Ethical Issues and the Role of Palliative Care for Patients with Aspiration Pneumonia DOI

Amanda Rosen,

Bradley Hayward

Seminars in Respiratory and Critical Care Medicine, Journal Year: 2024, Volume and Issue: 45(06), P. 717 - 722

Published: Nov. 29, 2024

Abstract Aspiration pneumonia is a clinical entity with important ethical considerations. It imperative for clinicians to understand these considerations best provide counsel patients and their families, allowing them make fully informed decisions. Given that aspiration frequently associated end of life, there are palliative medicine principles may help in the treatment this disease.

Language: Английский

Improving Undernutrition with Microalgae DOI Open Access
Sunil K. Panchal, Kirsten Heimann, Lindsay Brown

et al.

Nutrients, Journal Year: 2024, Volume and Issue: 16(18), P. 3223 - 3223

Published: Sept. 23, 2024

Undernutrition is an important global health problem, especially in children and older adults. Both reversal of maternal child undernutrition heathy ageing have become United Nations-supported initiatives, leading to increased attention nutritional interventions targeting undernutrition. One feasible option microalgae, the precursor all terrestrial plants. Most commercially farmed microalgae are photosynthetic single-celled organisms producing organic carbon compounds oxygen. This review will discuss commercial opportunities grow microalgae. Microalgae produce lipids (including omega-3 fatty acids), proteins, carbohydrates, pigments micronutrients so can provide a suitable underutilised alternative for addressing The benefits nutrients derived from been identified, thus they candidates issues globally. potential microalgae-derived be converted into food products. advantages cultivation include that it does not need arable land or pesticides. Additionally, most species still unexplored, presenting options further development. Further, usefulness other purposes such as bioremediation biofuels increase knowledge these microorganisms, allowing development more efficient production interventions.

Language: Английский

Citations

4

Incorporating the Malnutrition Screening Tool and the Malnutrition Universal Screening Tool in Rehabilitation Practice: Comparison With the Nutrition Risk Screening 2002 DOI Creative Commons
Kübra Tel Adıgüzel, Hatice Aybüke Çalışkan, Fatma Birgül Işık

et al.

Food Science & Nutrition, Journal Year: 2025, Volume and Issue: 13(1)

Published: Jan. 1, 2025

To demonstrate the prevalence of malnutrition risk in a specific rehabilitation setting. The secondary aim study was to compare Malnutrition Screening Tool (MST) and Universal (MUST) with Nutritional Risk Screening-2002 (NRS-2002). Patients diagnosed stroke, anoxic brain injury, spinal cord multiple sclerosis, arthritis, neuromuscular diseases, Parkinson's disease, lymphedema who were admitted hospital included. NRS-2002, MST, MUST used assess risk. Body weight (kg), height (cm), mid upper arm circumference (cm) measured. Twenty-four hours dietary records obtained. Routine blood test results recorded from patient files. Five hundred sixteen patients mean age 54.3 ± 18.0 years most prominent diagnoses stroke injury. According 71.7% (n = 370) at low risk, but 28.3% 146) high Comparisons between NRS-2002 MST showed that these two scales have similar classifying for (p 0.154). Comparison significant differences < 0.001). Both sensitivity specificity above 80.0%. Sensitivity 78.1% 88.1%. Approximately one-third malnutrition. Specificity as routinely scale therefore it can be supposed that, considering diagnostic groups patients, are useful practice.

Language: Английский

Citations

0

間接熱量計を活用した侵襲期の低栄養患者への栄養管理 DOI Open Access

将裕 小島,

光雄 大西

The Japanese Journal of SURGICAL METABOLISM and NUTRITION, Journal Year: 2025, Volume and Issue: 59(1), P. 25 - 29

Published: Feb. 15, 2025

Citations

0

Undernutrition in adult hospitalized patients and its impact on the length of stay, a 10-year repeated cross-sectional study analyzing 65,226 stays DOI

Thierry Le Chevalier,

Josiane Arnaud,

Jérôme Fauconnier

et al.

Clinical Nutrition ESPEN, Journal Year: 2025, Volume and Issue: 67, P. 533 - 540

Published: April 6, 2025

Language: Английский

Citations

0

Comparison of the inflammatory biomarkers IL- 6, TNF-α, and CRP to predict the effect of nutritional therapy on mortality in medical patients at risk of malnutrition DOI Creative Commons
Carla Wunderle, Elisabeth Martin, Andrea Wittig

et al.

