Bakery products in hospital meals

2020 ◽  
Vol 29 (10) ◽  
pp. 42-45
Author(s):  
I.U. Kusova ◽  

The article considers the results of the use of bakery products produced with the use of a vitamin-mineral premix in a hospital setting as part of dietary nutrition. The composition of the premix is determined in accordance with medical indicators. A 60% resistant starch consisting of indigestible fibers was used as a carrier for the production of the premix. The technology of preparing products in the conditions of a hospital food unit is proposed. The positive therapeutic effectiveness of the diet is confirmed by objective indicators of the patients ' health status.

2015 ◽  
Vol 235 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Takafumi Hashiba ◽  
Kenji Takeuchi ◽  
Yoshihiro Shimazaki ◽  
Toru Takeshita ◽  
Yoshihisa Yamashita

2018 ◽  
Vol 66 (1) ◽  
pp. 35-41
Author(s):  
Cristhiane Olívia Ferreira do AMARAL ◽  
Letícia Marçal Ruthes BELON ◽  
Elza Aparecida da SILVA ◽  
Andressa de NADAI ◽  
Marcelo Sávio Paiva do AMARAL FILHO ◽  
...  

ABSTRACT Objective: This research study aimed to evaluate the oral health status and the need for dental treatment in hospitalized patients, analyzing the importance of dentistry in hospitals. Therefore, the goal of this research study was to evaluate the oral health status, the need for dental intervention and the patient’s opinion about the importance of having dental surgeons in hospital settings. Methods: 103 hospitalized patients were evaluated considering the DMFT index, gingival condition, visible biofilm index, and the need for invasive dental treatment. Volunteers were also asked about their opinion considering the importance of dentistry in hospital settings. Results: 68.9% of volunteers were male subjects and 31.1% female subjects. The mean DMFT was 17.9 and 96.1% of subjects had their oral hygiene kit with when came to hospital, 97.1% of subjects stated that the presence of dental surgeons is necessary in the hospital setting and 63.1% of subjects presented poor biofilm removal. The need for invasive dental treatment was as follows: restorations (68.9%), extractions (40.8%), endodontics (23.3%), dental pain (26.2%) and presence of abscess (7,8%). Conclusion: Oral health and hygiene status of patients were classified as poor and most of patients showed the need for invasive dental treatment. The majority of patients reported that dental care is very important in hospitals settings.


Medical Care ◽  
1992 ◽  
Vol 30 (Supplement) ◽  
pp. MS57-MS73 ◽  
Author(s):  
David Lansky ◽  
J B V Butler ◽  
Frederick T. Waller

2020 ◽  
Author(s):  
Kate Gregorevic ◽  
Ruth E Hubbard ◽  
Nancye M Peel ◽  
Wei Tong Lau ◽  
Jethro Wu ◽  
...  

Abstract Background: Frailty is a known predictor of poorer outcomes for hospitalised older adults, but does not account for all variation in outcomes. Health Assets, which include positive psychosocial factors, have been associated with improved outcomes in the hospital setting. Methods: A prospective cohort study from adults aged 70 and older with an unplanned admission to general medical, orthogeriatric and subacute wards of two hospitals in Australia. 298 participants were recruited with an average age of 84.7. The Health Assets Index (HAI), frailty, functional status and covariates were measured at the time of recruitment. Outcomes were mortality at 30 days and functional decline at the time of discharge. Results: 56.4% of participants had functional decline on discharge from hospital with 30 day mortality of 5.7%. People with a higher number of health assets were less likely to be frail (OR 0.36(95%CI 0.19-0.68)). At 30 days, odds of mortality were highest amongst those with high frailty/high-HAI and low frailty/low-HAI. At low levels of health assets, odds of mortality decreased with increasing frailty but this reversed at high levels of health assets where frailty was associated with increased mortality. Conclusions: Health assets and frailty combine to predict the odds of mortality for older people entering hospital. This highlights the need to consider psychosocial factors in conjunction with health status for older adults.


