Nutritional assessment of schools′ Children of Six Years Old in Al-Dora Family Medical Center in Baghdad/Iraq

Background: Tuberculosis (TB) is a common communicable disease in Bangladesh. Treatment of TB sometimes depends on nutritional status of the patient. Both in developed and developing countries TB has been found to coexist with malnutrition among patients at the beginning of treatment. So it would be very important to evaluate the nutritional assessment of a patient before starting treatment. If malnutrition exists in a patient of TB than nutrition supplementation can play an important role in improving the disease condition to reduce further morbidity and mortality. Method:It was a descriptive study, conducted on eighty-seven adult TB participant attending at medicine department, Bangabandhu Sheikh Mujib Medical University (BSMMU), where nutritional status (Body-Mass Index or BMI) was measured by keeping records of patient’s height in meters and weight in kilogram. Result: A total 87 participants were included in this study where 45 (52 percent) were males and 42 (48 percent) were females. Most of the participants were healthy 56 percent (n=49) participants. However, under-nutrition was present in 36 percent (n=31) participants and over-nutrition were only 8 percent (n=7). Most of the participant takes more than three meals 54 percent (n=47) participants. However, three meals were taken by 45 percent (n=39) participants and two meals were taken only 1 percent (n=1). Conclusion: In this study almost 36% participants of tuberculosis were in under-nutrition. So Nutrition supplementation could be needed in improving the disease condition to reduce further morbidity and mortality. On the other hand large scale study should be needed for taking proper steps to know the overall situation of the country. Bangladesh J Medicine July 2019; 30(2) : 53-57

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Constipation and Its Associated Factors among Patients with Dementia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17239006 ◽

2020 ◽

Vol 17 (23) ◽

pp. 9006

Author(s):

Chien-Liang Chen ◽

Tzu-Ming Liang ◽

Hsiu-Hui Chen ◽

Yan-Yuh Lee ◽

Yao-Chung Chuang ◽

...

Keyword(s):

Nutritional Assessment ◽

Medical Center ◽

Mini Nutritional Assessment ◽

Functional Constipation ◽

Cross Sectional Study ◽

Chang Gung Memorial Hospital ◽

Clinical Dementia Rating ◽

Cross Sectional ◽

Dementia Patients ◽

Diet Diary

Constipation is one of the most frequent non-motor problems in older adults. As constipation is commonly ignored by dementia patients, it is not usually reported on time. Constipation has a serious impact on the activity of daily living and quality of life in dementia patients. The relationships between constipation, demographic variables, and the nutritional status of patients with dementia remain unknown. This study aimed to assess the possible factors associated with constipation. This cross-sectional study was conducted at the Kaohsiung Chang Gung Memorial Hospital from January to November 2019. This hospital is a medical center and the main referral hospital of southern Taiwan, serving 3 million inhabitants. In total, 119 patients with dementia were evaluated using the Rome III diagnostic criteria for functional constipation. There were 30 patients with dementia included in the constipation group and 89 patients with dementia included in the no constipation group. Mini-Nutritional Assessment and 3-day diet diary records were employed. The clinical dementia rating score was used to evaluate the severity of dementia in patients of the outpatient clinic. Approximately 25.2% of dementia patients had constipation. Patients in the dementia with constipation group were older, had severer dementia, and displayed a lower water intake. After multivariable adjustment, low liquid consumption was the predictor of constipation among patients with dementia. The findings support the clinical recommendations to treat constipation with an increased liquid intake, but not exercise, in dementia patients.

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Anemia in Children with Down Syndrome

International Journal of Pediatrics ◽

10.1155/2011/813541 ◽

2011 ◽

Vol 2011 ◽

pp. 1-5 ◽

Cited By ~ 11

Author(s):

Ariel Tenenbaum ◽

Sarah Malkiel ◽

Isaiah D. Wexler ◽

Floris Levy-Khademi ◽

Shoshana Revel-Vilk ◽

...

