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https://www.readbyqxmd.com/read/29227461/population-pharmacokinetics-of-lopinavir-in-severely-malnourished-hiv-infected-children-and-the-effect-on-treatment-outcomes
#1
Moherndran Archary, Helen Mcllleron, Raziya Bobat, Phillip La Russa, Thobekile Sibaya, Lubbe Wiesner, Stefanie Hennig
BACKGROUND: In developing countries, malnutrition remains a common clinical syndrome at antiretroviral treatment (ART) initiation. Physiological changes due to malnutrition and during nutritional recovery could affect the pharmacokinetics of antiretroviral drugs. METHODS: HIV-infected children admitted with severe acute malnutrition were randomised to early or delayed initiation of lopinavir/ritonavir, abacavir and lamivudine using WHO weight-band dosage charts...
December 8, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29222894/international-hospital-accreditation-and-clinical-nutrition-service-in-acute-care-hospitals-in-south-korea-results-of-a-nationwide-cross-sectional-survey
#2
Mi Hyang Um, Eun Soon Lyu, Song Mi Lee, Yoo Kyoung Park
BACKGROUND AND OBJECTIVES: Beginning in 2007, 29 hospitals in South Korea have received accreditation from Joint Commission International (JCI). The present study aimed to identify differences in clinical nutrition service provisions between JCI accredited acute care hospitals and non-accredited acute care hospitals. A survey questionnaire was sent to all 43 acute care hospitals in South Korea. METHODS: A total of 35 sets of clinical nutrition service surveys, 234 sets of clinical dietitian job satisfaction surveys, and five-day daily work logs from 129 clinical dietitians were received...
2018: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29222890/home-enteral-nutrition-after-minimally-invasive-esophagectomy-can-improve-quality-of-life-and-reduce-the-risk-of-malnutrition
#3
Zixiang Wu, Ming Wu, Qi Wang, Tianwei Zhan, Lian Wang, Saibo Pan, Gang Chen
BACKGROUND AND OBJECTIVES: The potential benefits of home enteral nutrition (HEN) and the effects of HEN on quality of life (QOL) after esophagectomy remain unclear. The aim was to investigate the effect of 3 months HEN on health related QOL and nutritional status of esophageal cancer patients who were preoperatively malnourished. METHODS AND STUDY DESIGN: 142 malnourished (PG-SGA stage B or C) patients with esophageal cancer were assigned to receive Ivor Lewis minimally invasive esophagectomy (MIE group) with laparoscopic jejunal feeding tube placement or open esophagectomy (OE group) with nasojejunal feeding tube placement...
2018: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29216957/handgrip-strength-as-a-predictor-of-nutritional-status-in-chinese-elderly-inpatients-at-hospital-admission
#4
Xin Sheng Zhang, Ying Hua Liu, Yong Zhang, Qing Xu, Xiao Ming Yu, Xue Yan Yang, Zhao Liu, Hui Zi Li, Feng Li, Chang Yong Xue
OBJECTIVE: To assess nutritional status and define gender- and age-specific handgrip strength (HGS) cut-point values for malnutrition or nutritional risk in elderly inpatients. METHODS: A cross-sectional study of 1,343 elderly inpatients was conducted in the Chinese PLA General Hospital. Nutrition Risk Screening (NRS 2002) and Subjective Global Assessment (SGA) were administered. Anthropometric measurements and blood biochemical indicators were obtained using standard techniques...
November 2017: Biomedical and Environmental Sciences: BES
https://www.readbyqxmd.com/read/29204197/infantile-tremor-syndrome-in-modern-times
#5
Piyush Gautam, Nivedita Sharma, Sanjeev Chaudhary, Ankush Kaushal
Background: Infantile tremor syndrome (ITS) is a clinical syndrome of acute or gradual onset of mental and psychomotor changes, pigmentary disturbances of hair and skin, pallor, and tremors in malnourished children aged between 5 months and 3 years. It is a well-known entity, but the exact etiopathogenesis is still not known. Setting and Design: Prospective observational study carried out in the Department of Pediatrics at Dr RPGMC Tanda, Kangra in Himachal Pradesh...
