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Nutrition And Dietician

Mélissa Roy, Julie A Perry, Karen M Cross
The objective of this article is to convey the importance of nutrition in plastic surgery, to offer possible outpatient nutritional interventions within the surgical care setting, and to guide the plastic surgeon in integrating nutrition as a key practice enhancement strategy for the care of wound patients and beyond. The impact of nutritional status on surgical outcomes is well recognized. Malnutrition is very frequent among the hospitalized patient population and up to 1 in 4 plastic surgery outpatient is at risk for malnutrition...
August 2018: Plastic and Reconstructive Surgery. Global Open
Regina Wierzejska, Mirosław Jarosz, Michał Bachanek, Włodzimierz Sawicki
INTRODUCTION: Vitamin D plays a crucial role in the development of healthy fetal bone tissue. Analysis of fetal bone parameters versus maternal vitamin D status is necessary to shed some light on the matter. The aim of the study was to investigate the relationship between maternal and cord vitamin D concentrations and other factors which might affect fetal bone development and femur length. MATERIAL AND METHODS: The study included 94 term pregnancies, delivered at the Department of Obstetrics, Gynecology and Oncology, Medical University of Warsaw...
October 12, 2018: Journal of Maternal-fetal & Neonatal Medicine
Hardip Malhi
The term malnutrition refers to both undernutrition and overnutrition. In healthcare, it most often refers to undernutrition, in particular disease-related malnutrition, which can be a result or a cause of an illness. The reasons for malnutrition are multifactorial, and its consequences may include an increased risk of pressure ulcers, reduced mobility and psychological effects such as depression. It is essential that nurses prioritise the nutritional care of all patients and identify those at risk of malnutrition using accurate and reliable nutrition screening tools...
October 4, 2018: Nursing Standard
Afton M Koball, Dylan J Jester, Marisa A Pruitt, Rebecca V Cripe, Jill J Henschied, Sarah Domoff
BACKGROUND: Support after bariatric surgery is critical. Access to bariatric support groups is sometimes challenging, leading people to seek support on social media platforms like Facebook. Given the ubiquity of recommendations solicited and provided on Facebook regarding nutrition and bariatric surgery, understanding the content and accuracy of these posts is important. OBJECTIVES: The primary aim of the present study was to describe the content of nutrition-related information sought on bariatric Facebook support groups/pages...
August 28, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Mai Ohkubo, Takayuki Ueda, Hiroki Sugito, Akira Watanabe, Fumi Seshima, Toshiyuki Morioka, Yasutomo Yajima
A working group established at Tokyo Dental College Suidobashi Hospital considered how to manage patients experiencing difficulties with food intake during the process of dental treatment. This resulted in the opening of an in-hospital booth dedicated to providing advice on such problems. A survey was performed to determine the number of patients utilizing this facility and the department which they were attending with the aim of investigating factors involved in eating-related problems. The results revealed that patients were being referred to the booth from the departments of dental prosthetics, conservative dentistry, oral and maxillofacial surgery (by both dentists and dietitians), oral implantation, and orthodontics...
2018: Bulletin of Tokyo Dental College
Jamie F Chriqui, Rebecca M Schermbeck, Julien Leider
BACKGROUND: More than 3.6 million children are served daily by the Child and Adult Care Food Program (CACFP)-participating child day care centers. This study provides a nationwide assessment of center-level responsibilities for menu, meal/snack preparation, meal preparer training, and food and beverage (F&B) purchasing. METHODS: A nationally representative survey of 5483 CACFP child day care centers was conducted between August 22, 2017, and September 30, 2017...
August 2018: Childhood Obesity
Jane Andreasen, Lise Noerregaard Soendergaard, Mette Holst
Background: Medical patients are particularly at risk of developing complications during and after hospitalization, due to impaired nutritional intake, physical inactivity, or immobilization. Evaluations of implementation studies on health-promoting interventions for medical patients in hospitals are scarce. The aim of this study was to identify factors affecting the adherence of patients and staff to an integrated physical activity and nutritional intervention on a medical ward. Methods: Two focus group interviews were conducted: one with patients and another with staff...
