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Nutrition and earthquakes: experience and recommendations.

In order to sustain life during the occurrence of a natural disaster, it is vital to ensure that people's intake of water and food is adequate (prioritizing first energy, then protein and water-soluble vitamins). Infants, pregnant women, patients, and the elderly are particularly vulnerable to insufficiencies in food intake, even if they are provided with the same quantity of food as others, and providing them with dietary and nutritional support becomes a high priority as their insufficient intake of energy and protein becomes long term. It is necessary to have a system in place for identifyi…

Parenteral nutrition given to children and adults: experience of a procedure applied in Mexico.

Nutritional support is a critical step in caring for hospitalized patients both to avoid possible metabolic alterations that would worsen the patient's condition, or as a direct result of a particular disease. The purpose of the present study was to describe a procedure for the prescription of total parenteral nutrition (TPN), its administration, monitoring and the complications experienced in a third level hospital in Mexico, as applied to pediatric and adult patients given TPN. The study was carried out for a period of 30 months. TPN was prescribed according to the clinical status of patient…

[Nutrition, cystic fibrosis and the digestive tract].

The prevalence of hyponutrition in cystic fibrosis is high although it may vary according to the different studies. Detection of hyponutriti … or hypercaloric. The indications for enteral (through a tube, especially gastrostomy) or parenteral nutritional support are similar to those used in other pathologies. Dietary and nutritional control should be included in a multidisciplinary program allowing the improvement of the functional capacity and the quality of life and reducing, at least from a theoretical v …

Comparison of Clinical Outcomes and Postoperative Nutritional Status Between Early and Late Oral Feeding After Esophagectomy: An Open Labeled Randomized Controlled Trial.

OBJECTIVE: To compare nutritional and postoperative outcomes between early oral feeding and late oral feeding with jejunostomy feeding support after esophagectomy. BACKGROUND: Esophagectomy is associated with substantial body weight loss and malnutrition, impacting the prognosis of esophageal cancer patients. Despite many studies on postesophagectomy nutritional support, optimal strategies remain elusive. This study investigates the impact of jejunostomy feeding with late oral feeding compared to conventional oral feeding on nutritional and postoperative outcomes. METHODS: We performed a sin…

Individualized pharmaceutical care for a patient after pancreaticoduodenectomy with trypsin replacement nutritional therapy: A case report.

RATIONALE: Optimal nutritional therapy for pancreaticoduodenectomy (PD) has been debated; however, little is known about key points of pancreatin enteric-coated capsule administration, a critical component of the PD treatment regimen. Patients often report elevations in tablet platoon and steatorrhea, and steatorrhea may adversely affect nutritional therapy for PD. Herein, we report a case of individualized pharmaceutical care for a patient after PD with trypsin replacement nutritional therapy. PATIENT CONCERNS AND DIAGNOSIS: After PD with trypsin replacement nutritional therapy, the patient

[Anorexia nervosa complicated with pulmonary tuberculosis].

A study was made on a patient with anorexia nervosa complicated with pulmonary tuberculosis treated with intravenous hyperalimentation (IVH). A 24-year-old female was admitted to our hospital because of progressive loss of body weight during medication for pulmonary tuberculosis at another hospital. She was diagnosed as having anorexia nervosa. After the nutritional assessment IVH was performed. As a result of IVH, her body weight increased and her nutritional deprivation, (i.e., low visceral proteins, low branched amino acids, etc.) recovered. Nutritional support was effective upon treating p…

Selected topics in therapeutic nutrition.

Although parenteral and enteral nutrition has advanced rapidly in the last 5 years, prevention of nutritional problems in children still depends on the practice of basic nutritional principles. Breast-feeding remains the best alimentation for the infant. Increased support of breast-feeding in children with cleft lip and/or palate is a simple application of basic therapeutic nutrition. Proper feeding can avert the need for parenteral or enteral nutrition. As our knowledge of nutritional therapeutics expands, the practitioner will be able to play a greater role in both preventive and therapeutic

Nutrition assessment and management of left ventricular assist device patients.

Nutrition evaluation and support is an integral component of left ventricular assist device (LVAD) therapy. Malnutrition in the LVAD patient contributes to a host of post-operative problems, such as infection and limited functional capacity, which compromise long-term outcomes. Comprehensive pre-operative evaluation of the LVAD patient should include a nutrition assessment and formalized plan to initiate and advance nutrition support while addressing the metabolic imbalances associated with heart failure. An interdisciplinary approach, including a nutrition support team, is desirable to manage

Total parenteral nutrition: techniques, complications, and prevention.

During the past half century, surgeons have demonstrated the greatest interest and have made the most concerted effort in developing innovative, comprehensive, and effective methods for providing adequate nutritional support to patients in the widest range of clinical conditions and situations. Several factors account for the continual stimulation of thoughtful surgeons and physicians to maintain or improve the nutritional status of their patients.

A study of tuberculosis, malnutrition and gender in Sri Lanka.

This study assesses the nutritional status of tuberculosis (TB) patients in Sri Lanka and differences in the nutritional presentation betwee … le TB patients in Sri Lanka are significantly malnourished. It is recommended that patients receive nutritional support during their treatment, with studies of the exact nutritional deficiencies at the micronutrient level and their effect on the immune system being required.

