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Effective use of total parenteral nutrition in an ileostomy patient.

Several goals were achieved through nutritional support of a 52-year-old female ileostomy patient who was admitted with dehydration, clinica … bsequently weaned onto enteral feeding and then onto food plus an enteral mineral and vitamin drip. Nutritional status was improved (e.g., positive nitrogen balance was established); the patient absorbed nutrients better; and some lean body mass was restored, while total body weight decreased.

Geriatric team dynamics: the dietitian's role.

In 1980, a geriatric consultation team was formed at Massachusetts General Hospital to meet the complex medical, psychological, rehabilitative, nutritional, and social needs of geriatric patients. This team strives to provide elderly patients with the comprehensive care necessary to potentiate return to maximum independent functioning and to change attitudes of primary caretakers toward care of geriatric patients through increased recognition of the elderly as a heterogeneous group. The team consults on patients with changes in mental status, need for physical rehabilitation, "failure to thriv

Are insulin dependent diabetics in the West of Scotland prone to nutritional deficiencies?

In a cross-sectional survey, the weight, vitamin and mineral status of 57 insulin dependent diabetics attending a clinic in Glasgow were studied. There were no significant differences in any of the measured parameters between poorly controlled and better controlled diabetics (as assessed by HbA1 status). No gross evidence of nutritional deficiency was found although serum magnesium levels tended to be low. This may be clinically relevant as hypomagnesaemia is associated with cardiac arrhythmias and ischaemic heart disease.

Clinical nutrition and the role of hospital pharmacist in the management of covid patient.

The nutritional status of everyone represents a fundamental element to maintain a good health and it can be related to infectious agents in some disorders. Prevention, diagnosis and treatment of malnutrition should be included in the management of SARS-CoV-2 patients in order to improve both short- and long-term prognosis. In Covid patients the choice of route of administration for nutrition is closely related to respiratory autonomy. In subjects who are not mechanically ventilated or with non-invasive ventilation (NIV), spontaneous oral feeding is strongly indicated, while considering the pat…

Nutrition and somatomedin. XIII. Usefulness of somatomedin-C in nutritional assessment.

Malnutrition is common in hospitalized patients, but current measures of nutritional status are limited. Because levels of somatomedins are regulated by nutrition, the utility of somatomedin-C measurement in nutritional assessment was studied. Thirty-seven malnourished patients had measurement of somatomedin-C and conventional nutritional indexes. In 28 patients seen before therapy, the somatomedin-C level was reduced (38 percent of normal) and was lower than the albumin level (66 percent, p less than 0.01), transferrin level (59 percent, p less than 0.05), and lymphocyte count (43 percent, p …

The delivery of nutritional support. A potpourri of new devices and methods.

With continued interest and increasing awareness of nutritional support to patients, both hospitalized and at home, many new developments in … d. Home enteral nutritional support via gastrostomy allows stable cancer patients to maintain their nutritional status and enjoy life independent of the hospital setting for an extended period of time. When feeding via the gastrointestinal tract is neither feasible nor desirable, for both short-term and long-term nutritional support, access to the central venous sys …

Nutritional-immunological assessment by CONUT score predicts surgical outcomes in tuberculous empyema: development of a multivariate risk model.

Tuberculous empyema remains a challenging complication of Mycobacterium tuberculosis infection, with high recurrence rates and poor long-term prognosis. This retrospective cohort study evaluated the prognostic utility of the Controlling Nutritional Status (CONUT) score—a composite index integrating serum albumin, total cholesterol, and lymphocyte count—in predicting postoperative recurrence among 325 patients undergoing decortication (87.7% via VATS) at Hangzhou Red Cross Hospital between 2017 and 2024. Univariate analysis identified high CONUT scores (OR = 2.37, 95% CI:1.53–3.71, p < 0.001), …

Bilateral Blistering Rash Following Gastric Bypass Procedure and Mushroom Soup Diet: Hepatitis C Virus-Seronegative Necrolytic Acral Erythema.

Necrolytic acral erythema (NAE) is an uncommon cutaneous disorder characterized by a symmetric acral distribution of erythematous plaques with underlying epidermal necrosis. While typically presenting in the context of hepatitis C virus (HCV) infection, NAE can also present secondary to nutritional deficiency or systemic disease. We present a case of NAE in a 66-year-old patient with no history of HCV infection status post gastric bypass who had a three-month history of eating only mushroom soup. The patient underwent a punch biopsy and was tested for a variety of nutritional deficiencies. Bio

Beyond anorexia -cachexia. Nutrition and modulation of cancer patients' metabolism: supplementary, complementary or alternative anti-neoplastic therapy?

Anorexia and muscle wasting are frequently observed in cancer patients and influence their clinical outcome. The better understanding of the … other mechanisms. Therefore, nutritional interventions aiming at modulating inflammation to restore nutritional status may also result in improved response to pharmacological anti-cancer therapies. Recent clinical data show that supplementation with nutrients targeting inflammation and immune system increases response rate and survival in cancer patients. This sugge …

Reassessment of albumin as a nutritional marker in kidney disease.

The decision by nephrologists, renal dietitians, federal agencies, health care payers, large dialysis organizations, and the research community to embrace serum albumin as an important index of nutrition and clinical performance is based on numerous misconceptions. Patients with analbuminemia are not malnourished and individuals with simple malnutrition are rarely hypoalbuminemic. With the possible exception of kwashiorkor, a rare nutritional state, serum albumin is an unreliable marker of nutritional status. Furthermore, nutritional supplementation has not been clearly shown to raise levels o…

[Protein profile in malnutrition states of the Ivory Coast child].

