keyword
https://read.qxmd.com/read/38450486/association-between-nutritional-risk-status-and-both-diaphragmatic-dysfunction-and-diaphragm-atrophy-in-medical-%C3%A4-ntensive-care-unit-patients
#21
JOURNAL ARTICLE
Kamil Inci, Eda Macit Aydın, Gulbin Aygencel, Melda Türkoğlu
AIM: critical illness often leads to malnutrition and diaphragmatic dysfunction (DD), common in intensive care units (ICU). Ultrasonography (US) is a potent tool for detecting DD. This study examines the connection between malnutrition risk and DD in ICU patients using ultrasonographic diaphragm measurements in medical ICU patients. METHODS: we assessed nutritional risk using risk screening tools and mid-upper arm circumference measurements (MUAC). Diaphragm atrophy (DA) and DD were evaluated by measuring diaphragmatic excursion (DE), thickness, and thickening fraction (TF) by US...
February 19, 2024: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://read.qxmd.com/read/38446527/reporting-of-core-outcomes-in-gastric-cancer-surgery-trials-over-the-past-25-years-systematic-review
#22
JOURNAL ARTICLE
Anie Naqvi, Nadia Matias, Bilal Al-Khaffaf
BACKGROUND: Gastric cancer, a leading cause of cancer-related mortality worldwide, has seen limited improvement in survival over the past 3 decades. Surgical resection is the cornerstone of curative management but the optimal approach remains unclear. Decision-making is hindered by inconsistent outcome reporting limiting data synthesis between trials. International consensus between healthcare professionals and patients has formed a core outcome set to be reported as a minimum. We appraised outcomes previously reported...
March 6, 2024: Journal of Surgical Oncology
https://read.qxmd.com/read/38446105/spotlight-on-safety-nutrition-and-well-being-in-critical-care-welcome-from-our-new-co-editor-and-thanks-to-our-outgoing-co-editor
#23
EDITORIAL
Josef Trapani, Nina Stewart
No abstract text is available yet for this article.
March 2024: Nursing in Critical Care
https://read.qxmd.com/read/38444304/health-professional-competency-building-for-the-baby-friendly-hospital-initiative-in-malawi
#24
JOURNAL ARTICLE
Altrena Mukuria-Ashe, Kanji Nyambo, Malia Uyehara, Janet Guta, George Mtengowadula, Godwin Nyirongo, Jeniece Alvey
Health professional competency building is one of nine national responsibilities (to achieve universal coverage and sustainability) described in the 2018 World Health Organization (WHO)/United Nations Children's Fund (UNICEF) implementation guidance for the Baby-Friendly Hospital Initiative (BFHI). With stagnating rates of exclusive breastfeeding worldwide, skilled breastfeeding support as a standard of newborn care is critical to the establishment of lactation and exclusive breastfeeding. Few studies exist on how low-income countries are integrating BFHI into their standards of care...
March 5, 2024: Maternal & Child Nutrition
https://read.qxmd.com/read/38442934/-the-dynamic-monitoring-of-gastric-residual-volume-by-ultrasound-was-used-to-guide-the-early-nutritional-treatment-of-patients-with-severe-mechanical-ventilation-to-gradually-achieve-the-standard
#25
JOURNAL ARTICLE
Hongxiao Yang, Jinlan Ma, Jing Chen, Guifang Li, Huan Ding
OBJECTIVE: To explore the application value of dynamic monitoring of gastric residual volume (GRV) in achieving different target energy in severe mechanical ventilation patients. METHODS: A prospective randomized controlled study was conducted. Forty-two patients with mechanical ventilation admitted to the department of critical care medicine of General Hospital of Ningxia Medical University from July to December 2022 were enrolled. According to the random number table method, patients were divided into GRV guided enteral nutrition by traditional gastric juice pumpback method (control group, 22 patients) and GRV guided enteral nutrition by bedside ultrasound (test group, 20 patients)...
