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Blended tube feeds

Teresa W Johnson, Amy L Spurlock, Lisa Epp, Ryan T Hurt, Manpreet S Mundi
OBJECTIVE: Healthcare providers (HCPs) report increased interest in blenderized tube feeding (BTF) as an alternative to commercial formula (CF) feeding-particularly in families of tube fed children. The objective of this study was to explore parents' reported experiences of CF and BTF in their children. DESIGN: Prospective descriptive study utilizing a convenience sample. SETTING/SUBJECTS: Parents (n = 433) of tube fed children in an online tube feeding support group completed an electronic survey to compare experiences of CF and BTF in their tube fed children...
November 29, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Miriam Frida Karlsson, Magali Proffit, Göran Birgersson
Insects locate their host plants using mainly visual and olfactory cues, generally of the exploited plant structure. However, when the resource is difficult to access, it could be beneficial to utilise indirect cues, which indicates the presence of reward (e.g., oviposition site or mate). In the present study, we investigated the host-plant location strategy of the monophagous Guatemalan potato moth Tecia solanivora (Lepidoptera: Gelechiidae). The larva of the moth feed exclusively on potato Solanum spp. (Solanaceae) tubers usually hidden below ground...
2017: Chemoecology
Saubhik Mitra, Amarnath Karmakar, Abhishek Mukherjee, Anandamay Barik
Larvae and adults of Altica cyanea (Weber) (Coleoptera: Chrysomelidae) feed on the rice-field weed Ludwigia octovalvis (Jacq.) Raven (Onagraceae), commonly known as willow primrose, which is considered a biocontrol agent of the weed. Volatile organic compounds from undamaged plants, plants after 4, 12, and 36 h of continuous feeding by A. cyanea larvae or adult females and after mechanical damaging were identified by GC-MS and GC-FID analyses. Twenty nine compounds were identified from undamaged plants. 2Z-Penten-1-ol, geraniol, and 1-tridecanol were present in all plants damaged by larvae...
July 2017: Journal of Chemical Ecology
Sian Thomas
The administration of a blended diet via a gastrostomy tube to children with complex needs is an evolving area of practice. Healthcare professionals must provide guidance, promote best practice and optimise patient safety where patients and families choose a blended diet in preference to the prescribed commercial feed. The Aneurin Bevan Health University Health Board in Newport, Wales, took a collaborative approach, by working with parents as equal partners, to enable a child with complex needs to receive a blended diet at school...
July 10, 2017: Nursing Children and Young People
Karen Martin, Gabriela Gardner
The true prevalence of home enteral nutrition (HEN) utilization is unclear and requires further study. HEN therapy has remained virtually unchanged for several decades. However, new trends in HEN are evolving; enteral nutrition is undergoing changes ranging from enteral feeding devices, ingredients used, practice innovations, and challenges with reimbursement. A 2006 Joint Commission call to action that reported 2 sentinel events related to misconnections set things into motion for the transition of enteral device connectors to become specific for enteral nutrition use, which will affect patients who receive HEN...
December 2017: Nutrition in Clinical Practice
Jane Coad, Alex Toft, Susie Lapwood, Joseph Manning, Mark Hunter, Huw Jenkins, Clare Sadlier, Julie Hammonds, Ailsa Kennedy, Simon Murch, David Widdas
With the growing number of children and young people with complex care needs or life-limiting conditions, alternative routes for nutrition have been established (such as gastrostomy feeding). The conditions of children and young people who require such feeding are diverse but could relate to problems with swallowing (dysphagia), digestive disorders or neurological/muscular disorders. However, the use of a blended diet as an alternative to prescribed formula feeds for children fed via a gastrostomy is a contentious issue for clinicians and researchers...
March 2017: Archives of Disease in Childhood
Tolulope Morawo, Henry Fadamiro
Herbivores emit plant-associated volatile organic compounds (VOCs) after feeding on plants. These plant-associated VOCs can be used by parasitoids to locate their hosts. It is hypothesized that certain compounds play key roles in the attractiveness of host-associated odor blends. The larval parasitoid, Microplitis croceipes (Hymenoptera: Braconidae) and its herbivore host, Heliothis virescens (Lepidoptera: Noctuidae), a major pest of cotton plant were used as model species to identify key compounds mediating attraction of parasitoids to hosts...