2003 ◽  
Vol 89 (3) ◽  
pp. 329-339 ◽  
Author(s):  
Klaus N. Englyst ◽  
Sophie Vinoy ◽  
Hans N. Englyst ◽  
Vincent Lang

Elucidating the role of carbohydrate quality in human nutrition requires a greater understanding of how the physico-chemical characteristics of foods relate to their physiological properties. It was hypothesised that rapidly available glucose (RAG) and slowly available glucose (SAG), in vitro measures describing the rate of glucose release from foods, are the main determinants of glycaemic index (GI) and insulinaemic index (II) for cereal products. Twenty-three products (five breakfast cereals, six bakery products and crackers, and twelve biscuits) had their GI and II values determined, and were characterised by their fat, protein, starch and sugar contents, with the carbohydrate fraction further divided into total fructose, RAG, SAG and resistant starch. Relationships between these characteristics and GI and II values were investigated by regression analysis. The cereal products had a range of GI (28–93) and II (61–115) values, which were positively correlated (r2 0·22, P<0·001). The biscuit group, which had the highest SAG content (8·6 (sd 3·7) g per portion) due to the presence of ungelatinised starch, was found to have the lowest GI value (51 (sd 14)). There was no significant association between GI and either starch or sugar, while RAG was positively (r2 0·54, P<0·001) and SAG was negatively (r2 0·63, P<0·001) correlated with GI. Fat was correlated with GI (r2 0·52, P<0·001), and combined SAG and fat accounted for 73·1 % of the variance in GI, with SAG as the dominant variable. RAG and protein together contributed equally in accounting for 45·0 % of the variance in II. In conclusion, the GI and II values of the cereal products investigated can be explained by the RAG and SAG contents. A high SAG content identifies low-GI foods that are rich in slowly released carbohydrates for which health benefits have been proposed.


2007 ◽  
Vol 13 (4) ◽  
pp. 323-327 ◽  
Author(s):  
R.G. Utrilla-Coello ◽  
P. Osorio-Díaz ◽  
L.A. Bello-Pérez

Chickpea flour (CF) was prepared and used as an ingredient for elaboration of bread with different levels of wheat versus CFs (80 : 20 and 60: 40). Available starch (AS), resistant starch (RS), dietary fibre (DF), the in vitro starch hydrolysis indices (HIs), using a chewing/dialysis digestion protocol and the acceptability of the experimental bread were compared with those of a control bread prepared with wheat flour and baked in the laboratory. HIs were used to predict glyceamic indices (pGI). The bread analysed did not show differences in moisture, lipids and ash content, but CF-bread had higher protein, RS and DF amount than control bread. HI-based pGI for the CF-bread were 46.92 and 34.67%, which were significantly lower than control bread (65.31%), suggesting a `slow carbohydrate' feature for the CF-based goods. The slow digestion characteristics of chickpea are largely retained in the experimental bread. Data support the perceived health beneficial properties of legumes and CF might be used as a potential ingredient for bakery products with slowly digestible carbohydrates.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 901-901
Author(s):  
Leah Abrams ◽  
Geoff Hoffman

Abstract The objective of this study was to examine whether more structured post-acute care reduces the deleterious impact of depressive symptoms on older adults’ post-hospital outcomes (30-day hospital readmissions, 30-day falls, 1-year falls, and 1-year mortality). The sample comprised 23,485 eligible index hospitalizations from 7,151 unique fee-for-service Medicare beneficiaries from Health and Retirement Study linked to Medicare claims from 2000 to 2014. Depressive symptoms were measured using the eight-item Center for Epidemiologic Scale - Depression. We ran multinomial probit models regressing post-hospital setting on depressive symptoms while adjusting for sociodemographic factors, socioeconomic factors, family support, and health status. Then, we ran adjusted logistic regression models of each outcome while interacting depressive symptoms with post-acute care setting. We found that 62% of hospitalizations were routine discharges home, 17% were discharged to home health, and 21% were discharged to a Skilled Nursing Facilities (SNF). When adjusting for sociodemographic and socioeconomic factors, each increasing depressive symptom was associated with a half percentage point higher probability of referral to home health and 1.6 percentage points higher probability of discharge to SNFs, driven by differences in family support and health status. Rehabilitation in SNFs, compared to routine discharges home, reduced the positive association between depressive symptoms and 30-day readmissions (OR=0.95, p=0.027). However, post-acute care settings did not modify the association of depressive symptoms with falls or mortality. Considering depressive symptoms in discharge decisions, above and beyond their associations with family support or health status, may help hospitals avoid readmissions but may not improve health and functioning.


2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 670-670
Author(s):  
C. McNally ◽  
K. Khow ◽  
P. Shibu ◽  
S. Liberali ◽  
R. Adams ◽  
...  

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