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https://www.readbyqxmd.com/read/27909257/implementing-multisector-nutrition-programs-in-ethiopia-and-nepal-challenges-and-opportunities-from-a-stakeholder-perspective
#1
Eileen Kennedy, Habtamu Fekadu, Shibani Ghosh, Kedar Baral, Dale Davis, Diplav Sapkota, Patrick Webb
Effective governance is essential for effective nutrition program implementation. There are additional challenges in launching multisector plans to enhance nutritional status. The present study compares the challenges and opportunities in Ethiopia and Nepal in designing and implementing a multisector plan for nutrition. A semi-quantitative questionnaire with open-ended questions was used to solicit information from senior national-level policy officials and other key stakeholders. The nature of the major nutrition problems in each country was similar; these include malnutrition (particularly stunting), food insecurity, and micronutrient malnutrition...
December 2016: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/27874939/health-status-correlates-of-malnutrition-in-the-polish-elderly-population-results-of-the-polsenior-study
#2
R Krzyminska-Siemaszko, J Chudek, A Suwalska, M Lewandowicz, M Mossakowska, R Kroll-Balcerzak, B Wizner, S Tobis, K Mehr, K Wieczorowska-Tobis
OBJECTIVE: The aim of the study was to analyze health-related factors associated with poor nutritional status (PNS) of a representative group of Polish older people, based on data from the PolSenior project (the first nation-wide study of Polish senior citizens). PATIENTS AND METHODS: Nutritional status was assessed in 3751 community-dwelling older people (1770 females, mean age: 77.4±8.0 years) using the Mini Nutritional Assessment - Short Form. Elements of comprehensive geriatric assessment (cognitive and mood screening), selected medical data were analyzed in relation to the nutritional status...
November 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27857647/nutrition-chez-le-br%C3%A3-l%C3%A3
#3
G Perro
Nutrition is a challenge for burn patients. Emphasized points are early enteral amounts by means of a naso-gastric tube, semi-recumbent position > 30°, gastro-intestinal survey improved by kinetics, weight evolution, nutritional amounts assessment to prevent proteino-energetic deficiency. Feeding is difficult with children, as with seniors often associating a preexisting starvation. Nutritional supplements are useful in medium severity patients. For overweight patients, hypo caloric and hyperprotidic diet is the better choice...
March 31, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/27843821/geriatric-health-policy-in-india-the-need-for-scaling-up-implementation
#4
REVIEW
N Sherin Susan Paul, Mathew Asirvatham
In an anticipation of the rising geriatric population in India, the Central government constituted the National Policy for Older Persons in 1999 to promote the health and welfare of senior citizens in India. A major strategy of this policy is to encourage families to take care of their older family members. The policy also encourages voluntary organizations to supplement the care provided by the family and provide care and protection to vulnerable elderly people. The implementation of this policy, particularly in the rural areas, has been negligible and calls for a scaling-up of programs to address the physical, psychological, and social needs of the poor...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27836099/-management-of-cardiogenic-shock-results-from-a-survey-in-france-and-belgium
#5
S Champion, N Deye
PURPOSE: Physician survey on cardiogenic shock management; recommendations for the management of patients with cardiogenic shock are based mostly on experts' opinion. METHODS: Overall 1585 emails were sent to "senior" intensive care physicians from France and Belgium from September 2014 to march 2015. Response rate was 10% (157 respondents). Agreement was assessed based on RAND/UCLA methodology. RESULTS: Continuous monitoring of cardiac output, vascular filling, noninvasive ventilation were deemed appropriate...
November 8, 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/27770374/factors-influencing-food-choices-among-older-adults-in-the-rural-western-usa
#6
Carmen Byker Shanks, Sarah Haack, Dawn Tarabochia, Kate Bates, Lori Christenson
Nutrition is an essential component in promoting health and quality of life into the older adults years. The purpose of this qualitative research is to explore how the rural food environment influences food choices of older adults. Four focus groups were conducted with 33 older adults (50 years of age and older) residing in rural Montana communities. Four major themes related to factors influencing food choices among rural older adults emerged from this study: perception of the rural community environment, support as a means of increasing food access, personal access to food sources, and dietary factors...
October 21, 2016: Journal of Community Health
https://www.readbyqxmd.com/read/27744732/undergraduate-female-nutrition-students-perceptions-of-curricular-influence-on-attitudes-toward-individuals-with-obesity
#7
John J M Dwyer, Andrea Starr, Christine Mills, Jess Haines
PURPOSE: This qualitative study, guided by a phenomenological approach, explored senior-level undergraduate, nutrition students' perceptions of how obesity and weight bias were addressed in the undergraduate curricula and how the curricula influenced their attitudes toward individuals with obesity. METHODS: Twenty senior-level undergraduate, nutrition students from the University of Guelph participated in interviews. Interviews were audio-recorded and transcribed verbatim...
