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Nutrition on critical care

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https://www.readbyqxmd.com/read/29933211/understanding-the-health-and-wellbeing-challenges-of-the-food-banking-system-a-qualitative-study-of-food-bank-users-providers-and-referrers-in-london
#1
C Thompson, D Smith, S Cummins
In the UK, food poverty has been associated with conditions such as obesity, malnutrition, hypertension, iron deficiency, and impaired liver function. Food banks, the primary response to food poverty on the ground, typically rely on community referral and distribution systems that involve health and social care professionals and local authority public health teams. The perspectives of these key stakeholders remain underexplored. This paper reports on a qualitative study of the health and wellbeing challenges of food poverty and food banking in London...
May 16, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29931066/acute-acalculous-cholecystitis-in-burns-a-review
#2
Karl Walsh, Ioannis Goutos, Baljit Dheansa
Acute acalculous cholecystitis (AAC) is an acute inflammatory disorder of the gallbladder, which can complicate the recovery of burn patients. No formal literature review has been performed about this uncommon but potentially fatal complication in burn care. A Pubmed search from 1950 to 2015 was performed using MESH terms: "acalculous cholecystitis," "burns or thermal injuries or thermal damage," and "cholecystitis or gallbladder inflammation." The articles were analyzed and data collected individually on the incidence, presenting symptoms or signs, risk factors, investigations, and treatment modalities used...
February 9, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29929924/unplanned-postoperative-intensive-care-unit-admission-for-ovarian-cancer-cytoreduction-is-associated-with-significant-decrease-in-overall-survival
#3
Malcolm S Ross, Mary E Burriss, Daniel G Winger, Robert P Edwards, Madeleine Courtney-Brooks, Michelle M Boisen
OBJECTIVES: Previous studies have identified age, nutritional status, and hematocrit as risk factors for unplanned ICU admission in gynecologic oncology patients. We sought to identify additional perioperative factors that can be predictive of unplanned ICU admission and its impact on outcomes in women with ovarian cancer undergoing ovarian cancer cytoreductive procedures. METHODS: This was a case-control study of patients with unplanned ICU admission after primary surgery for ovarian cancer from January 2007 to December 2013...
June 18, 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29928523/muscle-atrophy-in-chronic-obstructive-pulmonary-disease-molecular-basis-and-potential-therapeutic-targets
#4
REVIEW
Esther Barreiro, Ariel Jaitovich
Patients with chronic obstructive pulmonary disease (COPD) experience several systemic manifestations such skeletal muscle dysfunction with and without muscle mass loss. Moreover, frequent comorbidities such as nutritional abnormalities, heart failure, and pulmonary hypertension, which are frequently associated with COPD may further contribute to skeletal muscle mass loss and dysfunction. Muscle dysfunction impairs the patients' exercise capacity and quality of life as daily life activities may be hampered by this problem...
May 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29914122/biological-and-clinical-aspects-of-an-olive-oil-based-lipid-emulsion-a-review
#5
REVIEW
Wei Cai, Phillip C Calder, Maria F Cury-Boaventura, Elisabeth De Waele, Julie Jakubowski, Gary Zaloga
Intravenous lipid emulsions (ILEs) have been an integral component of parenteral nutrition for more than 50 years. Numerous formulations are available and are based on vegetable (soybean, olive, coconut) and animal (fish) oils. Therefore, each of these formulations has a unique fatty acid composition that offers both benefits and limitations. As clinical experience and our understanding of the effects of fatty acids on various physiological processes has grown, there is evidence to suggest that some ILEs may have benefits compared with others...
June 15, 2018: Nutrients
https://www.readbyqxmd.com/read/29908681/the-impact-of-early-enteral-nutrition-on-pediatric-acute-respiratory-failure
#6
Amanda Haney, Emily Burritt, Christopher J Babbitt
BACKGROUND AND AIMS: Children who are critically ill undergo metabolic stress and it is important that they receive adequate calories and protein in order to recover. Our objective was to investigate the impact of early enteral nutrition (EEN) on pediatric intensive care (PICU) patients with acute respiratory failure. METHODS: A retrospective cohort study was performed on all patients admitted to a 20 bed PICU at a tertiary children's hospital over a 30 month period...
August 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29904444/the-impact-of-nutritional-status-and-complete-blood-count-parameters-on-clinical-outcome-in-geriatric-critically-ill-patients
#7
Abdulkerim Yildiz, Ali Yigit, Ali Ramazan Benli
Background: The geriatric population in intensive care units (ICUs) has recently increased. The aim of this study was to analyse the impact of initial complete blood count (CBC)-related parameters and nutritional status on morbidity and mortality in geriatric ICU patients. Methods: A retrospective analysis was made of geriatric patients admitted to our tertiary adult ICU for 1 year. Patients with a length of stay (LOS) of < 48 h, with hematological malignancy or age < 65 years age were excluded from the study...