Journal of Inflammation, Journal Year: 2025, Volume and Issue: 22(1)

Published: April 24, 2025

Language: Английский

Citations

0

Current perspectives on malnutrition and immunomodulators bridging nutritional deficiencies and immune health DOI Creative Commons
Ashish Majumdar,

Surendra Saraf,

Chandrashekhar Sahu

et al.

Future Journal of Pharmaceutical Sciences, Journal Year: 2025, Volume and Issue: 11(1)

Published: April 24, 2025

Abstract Background Malnutrition is still one of the most serious and prevalent worldwide health problems, especially found in low- middle-income countries, which impairs immune functions increases susceptibility to infection. This study investigates complex association between malnutrition dysfunction, role immunomodulators restoring function. analyzes different types malnutrition, including protein-energy micronutrient deficiencies, their consequences system through inhibited cytokine cell production. Main body Immunomodulators, include natural agents such as phytochemicals probiotics, well synthetic agents, may help reduce dysfunction related starvation. article categorizes these discusses mechanisms action, regulating inflammatory pathways, increasing generation cells, augmenting global response. In addition, therapeutic approaches utilizing immunomodulation conjunction with nutritional therapies, supplementation (vitamins A, C, D zinc) or immunomodulators, improve gastroenterological disease states are discussed. Case reports recent studies provided that provide evidence supporting effectiveness therapy clinical outcomes vulnerable populations. Conclusion While there a promise for safety, long-term efficacy, ethical issues address before they could widely be employed. Each step research calls applied, working example immunomodulatory medicine tailored programs internationally. The highlights vital treatment encourages holistic immunological worldwide.

Language: Английский

Citations

0

Toward a Pragmatic Multidisciplinary Management of Nutritional Risk in Hospitalized Patients: Initiatives and Proposals of the Clinical Nutrition Network of Lombardy Region DOI Open Access
Elisa Mattavelli, Elvira Verduci,

Annalisa Mascheroni

et al.

Nutrients, Journal Year: 2025, Volume and Issue: 17(9), P. 1472 - 1472

Published: April 27, 2025

Malnutrition is a widespread problem in hospitalized patients, which significantly impacts clinical outcomes, quality of life, and healthcare costs. Despite its well-documented consequences, it remains underdiagnosed inadequately managed many settings. Even with recent progress, key challenges remain, including inconsistent use standardized nutritional screening tools practices, insufficient professional training, resource limitations. A multidisciplinary approach involving physicians, dietitians, nurses, pharmacists crucial for early detection, timely intervention, prevention malnutrition-related complications. The sustainability model requires overcoming logistical financial barriers, the integration technology real-time monitoring, protocols, specific training. Regional initiatives, such as establishment Clinical Nutrition Network Lombardy (Italy), reported discussed this article, have made strides improving care by promoting scientific networking practices across hospitals. This may not only improve patient outcomes but also reduce long-term costs shortening hospital stays preventing readmissions. For to be effective sustainable, collaboration among providers, policymakers, researchers essential promote an integrated, cost-effective managing risk throughout continuum care.

Language: Английский

Citations

0

Dysphagia in the Elderly, A Tough Issue to Swallow DOI Open Access
Adam Spandorfer,

Katelyn Stuart,

Judy Daboul

et al.

OBM Geriatrics, Journal Year: 2025, Volume and Issue: 09(02), P. 1 - 20

Published: April 28, 2025

Dysphagia in the geriatric population, age 65 or older, is increasingly common and a growing concern among healthcare providers. Not only can it critically impact quality of life, but also lead to clinically significant malnutrition, hospitalizations, increased length stays, has been shown mortality. A multi-disciplinary approach assess oral, pharyngeal, esophageal etiologies key guiding targeted management, which include behavioral modifications, medications, endoscopic therapies. This review article will examine summarize current knowledge on etiopathogenesis, diagnosis treatment options for elderly patients experiencing dysphagia.

Language: Английский

Citations

0

Low Plasma Pancreatic Lipase as a Novel Predictor of Nutritional Target Achievement and Response to Nutritional Interventions in Malnourished Inpatients: Secondary analysis of a randomized clinical trial DOI Creative Commons

Selina Randegger,

Carla Wunderle, Odd Erik Johansen

et al.

Clinical Nutrition, Journal Year: 2025, Volume and Issue: 47, P. 196 - 203

Published: Feb. 25, 2025

Language: Английский

Citations

0

Is poor chewing ability a risk factor for malnutrition? A six-year longitudinal study of older adults in Sweden DOI Creative Commons
Duangjai Lexomboon, Abhishek Kumar,

Sara Freyland

et al.

The journal of nutrition health & aging, Journal Year: 2025, Volume and Issue: 29(6), P. 100554 - 100554

Published: April 4, 2025

Language: Английский

Citations

0