keyword
https://read.qxmd.com/read/38489291/perceived-progress-toward-scale-of-14-maternal-newborn-child-health-and-nutrition-mnchn-assets-at-subnational-level-in-burkina-faso-ethiopia-india-kenya-and-nigeria
#1
JOURNAL ARTICLE
Patricia S Coffey, Sadaf Khan, Elan Ebeling, Cyril Engmann
Inequitable coverage of evidence-based MNCHN interventions is particularly pronounced in low and middle income countries where access and delivery of these interventions can vary dramatically at the subnational level. We conducted health system assessments in nine subnational geographies in five countries (Burkina Faso, Ethiopia, India, Kenya and Nigeria) to explore progress toward scale of 14 evidence-based MNCHN interventions (iron-folic acid, oxytocin, magnesium sulfate, misoprostol; 7.1% chlorhexidine for umbilical cord care, neonatal resuscitation, kangaroo mother care, community regimen for the treatment of possible severe bacterial infection; amoxicillin dispersible tablets, multiple micronutrient supplements, balanced energy protein supplementation, early and exclusive breastfeeding, feeding of small and sick newborns, and management of severe and moderate acute malnutrition in children less than five years old)...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38479922/a-case-report-of-lactobacillus-bacteremia-in-a-patient-on-chronic-parenteral-nutrition
#2
JOURNAL ARTICLE
Hannah W Fiske, Breton Roussel, Marion Winkler, Benjamin Hall
BACKGROUND AND AIMS: Short bowel syndrome is a malabsorption disorder typically caused by the physical loss of a portion of the intestine, whereafter the body is unable to adequately absorb nutrients, fluids, and electrolytes. Many patients with short bowel syndrome are reliant on home parenteral nutrition through a tunneled or peripherally inserted central catheter to ensure sufficient hydration and nutrition. Central venous catheters are a nidus for bacteria, and patients are at risk for infections associated with high levels of morbidity and mortality...
April 2024: Clinical Nutrition ESPEN
https://read.qxmd.com/read/38476065/association-of-malnutrition-status-with-30-day-mortality-in-patients-with-sepsis-using-objective-nutritional-indices-a-multicenter-retrospective-study-in-south-korea
#3
JOURNAL ARTICLE
Moon Seong Baek, Young Suk Kwon, Sang Soo Kang, Daechul Shim, Youngsang Yoon, Jong Ho Kim
BACKGROUND: The Controlling Nutritional Status (CONUT) score and the prognostic nutritional index (PNI) have emerged as important nutritional indices because they provide an objective assessment based on data. We aimed to investigate how these nutritional indices relate to outcomes in patients with sepsis. METHODS: Data were collected retrospectively at five hospitals for patients aged ≥18 years receiving treatment for sepsis between January 1, 2017, and December 31, 2021...
February 2024: Acute and critical care
https://read.qxmd.com/read/38474820/developmental-and-nutritional-changes-in-children-with-severe-acute-malnutrition-provided-with-n-3-fatty-acids-improved-ready-to-use-therapeutic-food-and-psychosocial-support-a-pilot-study-in-tanzania
#4
JOURNAL ARTICLE
Fredrick Cyprian Mwita, George PrayGod, Erica Sanga, Theresia Setebe, Gaudensia Joseph, Happyness Kunzi, Jayne Webster, Melissa Gladstone, Rebecca Searle, Maimuna Ahmed, Adolfine Hokororo, Suzanne Filteau, Henrik Friis, André Briend, Mette Frahm Olsen
Children with severe acute malnutrition (SAM) are at high risk of impaired development. Contributing causes include the inadequate intake of specific nutrients such as polyunsaturated fatty acids (PUFAs) and a lack of adequate stimulation. We conducted a pilot study assessing developmental and nutritional changes in children with SAM provided with a modified ready-to-use therapeutic food and context-specific psychosocial intervention in Mwanza, Tanzania. We recruited 82 children with SAM (6-36 months) and 88 sex- and age-matched non-malnourished children...
February 28, 2024: Nutrients
https://read.qxmd.com/read/38468998/dyselectrolytemia-in-children-with-severe-pneumonia-a-prospective-study
#5
JOURNAL ARTICLE
Vineeta Pande, Renuka Jadhav, Md Ilyaz, Shailaja Mane, Jasleen Dua
Background Pneumonia is a condition characterized by inflammation of the lung parenchyma. It is one of the leading causes of mortality in children below five years of age. While predominantly prevalent in developing countries, it is also associated with significant healthcare-associated costs in developed countries. Among the many risk factors for childhood pneumonia, incomplete immunization, nonexclusive breastfeeding for less than six months, delayed weaning, poor household air quality, malnutrition, and low birth weight are the most commonly found...
