A 32-year-old woman was evaluated for cellulitis of the lower legs. She was hospitalized in a psychiatric ward for the treatment of anorexia nervosa. On physical examination, she was severely emaciated (body mass index, 11.2) with clubbing of all fingers and toes (Picture). She had noticed this condition several years previously. Although the cellulitis was completely treated with antibiotics, ...

A service development initiative was conducted to assess the impact of abdominal massage on chronic constipation in children with physical disabilities and learning needs. Twenty-five parents engaged in an abdominal massage training programme led by a specialist health visiting team (children's disability). Participants were asked to carry out abdominal massage for a total of 20 minutes per day...

Constipation affects 74% of individuals with cerebral palsy. This study aimed to evaluate the results of nursing interventions for treating intestinal constipation associated with cerebral palsy. This quantitative, prospective, comparative study included 50 patients with quadriplegic cerebral palsy and constipation. The main conservative measures included daily consumption of laxative foods and...

Prolonged hypokalemia from chronic laxative abuse is recognized as the cause of chronic tubulointerstitial disease, known as "hypokalemic nephropathy," but it is not clear whether it contributes to acute kidney injury (AKI). A 42-year-old woman with a history of chronic kidney disease as a result of chronic laxative abuse from a purging type of anorexia nervosa (AN-P), developed an anuric AKI r...

OBJECTIVE To examine two assumptions implicit in the subtyping of eating disorders: (1) purging behaviors are interchangeable, and (2) a primary distinction exists between the presence vs. absence of any means of purging. METHOD Data from a longitudinal study of health and eating patterns were used to compare women who reported self-induced vomiting, laxative abuse, or their combination. Furt...

The main aim of this paper is different pharmacological activity plant Euphorbia thymifolia L. belongs to family Euphorbiaceae. herb used as traditional folk medicine and commonly known laghududhikaor choti‑dudhi. annual, small branch, pubescent contains white milky latex. in various therapeutic by using solvent like ethanol, methanol, water etc. shows antimicrobial, antifungal, antiasthamatic,...