February 2024: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/38442923/-review-and-prospects-of-international-clinical-research-in-critical-care-medicine-in-2023
#26
JOURNAL ARTICLE
Ziqi Rong, Pengyu Lu, Wei Huang
The main clinical research advances of critical care in 2023 includes: new trials of Chinese herbal medicine, hydroxocobalamin (vitamin B12), methylene blue as well glucocorticoids have shown the potential to improve outcomes of patients with sepsis and septic shock; international committees launched new global definition and managing recommendations for acute respiratory distress syndrome (ARDS). Besides, a cluster of new evidences has emerged in many aspects as following: fluid control strategy in sepsis (restrictive/liberative), antibiotic infusion strategy (continuous/intermittent), oxygen-saturation targets for mechanical ventilation (conservative/liberative), blood pressure targets after resuscitation from out-of-hospital cardiac arrest (hypotension/hypertension), blood pressure targets after successful stroke thrombectomy (intensive/conventional), and nutritional support strategies (low protein-calories/conventional protein-calories, fasting/persistent feeding before extubation)...
February 2024: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/38442320/forgotten-fundamentals-a-review-of-state-legislation-on-nutrition-for-incarcerated-pregnant-and-postpartum-people
#27
JOURNAL ARTICLE
Julia Vitagliano, Talia Shalev, Jennifer B Saunders, Ellen Mason, Jamie Stang, Rebecca Shlafer, Bethany Kotlar
Adequate nutritional intake during pregnancy is critical to infant health and development. People with the capacity for pregnancy who are incarcerated have limited control over their diets and rely on prisons and jails to meet their nutritional needs. This study examined state and federal statutes pertaining to nutrition care for pregnant people while incarcerated. Following a systematic search and review, we identified four qualitative codes relating to access to vitamins, supplemental food, additional hydration, and prenatal nutrition education...
March 6, 2024: Journal of Correctional Health Care
https://read.qxmd.com/read/38441138/current-fistula-management
#28
REVIEW
Erin Vanzant, Ashley Thompson, April Mendoza, Dante Yeh
PURPOSE OF REVIEW: Enterocutaneous fistulas (ECFs) pose a significant impact in the healthcare system, both financially and in resource utilization. Delivery of optimal care is complex and involves intensive wound care, complex nutritional delivery and multidisciplinary care teams for optimization. Recently, there have been pushes to modernize the traditional approach to ECF care to a new paradigm of protocol-based individualized delivery of care. RECENT FINDINGS: There is an increased trend towards pushing enteral nutrition for the management of ECF patients...
April 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38441124/enteral-nutrition-in-septic-shock-a-call-for-a-paradigm-shift
#29
JOURNAL ARTICLE
Jayshil J Patel, Juan Carlos Lopez-Delgado, Christian Stoppe, Stephen A McClave
PURPOSE OF REVIEW: The purpose of this review is to identify contemporary evidence evaluating enteral nutrition in patients with septic shock, outline risk factors for enteral feeding intolerance (EFI), describe the conundrum of initiating enteral nutrition in patients with septic shock, appraise current EFI definitions, and identify bedside monitors for guiding enteral nutrition therapy. RECENT FINDINGS: The NUTRIREA-2 and NUTRIREA-3 trial results have better informed the dose of enteral nutrition in critically ill patients with circulatory shock...
January 15, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38441116/measurement-and-estimation-of-energy-in-the-critically-ill
#30
JOURNAL ARTICLE
Amir Y Kamel
PURPOSE OF REVIEW: Recent changes in guidelines recommendation during early phase of critical illness and use of indirect calorimetry. The aim of this review is to discuss methods of determining energy requirements in the critically ill and highlight factors impacting resting energy expenditure. RECENT FINDING: An appraisal of recent literature discussing indirect calorimetry guided-nutrition potential benefits or pitfalls. Recent attempts to devise strategy and pilot indirect calorimetry use in the critically ill patients requiring continuous renal replacement therapy or extracorporeal membrane oxygenation are also discussed...