February 2024: Curēus
https://read.qxmd.com/read/38458791/artificial-intelligence-driven-malnutrition-diagnostic-model-for-patients-with-acute-abdomen-based-on-glim-criteria-a-cross-sectional-research-protocol
#6
JOURNAL ARTICLE
Wei Ma, Bin Cai, Yu Wang, Lu Wang, Ming-Wei Sun, Charles Damien Lu, Hua Jiang
BACKGROUND: Patients with acute abdomen often experience reduced voluntary intake and a hypermetabolic process, leading to a high occurrence of malnutrition. The Global Leadership Initiative on Malnutrition (GLIM) criteria have rapidly developed into a principal methodological tool for nutritional diagnosis. Additionally, machine learning is emerging to establish artificial intelligent-enabled diagnostic models, but the accuracy and robustness need to be verified. We aimed to establish an intelligence-enabled malnutrition diagnosis model based on GLIM for patients with acute abdomen...
March 8, 2024: BMJ Open
https://read.qxmd.com/read/38456385/micronutrient-supplementation-practices-in-relation-to-the-world-health-organisation-2013-guidelines-on-management-of-severe-acute-malnutrition
#7
JOURNAL ARTICLE
Doris Cement Nanga, Janet A Carboo, Humphrey Chatenga, Arista Nienaber, Cornelia Conradie, Martani Lombard, Robin Claire Dolman-Macleod
In 2013, the World Health Organisation (WHO) updated the recommendations for micronutrient deficiency correction in hospitalised under-5 children with complicated severe acute malnutrition (SAM). This study aimed to describe the micronutrient deficiency correction practices in relation to WHO 2013 recommendations. Data from medical records of under-5 children admitted for SAM management at two hospitals in South Africa and three tertiary hospitals in Ghana were extracted. Micronutrient correction practices were compared to the WHO 2013 recommendations by considering the dosage, timing of micronutrient supplementation (vitamin A, iron and folic acid) and therapeutic feeds administered...
March 8, 2024: Maternal & Child Nutrition
https://read.qxmd.com/read/38450139/effectiveness-of-decentralizing-outpatient-acute-malnutrition-treatment-with-community-health-workers-and-a-simplified-combined-protocol-a-cluster-randomized-controlled-trial-in-emergency-settings-of-mali
#8
JOURNAL ARTICLE
Noemí López-Ejeda, Pilar Charle-Cuéllar, Salimata Samake, Abdias Ogobara Dougnon, Luis Javier Sánchez-Martínez, Mahamadou N'tji Samake, Aliou Bagayoko, Magloire Bunkembo, Fanta Touré, Antonio Vargas, Saul Guerrero
BACKGROUND: Outpatient treatment of acute malnutrition is usually centralized in health centers and separated into different programs according to case severity. This complicates case detection, care delivery, and supply chain management, making it difficult for families to access treatment. This study assessed the impact of treating severe and moderate cases in the same program using a simplified protocol and decentralizing treatment outside health centers through community health workers (CHWs)...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38439658/critically-high-burden-of-acute-malnutrition-and-its-associated-factors-among-children-under-5-years-in-the-rural-settings-of-southern-ethiopia
#9
JOURNAL ARTICLE
Getamesay Aynalem Tesfaye, Ermias Wabeto Wana, Moges Getie Workie
BACKGROUND: Globally, acute malnutrition threatens the lives of several million children under 5 years of age. Malnutrition affects the social, economic, and medical aspects of all countries. In Ethiopia, acute malnutrition is not decreasing at the intended rate for unclear reasons. OBJECTIVE: This study aimed to assess the burden of acute malnutrition and its associated factors among children under 5 years of age in a rural setting of southern Ethiopia. METHODS: A community-based cross-sectional study was conducted from January to March 2022...
March 4, 2024: Food and Nutrition Bulletin
https://read.qxmd.com/read/38424506/risk-factors-associated-with-functional-decline-in-older-hospital-survivors-with-acute-lower-respiratory-tract-infections-a-prospective-cohort-study
#10
JOURNAL ARTICLE
Bingxuan Weng, Jin Jin, Lixue Huang, Xunliang Tong, Wenshu Jiao, Yuanqi Wang, Chuangsen Fang, Mengyuan Wang, Yanming Li
OBJECTIVE: To evaluate the dynamics of basic activity of daily living (BADL) in older patients with acute lower respiratory tract infections (LRTIs) during acute phase and to investigate risk factors associated with decreased physical function at discharge. METHODS: We conducted a prospective cohort study of patients aged 65 years and older who were hospitalized for acute LRTIs between April 15, 2020 and January 15, 2023. All patients received geriatric assessment at admission, including emotion, cognition, frailty, physical function status and so on...
