Analisis Data Berat Badan Dan Panjang Bayi Dengan Alat Ukur Panjang Dan Berat Badan Bayi Berbasi Arduino

Monitoring the nutritional status of infants at this time is mostly still using the manual method, by looking at anthropomeric standard books so that nutritional monitoring takes longer and is less practical. Babies need nutritional status based on age, weight, length of the baby (baby's height), and sex of the baby. To find out the nutritional condition of the baby, the author wants to develop a measurement tool for weight and length of the baby with the output data in Microsoft Excel. This study aims to design a baby's weight and length measurement tools with data output at Microsoft Excel and perform a function test. The process of detection in infants using ultrasonic sensors that serves to determine the height or length of the baby's body and load cell sensors to determine the baby's weight, then the LCD (Liquid Crystal Display) which displays the results of ultrasonic sensors and load cell sensors and Arduino Uno. The results of this study are an infant weight and height measurement tool with an arduino uno-based anthropometric index method with 2 ultrasonic sensors as height and length counters, and 1 load cell sensor as a weight calculator for infants that will later be displayed on the LCD screen.

282 Nutritional Monitoring of Prenatally Stressed and Translocated Brahman Heifers

One drought mitigation strategy is transporting livestock to non-drought locations. Our objective was to evaluate the effects of prenatal stress and translocation on growing Bos indicus heifers. Twelve heifers born in spring 2019 at Overton, TX (1245 mm annual precipitation) were transported ~700 km to Sonora, TX (610 mm annual precipitation) in April 2020. Six heifers (283±10 kg) were born to dams subjected to transportation stress during mid-gestation (PNS) and 6 (279±17 kg) were born to non-stressed dams (CON). Heifers grazed a series of 24-ha native range pastures (aboveground forage biomass; 1508±390 kg/ha) and were sampled (non-shrunk BW/BCS score, feces) at 2-wk intervals from May through September. Fecal samples were collected from the ground or the rectum of each animal and stored at -20o C until processed for near infrared spectroscopy (NIRS) and prediction of diet crude protein (CP) and digestible organic matter (DOM). Inputs to a grazing animal nutrition model for prediction of BW included diet CP and DOM, age, and weather. Differences between groups for BW and nutritional parameters were determined by analysis of variance or paired t-test. Both groups gained BW (22±4 kg) throughout the study, there were no differences (P > 0.1) due to treatment. Diet CP and DOM were affected by date (P < 0.01) as diet quality declined from spring to fall. Percent diet CP was greater (P < 0.05) in PNS than CON, especially during July and August (6.94±0.10 vs 6.23±0.17, respectively). Corresponding values for diet DOM were (59.53±0.55 vs 59.14±0.43, respectively; P = 0.09). Observed vs model-predicted weight was different (P < 0.05) for both groups when using CP-based outputs, but not when using metabolizable protein-based outputs (P > 0.1). In summary, PNS heifers selected a diet of greater CP than CON, and tended to select a diet greater in DOM.

Survival in critically ill pediatric surgical patients with elevated PYMS and caloric deficit

Introduction: The nutritional counseling of the critical surgical pediatric patient is complex, it requires nutritional monitoring tools to improve their survival. The Pediatric Yorkhill Malnutrition Score (PYMS) is highly valid for determining nutritional risk. In Cuba there are no comparative studies on survival and PYMS. Objective: To determine survival in pediatric surgical patients with high PYMS and caloric deficit. Methods: An observational, prospective, cross-sectional and survival study was carried out in the Pediatric Intensive Care Unit of the Octavio de la Concepción de la Pedraja Pediatric Hospital, Holguín, Cuba, in the period from January 2018 to January 2019. analyzed 21 demographic and nutritional variables. Pearson's correlation coefficient was used for the bivariate variables. Kaplan Mier survival curves and ROC curves were created to determine optimal cut-off points for mortality. Results: All patients who did not survive presented high PYMS (p = 0.001) log Rank: X2 10.5, the patients with better caloric adequacy had better survival (p = 0.513) log Rank: X2 0.428 but without statistical significance. The area under the curve to determine mortality according to the PYMS score was higher (0.891) than caloric deficit (0.468) with a sensitivity of 1 and a specificity of 0.66. Conclusions: The survival of critical surgical pediatric patients with high PYMS and caloric deficit was determined. The non-survivors of the study had an elevated PYMS. The PYMS score is a better predictor of mortality than the caloric deficit. Demonstrating its excellent utility in advising nutritional risk in pediatric intensive care.

