MON-P168: Positive Effect of a Protein-Fortified Hospital Food Concept Including Dietary Counselling on Energy and Protein Intake in Hospitalised Patients at Nutritional Risk. from Research to Clinical Practice - an Implementation Study

2016 ◽  
Vol 35 ◽  
pp. S215
Author(s):  
T. Munk ◽  
N. Bruun ◽  
T. Thomsen
Keyword(s):  
Clinical Practice ◽  
Protein Intake ◽  
Nutritional Risk ◽  
Implementation Study ◽  
Dietary Counselling ◽  
Hospitalised Patients ◽  
Positive Effect

scholarly journals Association of energy and protein intakes with length of stay, readmission and mortality in hospitalised patients with chronic obstructive pulmonary disease

2018 ◽  
Vol 119 (5) ◽  
pp. 543-551 ◽  
Author(s):  
Arora R. Ingadottir ◽  
Anne M. Beck ◽  
Christine Baldwin ◽  
C. Elizabeth Weekes ◽  
Olof G. Geirsdottir ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Protein Intake ◽  
Nutritional Risk ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
Hospitalised Patients ◽  
Increased Risk ◽  
Oral Nutritional Supplements

AbstractLow energy and protein intakes have been associated with an increased risk of malnutrition in outpatients with chronic obstructive pulmonary disease (COPD). We aimed to assess the energy and protein intakes of hospitalised COPD patients according to nutritional risk status and requirements, and the relative contribution from meals, snacks, drinks and oral nutritional supplements (ONS), and to examine whether either energy or protein intake predicts outcomes. Subjects were COPD patients (n 99) admitted to Landspitali University Hospital in 1 year (March 2015–March 2016). Patients were screened for nutritional risk using a validated screening tool, and energy and protein intake for 3 d, 1–5 d after admission to the hospital, was estimated using a validated plate diagram sheet. The percentage of patients reaching energy and protein intake ≥75 % of requirements was on average 59 and 37 %, respectively. Malnourished patients consumed less at mealtimes and more from ONS than lower-risk patients, resulting in no difference in total energy and protein intakes between groups. No clear associations between energy or protein intake and outcomes were found, although the association between energy intake, as percentage of requirement, and mortality at 12 months of follow-up was of borderline significance (OR 0·12; 95 % CI 0·01, 1·15; P=0·066). Energy and protein intakes during hospitalisation in the study population failed to meet requirements. Further studies are needed on how to increase energy and protein intakes during hospitalisation and after discharge and to assess whether higher intake in relation to requirement of hospitalised COPD patients results in better outcomes.

Coordinated trials on the protein requirements of sows 1. A comparison of four levels of dietary protein in gestation and two in lactation

1977 ◽  
Vol 24 (3) ◽  
pp. 307-321 ◽  
Author(s):  
J. F. D. Greenhalgh ◽  
F. W. H. Elsley ◽  
D. A. Grubb ◽  
A. L. Lightfoot ◽  
D. W. Saul ◽  
...  
Keyword(s):  
Protein Intake ◽  
Treatment Combination ◽  
Protein Requirements ◽  
Satisfactory Performance ◽  
Additional Group ◽  
Negative Effect ◽  
Four Levels ◽  
Time Required ◽  
Positive Effect ◽  
Size At Birth

SUMMARY1. Gestation diets formulated to contain A, 9; B, 11; C, 13 or D, 15% protein, and lactation diets with C, 13 or E, 17% protein provided eight treatment combinations. They were given at seven centres at 2 kg/day in gestation and approximately 5·7 kg/day in lactation to sows which remained on experiment for three to five parities and produced in total 468 litters. Mean results for parities one to four are given in this summary.2. For gestation diets A to D mean litter size at birth was 9·7, 10·1, 10·3 and 10·4 live pigs, and at weaning (at 6 weeks), 8·2, 8·7, 8·8 and 8·8. Sows which received lactation diets C and E subsequently produced 10·4 and 10·3 pigs at birth and 8·9 and 8·3 at weaning.3. Gestation diets had no consistent effects on piglet weights. During lactation, however, diet E gave heavier pigs than C, by 0·2 kg at 3 weeks and 0·5 kg at weaning.4. Extra protein for either gestation or lactation had a positive effect on sow weight at that stage, but a negative effect in the following stage. There were no direct treatment effects on the time required for re-conception.5. Twenty experimental sows at the Rowett Institute, together with an additional group given diet A for both gestation and lactation, showed strong positive relationships between lactation protein intake and milk yield or composition.6. The treatment combination AC (i.e. 9% protein in gestation and 13% in lactation) gave the lowest weight of weaned pigs per litter, and CC gave the highest. The remaining treatments gave similar weights; of these BC (nominally 11 with 13, but actually 11·5 with 13·5% protein) was concluded to provide the lowest protein intake consistent with satisfactory performance.

