Personalized Feeding Infusion Rate of Nutrition to Improve Glycemic Variability Control in Critical Care Patients

Control-based algorithms in the intensive care unit (ICU) patients have been developed to deliver a sufficient amount of insulin, but optimizing the rate of feeding of nutrition in ICU patients to improve glycemic variability control has not been done yet. Continuous feeding is commonly used for nutrition in critically ill patients who cannot be fed orally to maintain a normal blood sugar concentration, but optimizing its rate, for these individuals, is needed to avoid the adverse outcomes caused by medications such as insulin. This paper develops a control-based algorithm combines a predictive control algorithm with a revised nonlinear compartmental model used in the ICU to design personalized feeding function rates to improve patient glycemic variability. Our control algorithm is robust and acts very quickly to avoid medical intervention effects.

Mutu Beras dan Nasi Jagung Putih Lokal Varietas Anoman 1 dalam Kemasan Edibel dengan Ketebalan Berbeda

Rice is a staple food for most Indonesian population. Nowadays, people want staple foods that are not only filling but also do not increase blood sugar concentration (low glycemic index). One of foods that contain higher starch, lower glycemic index, and higher fiber than rice is white corn. The white color of the corn is an advantage because if it is made in grits it can resemble rice. Weakness of white corn is harder than rice. To soften and make it easier to consume, it is coated with an edible packaging made from tapioca. The purposes of this study were to study (1) the quality of dried corn rice from local white corn Anoman 1 variety in edible packaging with packaging thickness of 0.7, 0.9, 1.1, 1.3, and 1.5 mm; (2) the quality of cooked white corn rice produced. The results showed that the thickness of the edible packaging significantly affected (1) the moisture, ash, protein, fat, and carbohydrate contents of dried white corn rice and (2) all parameters of cooked white corn rice (a = 0.05). The best cooked corn rice based on the stickiness test was found in coated dried corn rice with edible packaging with a thickness of 1.5 mm. Characteristics of (1) dried white corn rice contained 11.39% water, 0.21% db ash, 15.23% db protein, 0.53% db fat, 72.64% carbohydrates, 2.11% crude fiber, (2) the quality of cooked of white corn rice were 18.17 g / mm2 stickiness, yellowish color (score 1.1), slightly distinctive aroma of corn (score 2.5), slightly fluffier texture (score 3.4), and rather strong sweet taste (score 2.8). Keywords: edible packaging, local white corn Anoman 1, rice, stickiness, tapioca

On the Study of Clear Causal Risk Factors of Diabetes Mellitus Using Multiple Regression

The incurable lingering metabolic syndrome of diabetes mellitus is an up-surging global tricky with tremendous physical, social, mental, economics and health undesired ramifications. Three hundred and ninety four diabetic patients were measured on 4 baseline variable age (years), sex (Male=1 and Female=2), body mass index (kg/m2) and blood pressure (mmHg). Blood sugar concentration (mg/dl) represented the response variable. The basic objective of this study is to verify the clear causal risk factors of diabetes. Both Multiple Linear Regression and Stepwise Regression techniques were applied on the data and the analysis showed that Body Mass Index (kg/m2) and Blood Pressure (mmHg) are the clearest risk factors of diabetes. This justification served the same purpose in the procedure of variables selection used.

Skrining Fitokimia dan Aktivitas Antidiabetes dalam Ekstrak Daun Nasi (Phrynium capitatum)

Research about phytochemical screening and antidiabetic activity inside rice leaf extract (phrynium capitatum) had been conducted. Objective of this research was to find phytochemical and antidiabetic activity inside rice leaf extract. Research Methodology used for phytochemical screening was testting of alkaloids, phenolics, flavonoids, saponins, steroids and triterpenoids. While antidiabetic activity testing was carried out on white rats induced by alloxan treatment. Based on phytochemical screening tests of rice leaf extract, components obtained are alkaloid compounds, flavonoids, phenolics and steroids. The results of testing the antidiabetic activity of rice leaf extract in alloxan induced mice by administering 100% rice leaf extract; 200 and 300 mg / kg body weight of rats had a percent decrease in blood sugar concentration, respectively 29.01; 34.07 and 42.03%. The most effective group providing antidibetic effect is the treatment group III (300 mg / kg body weight of rats) when compared to the treatment group I (100 mg / kg body weight of rats) and treatment group II (200 mg / kg body weight of rats).

