and associated quality of life over 3 months while reducing intestinal permeability, improving the microbial profile, reducing the need for reflux medication, and enabling the consumption of previous food triggers.
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Clinical, Journal: Optimisation, validation and field applicability of a 13C-sucrose breath test to assess intestinal function in environmental enteropathy among children in resource poor settings: study protocol for a prospective study in Bangladesh, India, Kenya, Jamaica, Peru and Zambia. (Pubmed Central) - Apr 20, 2021 P First, an optimisation and validation phase will (1) confirm that a C-SBT using highly enriched sucrose tracers reports similar information to the naturally enriched C-SBT; (2) examine the dose-response relationship of the test to an intestinal sucrase inhibitor; (3) validate the C-SBT in paediatric coeliac disease (4) validate the highly enriched C-SBT against EE defined by biopsy in adults and (5) validate the C-SBT against EE defined by the urinary lactulose:rhamnose ratio (LR) among children in Peru...By working as a consortium, the test, if shown to be informative of EE, will demonstrate strong evidence for utility across diverse, low-income and middle-income country paediatric populations. NCT04109352; Pre-results.
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Clinical, Journal: Drug therapy problems identified among older adults placed in a nursing home: the Croatian experience. (Pubmed Central) - Apr 15, 2021 These relationships significantly differed based on diagnostic test and geographic area. The high prevalence of DTPs identified among older institutionalized adults strongly suggests the need to incorporate new pharmacist-led CMM services within existing institutional care facilities, to improve the care provided to nursing home residents.
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[VIRTUAL] EDU-R2: Get to the Point: A Managed Care Pharmacy Research Podium Session () - Apr 11, 2021 - Abstract #AMCP2021AMCP_4; In this high-energy session, authors will present their research findings using a rapid-presentation format — effectively serving as an advertisement for their posters that contain detailed information. Questions from the moderator and audience will simulate those from funding agencies, customers, and executive decision-makers that researchers may face in a practice environment.The top four rated abstracts submitted to the AMCP 2021 Virtual affecting managed care pharmacy practice are selected for this prestigious podium session.Featured poster presentations include:•Gabapentinoid use and misuse among Texas Medicaid recipients.•Patterns of treatment and survival for Medicare patients with metastatic lung cancer: setting the stage for the immunotherapy revolution•Will Medicare Insulin Out-of-Pocket Limits Improve Adherence?•Adherence and Healthcare Utilization in Patients with Hepatic Encephalopathy (HE)Learning Objectives: At the completion of this activity, participants should be able to:Determine the prevalence of and identify factors associated with Gabapentinoid use and misuse among Texas Medicaid recipients.Determine treatment patterns and survival population characteristics Medicare patients with metastatic non-small cell lung cancer after first line oral therapies were approved but before first- line immunotherapy.Describe how insulin out-of-pocket costs for Medicare Advantage beneficiaries with diabetes may affect insulin non-adherence.Compare adherence and healthcare resource utilization among patients receiving lactulose monotherapy, rifaximin monotherapy, and combination therapy.
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Journal: Biosynthesis of Nondigestible Galactose-Containing Hetero-oligosaccharides by Lactobacillus plantarum WCFS1 MelA α-Galactosidase. (Pubmed Central) - Apr 10, 2021 An in vitro assessment of the intestinal digestibility of the novel biosynthesized HOS revealed a high resistance of α-galactosides derived from lactulose, lactose, cellobiose, and isomaltulose. According to the evidence gathered for conventional α-GOS and certain disaccharides used as acceptors in this work, these novel nondigestible α-galactosides could be potential candidates to selectively modulate the gut microbiota composition, among other applications, such as low-calorie food ingredients.
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Review, Journal: Paediatrics: how to manage functional constipation. (Pubmed Central) - Apr 10, 2021 If polyethylene glycol is not available or is poorly tolerated, lactulose is the preferred alternative...Maintenance treatment should be continued for at least 2 months. Early treatment will result in a faster and shorter treatment course.
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Clinical, Journal: Pediatricians' Perception and Practice on the Management of Constipation in Thailand. (Pubmed Central) - Apr 7, 2021 Providing appropriate knowledge on pharmacological management, especially disimpaction and issues regarding laxatives, may be helpful for pediatricians and caregivers. Education may also need to be tailored to various pediatricians' experience and work settings.