July 2017: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29201536/the-challenges-of-nutritional-assessment-in-cirrhosis
#6
Alessio Molfino, Sheeva Johnson, Valentina Medici
Purpose of Review: Nutritional status in patients with cirrhosis is very frequently associated with macro- and micronutrient deficiencies. Cirrhosis itself is the cause of malnutrition and nutritional deficiencies but these conditions have to be identified and addressed properly as they can worsen the prognosis of cirrhosis. The goals of this review are to 1) identify and describe the challenges associated with nutritional assessment in cirrhosis and 2) describe recent advancements when using clinical, laboratory, and instrumental tools in the evaluation of malnourished patients with liver diseases...
September 2017: Current Nutrition Reports
https://www.readbyqxmd.com/read/29198906/vaccines-in-shelters-and-group-settings
#7
REVIEW
Richard A Squires
Dogs and cats entering animal shelters are at high risk of acquiring 1 or more contagious infectious diseases. Such animals may be severely stressed, exhausted, and unwell, as well as malnourished and parasitized. The typically high throughput of shelter animals, many of them young and of unknown vaccination status, plays a role. Vaccines are a crucially important part of the management approach to limiting morbidity, mortality, and spread of infection. Guidelines for the use of vaccines in shelters have been published and are reviewed and discussed in this article...
November 29, 2017: Veterinary Clinics of North America. Small Animal Practice
https://www.readbyqxmd.com/read/29196890/malnutrition-and-sarcopenia-in-a-large-cohort-of-patients-with-systemic-sclerosis
#8
C Caimmi, P Caramaschi, A Venturini, E Bertoldo, E Vantaggiato, O Viapiana, M Ferrari, G Lippi, L Frulloni, M Rossini
Systemic sclerosis (SSc) is an autoimmune disease which may lead to malnutrition. Previous studies have defined it with different criteria. No thorough evaluations of sarcopenia in SSc are available. The aim of the present study was to assess the prevalence and the potential association of malnutrition and sarcopenia in a large cohort of SSc cases. A total of 141 SSc consecutive outpatients were enrolled. Body composition was analyzed by densitometry. Malnutrition was defined according to recently published ESPEN criteria, whereas sarcopenia was diagnosed in patients with reduced skeletal muscle index...
December 1, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/29193055/facial-shape-manifestations-of-growth-faltering-in-tanzanian-children
#9
Joanne B Cole, Mange F Manyama, Dejana Nikitovic, Paula N Gonzalez, Denise K Liberton, Warren M Wilson, Campbell Rolian, Jacinda R Larson, Emmanuel Kimwaga, Joshua Mathayo, Charles C Roseman, Stephanie A Santorico, Ken Lukowiak, Richard A Spritz, Benedikt Hallgrimsson
Variation in the shape of the human face and in stature is determined by complex interactions between genetic and environmental influences. One such environmental influence is malnourishment, which can result in growth faltering, usually diagnosed by means of comparing an individual's stature with a set of age-appropriate standards. These standards for stature, however, are typically ascertained in groups where people are at low risk for growth faltering. Moreover, genetic differences among populations with respect to stature are well established, further complicating the generalizability of stature-based diagnostic tools...
