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Jaspreet Kaur, Shailendra Kumar Singh and Jaspreet Singh Vij

relates to self-reported fall history in individuals with vestibular dysfunction. J Vestib Res 10(2): 99-105, 2000. 14. Hillman SJ, Hazlewood ME, Schwartz MH, van der Linden ML, Robb JE . Correlation of the Edinburgh Gait Score With the Gillette Gait Index, the Gillette Functional Assessment Questionnaire, and Dimensionless Speed. J Pediatr Orthop 27(1): 7-11, 2007. 15. Sullivan SO, Schmitz TJ. Physical Rehabilitation Assessment and Rehabilitation, 5 th Edition. F.A.Davis Company, Philadelphia, pp 320-321, 2001. 16. Klein PJ, Fiedler RC, Rose DJ

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Deepika Sharma, Jaspreet Kaur, Monika Rani, Arpit Bansal, Manoj Malik and Sivachidambaram Kulandaivelan

H. Pilates’ techniques of physical conditioning 2nd edition, Hunter House Inc. Publishers, Australia, page no: 84-175, 2004. 20. Nagpal J, Kumar A, Kakar S, Bhartia A. The development of quality of life instrument for Indian Diabetes patients (QOLID): a validation and reliability study in middle and higher income groups; J Assoc Physicians India; 58: 295-304, 2010. 21. Backhaus J, Junqhanns K, Broocks A, Riemann D, Hohagen F. Test retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia; J Psychosom

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Simona Popescu, Laura Diaconu, Bogdan Timar and Romulus Timar

Abstract

Parenteral nutrition (PN) represents an alternative or additional approach when other nutrition routes are not succeeding or when using other routes is not possible or would be unsafe. The main goal of PN is to deliver a nutrient mixture closely related to requirements in a safe manner and without complications. The concentration of parenteral solutions (PS) determines their osmolarity, according to which, the solutions will be infused by peripheral or central venous access. The solutions used in central PN contain more glucose, which, together with amino acids and electrolytes, determines a hyperosmolar solution, which has to be administered in a large caliber vein. Central venous access may be maintained over long periods of time. In peripheral PN there are used solutions with a lower concentration of dextrose in order to obtain (solutions with the) an osmolarity lower than 900 mOsm/L, which can be administered in a peripheral vein. Peripheral PN is used over short periods of time because of the limited tolerance for a long term of peripheral veins. PN is an efficient method to ensure the nutritional support which can be associated with numerous complications, some of them severe, with lethal potential. Patients with PN need a daily physical examination and laboratory tests.

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Rucsandra Dănciulescu Miulescu, Denisa Margină, Roxana Corina Sfetea, Diana Păun and Cătălina Poiană

Abstract

Background and Aims. Previous studies have shown that aging is an important risk factor for insulin resistance and type 2 diabetes. The beneficial effects of exercise on glucose metabolism are well known. Our goal was to examine whether physical activity improves insulin levels in older individuals. Material and Methods. Plasma glucose and insulin were measured in fasting state and 2 h after a 75-g oral glucose tolerance test in young lean, sedentary, non-diabetic subjects (n=34, age 25±2 years, body mass index- BMI 24.4±0.7 kg/m2) and older, lean, sedentary, non-diabetic subjects (n=36, age 75±3 years, BMI 24.8±0.4 kg/m2), before and after 8 weeks of aerobic exercise. Training consisted of exercise (such as cycling or fast walking) 5 days/week for approximately 30 min/day. Results. Fasting plasma insulin and 2-h serum insulin levels at baseline were significantly higher in older than young subjects (11.6 μU/ml vs 10.0 μU/ml, p=0.0001, 46.3 μU/ml vs 34.0 μU/ml, p=0.0001). Fasting and 2h plasma insulin levels were reduced after 8 weeks of aerobic exercise in older subjects, with no change in body weight. Conclusion. In our study the hyperinsulinemia associated with aging can be blunted significantly by aerobic exercise in older individuals independent of any changes in body composition

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Cristian Serafinceanu, Viviana Elian, Doina Catrinoiu, Cristian Guja, Bogdan Mihai, Maria Mota, Gabriela Roman and Romulus Timar