January 4, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38432703/prolonged-mechanical-ventilation-weaning-and-the-role-of-tracheostomy
#31
REVIEW
Louise Rose, Ben Messer
Depending on the definitional criteria used, approximately 5% to 10% of critical adults will require prolonged mechanical ventilation with longer-term outcomes that are worse than those ventilated for a shorter duration. Outcomes are affected by patient characteristics before critical illness and its severity but also by organizational characteristics and care models. Definitive trials of interventions to inform care activities, such as ventilator weaning, upper airway management, rehabilitation, and nutrition specific to the prolonged mechanical ventilation patient population, are lacking...
April 2024: Critical Care Clinics
https://read.qxmd.com/read/38432591/describing-energy-expenditure-in-children-with-a-chronic-disease-a-systematic-review
#32
REVIEW
Bethany Luo, Zoe E Davidson, Katie O'Brien, Evelyn Volders, Jeffrey Lu, Kali Dunlea, Matisse Lazzari, Natassja Billich, Kay Nguo
BACKGROUND: Understanding energy expenditure in children with chronic disease is critical due to the impact on energy homeostasis and growth. OBJECTIVE: This systematic review aimed to describe available literature of resting (REE) and total energy expenditure (TEE) in children with chronic disease measured by gold standard methods of indirect calorimetry (IC) and doubly-labelled water (DLW), respectively. METHODS: A literature search was conducted using OVID Medline, Embase, CINAHL Plus, Cochrane and Scopus until July 2023...
March 1, 2024: Advances in Nutrition
https://read.qxmd.com/read/38430844/baseline-immune-status-and-the-effectiveness-of-response-to-enteral-nutrition-among-icu-patients-with-covid-19-an-observational-retrospective-study
#33
JOURNAL ARTICLE
Yao Yin, Yijing Li, Yan Liu, Chaofeng Fan, Yan Jiang
OBJECTIVES: This study aimed to compare how immunocompromised and immunocompetent patients responded differently to enteral nutrition (EN) support in intensive care units (ICUs) during the COVID-19 pandemic, including serum nutritional biomarkers, inflammatory biomarkers, gastrointestinal (GI) intolerance symptoms, and clinical outcomes. METHODS: An observational, retrospective study was conducted in the ICUs of a teaching hospital in southwest China. We recruited a convenience sample of 154 patients between December 2022 and February 2023...
February 8, 2024: Nutrition
https://read.qxmd.com/read/38429961/fat-malabsorption-in-critical-illness
#34
REVIEW
George Kasotakis, Colin Whitmore
Malnutrition in critical illness is common and is associated with significant increases in adverse outcomes. A hypermetabolic state and underfeeding both contribute to the incidence of malnutrition. Malabsorption caused by critical illness is also an important contributor to the development of malnutrition. The early provision of enteral nutrition is associated with improved outcomes. Strategies for nutrition therapy must be informed by the alterations in absorption of macronutrients present in these patients...
April 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38429958/fat-malabsorption-an-underrecognized-challenge-from-pancreatic-disease-to-trauma-critical-care-and-beyond
#35
EDITORIAL
David C Evans
No abstract text is available yet for this article.
April 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38427034/-indications-and-results-of-intestinal-transplantation-for-short-bowel-syndrome-after-mesenteric-ischemia
#36
REVIEW
Andreas Pascher
BACKGROUND: Intestinal transplantation (ITx) is the only causal treatment for complicated chronic intestinal failure after mesenteric ischemia and impending failure of parenteral supplementation. Isolated or combined ITx with the inclusion of the intestine is associated with demanding immunological, perioperative and infection associated challenges. AIM: The characterization of chronic intestinal failure, the indications, transplant survival, transplantation techniques and success rates...
