journal
MENU ▼
Read by QxMD icon Read
search

Nutrition in Clinical Practice

journal
https://www.readbyqxmd.com/read/29767462/soluble-fiber-use-in-pediatric-short-bowel-syndrome-a-survey-on-prevailing-practices
#1
Meredith Linley Harvie, Margaret Alyssa Tucker Norris, Wednesday Marie A Sevilla
BACKGROUND: In pediatric short bowel syndrome (SBS), adding fiber to enteral feedings is 1 treatment method to manage increased stool output. However, there are no standardized recommendations on the use of fiber in this setting, including type, dosage, titration strategies, etc. OBJECTIVE: The aim of this study is to determine current prevailing practices on the use of fiber in the treatment of chronic high stool output in the pediatric SBS population. METHODS: An anonymous electronic survey with 13 questions was sent through health professional electronic mailing lists...
May 16, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29761915/reduction-of-parenteral-nutrition-and-hydration-support-and-safety-with-long-term-teduglutide-treatment-in-patients-with-short-bowel-syndrome-associated-intestinal-failure-steps-3-study
#2
Douglas L Seidner, Ken Fujioka, Joseph I Boullata, Kishore Iyer, Hak-Myung Lee, Thomas R Ziegler
BACKGROUND: Patients with intestinal failure associated with short bowel syndrome (SBS-IF) require parenteral support (PS) to maintain fluid balance or nutrition. Teduglutide (TED) reduced PS requirements in patients with SBS-IF in the randomized, placebo (PBO)-controlled STEPS study (NCT00798967) and its 2-year, open-label extension, STEPS-2 (NCT00930644). METHODS: STEPS-3 (NCT01560403), a 1-year, open-label extension study in patients with SBS-IF who completed STEPS-2, further monitored the safety and efficacy of TED (0...
May 15, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29701916/high-protein-hypocaloric-nutrition-for-non-obese-critically-ill-patients
#3
L John Hoffer
High-protein hypocaloric nutrition, tailored to each patient's muscle mass, protein-catabolic severity, and exogenous energy tolerance, is the most plausible nutrition therapy in protein-catabolic critical illness. Sufficient protein provision could mitigate the rapid muscle atrophy characteristic of this disease while providing urgently needed amino acids to the central protein compartment and sites of tissue injury. The protein dose may range from 1.5 to 2.5 g protein (1.8-3.0 g free amino acids)/kg dry body weight per day...
April 27, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29701888/evaluating-gaps-in-care-of-malnourished-patients-on-general-medicine-floors-in-an-acute-care-setting
#4
Rachel Chambers, Joanna Bryan, Deanna Jannat-Khah, Emily Russo, Louise Merriman, Renuka Gupta
BACKGROUND: As described in detail in the literature, patients identified with malnutrition are at increased risk for poor clinical outcomes. Despite this knowledge, malnourished patients do not always receive optimal nutrition management while admitted into a hospital because of what we describe as gaps in care throughout their admission. We hypothesized that the 3 main gaps in care were poor dietitian-doctor communication, excessive time spent nil per os (NPO) for procedures and testing, and/or inaccurate or incomplete dietary discharge instructions...
April 27, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29665145/serum-levels-of-albumin-and-prealbumin-do-not-correlate-with-nutrient-delivery-in-surgical-intensive-care-unit-patients
#5
D Dante Yeh, Emily Johnson, Tara Harrison, Haytham M A Kaafarani, Jarone Lee, Peter Fagenholz, Noelle Saillant, Yuchiao Chang, George Velmahos
BACKGROUND: Serum albumin and prealbumin levels, may be more strongly associated with inflammation than with nutrient delivery. Their predictive value has not been extensively described in surgical intensive care unit (ICU) patients. METHODS: We analyzed a registry of adult surgical ICU patients receiving enteral nutrition. Subjects with at least 1 serum albumin, prealbumin, or C-reactive protein (CRP) level were included. Demographic, nutrition, and clinical outcome data were collected...
April 17, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29665131/autophagy-and-its-implications-against-early-full-nutrition-support-in-critical-illness
#6
Lisa Van Dyck, Michaël P Casaer, Jan Gunst
The timing, dose, and route of early nutrition support in critically ill patients have been highly controversial for years. Despite the association of a caloric deficit with adverse outcome, several recent large, randomized, controlled trials have demonstrated a prolongation of organ failure and increased muscle weakness with increasing doses of nutrition in the acute phase of critical illness. A potential explanation for the negative impact of early, full feeding on outcome is feeding-induced suppression of autophagy, a cellular repair process that is necessary to clear intracellular damage...
