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JPEN. Journal of Parenteral and Enteral Nutrition

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https://www.readbyqxmd.com/read/30414179/standardized-nutrition-protocol-for-very-low-birth-weight-infants-resulted-in-less-use-of-parenteral-nutrition-and-associated-complications-better-growth-and-lower-rates-of-necrotizing-enterocolitis
#1
Priscilla A Barr, Pradeep V Mally, Martha C Caprio
BACKGROUND: We assessed the impact of a standardized nutrition initiative for very low-birth-weight (VLBW) infants on their nutrition and clinical outcomes. METHODS: This was a prospective analysis of VLBW infants born before and after the initiation of a nutrition protocol. This protocol included trophic feeds, feeding advancement, fortification guidelines, parameters on the concentration of parenteral nutrition (PN), and the discontinuation of PN and central lines...
November 9, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30411373/addition-of-insulin-to-parenteral-nutrition-is-not-universally-safe
#2
LETTER
Krishnan Sriram, Renee Blaauw
No abstract text is available yet for this article.
November 8, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30411372/long-term-outcomes-in-children-with-intestinal-failure-associated-liver-disease-treated-with-6-months-of-intravenous-fish-oil-followed-by-resumption-of-intravenous-soybean-oil
#3
Caroline Wang, Robert S Venick, Stephen B Shew, James C Y Dunn, Laurie Reyen, Rong Gou, Kara L Calkins
BACKGROUND: Intravenous soybean oil (SO) is a commonly used lipid emulsion for children with intestinal failure (IF); however, it is associated with IF-associated liver disease (IFALD). Studies have demonstrated that intravenous fish oil (FO) is an effective treatment for IFALD. However, there is a lack of long-term data on children who stop FO and resume SO. This study's objective was to investigate our institution's outcomes for children with IFALD treated with 6 months of FO and who then restarted SO...
November 8, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30411371/jpen-journal-club-40-differences-in-nominal-significance
#4
Ronald L Koretz
No abstract text is available yet for this article.
November 8, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30411363/author-response-to-addition-of-insulin-to-parenteral-nutrition-is-not-universally-safe
#5
LETTER
Adam McCulloch, Vishakha Bansiya, Jeremy Woodward
No abstract text is available yet for this article.
November 8, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30357864/citrulline-generation-test-what-does-it-measure
#6
Mahmoud A Mohammad, Inka C Didelija, Barbara Stoll, Juan C Marini
BACKGROUND: The citrulline generation test (CGT) has been proposed as a tool to determine gut function. However, the increase in plasma citrulline concentration that follows a bolus dose of alanyl-glutamine may also result from a reduction in citrulline clearance due to competition with glutamine for transport. MATERIALS AND METHODS: A swine model was developed, and stable isotope tracers were used to determine the mechanism behind the increase in plasma citrulline that follows a bolus dose of alanyl-glutamine...
October 24, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30357861/dietary-management-of-propionic-acidemia-parent-caregiver-perspectives-and-practices
#7
Dawn Lea, Oleg Shchelochkov, Jennifer Cleary, Laura M Koehly
BACKGROUND: Propionic acidemia (PA), an autosomal recessive metabolic disorder, has an estimated incidence of 1:105,000-130,000 in the United States.1,2 Nutrition management is a main intervention for PA. Research in inborn errors of metabolism such as phenylketonuria has identified association of parental perceptions and practices with dietary outcomes. Parental perceptions and practices in the nutrition management of PA have not been investigated. OBJECTIVE: To assess the dietary perceptions and practices of parental caregivers of children affected by PA...
October 24, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30350380/overnight-steady-state-infusions-of-parenteral-nutrition-on-myosin-heavy-chain-transcripts-in-rectus-abdominis-muscle-related-to-amino-acid-transporters-insulin-like-growth-factor-1-and-blood-amino-acids-in-patients-aimed-at-major-surgery
#8
Britt-Marie Iresjö, Cecilia Engström, Ulrika Smedh, Kent Lundholm
BACKGROUND: Evaluation of improvements by nutrition support to severely ill patients requires sensitive methods to demonstrate activation of protein synthesis in various tissues from groups with a limited number of patients to be statistically efficient. This study examines effects of standard parenteral nutrition (PN) on abdominal muscle transcripts of amino acid (AA) transporters, myosin heavy chains (MHCs), and the insulin-like growth factor 1 and its receptor (IGF-1/IGF-1R) in patients aimed at major surgery...
October 22, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30350314/vitamin-c-status-in-hospitalized-adults-according-to-subjective-global-assessment-method
#9
Dewelyn Dias Avelino, André Luiz Maltos, Guilherme Vannucchi Portari, Álisson de Carvalho Gonçalves, Daniel Ferreira da Cunha
BACKGROUND: The subjective global assessment (SGA) is a powerful tool for nutrition status assessment. Our aim was to compare vitamin C serum levels among patients classified as A, B, or C in the SGA. METHODS: One hundred-and-fifty adults in the wards of the University Hospital participated in this study. Except for SGA, all cases were submitted to anthropometry, bioelectrical impedance analysis (BIA), and 24-hour dietary recall. Laboratory data included blood hemoglobin, serum ferritin, serum albumin, transferrin, C-reactive protein (CRP), and vitamin C...
