The Medical journal of Australia
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We describe 17 children with non-alcoholic steatohepatitis. All had elevated levels of serum liver enzymes and 16 were morbidly obese. Liver biopsy showed variable steatosis and fibrosis in nine patients. At follow-up, 12 of 14 patients had persistent morbid obesity and 11 had elevated liver enzyme levels.
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Dairy foods provide the major, readily absorbed sources of calcium. Women aged 40 years and over should consume 3-4 serves of low-fat dairy food per day. If calcium supplements are required, the best absorption rate is from a dose of 500-600 mg of calcium once or twice daily. ⋯ Vitamin D supplements may be necessary for women with inadequate sun exposure. Salty foods and the addition of salt to food should be avoided. While there is emerging evidence for the role of phytoestrogens in bone health, more human trials are required to strengthen this evidence.
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To analyse results of a screening program for colorectal cancer using flexible sigmoidoscopy. ⋯ Flexible sigmoidoscopy screening is an acceptable strategy in asymptomatic, average-risk people which detects colorectal cancer and adenomatous polyps. Screening has been associated with a trend to earlier presentation of cancer in our institution.
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Death and bereavement are often poorly dealt with in emergency departments. Guidelines exist for optimal care of bereaved relatives. ⋯ Bereaved relatives appreciate a more "human" approach from hospital staff. Ultimately hospital staff also benefit from confronting issues surrounding death in the emergency department.
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Slow weight reduction in overweight women can help to elevate mood. Omega 3 polyunsaturated fatty acids may play a role in mental wellbeing. Eating breakfast regularly leads to improved mood, better memory, more energy and feelings of calmness. Eating regular meals and nutritious afternoon snacks may improve cognitive performance.