July 2018: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/29903481/performance-of-stochastic-targeted-blood-glucose-control-protocol-by-virtual-trials-in-the-malaysian-intensive-care-unit
#8
Ummu K Jamaludin, Fatanah M Suhaimi, Normy Norfiza Abdul Razak, Azrina Md Ralib, Mohd Basri Mat Nor, Christopher G Pretty, Luqman Humaidi
BACKGROUND AND OBJECTIVE: Blood glucose variability is common in healthcare and it is not related or influenced by diabetes mellitus. To minimise the risk of high blood glucose in critically ill patients, Stochastic Targeted Blood Glucose Control Protocol is used in intensive care unit at hospitals worldwide. Thus, this study focuses on the performance of stochastic modelling protocol in comparison to the current blood glucose management protocols in the Malaysian intensive care unit...
August 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29902439/the-impact-of-dietary-transition-metals-on-host-bacterial-interactions
#9
REVIEW
Christopher A Lopez, Eric P Skaar
Transition metals are required cofactors for many proteins that are critical for life, and their concentration within cells is carefully maintained to avoid both deficiency and toxicity. To defend against bacterial pathogens, vertebrate immune proteins sequester metals, in particular zinc, iron, and manganese, as a strategy to limit bacterial acquisition of these necessary nutrients in a process termed "nutritional immunity." In response, bacteria have evolved elegant strategies to access metals and counteract this host defense...
June 13, 2018: Cell Host & Microbe
https://www.readbyqxmd.com/read/29901462/changing-paradigms-in-metabolic-support-and-nutrition-therapy-during-critical-illness
#10
Arthur R H van Zanten
PURPOSE OF REVIEW: To summarize the most recent advances in acute metabolic care and critical care nutrition. RECENT FINDINGS: Recent research has demonstrated unknown consequences of high protein and amino acid administration in the early phase of ICU stay associated with dysregulated glucagon release leading to hepatic amino acid breakdown and suggested adverse effects on autophagy and long-term outcome. Progress has been made to measure body composition in the ICU...
June 8, 2018: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/29895309/very-high-intact-protein-formula-successfully-provides-protein-intake-according-to-nutritional-recommendations-in-overweight-critically-ill-patients-a-double-blind-randomized-trial
#11
Arthur R H van Zanten, Laurent Petit, Jan De Waele, Hans Kieft, Janneke de Wilde, Peter van Horssen, Marianne Klebach, Zandrie Hofman
BACKGROUND: Optimal energy and protein provision through enteral nutrition is essential for critically ill patients. However, in clinical practice, the intake achieved is often far below the recommended targets. Because no polymeric formula with sufficient protein content is available, adequate protein intake can be achieved only by supplemental amino acids or semi-elemental formula administration. In the present study, we investigated whether protein intake can be increased with a new, very high intact-protein formula (VHPF) for enteral feeding...
June 12, 2018: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/29895254/investigating-information-needs-of-saudi-diabetic-patients
#12
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
https://www.readbyqxmd.com/read/29892200/early-introduction-of-a-semi-elemental-formula-may-be-cost-saving-compared-to-a-polymeric-formula-among-critically-ill-patients-requiring-enteral-nutrition-a-cohort-cost-consequence-model
#13
Alistair S Curry, Shkun Chadda, Aurélie Danel, Douglas L Nguyen
Objectives: Gastrointestinal (GI) intolerance is associated with adverse outcomes in critically ill patients receiving enteral nutrition (EN). The objective of this analysis is to quantify the cost of GI intolerance and the cost implications of starting with semi-elemental EN in intensive care units (ICUs). Study design: A US-based cost-consequence model was developed to compare the costs for patients with and without GI intolerance and the costs with semi-elemental or standard EN while varying the proportion of GI intolerance cases avoided...
2018: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/29883514/enteral-versus-parenteral-nutrition-and-enteral-versus-a-combination-of-enteral-and-parenteral-nutrition-for-adults-in-the-intensive-care-unit
#14
REVIEW
Sharon R Lewis, Oliver J Schofield-Robinson, Phil Alderson, Andrew F Smith
BACKGROUND: Critically ill people are at increased risk of malnutrition. Acute and chronic illness, trauma and inflammation induce stress-related catabolism, and drug-induced adverse effects may reduce appetite or increase nausea and vomiting. In addition, patient management in the intensive care unit (ICU) may also interrupt feeding routines. Methods to deliver nutritional requirements include provision of enteral nutrition (EN), or parenteral nutrition (PN), or a combination of both (EN and PN)...