Nutritional Impact of High-Dose Melphalan in Autologous Stem Cell Transplantation.

High-dose melphalan is the standard conditioning treatment for patients undergoing autologous hematopoietic stem cell transplantation for hematological malignancies. Although effective, it often causes significant gastrointestinal side effects, such as mucositis, nausea, vomiting, and diarrhea, which can quickly affect patients' nutrition, hydration, and electrolyte balance, leading to acute malnutrition. This nutritional decline increases the risk of infections, prolongs hospital stays, and can worsen short-term recovery. Routine nutritional assessment and early support are not consistently i

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… The early engagement of clinical nutrition specialists, dietitians, and nutrition support teams is equally limited in many institutions. … nutritional support [ 18 ]. …

Survey of nutritional problems encountered in children with neuromotor disorders.

A survey of 200 patients ranging in age from 5-21 yr was undertaken in 3 facilities in central Pennsylvania: state- (100), county- (13), and … ment by a physician-nutritionist team skilled in nutritional assessment and techniques of providing nutritional support.

The distress of psychological adaptation in nutritional management among people after esophagectomy: an interpretative phenomenological study.

BACKGROUND: Patients who undergo esophagectomy frequently encounter long-term nutrition impact symptoms (NISs) and dietary challenges resulting from anatomical and functional alterations. Although these issues adversely affect mental health, the underlying psychological mechanisms remain poorly understood. This study aimed to explore the psychological experiences of post-esophagectomy people diagnosed with esophageal cancer regarding nutritional management to elucidate the impact of nutritional challenges on mental health. METHODS: A purposive sample of 16 who had undergone esophagectomy for

Perceptions, Experiences, Barriers and Facilitators Regarding Nutritional Intake of Patients with Chronic Limb Threatening Ischemia: A Qualitative Study.

BACKGROUND: Patients with chronic limb threatening ischemia (CLTI) are at high risk for amputation and other cardiovascular adverse events. … ention to change nutritional intake. Findings of this study stress the urgency for patient-centered nutritional support, to increase nutrition-related knowledge and motivation, to prevent or treat undernutrition, and may improve clinical outcomes in patients with CLTI.

Oral Rehabilitation and Multidisciplinary Team Approach in Older Adult: A Narrative Review.

Background/Objectives: Oral frailty and hypofunction in older adults are strongly associated with declines in nutritional status, physical function, swallowing ability, and overall health. Isolated interventions usually fail to achieve sufficient improvement since these conditions result from interrelated biological, psychological, and social factors. Multidisciplinary approaches combining oral management, nutritional support, and physical rehabilitation have shown promise. This narrative review synthesized evidence from 15 studies examining multifaceted interprofessional interventions across …

Addressing the nutritional needs of older patients.

Malnutrition affects three million people in the UK each year, 10% of whom are aged 65 and older. Chronic malnutrition is associated with well-documented clinical criteria for frailty: unintentional weight loss, weakness, immobility and sarcopenia. Frail, older people who are malnourished visit their GP twice as often as well-nourished equivalents and are three times more likely to be admitted to hospital where, on average, their stay is three days longer. Despite publication of various guidelines and standards, and numerous initiatives aimed at improving nutritional care, there is still much

[HYGIENIC SUBSTANTIATION OF THE PREVENTION OF NUTRITION ASSOCIATED ANEMIA WITH THE AID OF FORTIFIED FERMENTED MILK BIOPRODUCT].

The pilot controlled study proved the effectiveness of enriched fermented milk product "Prolacta" as means of the primary prevention of nutrition-associated anemia, firstly, at the stage of latent iron deficiency. The study included 166 adult residents of the city of Omsk. Among examined patiens there were 48 (30%) men and 118 (70%) women aged from 18 to 59 years (mean age: 29.2 ± 0.84 years). Experimental group (79 persons) over two months took 1 glass (200 ml) of bioproduct "Prolacta" daily. The control group (87 people) no received this product neither used supplements or other vitamins and

[Nutrition and fluid management in palliative medicine: do food and drink keep body and soul together?].

Induction, implementation and continuation of an invasive nutrition or fluid administration in patients with advanced, life-limiting illnesses is an often controversial but also very emotionally discussed topic. This article summarizes the current state of knowledge based mainly on the European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines and is intended as a simple guide for clinical practice. In the early phase of disease the induction of an invasive food and fluid administration may be indicated in order to prevent undernutrition and cachexia, to enhance compliance with

Malnutrition and clinical outcome in urological patients.

INTRODUCTION: In a previous study we evaluated the risk for malnutrition among urological patients in a German university hospital. There ar … onal Risc Screening System (NRS) by Kondrup et al. Further studies need to show whether an adequate nutritional supportive therapy could help to optimize the clinical outcome of malnourished urological patients.

Traumatic brain injury in the pediatric population.

Traumatic brain injury (TBI) is a common injury among children. Most TBIs are mild and do not require hospitalization. However, whether or not the patients require acute hospitalization, TBIs may have long-lasting consequences. There is little research on the nutrient needs of these patients, and recommendations are frequently based on data from adults with TBI. It is clear that calorie and protein needs are elevated with acute TBI. However, calorie needs are also decreased by therapies such as sedation, chemical paralysis, and barbiturate coma. Long-term calorie needs may be lower for "comato