November 28, 2017: Journal of Anatomy
https://www.readbyqxmd.com/read/29188881/malnutrition-in-acutely-unwell-hospitalized-elderly-the-skeletons-are-still-rattling-in-the-hospital-closet
#10
Y Sharma, C Thompson, R Shari, P Hakendorf, M Miller
INTRODUCTION: Malnutrition is common in hospitalized patients with prevalence rates of up to 30% in Australian hospitals with adverse consequences for both the patients and health care services. Despite formulation of nutritional screening protocols, not all hospitalized patients get nutritional screening. Real life screening rates of hospitalized elderly patients are unknown. AIM: The present study explored nutrition screening rate in acutely unwell elderly patients admitted in a large tertiary hospital and how these patients fared depending upon their nutrition status...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29188545/historical-legacies-social-capital-and-women-s-decision-making-power-religion-and-child-nutrition-in-mozambique
#11
Victor Agadjanian, Natalie A Jansen
In sub-Saharan settings, parental religion may have important implications for children's health and well-being. Using survey data from rural Mozambique, we examine the relationship between women's religion and the likelihood of their children being chronically malnourished (stunted). Multivariate analyses show that children of religiously affiliated women are significantly less likely to be stunted than children of non-affiliated women. We also find a strong advantage of mainline Protestants, especially compared to members of Pentecostal-type denominations, net of other factors...
November 29, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/29187921/giant-gastric-trichobezoar-in-a-young-female-with-rapunzel-syndrome-case-report
#12
Mohamed Hamid, Youssef Chaoui, Mohamed Mountasser, Farid Sabbah, Mohammed Raiss, Abdelmalek Hrora, Mouna Alaoui, Mohammed Ahallat, Safaa Chaouch, Houria Ouazzani
Rapunzel syndrome is an extremely rare complication of a gastric trichobezoar in. We report here the unusual case of a case of a 16 years old girl presented with severe abdominal pain and vomiting. Clinical examination revealed a malnourished girl, with presence of a mobile and sensitive abdominal mass of 20x15 cm witch filled the upper quadrant. An abdominal computed tomography scan showed a heterogeneous mass occupying the whole stomach cavity with extension into the third portion of the duodenum. A diagnostic of giant trichobezoar is suspected after further questioning reveling a trichotillomania, trichophagia and onychophagia...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/29187051/the-new-european-society-for-clinical-nutrition-and-metabolism-definition-of-malnutrition-application-for-nutrition-assessment-and-prediction-of-morbimortality-in-an-emergency-service
#13
Jaqueline da Silva Fink, Aline Marcadenti, Estela Iraci Rabito, Flávia Moraes Silva
BACKGROUND: Recently, the European Society for Clinical Nutrition and Metabolism (ESPEN) provided novel consensus criteria for malnutrition diagnosis. This study aimed to evaluate the applicability of this instrument in combination with different nutrition screening tools (1) to identify malnutrition and (2) to predict morbidity and mortality in hospitalized patients. MATERIALS AND METHODS: Observational prospective study in 750 adults admitted to the emergency service of a tertiary public hospital...
March 1, 2017: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29183626/does-nutritional-interventions-maintain-their-prognostic-benefit-in-the-long-term-for-malnourished-patients-hospitalised-for-heart-failure
#14
J L Bonilla-Palomas, A L Gámez-López, J C Castillo-Domínguez, M Moreno-Conde, M C López-Ibáñez, M Anguita-Sánchez
OBJECTIVE: To assess the long-term effect of nutritional intervention on malnourished, hospitalised patients with heart failure (HF). METHODS: A total of 120 malnourished patients hospitalized for HF were randomised to undergo (or not) an individual nutritional intervention for 6 months. The primary event was the combination of all-cause death and readmission for HF. We performed an intent-to-treat analysis and assessed the effect of the intervention at 24 months...
November 25, 2017: Revista Clínica Española
https://www.readbyqxmd.com/read/29183397/schistosomiasis-intestinal-helminthiasis-and-nutritional-status-among-preschool-aged-children-in-sub-urban-communities-of-abeokuta-southwest-nigeria
#15
Adebiyi Abdulhakeem Adeniran, Hammed Oladeji Mogaji, Adeyinka A Aladesida, Ibiyemi O Olayiwola, Akinola Stephen Oluwole, Eniola Michael Abe, Dorcas B Olabinke, Oladimeji Michael Alabi, Uwem Friday Ekpo
OBJECTIVE: Schistosomiasis and intestinal helminthiasis are major public health problems with school-aged children considered the most at-risk group. Pre-school aged children (PSAC) are excluded from existing control programs because of limited evidence of infections burden among the group. We assessed the prevalence of infections and effect on nutritional status of preschool aged children in Abeokuta, Southwestern Nigeria. RESULTS: A community-based cross-sectional study involving 241 children aged 0-71 months was conducted in 4 sub-urban communities of Abeokuta...