June 8, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29870854/the-impact-of-supplemental-parenteral-nutrition-early-during-critical-illness-on-invasive-fungal-infections-a-secondary-analysis-of-the-epanic-randomised-controlled-trial
#15
Greet De Vlieger, Catherine Ingels, Pieter J Wouters, Yves Debaveye, Ilse Vanhorebeek, Joost Wauters, Alexander Wilmer, Michael P Casaer, Greet Van den Berghe
OBJECTIVE: In the EPaNIC RCT (N=4,640), postponing the administration of parenteral nutrition (PN) to beyond one week in the intensive care unit (ICU) (late-PN) reduced the number of ICU-acquired infections and the costs for antimicrobial drugs as compared with initiation of PN within 24-48h of admission (early-PN). In a secondary analysis, we hypothesise that late-PN reduces the odds to acquire an invasive fungal infection (IFI) in the ICU. METHODS: The impact of late-PN (N=2,328) versus early-PN (N=2,312) on acquired IFI and on the likelihood to acquire an IFI over time was assessed in univariable and multivariable analyses...
June 2, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29868456/effect-of-honey-on-diarrhea-and-fecal-microbiotain-in-critically-ill-tube-fed-patients-a-single-center-randomized-controlled-study
#16
Zahra Vahdat Shariatpanahi, Fatemeh Jamshidi, Javad Nasrollahzadeh, Zohreh Amiri, Houman Teymourian
Background: In patients admitted to the Intensive Care Unit (ICU), Enteral Nutrition (EN) is the first choice for feeding support, however, it is often complicated by gastrointestinal side effects, such as diarrhea. There are no studies that have specifically evaluated effect of a prebiotic, which prevents diarrhea during enteral nutrition. Objective: This study aimed at evaluating the effect of honey in enteral diet during occurrence of diarrhea and fecal microbiotain in critically ill patients...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29864793/prescribed-hypocaloric-nutrition-support-for-critically-ill-adults
#17
REVIEW
Mario I Perman, Agustín Ciapponi, Juan Va Franco, Cecilia Loudet, Adriana Crivelli, Virginia Garrote, Gastón Perman
BACKGROUND: There are controversies about the amount of calories and the type of nutritional support that should be given to critically-ill people. Several authors advocate the potential benefits of hypocaloric nutrition support, but the evidence is inconclusive. OBJECTIVES: To assess the effects of prescribed hypocaloric nutrition support in comparison with standard nutrition support for critically-ill adults SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL, Cochrane Library), MEDLINE, Embase and LILACS (from inception to 20 June 2017) with a specific strategy for each database...
June 4, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29858194/improvement-of-nutritional-intake-in-intensive-care-unit-patients-via-a-nurse-led-enteral-nutrition-feeding-protocol
#18
Ira Orinovsky, Ela Raizman
BACKGROUND: Enteral nutrition in intensive care unit patients has important prognostic clinical value. Feeding protocols are recommended by clinical practice guidelines as a key strategy to maximize the benefits and minimize the risks of enteral feedings. OBJECTIVE: To examine whether enteral nutrition in critically ill patients could be improved by implementation of a nurse-led evidence-based feeding protocol. METHODS: An interprofessional group of intensive care unit nurses, physicians, and a clinical dietitian designed a protocol to address and correct the shortcomings of enteral feeding...
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29848335/feasibility-and-effect-of-life-skills-building-education-and-multiple-micronutrient-supplements-versus-the-standard-of-care-on-anemia-among-non-pregnant-adolescent-and-young-pakistani-women-15-24-years-a-prospective-population-based-cluster-randomized-trial
#19
Jo-Anna B Baxter, Yaqub Wasan, Sajid B Soofi, Zamir Suhag, Zulfiqar A Bhutta
BACKGROUND: Adolescence is a critical period for physical and psychological growth and development, and vitamin and mineral requirements are correspondingly increased. Health and health behaviours correspond strongly from adolescence to adulthood. Developing a preconception care package for adolescent and young women in resource-limited settings could serve to empower them to make informed decisions about their nutrition, health, and well-being, as well as function as a platform for the delivery of basic nutrition-related interventions to address undernutrition...
May 30, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29845614/risk-factors-for-intensive-care-unit-acquired-weakness-a-systematic-review-and-meta-analysis
#20
REVIEW
Tao Yang, Zhiqiang Li, Li Jiang, Yinhua Wang, Xiuming Xi
Intensive care unit-acquired weakness (ICUAW) occurs frequently in the context of critical illness without alternative plausible cause and specific treatment options, and it is important to identify and summarize the independent risk factors for ICUAW. PubMed, Embase, Central, China Biological Medicine, China National Knowledge Infrastructure, VIP and Wanfang databases were searched from database inception until 10 July 2017. Prospective cohort studies on adult ICU patients who were diagnosed with ICUAW using either clinical or electrophysiological criteria were selected...
May 29, 2018: Acta Neurologica Scandinavica
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