February 29, 2024: BMC Geriatrics
https://read.qxmd.com/read/38422755/gut-microbiota-disturbances-in-hospitalized-older-adults-with-malnutrition-and-clinical-outcomes
#11
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
https://read.qxmd.com/read/38419844/community-perception-and-utilization-of-services-for-the-severe-wasted-children-aged-6-59%C3%A2-months-in-the-forcibly-displaced-myanmar-nationals-and-their-nearest-host-communities-in-bangladesh-a-qualitative-exploration
#12
JOURNAL ARTICLE
Mahfuzur Rahman, Nurun Nahar Naila, Md Munirul Islam, Mustafa Mahfuz, Aklima Alam, Gobinda Karmakar, Anjuman Tahmina Ferdous, Muhammad Abu Bakr Siddique, Piyali Mustaphi, Tahmeed Ahmed
INTRODUCTION: There is a paucity of data on community perception and utilization of services for wasted children in Forcibly Displaced Myanmar Nationals (FDMN) and their nearest host communities. METHODS: We conducted a qualitative study to explore community perceptions and understand the utilization of services for severely wasted children among the FDMN and their nearest host communities in Teknaf, Cox's Bazar. We carried out 13 focus group discussions and 17 in-depth interviews with the caregivers of the children of 6-59 months, and 8 key informant interviews...
2024: Frontiers in Nutrition
https://read.qxmd.com/read/38416844/inflammation-and-epithelial-repair-predict-mortality-hospital-readmission-and-growth-recovery-in-complicated-severe-acute-malnutrition
#13
JOURNAL ARTICLE
Jonathan P Sturgeon, Joice Tome, Cherlynn Dumbura, Florence D Majo, Deophine Ngosa, Kuda Mutasa, Kanekwa Zyambo, Ellen Besa, Kanta Chandwe, Chanda Kapoma, Benjamin Mwapenya, Kusum J Nathoo, Claire D Bourke, Robert Ntozini, Bernard Chasekwa, Melanie Smuk, Mutsa Bwakura-Dangarembizi, Beatrice Amadi, Paul Kelly, Andrew J Prendergast
Severe acute malnutrition (SAM) is the most high-risk form of undernutrition, particularly when children require hospitalization for complications. Complicated SAM is a multisystem disease with high inpatient and postdischarge mortality, especially in children with comorbidities such as HIV; however, the underlying pathogenesis of complicated SAM is poorly understood. Targeted multiplex biomarker analysis in children hospitalized with SAM ( n = 264) was conducted on plasma samples, and inflammatory markers were assessed on stool samples taken at recruitment, discharge, and 12 to 24 and 48 weeks after discharge from three hospitals in Zimbabwe and Zambia...
February 28, 2024: Science Translational Medicine
https://read.qxmd.com/read/38395784/arm-circumference-for-age-arm-circumference-and-weight-for-height-z-score-for-the-evaluation-of-severe-acute-malnutrition-a-retrospective-cohort-study-in-eastern-democratic-republic-of-congo
#14
JOURNAL ARTICLE
Gaylord Ngaboyeka, Ghislain Bisimwa, Anouk Neven, Pacifique Mwene-Batu, Richard Kambale, Emmanuel Ongezi, Christine Chimanuka, Joseph Ntagerwa, Serge Balolebwami, Francis Mulume, Oreste Battisti, Michèle Dramaix, Philippe Donnen
BACKGROUND: Little is known about the use of mid-upper arm circumference for age (MUACZ) for diagnosing of severe acute malnutrition (SAM) and its correlation with WHZ (weight-for-height Z-score) in an area endemic for severe acute malnutrition (SAM) and with a high prevalence of kwashiorkor. Our study aims to analyze the concordance between the diagnostic criteria of SAM in a region presenting these characteristics. METHODS: We analyzed a database of children admitted from 1987 to 2008 for the management of SAM in Eastern Democratic Republic of Congo...
February 23, 2024: BMC Public Health
https://read.qxmd.com/read/38384419/the-mode-and-timing-of-administrating-nutritional-treatment-of-critically-ill-elderly-patients-in-intensive-care-units-a-multicenter-prospective-study
#15
JOURNAL ARTICLE
Wei Chen, Milin Peng, Zhiwen Ye, Yuhang Ai, Zhiyong Liu
INTRODUCTION: Critically ill patients are more susceptible to malnutrition due to their severe illness. Moreover, elderly patients who are critically ill lack specific nutrition recommendations, with nutritional care in the intensive care units (ICUs) deplorable for the elderly. This study aims to investigate nutrition treatment and its correlation to mortality in elderly patients who are critically ill in intensive care units. METHOD: A multiple-center prospective cohort study was conducted in China from 128 intensive care units (ICUs)...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38377083/incidence-and-risk-factors-of-sarcopenia-in-hospitalized-survivors-of-covid-19-a-retrospective-cohort-study
#16
JOURNAL ARTICLE
Burcu Aykanat Yurtsever, Ceyhun Yurtsever, Volkan Atasoy
INTRODUCTION: Among the persistent conditions affecting patients in the post-acute COVID-19 period, sarcopenia is increasingly emphasized. In this study, we aimed to determine the incidence of sarcopenia and to reveal the risk factors predicting it in hospitalized survivors of COVID-19. METHODOLOGY: This is a retrospective cohort study conducted between December 2021 and May 2022 in the post-COVID follow-up center of a tertiary hospital in Turkey. One hundred and sixty-eight patients who were hospitalized because of COVID-19 and discharged were included in the study...