April 17, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29665095/enteral-nutrition-and-dementia-integrating-ethics
#7
Denise Baird Schwartz
This narrative review highlights topics related to feeding patients with dementia, including the use of ethical principles and legal precedents; specifies guidelines and practice recommendations; provides an option to assist in applying the recommendations, such as comfort feedings instead of enteral nutrition; promotes the use of early advance care planning to achieve medical therapies based on an individual's wishes; and provides 3 case studies to demonstrate the clinical application of the information presented in the article...
April 17, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29665084/technology-in-parenteral-nutrition-compounding
#8
REVIEW
Caitlin Curtis
Technology is constantly being used in novel ways, and its use in the practice of medicine is no exception. Examples of this include computer physician order entry, barcode-medication scanning, electronic health records (EHRs), and bedside patient charts, to name a few. Compounding parenteral nutrition has been included in this technological revolution, with improvements such as barcode-assisted medication preparation systems and EHR-to-compounder interfaces. Along with some of these electronic advancements come the inevitable improvements and challenges, which are explored in this article...
April 17, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29617042/use-of-a-gastroschisis-feeding-guideline-to-improve-standardization-of-care-and-patient-outcomes-at-an-urban-children-s-hospital
#9
R Colby Passaro, Kate B Savoie, Eunice Y Huang
BACKGROUND: This study examined clinical outcomes associated with the use of a gastroschisis-specific (GS) feeding advancement guideline. METHODS: We performed a retrospective study of all simple gastroschisis babies (N = 65) treated between June 2009June 2015. We compared patients treated on a postintestinal surgery guideline using either a 1-day (1D) or 3-day (3D) feeding advancement from August 2009-August 2013 with infants treated on a GS guideline from September 2013-June 2015...
April 4, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29603412/improving-nutrition-outcomes-for-infants-1500-grams-with-a-progressive-evidenced-based-enteral-feeding-protocol
#10
Melissa K Thoene, Elizabeth Lyden, Ann Anderson-Berry
BACKGROUND: Growth is essential for very low birth weight infants. The purpose of this retrospective chart review was to evaluate the impact of a new standardized, evidenced-based feeding protocol for infants born < 1500 g in correlation with growth and clinical outcomes. METHODS: Growth and nutrition data was reviewed from 2 groups of infants born < 1500 g within a level III newborn intensive care unit (NICU). Epoch 1 infants (N = 32) received care following initial implementation of a standardized enteral feeding protocol...
March 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29603408/effect-of-vitamin-d-level-on-clinical-outcomes-in-patients-undergoing-left-ventricular-assist-device-implantation
#11
Fadi Abou Obeid, Gardner Yost, Geetha Bhat, Erin Drever, Antone Tatooles
BACKGROUND: Vitamin D is an important hormone that regulates cardiac myocyte function. Low levels contribute to the development of cardiovascular disease and have been implicated in immune function and the inflammatory cascade. Patients who undergo left ventricular assist device (LVAD) implantation are at risk for driveline infection, stroke, and gastrointestinal (GI) bleeding. We investigated whether serum 25-hydroxy (25-OH) vitamin D levels affect clinical outcomes after LVAD. METHODS: 212 patients who underwent LVAD implantation between 2010 and 2015 were included...
March 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29603407/nutrition-support-team-guide-to-maternal-diet-for-the-human-milk-fed-infant
#12
Kathleen Copp, Emily A DeFranco, Jeanne Kleiman, Lynette K Rogers, Ardythe L Morrow, Christina J Valentine
BACKGROUND: Human milk feeding is encouraged for all infants; however, the mammary gland depends on maternal dietary intake of vitamins A, B1, B2, B6, B12, D, docosahexaenoic acid (DHA), choline, and iodine. Nutrition support team knowledge of maternal feeding guidelines for these nutrient sources can therefore impact infant intake. We hypothesized that these key nutrients for lactation in the mother's diet would be less than the dietary guidelines in the United States. METHODS: This was a secondary analysis of nutrition data collected during a randomized, controlled trial...
March 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29603403/comparison-of-calorie-and-protein-intake-of-very-low-birth-weight-infants-receiving-mother-s-own-milk-or-donor-milk-when-the-nutrient-composition-of-human-milk-is-measured-with-a-breast-milk-analyzer
#13
Melanie Newkirk, Fauzia Shakeel, Prabhu Parimi, Pamela Rothpletz-Puglia, Rachael Patusco, Andrea Fleisch Marcus, Rebecca Brody
BACKGROUND: In premature infants, donor breast milk (DBM) is assumed to provide reduced nutrients vs. mother's own milk (MOM). This study examined calorie and protein delivery when very low birth weight infants were fed fortified MOM or DBM, with a known nutrient composition, relative to established nutrition recommendations and to determine if there were differences between the groups. METHODS: A retrospective medical record review was conducted in 29 very low birth weight infants receiving MOM or DBM...
