journal
MENU ▼
Read by QxMD icon Read
search

Nutrition in Clinical Practice

journal
https://www.readbyqxmd.com/read/27913774/gravity-flow-in-proposed-enteral-tube-small-bore-connectors
#1
Ryan T Hurt, Lisa M Epp, Adele K Pattinson, Wanda M Duellman, Stephen M Corner, Manpreet S Mundi
BACKGROUND: Enteral nutrition (EN) misconnections have been identified as a serious and potential deadly problem. An international effort led by EN industry leaders has developed a small-bore enteral connector (ENFit) that in theory will reduce the frequency of misconnections. Despite the potential benefit of preventing misconnections, the full impact of adoption of the ENFit connector is unknown. To assess the impact of transitioning to ENFit on our home EN (HEN) patients, the current study evaluated gravity feeding comparing 2 proposed small-bore connectors to the legacy (current connector) using various commercial formulas...
December 2, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27913773/pediatric-nutrition-assessment-anthropometrics-to-zinc
#2
Kelly Green Corkins, Erin E Teague
Pediatric patients with chronic illnesses or diseases or who require long-term nutrition support are most vulnerable to nutrition-related issues. Malnutrition in a pediatric patient may negatively affect long-term growth and development. Children also become malnourished much more quickly than adults. A comprehensive nutrition assessment that includes food and nutrition-related history, anthropometric measurements, biochemical data, medical tests and procedures, nutrition-focused physical findings, and patient history should be completed on these patients as no one parameter is a comprehensive indicator of nutrition status...
December 2, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27895228/differences-in-durability-dislodgement-and-other-complications-with-use-of-low-profile-nonballoon-gastrostomy-tubes-in-children
#3
Temara Hajjat, Riad M Rahhal
BACKGROUND: Nonballoon low-profile gastrostomy tubes (GTs) are used for enteral nutrition support in a subset of pediatric patients with feeding difficulties when use of balloon GTs is problematic. Different nonballoon low-profile tube types are available, but comparative studies are lacking. MATERIALS AND METHODS: This was a retrospective cohort study comparing complications and outcomes between different low-profile nonballoon GTs at a pediatric tertiary care center over 10 years...
November 28, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27881807/sarcopenia-is-highly-prevalent-in-older-medical-patients-with-mobility-limitation-comparisons-according-to-ambulatory-status
#4
Keisuke Maeda, Hiroshi Shamoto, Hidetaka Wakabayashi, Junji Akagi
BACKGROUND: The association of sarcopenia with disability with ambulatory status is uncertain because most studies have targeted people who could walk independently. This study explored the prevalence of sarcopenia regardless of ambulatory status and the impact of ambulatory status on sarcopenia. MATERIALS AND METHODS: In total, 778 consecutive patients, aged ≥65 years and admitted to a hospital, were enrolled. Ambulatory status was divided into 4 grades according to mobility as described in the Barthel index...
November 23, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27879465/why-is-diagnosing-pediatric-malnutrition-important
#5
REVIEW
Mark R Corkins
The literature indicates that pediatric malnutrition is more common than the number of times it is actually diagnosed. A new pediatric malnutrition definition is now available with criteria to make the diagnosis. If pediatric malnutrition is present, it should be diagnosed for financial, educational, and research purposes as well as the effects on patient development and mortality. These reasons extend beyond the health of an individual patient to potential impacts on society as a whole. When all of these reasons are examined and added, making the diagnosis of pediatric malnutrition becomes an obligation of the pediatric caregiver...
November 22, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27856693/construction-of-lambda-mu-sigma-values-for-determining-mid-upper-arm-circumference-z-scores-in-u-s-children-aged-2-months-through-18-years
#6
Susan M Abdel-Rahman, Charlie Bi, Kristi Thaete
BACKGROUND: Mid-upper arm circumference (MUAC) has proven highly predictive of morbidity and mortality associated with malnutrition better, in some cases, than other growth indicators, including body mass index (BMI) z scores and weight-for-height z scores. A recent consensus statement recommended the inclusion of MUAC and MUAC z scores in the nutrition assessment of children in the United States; however, the requisite data to permit z score calculations for children aged >5 years have not been published...