January 31, 2024: Journal of Infection in Developing Countries
https://read.qxmd.com/read/38372439/household-level-water-sanitation-and-hygiene-factors-and-interventions-and-the-prevention-of-relapse-after-severe-acute-malnutrition-recovery-a-systematic-review
#17
REVIEW
Clara MacLeod, Laure Ngabirano, Dieynaba S N'Diaye, Laura Braun, Oliver Cumming
Severe acute malnutrition (SAM) is the most serious form of acute malnutrition and is associated with high mortality risk among children under 5. While the Community-based Management of Acute Malnutrition (CMAM) approach, recommended for treating cases of uncomplicated SAM, has increased treatment coverage and recovery outcomes, high relapse rates have been reported. Several risk factors for SAM relapse, such as insufficient food intake and high infectious disease burden in the community, have been identified...
February 19, 2024: Maternal & Child Nutrition
https://read.qxmd.com/read/38351162/trajectories-of-resting-energy-expenditure-and-performance-of-predictive-equations-in-children-hospitalized-with-an-acute-illness-and-malnutrition-a-longitudinal-study
#18
JOURNAL ARTICLE
Farzana Afroze, Farnaz Khoshnevisan, Philliness Prisca Harawa, Zahidul Islam, Celine Bourdon, Stanley Khoswe, Munirul Islam, Shafiqul Alam Sarker, Farhana Islam, Abu Sadat Mohammad Sayeem Bin Shahid, Koen Joosten, Jessie M Hulst, Chisomo Eneya, Judd L Walson, James A Berkley, Isabel Potani, Wieger Voskuijl, Tahmeed Ahmed, Mohammod Jobayer Chisti, Robert H J Bandsma
There is scarce data on energy expenditure in ill children with different degrees of malnutrition. This study aimed to determine resting energy expenditure (REE) trajectories in hospitalized malnourished children during and after hospitalization. We followed a cohort of children in Bangladesh and Malawi (2-23 months) with: no wasting (NW); moderate wasting (MW), severe wasting (SW), or edematous malnutrition (EM). REE was measured by indirect calorimetry at admission, discharge, 14-and-45-days post-discharge...
February 13, 2024: Scientific Reports
https://read.qxmd.com/read/38350602/perspective-on-alternative-therapeutic-feeds-to-treat-severe-acute-malnutrition-in-children-aged-between-6-and-59-months-in-sub-saharan-africa-a-narrative-review
#19
JOURNAL ARTICLE
Marie-Claire Charlotte Nitschke, Martin Smollich
Worldwide, nearly 200 million children younger than 5 years old suffer from stunting and wasting, 2 different types of undernutrition. Moreover, 45% of deaths among children in that age group are associated with these conditions. Severe acute malnutrition (SAM) refers to children with a weight-for-height z score < -3, a midupper arm circumference < 115 mm, or the presence of bilateral edema, and is especially prevalent in low- and middle-income countries. Undernutrition in children can have a major impact on both their physical and cognitive development...
February 13, 2024: Nutrition Reviews
https://read.qxmd.com/read/38350491/micronutrient-status-in-children-aged-6-59-months-with-severe-wasting-and-or-nutritional-edema-implications-for-nutritional-rehabilitation-formulations
#20
JOURNAL ARTICLE
Laura Vresk, Mary Flanagan, Allison I Daniel, Isabel Potani, Celine Bourdon, Carolyn Spiegel-Feld, Mehakpreet K Thind, Amber Farooqui, Catriona Ling, Emiliano Miraglia, Guanlan Hu, Bijun Wen, Stanley Zlotkin, Philip James, Marie McGrath, Robert H J Bandsma
Undernutrition remains a global struggle and is associated with almost 45% of deaths in children younger than 5 years. Despite advances in management of severe wasting (though less so for nutritional edema), full and sustained recovery remains elusive. Children with severe wasting and/or nutritional edema (also commonly referred to as severe acute malnutrition and part of the umbrella term "severe malnutrition") continue to have a high mortality rate. This suggests a likely multifactorial etiology that may include micronutrient deficiency...
February 13, 2024: Nutrition Reviews
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