Efficacy of Microecopharmaceutics Combined with Early Enteral Nutrition Support in the Treatment of Severe Acute Pancreatitis
JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN
Authors: Qiu, Zhaolei; Cheng, Feng; Jiang, Hai; Li, Lei; Zheng, Chuanming; Du, Zhaohui; Wang, Zhenjie
Abstract
To explore the efficacy of microecopharmaceutics combined with early enteral nutrition support to the treatment of severe acute pancreatitis (SAP). A total of 26 patients diagnosed with SAP in our hospital were retrospectively reviewed. Microecopharmaceutics, the living microbial food supplements that are beneficial to the host by improving the balance of intestinal microorganisms, were combined with early enteral nutrition group, and used as the treatment group; and delayed enteral nutrition was used as the control group. Two weeks after both treatments, variables of C-reactive protein (CRP), albumin (Alb), total serum protein (TP), urinary amylase recovery time, hemodiastase recovery time, acute physiology and chronic health evaluation (APCHE) score, and hospitalisation time in both groups were compared. Alb and TP of the treatment group were significantly higher than those in the control group (p <0.05). The APCHE score and CRP in the treatment group were significantly lower than those in the control group (p <0.05). The urinary amylase recovery time, hemodiastase amylase recovery time, and hospitalisation time in the treatment group were significantly shorter than those in the control group. The use of microecopharmaceutics combined with early enteral nutrition can effectively protect the intestinal barrier function, which is an effective treatment in patients with SAP.
Physio-geographical characteristics of the marine regions and their catchment areas of the Mediterranean Sea and Black Sea marine system
PHYSICAL GEOGRAPHY
Authors: Poulos, Serafeim; Kotinas, Vasileios
Abstract
The Mediterranean Sea and the Black Sea comprise a semi-enclosed intercontinental Marine System (MBMS), bordered by the Eurasian and African continents. Its total marine surface is circa 3 x 10(6) km(2), while its drainage basin exceeds 7 x 10(6) km(2); the latter includes the watersheds of 39 large (>10(4) km(2)) river systems, which correspond to about 83% of its total area. The MBMS includes four basins, & xfeff;that is, Western, Central, Eastern Mediterranean (WMED, CMED, EMED) and Black Sea (BLS), which are subsequently divided into 11 marine regions. Thus, the WMED includes the Alboran (ALB), the West MED (WEST) and the Tyrrhenian (TYR); the CMED consists of the Adriatic (ADR), the Ionian (ION) and the Centric MED (CEN); the EMED includes the Levantine (LEV), the Aegean (AEG) and the Marmara (MAR) and the BLS except of the Black Sea (BLA) includes the Azov Sea (AZOV). The present work aims to: (i) describe geographically the MBMS marine regions and their boundaries according to International Hydrographic Office and the common practice for environmental studies; (ii) provide and compare key-morphometric characteristics of all marine regions and their catchment areas and (iii) examine the possibility of a better separation of the existing marine regions.