Prospectively assessment of nutritional status, besides anthropometric parameters measurements, included determination of the following plasma proteins: albumin, transferrin, retinol-binding protein and thyroxine-binding prealbumin, usually regarded as useful indices of protein depletion states. Patients' inflammatory or infectious diseases were investigated by measuring the two most reliable acute-phase reactants (orosomucoid and c-reactive protein). This study was conducted on a group of 56 pediatric patients malnourished and 54 age- and sex-matched healthy subjects as controls. Data showed …

Essential thrombocythemia: nutritional management in weight loss and malnutrition.

Essential thrombocythemia is the category of myeloproliferative syndromes, generally characterized by a group of clonal stem cell diseases t … matic nutritional intervention is required to ensure patient compliance with treatment and improved nutritional status.

Scurvy mimicking as systemic lupus erythematosus.

Scurvy is a disease caused by chronic vitamin C deficiency. The greater prevalence was found in the paediatric population with neurodevelopm … taking in the paediatric population. Furthermore, parents and physicians should be concerned about nutritional status, especially in children with restrictive dietary intake.

Nutritional Risk and Unmet Nutritional Need in Ambulatory Patients Undergoing Systemic Anti-Cancer Therapies.

BACKGROUND AND AIMS: Malnutrition is highly prevalent among cancer patients receiving systemic anti-cancer therapy (SACT) and is associated with poor treatment tolerance, reduced quality of life, and increased mortality. Despite recommendations, nutritional screening in the outpatient setting is inconsistently implemented and the prognostic significance of nutritional risk identified using a validated screening tool is still unclear. This study aimed to determine the prevalence of nutritional risk among patients receiving SACT, whether their nutritional needs were being met with dietetic input

Nutritional vulnerability, food insecurity, and unmet supportive care needs in multiple myeloma: a cross-sectional study from China.

BACKGROUND: Multiple myeloma patients experience nutritional vulnerability through disease-related factors, treatment toxicity, and systemic inflammation, yet comprehensive assessment integrating validated nutrition screening with health equity dimensions remains limited. This study characterized nutritional vulnerability prevalence, determinants, and supportive-care access barriers among Chinese multiple myeloma patients. METHODS: This single-center, cross-sectional observational study conducted at Shanxi Provincial Key Laboratory, Taiyuan, China (January 2020-December 2024) employed compreh

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… The attenuation of treatment-related associations in the multivariable model suggests that the impact of advanced disease on nutritional status may be captured by the symptom burden variable. … status. …

A prospective and longitudinal cohort study assessing postacute sequelae of SARS-CoV-2 infection in patients with cancer.

OBJECTIVE: Post-COVID symptoms are frequent and can be debilitating, particularly in individuals with cancer. However, their impact on this population remains unclear. This study aimed to prospectively assess the symptoms and impairments following COVID-19 hospitalization in patients with cancer, focusing on fatigue, nutritional status, speech and swallowing, anxiety, depression, and posttraumatic stress disorder symptoms. METHODS: This prospective observational cohort study included cancer survivors hospitalized with COVID-19 between June and December 2020. We assessed symptoms and impairmen…

Trimethylamine N-oxide (TMAO) as a prognostic marker among patients at nutritional risk. A secondary analysis of the randomized clinical trial EFFORT.

BACKGROUND: Trimethylamine N-oxide (TMAO), a metabolite produced by the gut microbiota, is highly influenced by dietary factors and is linked to negative health outcomes including all-cause mortality and cardiovascular events. We evaluated the prognostic value of TMAO among hospitalized patients at nutritional risk participating in the Effect of early nutritional support on Frailty, Functional Outcomes, and Recovery of malnourished medical inpatients Trial (EFFORT) regarding clinical outcomes and response to nutritional support. CLINICAL TRIAL REGISTRATION: clinicaltrials.gov as NCT02517476 (

The Effectiveness of Oral Nutrition Supplementation on Growth Indicators, Dietary Intake, Appetite, and Health Outcomes Among Underweight Preschool Children in Urban Area of Kuala Lumpur, Malaysia: A Multi-Centre Community-Based Randomised Controlled Trial.

Background/Objectives: Undernutrition remains a public health concern among preschool children in Malaysia. Although oral nutritional supplementation (ONS) globally has been recommended to improve nutritional status, evidence from community-based randomised controlled trials among underweight Malaysian preschool children remains limited. This study evaluated the effectiveness of ONS on growth, dietary intake, appetite, and common illnesses among underweight preschool children in Kuala Lumpur, the capital city of Malaysia. Methods: A multi-centre, community-based, cluster-randomised controlled …

SIRI, SII, and PNI in psychiatric patients with positive urinary drug metabolites: association with immune and nutritional biomarkers.

BACKGROUND: Systemic inflammatory and nutritional indices derived from hematological parameters have emerged as accessible markers of immune imbalance. Although these indices have been investigated across various medical disciplines, their roles in psychiatric patients with positive urinary drug metabolites have not yet been reported. This study aimed to compare hematological inflammation and nutritional indices between psychiatric patients with positive urinary drug metabolites and healthy controls, to evaluate the Systemic Inflammation Response Index (SIRI), Systemic Immune-Inflammation Inde

Nurse-Led Nutritional Screening and Early Identification of Malnutrition Among Hospitalized Older Adults: A Scoping Review.

Background/Objectives: Malnutrition is common in hospitalized older adults and is linked to functional decline, longer stay, readmission, and mortality. Nurses usually screen at admission, but evidence on nurse-led screening is scattered. This review mapped instruments, measurement properties, recognition and referral outcomes, and implementation barriers. Methods: A rapid scoping review followed the Joanna Briggs Institute methodology, PRISMA-ScR reporting, and the Population-Concept-Context framework. PubMed, Scopus, and Web of Science Core Collection were searched in June 2026 for studies p