November 2016: Journal of Chemical Ecology
Elizabeth Bobo
A blenderized tube feeding (BTF) is a mixture of food and liquid that is pureed and administered through a feeding tube. This method of providing nourishment has been used for millenniums. In fact, it could be viewed as the original form of nutrition support. However, over time, the role of BTF has changed. Initially, it was the only method of nourishing a patient who could not sustain himself or herself on oral feeds. With the development of commercial formulas in the mid-20th century, the usage of this feeding modality declined drastically due to the nutrition precision, ease, and sterility of commercial formulas...
September 19, 2016: Nutrition in Clinical Practice
Nupur Sarkar, Amarnath Karmakar, Anandamay Barik
Epilachna vigintioctopunctata Fabr. (Coleoptera: Coccinellidae) and Aulacophora foveicollis Lucas (Coleoptera: Chrysomelidae) are important pests of Solena amplexicaulis (Lam.) Gandhi (Cucurbitaceae), commonly known as creeping cucumber. The profiles of volatile organic compounds from undamaged plants, plants after 48 hr continuous feeding of adult females of either E. vigintioctopunctata or A. foveicollis, by adults of both species, and after mechanical damaging were identified and quantified by GC-MS and GC-FID analyses...
October 2016: Journal of Chemical Ecology
Kate Samela, Jasmeet Mokha, Karan Emerick, Zev H Davidovics
Due to concerns related primarily to allergic response and malabsorption, enteral nutrition therapy has traditionally relied on the use of elemental formulas in children with intestinal failure (IF). Blended food diets via a gastrostomy tube have been reported to improve feeding tolerance in pediatric populations receiving long-term enteral nutrition therapy. Complex macronutrients have been shown to stimulate intestinal adaptation in animal models. We report on our experience in children with IF who had an overall improvement in stool output when transitioned from an elemental formula to a tube feeding formula with real food ingredients (TFRF)...
April 2017: Nutrition in Clinical Practice
Lisa Blackmon-Jones
The purpose of this article is to share the findings of implementing a standardized, blended approach to school nurse orientation. This includes using classroom training, mentor/supervisory support, and skills labs to assure specific competencies that are needed for new nurses to successfully transition into this independent setting. This includes a description of the specialized skills and knowledge that are needed to successfully transition into this nursing specialty. School nurses are caring for more complex students...
January 2017: NASN School Nurse
Manpreet S Mundi, Lisa Epp, Ryan T Hurt
BACKGROUND: Enteral tube misconnections resulting in enteral nutrition being provided into the wrong port or tube has been increasingly reported, prompting the development of new international design standards for medical device tubing connectors. METHODS: Four sample enteral feeds with varying viscosity were placed into a syringe with either the current feeding connector or a prototype ENFit connector. The force (N) required to compress the syringe was gathered through a dynamic mechanical analyzer (RSA G2 Solids Analyzer; TA Instruments)...
December 2016: Nutrition in Clinical Practice
Daniel Antonio De Luis, Olatz Izaola, A Castro, M Martin, B Torres, Jj Lopez Gomez, E Gomez Hoyos, Mercedes Blanco Naveira
OBJECTIVES: To evaluate the gastrointestinal tolerance and acceptance of the new formulation of Isosource Protein ® Fibre® with a new blend of fibers IS50®. METHODS: Opened, non-comparative, nonrandomized, descriptive study in patients requiring full enteral tube feeding for at least 7 days. Gastrointestinal tolerance was assessed by daily record of subjective gastrointestinal symptoms by the patient, and objectives behind the abdominal exploration by the researcher for up to 15 days...
October 18, 2014: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Teresa W Johnson, Amy Spurlock, Leah Pierce
BACKGROUND: Families of children requiring nutrition support may be interested in providing blenderized food by gastrostomy tube (BFGT). Some registered dietitians (RDs) recommend partial or full BFGT for children with tube feeding intolerance who are unresponsive to standard interventions. There is little published information on the safety and efficacy of BFGT feeding. The purpose of this survey was to elicit experiences of pediatric RDs with BFGT in clinical practices. METHODS: A survey instrument was distributed to members of the Pediatric Nutrition Practice Group to report experiences of BFGT in clinical practice...