October 22, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30339287/american-society-for-parenteral-and-enteral-nutrition-guidelines-for-the-selection-and-care-of-central-venous-access-devices-for-adult-home-parenteral-nutrition-administration
#10
Debra S Kovacevich, Mandy Corrigan, Vicki M Ross, Liam McKeever, Amber M Hall, Carol Braunschweig
This document represents the American Society for Parenteral and Enteral Nutrition (ASPEN) clinical guidelines to describe best practices in the selection and care of central venous access devices (CVADs) for the infusion of home parenteral nutrition (HPN) admixtures in adult patients. The guidelines targeted adults >18 years of age in which the intervention or exposure had to include HPN that was administered via a CVAD. Case studies, non-English studies, or studies of CVAD no longer available in the United States were excluded...
October 19, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30334265/close-relationship-between-immunological-inflammatory-markers-and-myopenia-and-myosteatosis-in-patients-with-colorectal-cancer-a-propensity-score-matching-analysis
#11
Yoshinaga Okugawa, Yuji Toiyama, Akira Yamamoto, Tsunehiko Shigemori, Ayame Kitamura, Takashi Ichikawa, Shozo Ide, Takahito Kitajima, Hiroyuki Fujikawa, Hiromi Yasuda, Yoshiki Okita, Junichiro Hiro, Toshimitsu Araki, Donald C McMillan, Chikao Miki, Masato Kusunoki
BACKGROUND: The systemic inflammatory response (SIR) via host-tumor interactions has been termed the seventh hallmark of cancer, and several studies demonstrated that SIR might be a pivotal mediator for progression of cancer cachexia. The objective of this study was to clarify the correlation between sarcopenia and SIR in patients with colorectal cancer (CRC). METHODS: A total of 308 patients with CRC were enrolled in this study. Preoperative psoas muscle mass index and intramuscular adipose tissue content were evaluated using preoperative computed tomographic images, and the correlation between body composition status and several SIR markers, including C-reactive protein (CRP), serum albumin level, neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, and systemic immune-inflammation index (SII) was assessed using statistical methods...
October 18, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30334261/preoperative-oral-branched-chain-amino-acid-supplementation-suppresses-intraoperative-and-postoperative-blood-lactate-levels-in-patients-undergoing-major-hepatectomy
#12
Yoshihide Nanno, Hirochika Toyama, Sachio Terai, Takuya Mizumoto, Motofumi Tanaka, Masahiro Kido, Tetsuo Ajiki, Takumi Fukumoto
BACKGROUND: Lactate production is exacerbated by surgical stress. We sought to determine whether branched-chain amino acid (BCAA) supplementation could decrease blood lactate levels in patients undergoing hepatectomy. METHODS: A total of 275 consecutive patients who underwent hepatectomy of ≥2 segments were retrospectively reviewed. Blood lactate levels in patients treated with BCAA supplementation before hepatectomy (December 2011 to December 2016) were compared with levels in patients who were not pretreated (January 2008 to November 2011)...
October 18, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30320409/agreeing-on-guidelines-for-nutrition-management-of-adult-severe-burn-patients
#13
Maria G Grammatikopoulou, Xenophon Theodoridis, Konstantinos Gkiouras, Eleni-Maria Stamouli, Myrsini-Eleni Mavrantoni, Theodore Dardavessis, Dimitrios P Bogdanos
BACKGROUND: Severe burns are associated with a plethora of profound metabolic, immunologic, and physiologic responses, demanding prompt and adequate management. The objective of the present study was to review, compare, and critically appraise medical nutrition therapy guidelines for adult patients with severe burns, and produce salient points for the future update of relevant guidelines. METHODS: A total of 8 clinical practice guidelines developed by the American Burn Association (ABA), the European Burn Association (EBA), the European Society for Parenteral and Enteral Nutrition (ESPEN), the Midlands National Health Service, the Society for Critical Care Medicine (SCCM)/American Society for Parenteral and Enteral Nutrition (ASPEN), the Spanish Society of Intensive Care Medicine and Coronary Units and Spanish Society of Parenteral and Enteral Nutrition, the Indian Association for Parenteral and Enteral Nutrition (IAPEN), and the International Society for Burn Injury regarding medical nutrition therapy in burn patients was independently reviewed by a team of 4 multidisciplinary researchers using the Appraisal of Guidelines for Research & Evaluation (AGREE II) instrument...
