A Reply to Alan Berg

When short-term technical solutions to nutritional deficiencies are possible, they need to be brought about in concert with the painstaking work of improving community-based health and nutrition care. In the area of academic nutrition research, there is a need for funding mechanisms that link this research to direct interventions and policy making. The failings of nutritionists—academic and nonacademic—are but a small part of the world's nutritional problems. If academic nutritionists have erred, it is not in failing to apply technologies, but in not being stronger advocates of structural change on behalf of the poor.

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Abstract #283 Diabetes Increases Short-Term but not Long-Term Risk of Fracture: A Community-Based Study

Endocrine Practice ◽

10.1016/s1530-891x(20)46627-3 ◽

2019 ◽

Vol 25 ◽

pp. 114

Author(s):

Alyssa Dufour ◽

Setareh Williams ◽

Richard Weiss ◽

Elizabeth Samelson

Keyword(s):

Short Term ◽

Community Based ◽

Risk Of Fracture

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The Effect of Heterogenous Subregions in Glioblastomas on Survival Stratification: A Radiomics Analysis Using the Multimodality MRI

Technology in Cancer Research & Treatment ◽

10.1177/15330338211033059 ◽

2021 ◽

Vol 20 ◽

pp. 153303382110330

Author(s):

Lulu Yin ◽

Yan Liu ◽

Xi Zhang ◽

Hongbing Lu ◽

Yang Liu

Keyword(s):

Poor Prognosis ◽

Intratumor Heterogeneity ◽

Short Term ◽

Prognostic Information ◽

Manual Delineation ◽

Flair Sequence ◽

The Poor ◽

Contrast Enhanced ◽

Mri Sequences

Intratumor heterogeneity is partly responsible for the poor prognosis of glioblastoma (GBM) patients. In this study, we aimed to assess the effect of different heterogeneous subregions of GBM on overall survival (OS) stratification. A total of 105 GBM patients were retrospectively enrolled and divided into long-term and short-term OS groups. Four MRI sequences, including contrast-enhanced T1-weighted imaging (T1C), T1, T2, and FLAIR, were collected for each patient. Then, 4 heterogeneous subregions, i.e. the region of entire abnormality (rEA), the regions of contrast-enhanced tumor (rCET), necrosis (rNec) and edema/non-contrast-enhanced tumor (rE/nCET), were manually drawn from the 4 MRI sequences. For each subregion, 50 radiomics features were extracted. The stratification performance of 4 heterogeneous subregions, as well as the performances of 4 MRI sequences, was evaluated both alone and in combination. Our results showed that rEA was superior in stratifying long-and short-term OS. For the 4 MRI sequences used in this study, the FLAIR sequence demonstrated the best performance of survival stratification based on the manual delineation of heterogeneous subregions. Our results suggest that heterogeneous subregions of GBMs contain different prognostic information, which should be considered when investigating survival stratification in patients with GBM.

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Identifying and Managing Malnutrition, Frailty and Sarcopenia in the Community: A Narrative Review

Nutrients ◽

10.3390/nu13072316 ◽

2021 ◽

Vol 13 (7) ◽

pp. 2316

Author(s):

Shelley Roberts ◽

Peter Collins ◽

Megan Rattray

Keyword(s):

Healthcare Professionals ◽

Monitoring And Evaluation ◽

Community Dwelling ◽

Community Context ◽

Care Process ◽

Community Settings ◽

Community Based ◽

Comprehensive Overview ◽

Nutrition Care ◽

Community Dwelling Older Adults

Malnutrition, frailty and sarcopenia are becoming increasingly prevalent among community-dwelling older adults; yet are often unidentified and untreated in community settings. There is an urgent need for community-based healthcare professionals (HCPs) from all disciplines, including medicine, nursing and allied health, to be aware of, and to be able to recognise and appropriately manage these conditions. This paper provides a comprehensive overview of malnutrition, frailty and sarcopenia in the community, including their definitions, prevalence, impacts and causes/risk factors; and guidance on how these conditions may be identified and managed by HCPs in the community. A detailed description of the care process, including screening and referral, assessment and diagnosis, intervention, and monitoring and evaluation, relevant to the community context, is also provided. Further research exploring the barriers/enablers to delivering high-quality nutrition care to older community-dwelling adults who are malnourished, frail or sarcopenic is recommended, to inform the development of specific guidance for HCPs in identifying and managing these conditions in the community.

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Academy of Nutrition and Dietetics Nutrition Research Network: Validation of a Novel Nutrition Informatics Tool to Assess Agreement Between Documented Nutrition Care and Evidence-Based Recommendations

Journal of the Academy of Nutrition and Dietetics ◽

10.1016/j.jand.2021.03.013 ◽

2021 ◽

Author(s):

Erin Lamers-Johnson ◽

Kathryn Kelley ◽

Damien M. Sánchez ◽

Kerri Lynn Knippen ◽

Micki Nadelson ◽

...

Keyword(s):

Research Network ◽

Evidence Based ◽

Nutrition Care ◽

Nutrition Research ◽

Nutrition And Dietetics

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Economic partnering with the poor: why local governments should work with community-based development organizations to promote economic development

International Journal of Public Administration ◽

10.1080/01900690008525519 ◽

2000 ◽

Vol 23 (9) ◽

pp. 1679-1709 ◽

Cited By ~ 3

Author(s):

Herbert J. Rubin

Keyword(s):

Economic Development ◽

Local Governments ◽

Community Based ◽

Development Organizations ◽

The Poor

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Methods for the Measurement of Nutrition Impact and Adaptation of Laboratory Methods into Field Settings to Enhance and Support Community-based Nutrition Research

Nutrition Reviews ◽

10.1301/00296640260130876 ◽

2002 ◽

Vol 60 (suppl_5) ◽

pp. S126-S131 ◽

Cited By ~ 3

Author(s):

Noel W. Solomons

Keyword(s):

Community Based ◽

Laboratory Methods ◽

Nutrition Research

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The Mobile Thriving Respite With and for the Street Community

Journal of Humanistic Psychology ◽

10.1177/00221678211046757 ◽

2021 ◽

pp. 002216782110467

Author(s):

Robert McInerney ◽

Kelsey Long ◽

Rachel Stough

Keyword(s):

Lived Experiences ◽

Institutional Review Board ◽

Short Term ◽

Community Based ◽

Bearing Witness ◽

Institutional Review Board Approval ◽

Institutional Review ◽

Emergent Strategy ◽

The Creation ◽

Theoretical Foundations

We report on our work with the street community of Pittsburgh, specifically, a community-based action initiative we call the Mobile Thriving Respite (Institutional Review Board approval was obtained from our university). For 5 years, student advocate ethnographers from Point Park University have gathered data (e.g., long- and short-term interviews, participant-observations generating fieldnotes). The data revealed and supported the need for thriving beyond surviving homelessness. The data endorsed the creation of the mobile thriving respite. In the first part of this work, we will discuss some critical concepts regarding homelessness as a phenomenon and then argue that while surviving as enduring is necessary, there are some for whom survival is a perpetual, lethal state of being. We will discuss the theoretical foundations to the respite and offer researchers’ ethnographic accounts of the respite’s process and progress (We had to temporarily end the respite during the Covid-19 pandemic. To date, the respite has returned with “pop up” events outside at various locations). We will outline how the mobile thriving respite is a praxis as site of resistance as well as an emergent strategy, and an instantiation of communitas. We will then revisit surviving as collectively bearing witness and testifying to the lived experiences of those living outside.

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