July 19, 2016: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/27743519/risk-factors-for-malnutrition-in-seniors-aged-75-living-in-home-environment-in-selected-regions-of-the-czech-republic
#8
Iva Brabcová, Marie Trešlová, Sylva Bártlová, Jitka Vacková, Valerie Tóthová, Lenka Motlová
BACKGROUND AND AIM: Nutrition is an important social determinant of health that influences the ageing process. The aim of this study was to evaluate the nutritional condition of a group of seniors and identify the bio-psycho-social factors that increase the risk of malnutrition. METHODS: The research was conducted using a quantitative method. The standardised scales Mini Nutritional Assessment - Short Form (MNA-SF) and the Geriatric depression scale (GDS-5) were used to evaluate the nutritional condition and tendency towards depression of the tested group...
September 2016: Central European Journal of Public Health
https://www.readbyqxmd.com/read/27733660/pilot-study-for-implementing-an-osteoporosis-education-and-exercise-program-in-an-assisted-living-facility-and-senior-community
#9
Aparna P Nanduri, Sally Fullman, Lori Morell, Steve Buyske, Mary L Wagner
BACKGROUND: Project Healthy Bones (PHB) is a 24-week, peer-led exercise and education program for older adults at risk of osteoporosis. METHOD: Residents from an assisted living and senior community program were enrolled after medical clearance. Participant demographics, geriatric fitness assessments, exercise logs, quizzes, and surveys were collected at baseline and 24 weeks. Data were analyzed using paired t tests and ANOVA of change scores for the pooled data within the R statistical environment...
October 11, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27610350/significant-variations-in-nutritional-supplementation-amongst-neonates-in-the-united-kingdom
#10
Morris Gordon, Sahira Isaji, Fiona Tyacke
AIM: To ascertain United Kingdom adherence to European society of Paediatric Gastroenterology, Hepatology and Nutrition guidance (ESPGHAN). METHODS: A national cross sectional questionnaire study of neonatal units across England was completed between January and March 2014. All 174 units in the country were attempted to be contacted to complete a telephone survey. This included all level 1, 2 and 3 units. They were initially contacted by phone and asking any senior member of the team about their current practice and procedures...
August 8, 2016: World Journal of Clinical Pediatrics
https://www.readbyqxmd.com/read/27540245/opinions-of-users-of-pharmacy-service-provided-to-picu
#11
Rhian Isaac, Astrid Gerrard, Kevin Bazaz
BACKGROUND: Pressures to open pharmacy services 7 days a week, with no financial input for these extra resources, has knock on effects that may dilute accessibility to clinical pharmacists in specialist areas. AIMS: The aim of this survey was to assess opinions of the users of the current pharmacy services to PICU and the planned extended hours provision. METHOD: An e-survey was sent to PIC Consultants, Advanced Nurse Practitioners, and Senior Nursing Staff following a six month period of increased clinical pharmacists time allocation to PIC...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27539131/four-week-prehabilitation-program-is-sufficient-to-modify-exercise-behaviors-and-improve-preoperative-functional-walking-capacity-in-patients-with-colorectal-cancer
#12
Brian P Chen, Rashami Awasthi, Shane N Sweet, Enrico M Minnella, Andreas Bergdahl, Daniel Santa Mina, Francesco Carli, Celena Scheede-Bergdahl
PURPOSE: High complication rates following colorectal surgery render many patients unable to fully regain functional capacity, thus seriously compromising quality of life. The aim of this study was to assess whether a 4-week trimodal prehabilitation program (exercise, nutritional supplementation, and counseling on relaxation techniques), implemented during the preoperative period, is sufficient to modify exercise behaviors and improve functional capacity of elderly patients scheduled for colorectal cancer surgery...
January 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27536931/wise-choices-nutrition-and-exercise-for-older-adults-a-community-based-health-promotion-intervention
#13
Melanie T Turk, Okan U Elci, Lenore K Resick, Melissa A Kalarchian
Effective interventions for older adults are needed to address lifestyle behaviors linked to chronic illnesses. We implemented a 12-week group behavioral intervention for 118 racially diverse older adults at 6 community-based senior centers to improve eating and physical activity. Assessments were completed pre- and postintervention, with 85.6% retention. We documented increases in fruit, vegetable, and whole grain intake; pace of walking; number of city blocks walked; daily steps walked; functional mobility; and self-rated general health (P < ...