March 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29603398/gastrostomy-tube-feeding-in-children-with-developmental-or-acquired-disorders-a-longitudinal-comparison-on-healthcare-provision-and-eating-outcomes-4-years-after-gastrostomy
#14
Ellen Backman, Ann-Kristin Karlsson, Lotta Sjögreen
BACKGROUND: Studies on long-term feeding and eating outcomes in children requiring gastrostomy tube feeding (GT) are scarce. The aim of this study was to describe children with developmental or acquired disorders receiving GT and to compare longitudinal eating and feeding outcomes. A secondary aim was to explore healthcare provision related to eating and feeding. METHODS: This retrospective cohort study reviewed medical records of children in 1 administrative region of Sweden with GT placement between 2005 and 2012...
March 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29603391/cut-off-serum-zinc-concentration-affecting-the-appetite-growth-and-nutrition-status-of-undernourished-children-supplemented-with-zinc
#15
Hsun-Chin Chao, Yi-Jung Chang, Wan-Ling Huang
BACKGROUND: Zinc supplementation has varied effects on the linear growth of children who exhibited stunted growth. MATERIALS AND METHODS: This observational study involved 761 undernourished children, aged 2-10 years, who received a 24-week course of 10-mg elemental zinc per day. The clinical parameters for evaluation included appetite, height, weight, and body mass index (BMI). Evaluation of the effect of zinc supplementation was stratified by the initial serum zinc concentration...
March 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29603389/home-parenteral-nutrition-reimbursement-and-american-society-for-parenteral-and-enteral-nutrition-public-policy-efforts
#16
Lynne Murphy, Penny Allen, Bettemarie Bond, Peggi Guenter
Home parenteral nutrition (HPN) has been considered a lifesaving intervention since the late 1960s for patients with gastrointestinal (GI) failure and other conditions that affect the GI tract who are well enough to be at home. Payment for this therapy under federal programs requires significant documentation and complex processes to qualify. Medicare parenteral nutrition policy, qualification processes and challenges, and advocacy supported by the American Society for Parenteral and Enteral Nutrition are reviewed with the goal of increasing clinician awareness of the complexity surrounding Medicare HPN reimbursement...
March 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29603374/validation-of-nutritional-risk-screening-2002-in-a-hospitalized-adult-population
#17
Başak Bolayir, Güneş Arik, Yusuf Yeşil, Mehmet Emin Kuyumcu, Hacer Doğan Varan, Özgür Kara, Anil Evrim Güngör, Burcu Balam Yavuz, Mustafa Cankurtaran, Meltem Gülhan Halil
BACKGROUND: Malnutrition in hospitalized patients is a serious problem and is associated with a number of adverse outcomes. The Nutritional Risk Screening-2002 (NRS-2002) tool was designed to identify patients at nutrition risk. The validation of NRS-2002 compared with detailed clinical assessment of nutrition status was not studied before in hospitalized Turkish adults. The aim of this study is to determine validity, sensitivity, and specificity of the Turkish version of NRS-2002 in a hospitalized adult population...
March 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29570861/standardized-competencies-for-parenteral-nutrition-administration-the-aspen-model
#18
Peggi Guenter, Patricia Worthington, Phil Ayers, Joseph I Boullata, Kathleen M Gura, Neil Marshall, Beverly Holcombe, Denise S Richardson
Parenteral nutrition (PN) is a highly complex medication and its provision can be prone to a variety of errors. Safe administration of this therapy requires that the competency of clinicians, particularly nurses, be demonstrated using a standardized process. In this document, a standardized model for PN administration competency is proposed based on a competency framework, the ASPEN-published interdisciplinary core competencies, discipline-specific standards of practice, safe practice recommendations, and clinical guidelines...
March 23, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29570851/stoned-a-syndrome-of-d-lactic-acidosis-and-urolithiasis
#19
Casey M Berman, Russell J Merritt
Short bowel syndrome (SBS) can lead to many complications related to the condition and its therapy. We describe 2 children with SBS who we believe are the second and third patients documented to have experienced both D-lactic acidosis and urolithiasis. We review aspects of these SBS complications and recent findings on the microbiome of patients with SBS that may predispose to these complications.
March 23, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29532510/small-bowel-feeding-tube-placement-at-bedside-electronic-medical-device-placement-and-x-ray-agreement
#20
Michaelann Carter, Susan Roberts, Jo Ann Carson
BACKGROUND: The use of an electromagnetic placement device (EMPD) can allow trained clinicians to safely perform small-bowel feeding tube (SBFT) placement at the bedside. Before initiation of enteral nutrition, most facilities require a radiology confirmation of tube placement. Requirement of X-ray confirmation delays the start of nutrition and leads to increased costs and utilization of resources. The purpose of this study was to determine the rate of agreement between clinician interpretation of SBFT placement using the EMPD images and X-ray confirmation on tip of SBFT placement...
March 12, 2018: 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"