November 17, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27834282/the-use-of-technology-for-estimating-body-composition-strengths-and-weaknesses-of-common-modalities-in-a-clinical-setting
#7
Levi M Teigen, Adam J Kuchnia, Marina Mourtzakis, Carrie P Earthman
Assessment of body composition, both at single time points and longitudinally, is particularly important in clinical nutrition practice. It provides a means for the clinician to characterize nutrition status at a single time point, aiding in the identification and diagnosis of malnutrition, and to monitor changes over time by providing real-time information on the adequacy of nutrition interventions. Objective body composition measurement tools are available clinically but are often underused in nutrition care, particularly in the United States...
November 9, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27815545/detecting-enteral-nutrition-residues-and-microorganism-proliferation-in-feeding-tubes-via-real-time-imaging
#8
Ippei Yamaoka, Tomohiro Kagawa, Kazuya Mizugai, Goro Ebisu
BACKGROUND: Enteral nutrition (EN) residues that persist in feeding tubes provide substrates for microorganisms to proliferate and occlude the tubes. Visible EN residues in tubes are easily identified, but smaller residues can persist. We developed a new imaging technique to visualize EN residues and proliferation of microorganisms in feeding tubes. MATERIALS AND METHODS: (1) Feeding tubes containing EN labeled with fluorescent dye and either with or without various types or amounts of thickeners were flushed once with water and then seeded with Pseudomonas aeruginosa Xen05 with recombinant luciferase DNA...
November 4, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27810990/thiamin-pyridoxine-vitamin-d-and-carotene-deficiency-in-a-malnourished-patient-following-billroth-ii-gastrectomy
#9
Mark D Lahey, Amir Y Kamel
We describe the case of a malnourished 48-year-old man who had previously undergone a Billroth II procedure for severe peptic ulcer disease. He was found to have a severely stenotic gastrojejunal anastomosis with inflamed mucosa that prevented him from tolerating solid food. Laboratory assessment revealed deficiencies in thiamin, pyridoxine, vitamin D, and carotene. This case demonstrates potential vital micronutrient complications following a partial gastrectomy.
November 3, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27794071/treating-dehydration-at-home-avoids-healthcare-costs-associated-with-emergency-department-visits-and-hospital-readmissions-for-adult-patients-receiving-home-parenteral-support
#10
Denise Konrad, Scott Roberts, Mandy L Corrigan, Cindy Hamilton, Ezra Steiger, Donald F Kirby
BACKGROUND: Administration of home parenteral support (HPS) has proven to be cost-effective over hospital care. Avoiding hospital readmissions became more of a focus for healthcare institutions in 2012 with the implementation of the Affordable Care Act. In 2010, our service developed a protocol to treat dehydration at home for HPS patients by ordering additional intravenous fluids to be kept on hand and to focus patient education on the symptoms of dehydration. METHODS: A retrospective analysis was completed through a clinical management database to identify HPS patients with dehydration...
October 28, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27765878/diagnosing-pediatric-malnutrition-paradigm-shifts-of-etiology-related-definitions-and-appraisal-of-the-indicators
#11
Sandra Bouma
The publication of the landmark paper "Defining Pediatric Malnutrition: A Paradigm Shift Toward Etiology-Related Definitions" launched a new era in diagnosing pediatric malnutrition. This work introduced the paradigm shift of etiology-related definitions-nonillness and illness related-and the use of anthropometric z scores to help identify and describe children with malnutrition (undernutrition) in the developed world. Putting the new definition into practice resulted in some interesting observations: (1) Etiology-related definitions result in etiology-related interventions...
October 20, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27756849/enfit-enteral-nutrition-connectors-benefits-and-challenges
#12
Peggi Guenter, Beth Lyman
New enteral connectors are now available based on the development of standards using the International Organization of Standardization process to prevent misconnections between systems that should not connect. Enteral devices with the new patient access connectors, called ENFit, are being now introduced for the purpose of improving patient safety. Transitioning to these new connectors poses benefits and challenges for facilities or agencies implementing these new devices. Information from appropriate resources should be sought by clinicians who need to partner with their suppliers and clinical organizations to see how best to meet these challenges...