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Journal: The diagnostic value of hydrogen sulfide breath test for small intestinal bacterial overgrowth (Pubmed Central) - Apr 2, 2021 College students were enrolled to complete gastrointestinal symptom scale, food frequency questionnaire, lactulose hydrogen- methane breath test (LHMBT) and SBT...HS-positive subjects exhibited a constipation-predominant pattern. SBT is consistent with LHMBT, especially in constipation-predominant patients, which may provide a reference to the diagnosis of SIBO.
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Journal: Outcome of non-surgical dietary treatment with or without lactulose in dogs with congenital portosystemic shunts. (Pubmed Central) - Mar 26, 2021 During non-surgical treatment, significant improvement in perceived QoL and CPSS scores were found (P < 0.01). Our study demonstrated that an overall median EMST of three-and-a-half years was reached and that owners retrospectively perceived that non-surgical treatment resulted in an improved QoL and clinical performance, irrespective of intrahepatic or extrahepatic CPSS location.
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Review, Journal: Is There an Exercise-Intensity Threshold Capable of Avoiding the Leaky Gut? (Pubmed Central) - Mar 26, 2021 The intestinal mucosa's degradation can be identified and analyzed by a series of molecular biomarkers, including the lactulose/rhamnose ratio, occludin and claudin (tight junctions), lipopolysaccharides, and I-FABP...On the other hand, moderate physical training and dietary interventions such as probiotics and prebiotics can improve intestinal health and gut microbiota composition. This review seeks to discuss the molecular mechanisms involved in the intestinal mucosa's adaptation and response to exercise and discuss the role of the intestinal microbiota in mitigating these effects.
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Clinical, Retrospective data: Prevalence of small bowel bacterial overgrowth in patients with functional dyspepsia: a meta-analysis (Pubmed Central) - Mar 23, 2021 This review seeks to discuss the molecular mechanisms involved in the intestinal mucosa's adaptation and response to exercise and discuss the role of the intestinal microbiota in mitigating these effects. This meta-analysis has demonstrated that SIBO is often associated with FD and is observed in about every third patient with this functional gastrointestinal tract disease.
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Preclinical, Journal: Flavonoids from Barnebydendron riedelii leaf extract mitigate thioacetamide-induced hepatic encephalopathy in rats: The interplay of NF-κB/IL-6 and Nrf2/HO-1 signaling pathways. (Pubmed Central) - Mar 19, 2021 Prior to TAA intoxication, rats were orally treated with either BUF at multiple doses (70, 140 and 280 mg/kg bw) or lactulose (8 mL/kg bw) for 14 consecutive days...The histological evaluation showed that pretreatment of TAA-intoxicated rats with BUF ameliorated the degenerative effects of TAA on liver and brain tissues as well as reduced the activation of cellular apoptotic marker; caspase-3 and glial fibrillary acidic protein (GFAP) astrocytes. In conclusion, the observed hepato-neuroprotective effect of BUF is attributed to its flavonoidal content through its modulatory effects on of NF-κB/IL-6 and Nrf2/HO-1 signaling pathways.
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Clinical, Journal: Subtype Classification of Functional Constipation in Child: PEG versus Lactulose. (Pubmed Central) - Mar 17, 2021 In conclusion, the observed hepato-neuroprotective effect of BUF is attributed to its flavonoidal content through its modulatory effects on of NF-κB/IL-6 and Nrf2/HO-1 signaling pathways. Subtype classification of functional constipation based on the CTT test provides important information for the initial choice of drugs in children.
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Trial completion date, Trial primary completion date: Improved Bowel Preparation Method for Colonoscopy Based on Different Risk Stratification (clinicaltrials.gov) - Mar 16, 2021 P=N/A, N=2028, Recruiting, Subtype classification of functional constipation based on the CTT test provides important information for the initial choice of drugs in children. Trial completion date: Dec 2020 --> May 2021 | Trial primary completion date: Dec 2020 --> Apr 2021
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[VIRTUAL] TRANSNASAL IMAGE-GUIDED GUT TRANSPORT MEASUREMENT PROBE (DDW Virtual) - Mar 15, 2021 - Abstract #DDW2021DDW_4582; Intestinal permeability is commonly measured in vivo with a differential sugar absorption test (e.g. lactulose:mannitol test)... We have successfully demonstrated transnasal, image-guided, localized measurement of voltage across the gut wall, suggesting a feasible method for in vivo gut transport assessment in unsedated patients.
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