scholarly journals Pharmacological therapy, slows the heart rate, in patientswith hypertension and chronic heart failure: theory and application in clinical practice

2016 ◽  
Vol 13 (1) ◽  
pp. 52-57
Author(s):  
A I Ponomareva ◽  
O G Kompaniets ◽  
R M Linchak ◽  
G S Ivanchura
Keyword(s):  
Heart Failure ◽  
Heart Rate ◽  
Clinical Practice ◽  
Chronic Heart Failure ◽  
Arterial Hypertension ◽  
Pharmacological Therapy ◽  
Medical Documentation ◽  
Failure Theory ◽  
Positive Effect ◽  
International Multicenter

The purpose of the study is to determine the spectrum used drugsslows the heart rate in patients with arterial hypertension and chronic heart failure in clinical practice and compliance of prescribing with clinical guidelines.Materials and methods. Consistently formed a retrospective sample of medical records of patients with arterial hypertension and chronic heart failure. Used sources of primary medical documentation for 2012-2015 (320 patients). Estimated the amount and quality therapyslows the heart ratein patients with arterial hypertension and chronic heart failure.Results and discussion. b-blockers prescribed for 72.5% of patients. Calcium antagonists range recommended by 13.1%. On the background of optimal doses of b-blockers in patients with arterial hypertension and chronic heart failure with the exile faction of less than 40 and heart rate more than 70 BPM, ivabradine is not assigned in 81.3% of patients, although it is in these situations of particular urgency is the drug given its bright positive effect on hard end points, proved in international multicenter trials.

scholarly journals PENGARUH KONFLIK PERAN TERHADAP TERJADINYA BURNOUT PADA MAHASISWA KOASS

2012 ◽  
Vol 1 (1) ◽  
pp. 1 ◽  
Author(s):  
Anggita Amelia Pangesti
Keyword(s):  
Clinical Practice ◽  
Role Conflict ◽  
Significant Influence ◽  
Maslach Burnout Inventory ◽  
Significant Positive Effect ◽  
Measurement Tools ◽  
Positive Effect

Abstract  The study was conducted 49 co-ass students who are doing clinical practice (N=49), investigate the effect of role conflict with the occurrence of burnout. Using a purposive technique sampling, these studies make use of two instruments as a measure of role conflict and burnout measurement tools that has been modified from the Maslach Burnout Inventory (MBI) with Likert models. The result is that there is significant influence between role conflict and the occurrence of burnout in co-ass students. The amount of influence (R Square) to the occurrence of role conflict and burnout is 0.389 (38.9%) which means that the conflict affects the role of burnout by 38.9% and the remaining 61.1% influenced by other factors outside of role conflict. This indecated any significant positive effect of  role conflict and the occurrence of burnout.  Keywords: co-ass, role conflict, burnout

scholarly journals Malnutrition screening and acute kidney injury in hospitalised patients: a retrospective study over a 5-year period from China

2019 ◽  
Vol 123 (3) ◽  
pp. 337-346 ◽  
Author(s):  
Chenyu Li ◽  
Lingyu Xu ◽  
Chen Guan ◽  
Long Zhao ◽  
Congjuan Luo ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Nutritional Status ◽  
Cox Regression ◽  
Kidney Injury ◽  
Nutritional Risk ◽  
Term Survival ◽  
Long Term Survival ◽  
Hospitalised Patients ◽  
Nrs 2002

AbstractMalnutrition and acute kidney injury (AKI) are common complications in hospitalised patients, and both increase mortality; however, the relationship between them is unknown. This is a retrospective propensity score matching study enrolling 46 549 inpatients, aimed to investigate the association between Nutritional Risk Screening 2002 (NRS-2002) and AKI and to assess the ability of NRS-2002 and AKI in predicting prognosis. In total, 37 190 (80 %) and 9359 (20 %) patients had NRS-2002 scores <3 and ≥3, respectively. Patients with NRS-2002 scores ≥3 had longer lengths of stay (12·6 (sd 7·8) v. 10·4 (sd 6·2) d, P < 0·05), higher mortality rates (9·6 v. 2·5 %, P < 0·05) and higher incidence of AKI (28 v. 16 %, P < 0·05) than patients with normal nutritional status. The NRS-2002 showed a strong association with AKI, that is, the risk of AKI changed in parallel with the score of the NRS-2002. In short- and long-term survival, patients with a lower NRS-2002 score or who did not have AKI achieved a significantly lower risk of mortality than those with a high NRS-2002 score or AKI. Univariate Cox regression analyses indicated that both the NRS-2002 and AKI were strongly related to long-term survival (AUC 0·79 and 0·71) and that the combination of the two showed better accuracy (AUC 0·80) than the individual variables. In conclusion, malnutrition can increase the risk of AKI and both AKI and malnutrition can worsen the prognosis that the undernourished patients who develop AKI yield far worse prognosis than patients with normal nutritional status.

Sign in / Sign up

Export Citation Format

Share Document