October 2016: Family & Community Health
https://www.readbyqxmd.com/read/27491895/meta-analysis-of-variance-an-illustration-comparing-the-effects-of-two-dietary-interventions-on-variability-in-weight
#14
Alistair M Senior, Alison K Gosby, Jing Lu, Stephen J Simpson, David Raubenheimer
Meta-analysis, which drives evidence-based practice, typically focuses on the average response of subjects to a treatment. For instance in nutritional research the difference in average weight of participants on different diets is typically used to draw conclusions about the relative efficacy of interventions. As a result of their focus on the mean, meta-analyses largely overlook the effects of treatments on inter-subject variability. Recent tools from the study of biological evolution, where inter-individual variability is one of the key ingredients for evolution by natural selection, now allow us to study inter-subject variability using established meta-analytic models...
2016: Evolution, Medicine, and Public Health
https://www.readbyqxmd.com/read/27485574/enhancing-the-quality-of-oral-nutrition-support-for-hospitalized-patients-a-mixed-methods-knowledge-translation-study-the-eqons-study
#15
Kate Gerrish, Sara Laker, Carolyn Taylor, Fiona Kennedy, Ann McDonnell
AIM: The aim of this study was to report a multifaceted knowledge translation intervention to facilitate use of the Malnutrition Universal Screening Tool and innovation in nutritional care for patients at risk of malnutrition. BACKGROUND: Malnutrition among hospitalized patients is a widespread problem leading to adverse health outcomes. Despite evidence of the benefits of malnutrition screening and recommendations for achieving good nutrition, shortfalls in practice continue...
December 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27382419/role-of-the-pharmacist-in-parenteral-nutrition-therapy-challenges-and-opportunities-to-implement-pharmaceutical-care-in-kuwait
#16
Maram G Katoue, Dalal Al-Taweel
BACKGROUND: Pharmacists can provide beneficial pharmaceutical care services to patients receiving Parenteral Nutrition (PN) therapy by working within Nutrition Support Teams (NSTs). OBJECTIVE: This study was designed to explore pharmacists' role in PN therapy in hospitals of Kuwait, sources of PN-related information, opinions on NSTs, perceptions about the barriers to pharmaceutical care implementation and views on how to enhance their practices. METHODS: Data were collected via face-to-face semi-structured interviews with the senior Total Parenteral Nutrition (TPN) pharmacists at all the hospitals which provide TPN preparation services (six governmental hospitals and one private hospital) in Kuwait...
April 2016: Pharmacy Practice
https://www.readbyqxmd.com/read/27345066/the-use-of-oral-nutritional-supplements-in-the-acute-care-setting
#17
Omorogieva Ojo
Oral nutritional supplements offer support to patients in acute care who are undernourished or at risk of malnutrition. Yet doubts remain over cost and compliance. Omorogieva Ojo, Senior Lecturer in Primary Care at University of Greenwich weighs up the evidence.
June 23, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27306244/associations-between-caries-experience-nutritional-status-oral-hygiene-and-diet-in-a-multigenerational-cohort
#18
Juliana De Abreu Gonçalves, Emilia Addison Machado Moreira, Michelle Soares Rauen, Alessandra Rossi, Adriano Ferreti Borgatto
PURPOSE: To assess intergenerational associations between dental caries and nutritional status, oral hygiene habits, and diet. METHODS: A cross-sectional study was conducted with three generations of 54 families. Inclusion criteria were senior citizens with an adult son/daughter who also had a child (five to 12 years old). Dental caries was assessed using the decayed, missing, filled, primary teeth (dmft) and permanent teeth (DMFT) indexes. Nutritional status was evaluated using the body mass index (BMI), waist circumference, and percentage of body fat...
2016: Pediatric Dentistry
https://www.readbyqxmd.com/read/27224498/disseminating-a-clinically-effective-physical-activity-program-to-preserve-mobility-in-a-community-setting-for-older-adults
#19
J Laussen, C Kowaleski, K Martin, C Hickey, R A Fielding, K F Reid
BACKGROUND: As the population of older adults continues to increase, the dissemination of strategies to maintain independence of older persons is of critical public health importance. Recent large-scale clinical trial evidence has definitively shown intervention of moderate-intensity physical activity (PA) reduces major mobility disability in at-risk older adults. However, it remains unknown whether structured PA interventions, with demonstrated efficacy in controlled, clinical environments, can be successfully disseminated into community settings to benefit wider populations of older adults...
2016: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/27215272/evidence-based-programs-for-older-adults-a-disconnect-between-u-s-national-strategy-and-local-senior-center-implementation
#20
Julie Bobitt, Andiara Schwingel
While U.S. national policies have been developed to support evidence-based (EB) lifestyle programs for older adults, there has been limited research to determine to what extent these programs actually reach local communities. This study sought to identify factors that impact the implementation of EB physical activity, nutrition, and chronic disease management programs at regional (Area Agencies on Aging, AAAs) and community levels (Senior Centers, SCs). Interviews were conducted with directors of 4 AAAs and 12 SCs to understand their perspectives on EB program implementation...
May 23, 2016: Journal of Aging & Social Policy
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