Nutrition in far advanced tuberculosis; a preliminary study.

نویسندگان

  • C W ANDERSON
  • J N MEDEFIND
  • J D DAVIS
چکیده

This study was initiated to attack the problem of establishing nutritional balance in far advanced pulmonary tuberculous pa tients and to observe, If possible, whether a proper nutritional balance, in itself, could favorably deflect the downward course of these patients. It was evident that the invariably poor appetites of these patients should be the first point of investigation. The study of appetite has developed considerable experimental work. There is evidence that the sensation of hunger is directly correlatedwith increased gastrictone and secretions;this was evident in the fasting experiments of Hoelzel' and the x-ray observationof Barclay.2Glaessner,3in 1943,offeredexperimental evidence that gastrictone and secretoryactivityvariedinversely with blood sugar volumes. Biotner,4in 1945,found that of 70 nondiabetic adults with illnessescausing prolonged physical in activity, 63 had blood sugar findings indicative of decreased glucose tolerance.There has been evidencethat tuberculouspatientshave a tendency toward decreasedglucosetolerancealthough Kramer's study of 98 tuberculouspatients5showed only 17 per cent with such a tendency. In recentyearsa greatdeal of importance has been placed upon protein in the diet.This is especiallytrue of the influenceof protein on resistanceto infectionand repair of injured tissues. Cannon6 in 1943, postulated that a large protein reserve was neces sary to maintain proper antibody response and the phagocytic activity of mesenchymal cells. He showed that hypoproteinemic rabbits had markedly lessened ability to produce agglutinins. Madden and Whipple7 observed in 1940 that blood protein levels directly reflected tissue protein stores. Krebs8 in 1946; carefully studied the antibody response in a girl with a low total blood protein level and an extremely low gamma globulin fraction. After a full course of immunization with typhoid vaccine, she failed to develop any antibody. The maintenance of high protein levels has

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A study on therapeutic evaluation of isoniazid in the treatment of pulmonary tuberculosis.

Classification of Their Pulmonary Tuberculosis Far advanced . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71-7796 Moderately advanced . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-21% Minimal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...

متن کامل

A case report of peritoneal tuberculosis with multiple miliary peritoneal deposits mimicking advanced ovarian carcinoma

Background: Peritoneal tuberculosis accounts 1-2% of all forms of tuberculosis. Peritoneal tuberculosis is an important differential diagnosis for ovarian cancer in women with ascites, adnexal mass and elevated cancer antigen 125 (CA125) levels. We report a case of a 32- year -old woman with multiple miliary peritoneal deposits mimicking advanced ovarian carcinoma. Case Presentation: A 32-ye...

متن کامل

Comparative Study between Bacteriologic Findings in Patients with Pulmonary Tuberculosis and Bacteriology of Surgically Resected Lung Tissue.

Included in the study were 57 patients with pulmonary tuberculosis hospitalized under our service in Tr#{225}nsito C#{225}ceres de Allende Hospital (C#{243}rdoba, Argentina) from 1959 to July 31, 1962. These were 39 men and 18 women with ages ranging from 13 to 54 years, most suffering from far advanced or moderately advanced pulmonary tuberculosis. These patients had been given antimicrobial t...

متن کامل

Designing A Public-Private Mixed Program for Control of Tuberculosis in Islamic Republic of Iran Using Social Marketing Method

Background and Objectives: Social marketing is a method that acts through identifying the needs and demands of the audience and specifying the components of the behavioral market using the results of developmental research. So far, social marketing has not been used to involve the private sector in the tuberculosis (TB) control program. The aim of this study was to design a Public-Private Mix (...

متن کامل

Effects of Ramadan fasting on spirometric values and clinical symptoms in asthmatic patients

Introduction: Ramadan is the 9th  Islamic lunar month during which Muslims avoid eating and drinking from sunrise to sunset.  The effect of Ramadan intermittent fasting on asthma control is controversial.  The aim of this study was to investigate the effects of Ramadan fasting on the spirometric variables and clinical symptoms on well-controlled asthmatic patients during Ramadan. Material and M...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Diseases of the chest

دوره 15 6  شماره 

صفحات  -

تاریخ انتشار 1949