NUTRITIONAL THERAPY IN PATIENTS WITH STOMACH CANCER

This study aims to evaluate how food and nutrition can improve the quality of life of people with gastric cancer, since these patients are faced with various nutritional problems, among them, low weight, and malnutrition. The study is methodologically constituted as a qualitative approach and bibliographical research. The techniques used were discussion and interpretation from the reading of articles on the subject published in SCIELO (Scientific Electronic Library), Pub Med., Service of the National Library of Medicine). exploring the data of the results that discuss the subject in question. The study found that nutritional care leads to an improvement and well-being in the quality of life of patients affected by stomach cancer. Thus, nutritional monitoring can provide a reduction in the adverse effects of treatment and the risk of malnutrition, improving treatment tolerance, quality of life and prognosis.

Child Development Monitoring in Well-baby Clinics in Kenya

Background: Maternal and child health (MCH) clinics represent an integrated approach for providing healthcare to pregnant women and children 0-59 months of age. Although MCH clinics are also charged with monitoring child development, which involves tracking developmental milestones, it is unclear how these services are provided or perceived within the clinic. This study aimed to describe self-reported knowledge, perceptions, and practice of developmental monitoring in selected MCH clinics in western Kenya. Methods: This cross-sectional descriptive study was conducted within six clinics. We administered a descriptive survey to measure caregiver and healthcare staff attitudes towards and awareness of developmental monitoring; we also reviewed MCH booklets to identify services received at the clinic. Data collection occurred over a period of one day at each of the six clinic sites. The data were analyzed using descriptive statistics. Results: During the study period, 78 caregiver-child pairs presented to the clinics and had their MCH booklets reviewed. The median child age was three months (interquartile range [IQR]: 1-8 months). Most caregivers were aware of weight monitoring and immunization services; however, when asked specifically about developmental monitoring, only 2.6% of caregivers were aware this service was available at the clinics. Nearly 80% of caregivers reported that they would be very interested in developmental monitoring services. Thirty-three MCH healthcare staff were interviewed about services provided and goals of clinical care. Fewer healthcare staff (60.6%) identified their roles in developmental monitoring compared to their roles in growth (90.9%) and nutritional monitoring (84.8%). Developmental milestones had not been recorded in any of the 78 MCH booklets. However, 78.1% of healthcare staff indicated support for developmental screening. Conclusion and Global Health Implications: While developmental monitoring was valued by healthcare providers, it was not consistently performed at the six clinics in our study. We recommend further work to raise awareness about developmental monitoring and to measure the implications of increased caregiver knowledge and perceptions on developmental monitoring practice. Copyright © 2021 Oyungu, et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

Nutritional and Gastroenterological Monitoring of Patients With Celiac Disease During COVID-19 Pandemic: The Emerging Role of Telemedicine and Point-of-Care Gluten Detection Tests