2018: Patient Preference and Adherence
Branko Gabrovec, Gregor Veninšek, Luz López Samaniego, Ana Maria Carriazo, Eleftheria Antoniadou, Marjetka Jelenc
BACKGROUND AND PURPOSE: There is sufficient evidence that nutrition and frailty status are related. In order to deliver quality management of frail and pre-frail patients, clinicians and dieticians should understand the role of nutrition in the concept of frailty. This study examines the role of nutrition in ageing in general, malnutrition and the risk of frailty, individual nutritional factors as the risk factors of frailty and lastly nutritional interventions that have a significant role in frailty...
October 2018: European Journal of Internal Medicine
Christopher S King, A Whitney Brown, Shambhu Aryal, Kareem Ahmad, Scott Donaldson
Cystic fibrosis (CF) is a multiorgan, genetic disease resulting from dysfunction of the CF transmembrane conductance regulator. The primary clinical manifestations are bronchiectasis, chronic pulmonary infections with recurrent exacerbations, and pancreatic insufficiency. Advances in CF care have led to improved survival, with more than one-half of those affected being adults. As a result, adult pulmonary and critical care physicians increasingly will be involved in the care of these patients. Patients with CF are at risk for numerous conditions that require ICU admission, including respiratory failure, massive hemoptysis, pneumothorax, hepatic failure, and bowel obstruction...
August 2, 2018: Chest
Małgorzata Kluch, Małgorzata Górska-Ciebiada, Katarzyna Łokieć
Due to the increasing number of patients suffering from cardiovascular diseases, the number of patients started on anticoagulants is also rising. Diet is a modifiable factor of effective treatment. It is of particular importance due to the strong correlation of anticoagulants with vitamin K, other diet components and drug-food interactions in long-term treatment. Chronic treatment with anticoagulants may precipitate a number of adverse reactions, and following an appropriate diet may minimise the side effects of drugs that alter blood coagulation...
July 30, 2018: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Cora F Jonkers, Maarten R Soeters
Patients with a positive undernutrition screening score stay in hospital 1.4 days longer, with more associated complications and costs. A paper elsewhere in this journal describes the implementation of a novel in-hospital meal service resulting in improved protein and energy intake. Patient satisfaction was maintained and to some extent improved. However, the paper shows the difficulty of improving food intake in hospitalized patients. This may be due to factors such as illness-induced anorexia, poor nurse and physician nutritional awareness, and lack of a clear financial incentive...
July 13, 2018: Nederlands Tijdschrift Voor Geneeskunde
Harm H J van Noort, Roelof G A Ettema, Hester Vermeulen, Getty Huisman-de Waal
AIMS AND OBJECTIVES: To evaluate the effects of preoperative nutritional support using a regular diet for undernourished surgical patients at the outpatient clinic. BACKGROUND: Undernutrition (or malnutrition) in surgical patients has severe consequences, that is, more complications, longer hospital stay and decreased quality of life. While systematic reviews show the effects of oral nutritional supplements (ONS), enteral and parenteral nutrition in surgical patients, the effects of normal foods and regular diets remain unclear...
July 24, 2018: Journal of Clinical Nursing
J Th C M de Kruif, M B Scholtens, J van der Rijt, M R de Boer, M M G A van den Berg, Y C de Vries, R M Winkels, M Visser, E Kampman, M J Westerman
PURPOSE: Dutch Health care professionals (HCPs) provide little information concerning health risks associated with weight gain during chemotherapy for breast cancer. Women with breast cancer have specified the need for more information on nutrition and physical activity to deal with weight gain. The aims of this study were to assess the perceptions of Dutch HCPs on weight gain during chemotherapy and in addition evaluate whether and what kind of information on dietary intake and physical activity HCPs provide to prevent/treat weight gain during (neo)adjuvant chemotherapy...
July 19, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Lisa Farndon, John Stephenson, Oliver Binns-Hall, Kayleigh Knight, Sally Fowler-Davis
Background: Peripheral arterial disease affects the lower limb and is associated with diabetes, high cholesterol, smoking and obesity. It increases the risk of cardiovascular morbidity and mortality. It can be symptomatic causing intermittent claudication, but often there are few clinical signs. Podiatrists are able to detect the presence of peripheral arterial disease as part of their lower limb assessment and are well placed to give advice on lifestyle changes to help reduce disease progression...