October 18, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27756848/parenteral-nutrition-trace-element-product-shortage-considerations
#13
Steve Plogsted, Stephen C Adams, Karen Allen, M Petrea Cober, June Greaves, Kris M Mogensen, Amy Ralph, Daniel Robinson, Ceressa Ward, Joe Ybarra, Beverly Holcombe
No abstract text is available yet for this article.
October 18, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27756847/optimizing-transition-to-home-enteral-nutrition-for-pediatric-patients
#14
Wednesday Marie A Sevilla, Barbara McElhanon
Enteral nutrition is delivered via the gastrointestinal tract when oral intake is not sufficient to maintain nutrition status. There is evidence that long-term home enteral nutrition (HEN) can be advantageous to pediatric patients by improving quality of life and function. Data from pediatric patients receiving either nasogastric tube or gastrostomy tube feeds indicate good outcomes in terms of maintaining and improving nutrition status as evidenced by anthropometric measurements. As the number of pediatric patients requiring HEN increases, development of an effective program to allow smooth transition to the home is necessary...
October 18, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27738202/pediatric-enteral-access-device-management
#15
Ruba A Abdelhadi, Katina Rahe, Beth Lyman
Enteral nutrition (EN) support has proven to be a nutrition intervention that can provide full or partial calories to promote growth and development in infants and children. To supply these nutrients, an enteral access device is required, and the use of these devices is growing. Placement of the proper device for the patient need, along with appropriate care and monitoring, is required for individualized patient management. When complications arise, early identification and management can prevent more serious morbidity...
October 13, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27729403/capturing-the-elusive-diagnosis-of-malnutrition
#16
Laura E Matarese, Pamela Charney
No abstract text is available yet for this article.
October 11, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27702910/reversible-facial-hyperpigmentation-associated-with-vitamin-b12-deficiency
#17
Leeda Tayem, Noureddine Litaiem, Mariem Jones, Faten Zeglaoui
Vitamin B12 (cobalamin) deficiency is common in developing countries. Its dermatologic manifestations include hair and nail changes and glossitis. Cases of generalized hyperpigmentation associated with vitamin B12 deficiency have rarely been reported. Localized hyperpigmentation is less frequently described, affecting palms, soles, and flexural areas. We report a rare case of reversible melasma-like cutaneous hyperpigmentation associated with pernicious anemia and discuss the possible mechanisms of this association...
October 4, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27694642/enteral-formulas-in-nutrition-support-practice-is-there-a-better-choice-for-your-patient
#18
Arlene A Escuro, A Christine Hummell
Over the past few decades, the number of enteral formulas for use in hospitalized, critically ill, and home enteral patients has dramatically increased. Several enteral nutrition (EN) formula categories exist, which makes it challenging for clinicians to sort through the product claims and find the appropriate formula for the patient. Many formulas are available within each category, some of which may be significantly different from one another. Numerous systematic reviews of existing research and clinical practice guidelines evaluate the use of specialty formulas...
September 30, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27687694/notice-of-changes-to-compleat-pediatric-1-0
#19
(no author information available yet)
No abstract text is available yet for this article.
September 29, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27679526/aluminum-content-of-neonatal-parenteral-nutrition-solutions-options-for-reducing-aluminum-exposure
#20
Robert K Huston, Carl F Heisel, Benjamin R Vermillion, J Mark Christensen, Leah Minc
INTRODUCTION: Calcium chloride (CaCl2) has been the only calcium additive available in the United States that has a low aluminum (Al) content. Calcium gluconate in glass vials (CaGluc-Gl) has a high Al content while calcium gluconate in plastic vials (CaGluc-Pl) has a low Al content. The purpose of this study was to measure Al concentrations in neonatal parenteral nutrition (PN) solutions prepared using various calcium additives. METHODS: Samples of solutions compounded with CaCl2 or CaGluc-Gl and sodium phosphate (NaPhos) as well as CaGluc-Pl and sodium glycerophosphate (NaGP) with and without cysteine were analyzed for Al content...
September 27, 2016: Nutrition in Clinical Practice
journal
journal
29286
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"