Keyword(s):

Risk Factors ◽

Down Syndrome ◽

Iron Deficiency ◽

Nutritional Assessment ◽

Medical Center ◽

Cross Sectional Study ◽

Deficiency Anemia ◽

Cross Sectional ◽

Children With Down Syndrome ◽

Low Weight

Background. Iron deficiency anemia impacts on cognitive development. The objective of this study was to determine the prevalence of anemia and iron deficiency in children with Down syndrome and identify risk factors for anemia.Methods. We conducted a prolective cross-sectional study of children attending a multidisciplinary Down syndrome medical center. One hundred and forty nine children with Down syndrome aged 0–20 years were enrolled in the study. Information obtained included a medical history, physical and developmental examination, nutritional assessment, and the results of blood tests.Results. Of the patients studied, 8.1% were found to have anemia. Among the 38 children who had iron studies, 50.0% had iron deficiency. In a multivariate analysis, Arab ethnicity and low weight for age were significantly associated with anemia. Gender, height, the presence of an eating disorder, and congenital heart disease were not risk factors for anemia.Conclusions. Children with Down syndrome are at risk for anemia and iron deficiency similar to the general population. Children with Down syndrome should be monitored for anemia and iron deficiency so that prompt intervention can be initiated.

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Knowledge and Perceived Quality of Nutrition Care amongst Nurses

Studia Edukacyjne ◽

10.14746/se.2020.58.16 ◽

2020 ◽

pp. 291-313

Author(s):

Aviva Alagem Mizrahi ◽

Katarzyna Waszyńska

Keyword(s):

Nutritional Assessment ◽

Medical Center ◽

Nutritional Care ◽

Nutritional Treatment ◽

Nutrition Care ◽

Care Training ◽

Quantitative Correlational Study ◽

Female Nurses ◽

Nurses Knowledge

Purpose: This study was conducted on nurses from The Sheba Medical Center. The purpose of the study was to investigate nurses’ evaluation of the importance of a nutrition assessment, (b) nurses’ knowledge of nutrition care and (c) nurses’ evaluation of the quality of nutrition care in their department. Design: The study was a quantitative correlational study performed in a university-affiliated, teaching hospital. Methods: Data were collected via a digital questionnaire through head nurses, from 203 nurses and analyzed by frequencies, means and Pearson correlations, independent t-tests, oneway ANOVA and stepwise such as the ability of patients to feed themselves, chew and swallow, multiple linear regression were performed to determine predictors observing whether a patient finishes a meal and offering assistance of nurses’ responses where needed. Findings: Importance of nutritional assessment is positively and significantly correlated to knowledge of nutritional care and quality of nutritional treatment. Female nurses’ knowledge is significantly higher than male. Senior nurses’ knowledge is higher than less senior nurses. Nurses who participated in emergency care training have a significantly higher level of knowledge than nurses who did not participate in this course. Knowledge of nutritional care is not significantly correlated to quality of nutritional treatment. It is important to introduce the role of nurses regarding nutritional care within their departments to doctors and dietitians, as well as involving them in building the intervention course. Conclusions: These findings highlight the importance of checking the quality of nurses’ educational knowledge and improving it through an intervention with specified training surrounding knowledge regarding nutrition, including learning and training.

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Medicaid & Medicare: D.C. Appellate Court Denies Claim for Medicare Reimbursement of GME Cost

The Journal of Law Medicine & Ethics ◽

10.1017/s1073110500012997 ◽

1999 ◽

Vol 27 (2) ◽

pp. 205-205

Author(s):

choeffel Amy

Keyword(s):

Medical Center ◽

Federal District ◽

Federal Court ◽

University Of Pennsylvania ◽

District Court ◽

Appellate Court ◽

Court Of Appeals ◽

Department Of Health ◽

Administrative Proceedings ◽

Summary Judgment

The U.S. Court of Appeals for the District of Columbia upheld, in Presbyterian Medical Center of the University of Pennsylvania Health System v. Shalala, 170 F.3d 1146 (D.C. Cir. 1999), a federal district court ruling granting summary judgment to the Department of Health and Human Services (DHHS) in a case in which Presbyterian Medical Center (PMC) challenged Medicare's requirement of contemporaneous documentation of $828,000 in graduate medical education (GME) expenses prior to increasing reimbursement amounts. DHHS Secretary Donna Shalala denied PMC's request for reimbursement for increased GME costs. The appellants then brought suit in federal court challenging the legality of an interpretative rule that requires requested increases in reimbursement to be supported by contemporaneous documentation. PMC also alleged that an error was made in the administrative proceedings to prejudice its claims because Aetna, the hospital's fiscal intermediary, failed to provide the hospital with a written report explaining why it was denied the GME reimbursement.

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