November 28, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29179758/developmental-performance-of-hospitalized-severely-acutely-malnourished-under-six-children-in-low-income-setting
#16
Teklu Gemechu Abessa, Liesbeth Bruckers, Patrick Kolsteren, Marita Granitzer
BACKGROUND: Retrospective studies show that severe acute malnutrition (SAM) affects child development. However, to what extent SAM affects children of different ages at its acute stage is not well documented. This study was aimed at comparing the developmental performance of severely acutely malnourished children under six with that of age and gender-matched non-malnourished healthy children. METHODS: The developmental performances of 310 children with SAM (male = 155, female = 155); mean age = 30...
November 28, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/29173466/nutritional-management-can-assist-a-significant-role-in-alleviation-of-arsenicosis
#17
REVIEW
Abha Sharma, S J S Flora
Consumption of arsenic contaminated water causes serious skin disease and cancer in a significant number of exposed people. Chelating agents, consider an expensive therapy, are employed in the treatment of arsenic intoxication. There are reports which suggest that the poorest suffer the most from arsenicosis. This may be due to improper diet intake, consist of low protein and micronutrients which increase the vulnerability to arsenic-related disorders. Several human studies demonstrated the associations between malnourishment and the development of arsenic-caused skin lesions, skin cancer and cardiovascular effects...
January 2018: Journal of Trace Elements in Medicine and Biology
https://www.readbyqxmd.com/read/29173227/improving-nutrition-to-support-healthy-ageing-what-are-the-opportunities-for-intervention
#18
Sian M Robinson
Alongside declining activity levels, energy needs fall in older age and eating less is expected. However, as total food consumption declines, intakes of many nutrients are also likely to fall; while energy requirements may be met, other nutrient needs may not. Although this highlights the importance of nutrient-dense foods and overall diet quality in older age to ensure nutrient intakes are sufficient, maintaining or increasing diet quality may be difficult at a time when food access and preparation are becoming more challenging, and diets may be more monotonous...
November 27, 2017: Proceedings of the Nutrition Society
https://www.readbyqxmd.com/read/29167114/exocrine-pancreas-glutamate-secretion-help-to-sustain-enterocyte-nutritional-needs-under-protein-restriction
#19
Selene Araya, Evelyne Kuster, Dino Gluch, Luca Mariotta, Christian Lutz, Theresia V Reding, Rolf Graf, François Verrey, Simone M R Camargo
Glutamine (Gln) is the most concentrated amino acid in blood and considered conditionally essential. Its requirement is increased during physiological stress, such as malnutrition or illness, despite its production by muscle and other organs. In the malnourished state Gln has been suggested to have a trophic effect on the exocrine pancreas and small intestine. However, the Gln transport capacity, the functional relationship of these two organs and the potential role of the Gln-glutamate (Glu) cycle are unknown...
November 22, 2017: American Journal of Physiology. Gastrointestinal and Liver Physiology
https://www.readbyqxmd.com/read/29164776/nutritional-screening-and-dietitian-consultation-rates-in-a-geriatric-evaluation-and-management-unit
#20
Elsa Dent, Olivia Wright, Emiel O Hoogendijk, Ruth E Hubbard
AIM: Nutritional screening may not always lead to intervention. The present study aimed to determine: (i) the rate of nutritional screening in hospitalised older adults; (ii) whether nutritional screening led to dietitian consultation and (iii) factors associated with malnutrition. METHODS: In this prospective study of patients aged ≥70 years admitted to a Geriatric Evaluation and Management Unit (GEMU), malnutrition was screened for using the Mini Nutritional Assessment Short Form (MNA-SF) and identified using the Mini Nutritional Assessment (MNA)...
November 22, 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
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