The Relationship Between Random Blood Sugar Level and Arrhythmias After CABG

Background Arrhythmia is a major complication of CABG and it happens in 30 % of patients after CABG . Arrhythmias represent a significant source of morbidity and mortality. Mainly have a benign course, it may prolong the icu stay and rarely may lead to mortaility. Postoperative arrhythmias (POAs) include atrial tachyarrhythmia's (ATs) and to a lesser extent ventricular arrhythmias (VAs) and Brady arrhythmias The outcome of arrhythmia depends on several factors like underlying cardiac function, patient’s comorbidities, arrhythmia duration, and ventricular response rate. So, POAs could be tolerated in some patients and a source of morbidity and mortality in others. Objective We aim to analyze the relationship between serum random blood sugar concentration (BS) and arrhythmias after CABG. Methodology We conducted a retrospective cohort study on 60 patients patients who underwent isolated elective on pump CABG divided in two groups group A arrhythmia group and group S non arrhythmia group patient clinical and procedure characters was notice and recorded Serum blood sugar. Results History of DM .insluin Intake, postoperative Mean AND Maximum BS and post operative drainage volume showed statistically significance (p-value < 0.05). Conclusion The predictors of postoperative Arrhythmias after CABG are hyperglycemia, history of Insluin intake and postoperative drainage volume. In particular, hyperglycemia and postoperative Arrhythmias after CABG were found to have a very strong association. Therefore, we believe that BS control should reduce the incidence of AF after CABG.

Oral health in patients with diabetes mellitus type 2 from the faculty of dentistry in San Francisco de Campeche 2016

Introduction: Insulin is a hormone secreted by the pancreas that has the function of controlling blood sugar concentration. The most common type of diabetes is type 2 which occurs 90 to 95% of cases. The most frequent alterations at the stomatological level are periodontal disease, gingivitis, caries, xerostomia (dry mouth syndrome), so there is a need to investigate how susceptible patients are to suffer from this disease and to be able to take the necessary preventive measures. had similar plaque levels. RESULTS: The sample studied corresponded to a total of 100 patients, 49 female (49%), and 51 male (51%). The average age of the sample was 54.89 years ± 10.85 years with a range of ages between 40 and 70 years. The most representative age group was the group of 40 to 50 years with 39%, followed by the group of 51-60 years with 37% and the group of 61-70 years with 24%. In the Gingival index it was found that 45% of the patients presented mild gingivitis, 13% moderate gingivitis and 21% severe gingivitis.

Assessment of Diabetic Autonomic Nervous Dysfunction with a Novel Percussion Entropy Approach

This study investigated the validity of a novel parameter, percussion entropy index (PEI), for assessing baroreflex sensitivity. PEI was acquired through comparing the similarity in tendency of change between the amplitudes of successive digital volume pulse (DVP) signals and changes in R-R intervals (RRI) of successive cardiac cycles. Totally 108 upper middle-aged volunteers were divided into three groups: healthy subjects (Group 1, age 41–80, n=41), those with well-controlled type 2 diabetes mellitus (T2DM) (Group 2, age 41–82, n=36, glycated hemoglobin (HbA1c)<6.5%), and patients with poorly controlled T2DM (Group 3, age 44–77, n=31, HbA1c≧6.5%). Percussion entropy index (PEI) was computed from DVP signals acquired through photoplethysmography (PPG) and RRI from electrocardiogram in 1000 successive cardiac cycles for each subject. Autonomic function was also assessed by Poincaré index (SD1/SD2 ratio, SSR), low- to high-frequency power ratio (LFP/HFP, LHR), and small-scale multiscale entropy index (MEISS) for comparison. Demographic, anthropometric, hemodynamic, and serum biochemical parameters of all testing subjects were obtained for investigating the significance of associations with the three parameters. The results showed that MEISS and PEI successfully discriminated among the three groups (p<0.017). However, only PEI showed significant associations with indicators of both acute (i.e., fasting blood sugar concentration, p<0.017) and chronic (i.e., HbA1c level, p<0.001) blood sugar control. Multivariate analysis also showed significant associations of PEI with fasting blood sugar and HbA1c levels in all subjects. The interpreting effect of the two independent variables, HbA1c level and fasting blood sugar concentration, on PEI was 71.4% and 12.3%, respectively. In conclusion, the results demonstrated that additional information on diabetic autonomic dysfunction can be obtained through comparing two simultaneously acquired physiological time series. The significant associations of percussion entropy index with indicators of blood sugar control also highlight its possible role in early screening of the disease.

Psycho Religious in Nursing Care on DM Type 2 Patients Towards Depression and Blood Sugar Reduction

Effort to reduce depression and blood sugar levels through psycho religious of dzikir and shalawat was not carried out much yet. Research aims to explain psycho religious therapy effects towards depression and blood sugar level in Diabetes Mellitus type 2 patients (DM Type 2). This research used experimental method with randomized pre test post test control group design. This research was carried out on DM type 2 patients in Surabaya and they had been selected into two groups, given psycho religious group and control group. Blood sugar and depression measurement was carried out one week after and before psycho religious giving. Analysis data used Mann Whitney U test. While blood sugar concentration was analyzed using Paired t-test and Independent t-test. There was an effect of psycho religious towards depression of DM Type 2 patients, significant value of 0.004 (p