Not like we need another reason to like Jillian Michaels, but this is just another reason to like Jillian Michaels.
The Biggest Loser trainer recently teamed up with Physicians Committee for Responsible Medicine to ask her fans to support the Improving Nutrition for America’s Children Act — a bill that would help schools serve more fruits, vegetables, and plant-based meal options.
“I’m the tough trainer on The Biggest Loser and Losing It with Jillian, and I am passionate about helping people reach a healthy weight,” says Michaels. “But I’m writing to you with a request that just might put me out of business. I want you to help fight childhood obesity so that fewer people will need to go through the difficult process of shedding excess pounds. More than a third of America’s children are now overweight or obese.”
Michaels is asking everyone to contact their member of congress and ask him or her to vote in support of the Improving Nutrition for America’s Children Act. Luckily, contacting your representative is so super simple with PCRM’s quick and easy form.
We’re excited to see so many stars coming out to support this wonderful bill and have our fingers crossed it gets passed. Because honestly, who doesn’t want America’s youth eating healthier food? Exactly!
Public release date: 20-Sep-2010
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Contact: Ye-Ru Wang
wjg@wjgnet.com
86-105-908-0039
World Journal of Gastroenterology
New options for enteral nutrition in patients with severe acute pancreatitis
Severe acute pancreatitis (SAP) requires an adequate nutritional support. Enteral nutrition (EN) should be preferred to total parenteral nutrition in patients with SAP, as it is associated with reduced mortality and complications. However, in clinical practice EN is employed far less frequently than it should. The main obstacle to EN diffusion is that it is considered complicated, as to ensure full pancreatic rest, nutrition tubes should be placed in the jejunum, requiring often troublesome procedures. In the past few years, it has been proposed that EN through nasogastric (NG) tubes may be a simple, safe and equally valid alternative to nasojejunal tubes.
A research article published on August 7, 2010 in the World Journal of Gastroenterology addresses this question. The authors speculated that a pragmatic possibility in real-world clinical practice would be to employ NG feeding whenever tube migration to the jejunum of bedside inserted feeding tubes does not occur spontaneously. They therefore aimed at assessing the rate of spontaneous distal migration of EN tubes in patients with predicted SAP, to identify possible factors associated with it, and to compare the safety and tolerability of EN with an elemental formula in patients who started nutrition with a "proximal", NG or a "distal", naso-intestinal tube, depending on the success of spontaneous tube migration.
This is the first study of its kind observing the outcome of EN in SAP patients in a "real world" clinical setting, with the study protocol driven by the need to have more solid grounds in making clinical decisions about everyday medical care circumstances. Both the proximal and the distal enteral approaches resulted to be feasible, safe and effective in most patients. This issue has a relevant impact on everyday clinical practice as the main limit to EN usage in AP is the technical difficulty in obtaining small bowel access.