Background and Aims: Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic, telemedicine has been supporting many patients with chronic diseases worldwide. However, data on celiac disease (CeD) nutritional and gastroenterological remote monitoring are scanty. The aims of our study were to verify patients' trust in telemedicine and to evaluate the feasibility of telemedicine in nutritional monitoring.Material and Methods: We used telemedicine in place of the scheduled but not provided follow-up visits during the first lockdown of the COVID-19 pandemic. Patients received a phone call, and televisits were conducted for CeD patients with mild or moderate symptoms and/or with blood alterations. The patient's adherence to the gluten-free diet (GFD) was evaluated according to the Celiac Dietary Adherence Test (CDAT). When gluten contamination was suspected, a point-of-care gluten detection test was prescribed. The patient's trust in telemedicine was assessed, through an adapted version of the Patient Trust Assessment Tool (PATAT) questionnaire, as the percentage of patients giving a score of at least 4 out of 5 on a Likert scale for three selected key statements: “I can trust televisit,” “I can trust that possible problems with the telemedicine service will be solved properly,” and “I feel at ease when working with this website.”Results: One hundred and twelve CeD patients were phone called; among symptomatic patients, 39 out of the 42 scheduled (92.9%) televisits were performed. Among the 39 visits, 34 (87.2%) questionnaires were compiled. The patients included in the study obtained a CDAT score from 7 to 13 (11 ± 2). Gluten detection tests were prescribed to 11 patients, resulting positive in 2. Trust in the telemedicine service was achieved in 94.1, 88.2, and 97.1% for the three selected key statements of the PATAT questionnaire.Conclusion: During the COVID-19 pandemic, telemedicine showed to be feasible and the majority of patients trusted the combined gastroenterological and nutritional televisits. Gluten detection tests demonstrated to be useful tools for the patient and for the caregiver to confirm adherence to the GFD remotely.

Implementation of a nutrition screening tool to improve nutritional status of children with cancer in Singapore’s largest paediatric hospital

Poor nutritional status in children with cancer can impact treatment outcomes and mortality. Nutrition screening is a simple yet effective approach to identify malnutrition risk for early intervention. We aim to improve the identification of children with cancer at high risk of malnutrition, so that nutritional intervention and rehabilitation can commence early for these children. Our multidisciplinary team conducted a root cause analysis and concluded that the generic screening tool did not differentiate malnutrition risk for different cancer types, stage and intensity of treatment. Hence, a screening tool that considered the identified factors was tested for reliability and validity first. Subsequently, we used the Plan, Do, Study, Act model with two improvement cycles to put in place a systematic process to facilitate the implementation. The interventions included (1) instituting the tool in the electronic medical records and (2) direct referral to dietitian based on screening score.We compared pre- and post-implementation cohorts and demonstrated better identification of nutritionally at-risk patients (36.4%–85.7%, p<0.001) with the new tool as well as improved timeliness of nutritional intervention (3 days to 1 day from admission, p=0.010). A lower malnutrition rate (17.4%–6.5%, p<0.001) in the postimplementation cohort was also demonstrated. Nutritional intervention within 48 hours of admission led to an overall positive weight change at 3 months (+2.68%, IQR: −1.14 to 9.09 vs −0.43%, −6.60 to 2.29; p=0.036) in the malnourished patients from both cohorts. Further studies will be conducted to evaluate the scale of the effectiveness of early intervention and close nutritional monitoring, in improving the nutritional status of children with cancer. The collaborative partnership among the doctors, nurses and dietitians has helped to streamline and simplify nutrition screening, making it an efficient and sustainable system in our hospital.

Hospital admission flow and nutritional support in a cohort of pediatric patients with COVID-19

In view of the current panorama of hospital nutritional care, it is necessary to review nutritional care practices in hospital units, in order to ensure nutritional monitoring and quality of care. Therefore, it is necessary to build flows of nutritional assistance practices at the pediatric hospital level, based on the recommendations of the Federal Council of Nutritionists and the Brazilian Society of Parenteral and Enteral Nutrition, aiming at not generating a deficit in the nutritional monitoring of the patient and in reducing the risk of contamination of the professional. When individual protection equipment is available, nutritional admission will be made in person and during hospitalization, monitoring can be performed using secondary data from electronic medical records and / or telecommunication with the multidisciplinary team. The implementation of nutritional routines in hospitals in times of Covid-19 pandemic generates more assertive conducts for the prevention and treatment of malnutrition and other nutritional implications, also guaranteeing the safety of professionals in assistance in pediatric units..