2018: Journal of Foot and Ankle Research
Saad M Alshareef, Mujahed A Alkhathlan, Abdullah A Alwabel, Abdulkarim A Al-Bawardi, Abdulrahman H Alqarni, Ali S Almuryidi, Ibrahim N Altuwaim, Monther Khalid Alhabib, Omar A Almuzaini, Turki S Alqahtani
BACKGROUND: Despite the acknowledgment that the services of diabetes educator and dietician affect outcome, the level of utilization of these services in the Saudi Arabian public health-care system is not known. The aims of the study were to establish the percentage of patients with diabetes mellitus (DM) followed up by a diabetic educator and a dietician in a tertiary center in Saudi Arabia and associations between follow-up by a diabetic educator and a dietician and glycemic control...
May 2018: Journal of Family & Community Medicine
Kurt Boeykens, Ann Van Hecke
BACKGROUND: Different disciplines should be represented in Nutritional Support Teams, e.g. a physician, dietician, pharmacist and a nurse. The latter one can function as an Advanced Practice Nurse, which implicates that he or she must have sufficiently thorough knowledge, attitudes and competences to fulfill the profile of a nutritional expert in the field of clinical nutrition. METHODS: Description of the scope of practice, education and added value related to a Nutrition Support Nurse, based on detailed published competency profiles...
August 2018: Clinical Nutrition ESPEN
C Kenis, L Decoster, J Flamaing, P R Debruyne, I De Groof, C Focan, F Cornelis, V Verschaeve, C Bachmann, D Bron, S Luce, G Debugne, H Van den Bulck, J-C Goeminne, D Schrijvers, K Geboers, B Petit, C Langenaeken, R Van Rijswijk, P Specenier, G Jerusalem, J-P Praet, K Vandenborre, J-P Lobelle, M Lycke, K Milisen, H Wildiers
Background: In the general older population, geriatric assessment (GA)-guided treatment plans can improve overall survival, quality of life and functional status (FS). In GA-related research in geriatric oncology, studies mainly focused on geriatric screening and GA but not on geriatric recommendations, interventions and follow-up. The aim of this study was to investigate the adherence to geriatric recommendations and subsequent actions undertaken in older patients with cancer. Patient and methods: A prospective Belgian multicenter (N=22) cohort study included patients ≥70 years with a malignant tumor upon oncologic treatment decision...
June 14, 2018: Annals of Oncology: Official Journal of the European Society for Medical Oncology
Irfan Anjum Manarvi, Nader Mahr Matta
BACKGROUND: Studies have shown that newly diagnosed diabetic patients need a lot of information about medical examinations, checkups, tests and precautions for its control besides its disastrous effects on heart, kidneys, eyes, foot and nerves etc. Patients in Saudi Arabia are generally not aware of most of the information they may need which is one the major reasons of its increasing number of patients. Past studies conducted are based on clinical data of hospitals and health care centers only discussed its effects...
June 11, 2018: Current Diabetes Reviews
Eanna Ryan, Daniel McNicholas, Ben Creavin, Michael Eamon Kelly, Tom Walsh, David Beddy
Background: Sarcopenia is associated with increased morbidity and mortality in oncologic and transplant surgery. It has a high incidence in chronic inflammatory states including inflammatory bowel disease (IBD). The validity of existing data in IBD and of sarcopenia's correlation with surgical outcomes is limited. Methods: We performed a systematic review to assess the correlation of sarcopenia with the requirement for surgery and surgical outcomes in patients with IBD...
June 7, 2018: Inflammatory Bowel Diseases
Karin Haby, Marie Berg, Hanna Gyllensten, Ragnar Hanas, Åsa Premberg
Background: Obesity (BMI ≥30) during pregnancy is becoming an increasing public health issue and is associated with adverse maternal and perinatal outcomes. Excessive gestational weight gain (GWG) further increases the risks of adverse outcomes. However, lifestyle intervention can help pregnant women with obesity to limit their GWG. This study evaluated whether an antenatal lifestyle intervention programme for pregnant women with obesity, with emphasis on nutrition and physical activity, could influence GWG and maternal and perinatal outcomes...
2018: BMC Obesity
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