March 1, 2024: Chirurgie (Heidelb)
https://read.qxmd.com/read/38426290/figo-preconception-checklist-preconception-care-for-mother-and-baby
#37
JOURNAL ARTICLE
Chiara Benedetto, Fulvio Borella, Hema Divakar, Sarah L O'Riordan, Martina Mazzoli, Mark Hanson, Sharleen O'Reilly, Bo Jacobsson, Jeanne A Conry, Fionnuala M McAuliffe
The preconception period is a unique and opportunistic time in a woman's life when she is motivated to adopt healthy behaviors that will benefit her and her child, making this time period a critical "window of opportunity" to improve short- and long-term health. Improving preconception health can ultimately improve both fetal and maternal outcomes. Promoting health before conception has several beneficial effects, including an increase in seeking antenatal care and a reduction in neonatal mortality. Preconception health is a broad concept that encompasses the management of chronic diseases, including optimal nutrition, adequate consumption of folic acid, control of body weight, adoption of healthy lifestyles, and receipt of appropriate vaccinations...
March 1, 2024: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/38424664/comparison-of-energy-intake-in-critical-illness-survivors-general-medical-patients-and-healthy-volunteers-a-descriptive-cohort-study
#38
JOURNAL ARTICLE
Elizabeth Viner Smith, Imre W K Kouw, Matthew J Summers, Rhea Louis, Laurence Trahair, Stephanie N O'Connor, Karen L Jones, Michael Horowitz, Marianne J Chapman, Lee-Anne S Chapple
BACKGROUND: Intensive care unit (ICU) survivors have reduced oral intake; it is unknown whether intake and associated barriers are unique to this group. OBJECTIVE: To quantify energy intake and potential barriers in ICU survivors compared with general medical (GM) patients and healthy volunteers. DESIGN: A descriptive cohort study in ICU survivors, GM patients, and healthy volunteers. Following an overnight fast, participants consumed a 200 ml test-meal (213 kcal) and 180 min later an ad libitum meal to measure energy intake (primary outcome)...
February 29, 2024: JPEN. Journal of Parenteral and Enteral Nutrition
https://read.qxmd.com/read/38423256/exposure-to-the-psychedelic-substance-25h-nbome-disrupts-maternal-care-in-lactating-rats-and-subsequently-impairs-the-social-play-behavior-of-the-offspring
#39
JOURNAL ARTICLE
Lídia M Melo, Wellington A de Barros, Ângelo de Fátima, Fabiana C Vilela Giusti, Alexandre Giusti-Paiva
Given the critical role of maternal care in the neurodevelopment of offspring, this study aimed to investigate the effects of the psychedelic substance 25H-NBOMe on maternal behavior in lactating rats and its subsequent impact on the social and neurodevelopmental behavior of the offspring. We administered two different dosages of 25H-NBOMe (0.3mg/kg and 1.0mg/kg; i,p,) to lactating rats and observed changes in maternal behaviors, such as nest-building and pup retrieval, and in offspring behaviors, including social play...
February 27, 2024: Behavioural Brain Research
https://read.qxmd.com/read/38422755/gut-microbiota-disturbances-in-hospitalized-older-adults-with-malnutrition-and-clinical-outcomes
#40
JOURNAL ARTICLE
Shirley S Muñoz-Fernandez, Flavia B Garcez, Julio C G Alencar, Amália A Bastos, John E Morley, Tommy Cederholm, Ivan Aprahamian, Heraldo P de Souza, Thiago J Avelino-Silva, Laure B Bindels, Sandra M L Ribeiro
OBJECTIVE: Malnutrition is one of the most threatening conditions in geriatric populations. The gut microbiota has an important role in the host's metabolic and muscular health: however, its interplay with disease-related malnutrition is not well understood. We aimed to identify the association of malnutrition with the gut microbiota and predict clinical outcomes in hospitalized acutely ill older adults. METHODS: We performed a secondary longitudinal analysis in 108 geriatric patients from a prospective cohort evaluated at admission and 72 h of hospitalization...
February 1, 2024: Nutrition
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