Abstract

Background and aims: PREDATORR Study estimated diabetes mellitus (DM) prevalence in Romania at 11.7%. MENTOR is the first national major study trying to determine the quality of the metabolic control in patients with type 2 diabetes (T2DM), the therapeutic options used, and the microvascular and macrovascular complications prevalence in order to achieve a better management for Romanian patients with T2DM. Material and methods: The study was designed as an observational analytical, multicenter, prospective study. Study population was selected from T2DM patients stratified by: age, diabetes duration and gender. Data was collected in an eCRF: demographics, physical examination, cardiovascular evaluation, blood tests, known pathology, treatment. Results: There were 54.80% women, mean age was 60.53±7.39 years. The average BMI is over 30 kg/m2 with a decreasing trend over the age. 60% had their HbA1c over the threshold of 7%. Average blood pressure was less than 140/80 mmHg. 76,66% of T2DM subjects have at least one chronic complication. On oral therapy we have 55.44% of patients, on insulin only therapy 12.99% and on a combination of oral and insulin therapy 22.51%. Conclusions: This study showed a high prevalence of diabetes complications and metabolic alterations (obesity, hypertension, dyslipidemia, etc.). Age, male gender and diabetes duration were associated with a higher risk for poor metabolic control and complications. Further data will be collected over a 3 years period to obtain a better image over T2DM evolution in Romanian population.

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Nidhi Takkar, Jai Prakash Takkar, R Padmakumar, Navin A Patil, Karthik N Rao and Dipanjan Bhattacharje

R eferences 1. Tulppo MP, Makikallio TH, Takala TE, Seppänen T, Huikuri HV. Quantitative beat-to-beat analysis of heart rate dynamics during exercise. Am J Physiol 271: H244–H252, 1996. 2. Tulppo MP, Makikallio TH, Seppanen T, Laukkanen RT, Huikuri HV. Vagal modulation of heart rate during exercise: effects of age and physical fitness. Am J Physiol 274: H424–H429, 1998. 3. Pecanha T, Silva-Junior ND, Forjaz CL. Heart rate recovery: autonomic determinants, methods of assessment and association with mortality and cardiovascular diseases

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Jaspreet Kaur, Manoj Malik, Parul Sharma, Sumedha Sangwan and S. Kulandaivelan

the management of diabetes mellitus. Indian J Sci Res 6: 171-181, 2015. 15. Tack C, Pohlmeier H, Behnke T et al. Accuracy evaluation of five blood glucose monitoring systems obtained from the pharmacy. Diabetes Technol Ther 14: 330-337, 2012. 16. Rikli R, Jones C. The reliability and validity of a 6-minute walk test as a measure of physical endurance in older adults. J Aging Phys Act 6: 363-375, 1998. 17. Chetta A, Zanini A, Pisi G, Aiello M, Tzani P, Neri M, Olivieri D. Reference values for the 6-minute walk test in

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Anca Ungurianu, Rucsandra Dănciulescu Miulescu and Denisa Margină

, Persson P et al . Muscular exercise can cause highly pathological liver function tests in healthy men. Br J Clin Pharmacol 65: 253-259, 2008. 24. Leibowitz A, Klin Y, Gruenbaum BF et al . Effects of strong physical exercise on blood glutamate and its metabolite 2-ketoglutarate levels in healthy volunteers. Acta Neurobiol Exp (Wars) 72: 385-396, 2013.

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Lea Vuletic, Marija Klaic, Stjepan Spalj and Kristina Peros

plasma concentrations of gut hormones, insulin and glucose. Br J Nutr 110: 384- 390, 2013. 11. Mandel AL, Breslin PA. High endogenous salivary amylase activity is associated with improved glycemic homeostasis following starch ingestion in adults. J Nutr 142: 853-858, 2012. 12. Sakamoto Y, Kato S, Sekino Y et al. Change of gastric emptying with chewing gum: evaluation using a continuous real-time C breath test (BreathID system). J Neurogastroenterol Motil 17: 174-179, 2011. 13. Li J, Zhang N, Hu L et al. Improvement in

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Irina Duţă, Emilia Rusu, Adrian Costache, Gabriela Radulian and Daniela Adriana Ion

Renal Function Tests. In: The Kidney and Hypertension in Diabetes Mellitus, 5 th ed. Mogensen CE (ed). Kluwer Academic Publisher, Boston, pp 13-28, 2000. 9. Williams KV, Erbey JR, Becker D, Arslanian S, Orchard TJ. Can clinical factors estimate insulin resistance in type 1 diabetes? Diabetes 49: 626-632, 2000. 10. de Boer IH, Rue TC, Cleary PA et al. Long-term renal outcomes of patients with type 1 diabetes mellitus and microalbuminuria: an analysis of the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and