June 2015: Nutrition in Clinical Practice
Suzanne Brown
A blended diet for enteral nutrition is defined as home-made everyday food blended to a smooth 'single cream' consistency. At present, blended food is not recommended as a first choice. However, the wishes of parents who prefer to use blended food for their child need to be respected, and hospice policy for Children's Hospice South West is to replicate home conditions as far as possible. Therefore guidelines have been created for use of a blended diet. However, benefits in physical and emotional health need to be balanced against risks of tube blockage, contamination and digestive upsets...
November 2014: Nursing Children and Young People
Lopamudra Guha, T Seenivasagan, S Thanvir Iqbal, O P Agrawal, B D Parashar
Human skin emanations attract hungry female mosquitoes toward their host for blood feeding. In this study, we report the flight orientation and electroantennogram response of Aedes albopictus females to certain unsaturated acids and alcohols found in human skin. In the Y-tube olfactometer, odors of lactic acid and 2-methyl-3-pentanol attracted 54-65% of Ae. albopictus females at all doses in a dose-dependent manner. However, at the highest dose (10(-2) g), the acids repelled 40-45% females. Attractancy (ca...
October 2014: Parasitology Research
Sena Kuyumcu, Dieter Menne, Jelena Curcic, Oliver Goetze, Marianne Klebach, Evan Abrahamse, Zandrie Hofman, Michael Fried, Werner Schwizer, Andreas Steingoetter
BACKGROUND: The gastric accumulation of enteral formulas in tube-fed patients leads to an increased risk of vomiting and regurgitation. Gastric secretion-induced coagulation of proteins in enteral formulas might lead to gastric accumulation of solid protein particles that further increase the risk of upper digestive intolerance. This study used magnetic resonance imaging to noninvasively assess the half-emptying time (t50) of enteral formulas differing in protein composition. METHODS: Three isocaloric (450 kcal) and isovolumetric (300 mL) enteral formulas, 1 with a noncoagulating P4 protein blend and 2 with coagulating casein-dominant protein blends, were compared in a double-blind, randomized, 3-way crossover study in 21 healthy volunteers...
July 2015: JPEN. Journal of Parenteral and Enteral Nutrition
Nicole Wäschke, Kristin Hardge, Christine Hancock, Monika Hilker, Elisabeth Obermaier, Torsten Meiners
Plant diversity is known to affect success of host location by pest insects, but its effect on olfactory orientation of non-pest insect species has hardly been addressed. First, we tested in laboratory experiments the hypothesis that non-host plants, which increase odour complexity in habitats, affect the host location ability of herbivores and parasitoids. Furthermore, we recorded field data of plant diversity in addition to herbivore and parasitoid abundance at 77 grassland sites in three different regions in Germany in order to elucidate whether our laboratory results reflect the field situation...
2014: PloS One
Julia M Ino, Ervi Sju, Véronique Ollivier, Evelyn K F Yim, Didier Letourneur, Catherine Le Visage
Engineered grafts are still needed for small diameter blood vessels reconstruction. Ideal materials would prevent thrombosis and intimal hyperplasia by displaying hemocompatibility and mechanical properties close to those of native vessels. In this study, poly(vinyl alcohol) (PVA)/gelatin blends were investigated as a potential vascular support scaffold. We modified a chemically crosslinked PVA hydrogel by incorporation of gelatin to improve endothelial cell attachment with a single-step method. A series of crosslinked PVA/gelatin films with specific ratios set at 100:0, 99:1, 95:5, and 90:10 (w/w) were prepared and their mechanical properties were examined by uniaxial tensile testing...
November 2013: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
Kevin J Delaney, Maria Wawrzyniak, Grzegorz Lemańczyk, Danuta Wrzesińska, Dariusz Piesik
The plant semiochemical cis-jasmone primes/induces plant resistance that deters herbivores and attracts natural enemies. We studied the induction of volatile organic compounds (VOCs) in winter wheat and spring barley after exposure of plants to three synthetic cis-jasmone doses (50 μl of 1, 100, and 1 × 10(4) ng μl(-1)) and durations of exposure (1, 3, and 6 h). Cereal leaf beetle, Oulema melanopus, adult behavioral responses were examined in a Y-tube olfactometer to cis-jasmone induced plant VOC bouquets and to two synthetic blends of VOCs (3 green leaf volatiles (GLVs); 4 terpenes + indole)...
May 2013: Journal of Chemical Ecology
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