October 15, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30299548/poor-social-support-and-unemployment-are-associated-with-negative-affect-in-home-parenteral-nutrition-dependent-patients-with-chronic-intestinal-failure
#14
Joanne Ablett, Dipesh H Vasant, Michael Taylor, Cathy Cawley, Simon Lal
BACKGROUND: Home parenteral nutrition (HPN) provides life-sustaining treatment for people with chronic intestinal failure (CIF). Poor quality of life is reported in association with the burden of HPN and the underlying condition leading to intestinal failure (IF). However, levels of negative affect (NA), incorporating anxiety and depression, have not been reported in CIF. This study examined the occurrence and risk factors for NA in a large CIF population using the validated Hospital Anxiety & Depression Scale (HADS) and Multidimensional Scale of Perceived Social Support (MSPSS) questionnaires...
October 9, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30299547/jpen-journal-club-39-validating-a-surrogate
#15
Ronald L Koretz
No abstract text is available yet for this article.
October 9, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30288759/hypoalbuminemia-pathogenesis-and-clinical-significance
#16
REVIEW
Peter B Soeters, Robert R Wolfe, Alan Shenkin
Hypoalbuminemia is associated with inflammation. Despite being addressed repeatedly in the literature, there is still confusion regarding its pathogenesis and clinical significance. Inflammation increases capillary permeability and escape of serum albumin, leading to expansion of interstitial space and increasing the distribution volume of albumin. The half-life of albumin has been shown to shorten, decreasing total albumin mass. These 2 factors lead to hypoalbuminemia despite increased fractional synthesis rates in plasma...
October 4, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30260489/influences-of-short-term-fasting-and-carbohydrate-supplementation-on-gut-immunity-and-mucosal-morphology-in-mice
#17
Kazuya Higashizono, Kazuhiko Fukatsu, Ayako Watkins, Tomoki Watanabe, Midori Noguchi, Motonari Ri, Satoshi Murakoshi, Hiroshi Yasuhara, Yasuyuki Seto
BACKGROUND: Preoperative carbohydrate (CHO) supplementation has been recommended in enhanced recovery after surgery protocols. However, the effects of CHO supplementation on gut and systemic immunity are not well understood. METHODS: Mice (n = 60) were randomized to 1 of the following 5 groups: control (ad lib feeding), 12-hour fasting without CHO administration (fasting), and 12 hours of fasting with CHO administration at 2, 4, and 8 hours before sacrifice. Then, lymphocytes were isolated from gut-associated lymphoid tissue, that is, Peyer's patches, the intraepithelial space, and the lamina propria of the small intestine...
September 27, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30260488/dietary-management-of-blood-glucose-in-medical-critically-ill-overweight-and-obese-patients-an-open-label-randomized-trial
#18
Todd W Rice, D Clark Files, Peter E Morris, Andrew C Bernard, Thomas R Ziegler, John W Drover, John P Kress, Kealy R Ham, Dominik J Grathwohl, Maureen B Huhmann, Juan B Ochoa Gautier
BACKGROUND: Enteral nutrition (EN) increases hyperglycemia due to high carbohydrate concentrations while providing insufficient protein. The study tested whether an EN formula with very high-protein- and low-carbohydrate-facilitated glucose control delivered higher protein concentrations within a hypocaloric protocol. METHODS: This was a multicenter, randomized, open-label clinical trial with parallel design in overweight/obese mechanically ventilated critically ill patients prescribed 1...
September 27, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30260487/effect-of-different-tube-feeding-methods-on-the-delivery-of-docosahexaenoic-and-arachidonic-acid-an-in-vitro-pilot-study
#19
Silvia Martini, Arianna Aceti, Martina Furini, Alessandra Munarini, Cristina La Riccia, Vilma Mantovani, Giacomo Faldella, Luigi Corvaglia
BACKGROUND: Arachidonic acid (AA) and docosahexaenoic acid (DHA) are crucial for neural and visual development after premature birth. Preterm infants usually require tube feeding (TF) until the achievement of adequate oral feeding skills; the impact of TF on DHA and AA delivery has not been investigated yet. This study aimed to evaluate the effect of different TF techniques on the delivery of AA and DHA contained in human milk (HM). METHODS: HM samples (65 mL each) were collected and divided into three 20-mL aliquots...
September 27, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30260486/the-effect-of-higher-protein-dosing-in-critically-ill-patients-a-multicenter-registry-based-randomized-trial-the-effort-trial
#20
REVIEW
Daren K Heyland, Jayshil Patel, Danielle Bear, Gordon Sacks, Heidi Nixdorf, Jennifer Dolan, Marianne Aloupis, Kate Licastro, Vera Jovanovic, Todd W Rice, Charlene Compher
Current randomized trials and observational studies evaluating higher versus lower protein doses in critically ill patients yield inconclusive results. Because of few studies and methodologic limitations, clinical guidelines suggest a wide range of protein intake based on weak evidence. Clinical equipoise about protein dosing exists. The purpose of the current manuscript is to provide the rationale and protocol for a randomized controlled trial (RCT) of 4000 critically ill patients randomly allocated to receive a higher or lower protein dose...
September 27, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
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